Previously submitted to: JMIR mHealth and uHealth (no longer under consideration since Sep 03, 2021)
Date Submitted: Feb 24, 2021
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Effectiveness of Mobile Health Interventions on Management of Patients with Hypertension: Systematic Review of Systematic Reviews
ABSTRACT
Background:
Mobile health (mHealth) has provided a powerful platform for chronic disease management recent years. Although some previous systematic reviews evaluated the effectiveness of mHealth on hypertension management, there were inconsistent findings.
Objective:
To systematically evaluate the effectiveness of mHealth interventions on the management of patients with hypertension and to provide recommendations for the clinic and future researches.
Methods:
Databases including Embase, Cochrane Library, CINAHL, CNKI, SinoMed, WanFang and VIP Database were searched to collect systematic reviews and meta-analysis on mHealth interventions for hypertension management. Two researchers independently screened the articles and extracted data, and the Measurement Tool to Assess Systematic Reviews (AMSTAR 2) was used to evaluate the methodological quality of the included reviews.
Results:
A total of 11 systematic reviews were included. Three reviews were rated as high quality, four moderate quality, three low quality, one critically low quality. Mobile phone was the most common intervention type, followed by the internet. Seven reviews performed meta-analysis and showed that mHealth was associated with significant reduction in SBP from 2.28mmHg(95%CI 0.66-3.90; I2=100%) to 14.77 mmHg(95%CI 11.76-17.77; I2=90%) and DBP from 1.50mmHg(95%CI 0.80-2.20; I2=62%) to 8.17 mmHg(95%CI 5.67-10.67; I2=86%). Self-management behaviors included medication adherence, diet, smoking, alcohol drinking, exercise and BP monitoring, there were inconsistent results on the effectiveness of mHealth interventions.
Conclusions:
The mHealth interventions can improve BP control in patients with hypertension, but its impact on self-management behaviors is not confirmed.
Citation
Request queued. Please wait while the file is being generated. It may take some time.
Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.