Mobile Health Technology for Hypertension Management: A Systematic Review
Hypertension is a chronic condition, and a major risk factor for other chronic conditions requires management. Considering the growth and extensive use of mobile health (mHealth) technologies and their capabilities, it is essential to examine the effects of these technologies on hypertension control and self-management. The present systematic review examined the effect of using mHealth technologies in controlling blood pressure and investigated the functionalities of mHealth technology on self-management aspects of patients with hypertension. A systematic search was conducted on PubMed, Web of Science, Embase, and Scopus databases. Clinical trials in English investigating the use of mHealth technologies for blood pressure control published from 2005 to 2018 were included in this study. The functionalities of these technologies were also investigated. These functionalities were divided into five categories of monitoring, alarms, feedbacks, education, and communication. The most frequently used technology for hypertension control was smartphones in the 15 articles examined. Moreover, the most frequent functionalities used for self-management of hypertension were communications and reminders, education, monitoring, and feedback, respectively. In the majority of the studies, these functionalities were employed in combination with mHealth technologies, a feature that affects hypertension control and self-management. The use of mHealth technologies, such as smartphones, positively affects hypertension self-management and reduces blood pressure. Functionalities such as communication and reminders, education, monitoring, and feedback are effective in hypertension self-management programs. The simultaneous use of these functionalities combined will be more effective in hypertension self-management programs.
2. Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension 2018.71(6):e13-e115. doi: 10.1161/HYP.0000000000000066.
3. World Health Organization.Hypertension:Key facts. Cited[20 September 2019]. Available at:https://www.who.int/news-room/fact-sheets/detail/hypertension.
4. Cappuccio FP, Kerry SM, Forbes L, Donald A. Blood pressure control by home monitoring: meta-analysis of randomised trials. BMJ 2004.329(7458):145. doi: 10.1136/bmj.38121.684410.AE.
5. Mohammadi R, Ayatolahi Tafti M, Hoveidamanesh S, Ghanavati R, Pournik O. Reflection on Mobile Applications for Blood Pressure Management: A Systematic Review on Potential Effects and Initiatives. Stud Health Technol Inform 2018 .247: 306-310.
6. Chow CK, Teo KK, Rangarajan S, Islam S, Gupta R, Avezum A. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA 2013.310(9):959-68. doi: 10.1001/jama.2013.184182. doi: 10.1001/jama.2013.184182.
7. Bakris G, Sarafidis P, Agarwal R, Ruilope L. Review of blood pressure control rates and outcomes. J Am Soc Hypertens 2014.8(2):127-41. doi: 10.1016/j.jash.2013.07.009.
8. Franek J. Self-management support interventions for persons with chronic disease: an evidence-based analysis. Ont Health Technol Assess Ser 2013.13(9):1-60.
9. Grady PA and LL. Gough, Self-management: a comprehensive approach to management of chronic conditions. Am J Public Health 2014.104(8):e25-e31. doi: 10.2105/AJPH.2014.302041.
10. Adams K, Corrigan JM. Institute of Medicine. Priority Areas for National Action: Transforming Health Care Quality. Committee on Identifying Priority Areas for Quality Improvement. Washington, DC: National Academies Press; 2003.
11. Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns 2002.48(2):177-187. doi: 10.1016/s0738-3991(02)00032-0.
12. Wagner EH. Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1998.1(1):2-4.
13. Trappenburg J, Jonkman N, Jaarsma T, van Os-Medendorp H, Kort H, de Wit N, et al. Self-management: one size does not fit all. Patient Educ Couns 2013.92(1):134-7. doi: 10.1016/j.pec.2013.02.009.
14. Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA 2002.288(19):2469-2475.doi : 10.1001/jama.288.19.2469.
15. Grady PA, Gough LL. Self-management: a comprehensive approach to management of chronic conditions. Am J Public Health 2014.104(8):e25-e31. doi: 10.2105/AJPH.2014.302041.
16. Shahaj O, Denneny D, Schwappach A, Pearce G, Epiphaniou E, Parke HL, et al., Supporting self-management for people with hypertension: a meta-review of quantitative and qualitative systematic reviews. J Hypertens 2019.37(2):264-279. doi: 10.1097/HJH.0000000000001867.
17. Whitehead L, Seaton P. The effectiveness of self-management mobile phone and tablet apps in long-term condition management: a systematic review. J Med Internet Res 2016.18(5):e97. doi: 10.2196/jmir.4883.
18. Logan AG. Transforming hypertension management using mobile health technology for telemonitoring and self-care support. Can J Cardiol 2013.29(5):579-585. doi: 10.1016/j.cjca.2013.02.024.
19. Liu S, Dunford SD, Leung YW, Brooks D, Thomas SG, Eysenbach G, et al. Reducing blood pressure with Internet-based interventions: a meta-analysis. Can J Cardiol 2013.29(5):613-621. doi: 10.1016/j.cjca.2013.02.007.
20. Akter S, D’Ambra J, Ray P. Development and validation of an instrument to measure user perceived service quality of mHealth. Information and Management 2013.50(4):181-195. doi : 10.1016/j.im.2013.03.001.
21. World Health Organization. mHealth:new horizons for health through mobile technologies. Global Observatory for eHealth Series –Volume 3.Geneva:WHO Press; 2011. Cited[20 September 2019]. Available at: http://www.who.int/goe/publications/goe_mhealth_web.pdf.
22. Kumar S, Nilsen WJ, Abernethy A, Atienza A, Patrick K, Pavel M, et al. Mobile health technology evaluation: the mHealth evidence workshop. Am J Prev Med 2013.45(2):228-36. doi: 10.1016/j.amepre.2013.03.017.
23. Gurman TA, Rubin SE, Roess AA. Effectiveness of mHealth behavior change communication interventions in developing countries: a systematic review of the literature. J Health Commun 2012.17 Suppl 1:82-104. doi: 10.1080/10810730.2011.649160.
24. Free C, Phillips G, Galli L, Watson L, Felix L, Edwards P, et al. The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review. PLoS Med 2013.10(1):e1001362. doi: 10.1371/journal.pmed.1001362.
25. Alessa T, Abdi S, Hawley MS, de Witte L. Mobile Apps to Support the Self-Management of Hypertension: Systematic Review of Effectiveness, Usability, and User Satisfaction. JMIR Mhealth Uhealth 2018.6(7):e10723-e10723. doi: 10.2196/10723.
26. Parati G, Torlasco C, Omboni S, Pellegrini D. Smartphone Applications for Hypertension Management: a Potential Game-Changer That Needs More Control. Curr Hypertens Rep 2017.19(6):48. doi: 10.1007/s11906-017-0743-0.
27. Ryu S. Book Review: mHealth: New Horizons for Health through Mobile Technologies: Based on the Findings of the Second Global Survey on eHealth (Global Observatory for eHealth Series, Volume 3). Healthc Inform Res 2012.18(3):231-233. doi: 10.4258/hir.2012.18.3.231.
28. Carroll JK, Moorhead A, Bond R, LeBlanc WG, Petrella RJ, Fiscella K. Who Uses Mobile Phone Health Apps and Does Use Matter? A Secondary Data Analytics Approach. J Med Internet Res 2017.19(4):e125. doi: 10.2196/jmir.5604.
29. Tacconelli E. Systematic reviews: CRD’s guidance for undertaking reviews in health
care. Lancet Infect Dis 2010;10:226. Doi: 10.1016/S1473-3099(10)70065-7.
30. Meurer WJ, Dome M, Brown D, Delemos D, Oska S, Gorom V, et al. Feasibility of Emergency Department-initiated, Mobile Health Blood Pressure Intervention: An Exploratory, Randomized Clinical Trial. Acad Emerg Me 2019.26(5):517-527. doi: 10.1111/acem.13691.
31. Márquez Contreras E, Márquez Rivero S, Rodríguez García E, López-García-Ramos L, Pastoriza Vilas JC, Baldonedo Suárez A, et al. Specific hypertension smartphone application to improve medication adherence in hypertension: a cluster-randomized trial. Curr Med Res Opin 2019.35(1):167-173. doi: 10.1080/03007995.2018.1549026.
32. Chandler J, Sox L, Kellam K, Feder L, Nemeth L, Treiber F. Impact of a Culturally Tailored mHealth Medication Regimen Self-Management Program upon Blood Pressure among Hypertensive Hispanic Adults. Int J Environ Res Public Health 2019.16(7):1226. doi: 10.3390/ijerph16071226.
33. Scala D, Menditto E, Caruso G, Monetti VM, Orlando V, Guerriero F, et al. Are you more concerned about or relieved by medicines? An explorative randomized study of the impact of telephone counseling by pharmacists on patients’ beliefs regarding medicines and blood pressure control. Patient Educ Couns 2018.101(4):679-686. doi: 10.1016/j.pec.2017.12.006.
34. Morawski K, Ghazinouri R, Krumme A, Lauffenburger JC, Lu Z, Durfee E, et al. Association of a Smartphone Application With Medication Adherence and Blood Pressure Control The MedISAFE-BP Randomized Clinical Trial. JAMA Intern Med 2018.178(6):802-809. doi: 10.1001/jamainternmed.2018.0447.
35. Lee HY, Kim JY, Na KY, Park HY, Han J, Pak Y, et al. The role of telehealth counselling with mobile self-monitoring on blood pressure reduction among overseas Koreans with high blood pressure in Vietnam. J Telemed Telecare 2018.25(4):241-248. doi: 10.1177/1357633X18780559.
36. Ciemins EL, Arora A, Coombs NC, Holloway B, Mullette EJ, Garland R, et al. Improving Blood Pressure Control Using Smart Technology. Telemed J E Health 2018.24(3):222-228.doi: 10.1089/tmj.2017.0028.
37. Varleta P, Acevedo M, Akel C, Salinas C, Navarrete C, García A, et al. Mobile phone text messaging improves antihypertensive drug adherence in the community. J Clin Hypertens (Greenwich) 2017.19(12):1276-1284. doi: 10.1111/jch.13098..
38. Rubinstein A, Miranda JJ, Beratarrechea A, Diez-Canseco F, Kanter R, Gutierrez L, et al. Effectiveness of an mHealth intervention to improve the cardiometabolic profile of people with prehypertension in low-resource urban settings in Latin America: A randomised controlled trial. Lancet Diabetes Endocrinol 2016.4(1):52-63. doi: 10.1016/S2213-8587(15)00381-2.
39. Petrella RJ, Stuckey MI, Shapiro S, Gill DP. Mobile health, exercise and metabolic risk: a randomized controlled trial. BMC public health 2014.14:1082. doi: 10.1186/1471-2458-14-1082.
40. Moore JO, Marshall MA, Judge DC, Moss FH, Gilroy SJ, Crocker JB, et al., Technology-supported apprenticeship in the management of hypertension: A randomized controlled trial. J Clin Outcomes Manag 2014.21(3):110-112.
41. Margolis KL, Margolis KL, Asche SE, Bergdall AR, Dehmer SP, Groen SE, Kadrmas HM, et al. Effect of home blood pressure telemonitoring and pharmacist management on blood pressure control: a cluster randomized clinical trial. JAMA 2013.310(1):46-56. doi: 10.1001/jama.2013.6549.
42. Bove AA, Homko CJ, Santamore WP, Kashem M, Kerper M, Elliott DJ. Managing hypertension in urban underserved subjects using telemedicine--a clinical trial. Am Heart J 2013.165(4):615-21. doi: 10.1016/j.ahj.2013.01.004.
43. Piette JD, Datwani H, Gaudioso S, Foster SM, Westphal J, Perry W, et al. Hypertension management using mobile technology and home blood pressure monitoring: results of a randomized trial in two low/middle-income countries. Telemed J E Health 2012.18(8):613-620. doi: 10.1089/tmj.2011.0271.
44. Brennan T, Spettell C, Villagra V, Ofili E, McMahill-Walraven C, Lowy EJ, et al. Disease management to promote blood pressure control among African Americans. Popul Health Manag 2010.13(2):65-72. doi: 10.1089/pop.2009.0019.
45. Mehdizadeh H, Asadi F, Mehrvar A, Nazemi E, Emami H. Smartphone apps to help children and adolescents with cancer and their families: a scoping review. Acta Oncol 2019: 58(7):1003-1014. doi: 10.1080/0284186X.2019.1588474.
46. Lalloo C, Jibb LA, Rivera J, Agarwal A, Stinson JN. "There's a Pain App for That": Review of Patient-targeted Smartphone Applications for Pain Management. Clin J Pain 2015.31(6):557-63. doi: 10.1097/AJP.0000000000000171.
47. McLean G, Band R, Saunderson K, Hanlon P, Murray E, Little P, et al. Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis. J Hypertens 2016.34(4):600-612. doi: 10.1097/HJH.0000000000000859.
48. Fu H, McMahon SK, Gross CR, Adam TJ, Wyman JF. Usability and clinical efficacy of diabetes mobile applications for adults with type 2 diabetes: A systematic review. Diabetes Res Clin Pract 2017.131:70-81. doi: 10.1016/j.diabres.2017.06.016.
49. Whitehead L and Seaton P. The Effectiveness of Self-Management Mobile Phone and Tablet Apps in Long-term Condition Management: A Systematic Review. J Med Internet Res 2016.18(5): e97. doi: 10.2196/jmir.4883.
50. Bonoto BC, de Araújo VE, Godói IP, de Lemos LL, Godman B, Bennie M, et al. Efficacy of Mobile Apps to Support the Care of Patients With Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. JMIR Mhealth Uhealth 2017.5(3):e4. doi: 10.2196/mhealth.6309.
51. Lee JA, Choi M, Lee SA, Jiang N. Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review. BMC Med Inform Decis Mak 2018.18(1):12-12. doi: 10.1186/s12911-018-0591-0.
52. Alessa T, Hawley MS, Hock ES, de Witte L.Smartphone Apps to Support Self-Management of Hypertension: Review and Content Analysis. JMIR Mhealth Uhealth 2019.7(5):e13645. doi: 10.2196/13645.
53. Kumar N, Khunger M, Gupta A, Garg N. A content analysis of smartphone-based applications for hypertension management. J Am Soc Hypertens 2015.9(2):130-6. doi: 10.1016/j.jash.2014.12.001.
54. Vargas G, Cajita MI, Whitehouse E, Han HR. Use of Short Messaging Service for Hypertension Management: A Systematic Review. J Cardiovasc Nurs 2017.32(3):260-270. doi: 10.1097/JCN.0000000000000336.
55. Jamaladin H, van de Belt TH, Luijpers LC, de Graaff FR, Bredie SJ, Roeleveld N, et al. Mobile Apps for Blood Pressure Monitoring: Systematic Search in App Stores and Content Analysis. JMIR Mhealth Uhealth 2018.6(11):e187-e187. doi: 10.2196/mhealth.9888.
56. AbuDagga A, Resnick HE, Alwan M. Impact of blood pressure telemonitoring on hypertension outcomes: a literature review. Telemed J E Health 2010.16(7):830-838. doi: 10.1089/tmj.2010.0015.
57. Sivakumaran D, and Earle KA. Telemonitoring: use in the management of hypertension. Vasc Health Risk Manag 2014.10:217-224. doi: 10.2147/VHRM.S36749.
58. Thangada ND, Garg N, Pandey A, Kumar N. The Emerging Role of Mobile-Health Applications in the Management of Hypertension. Curr Cardiol Rep 2018.20(9):78. doi: 10.1007/s11886-018-1022-7.
59. Chandak A and Joshi A. Self-management of hypertension using technology enabled interventions in primary care settings. Technol Health Care 2015.23(2):119-28. doi: 10.3233/THC-140886.
|Issue||Vol 58, No 6 (2020)|
|Hypertension Self-management Mobile health Mobile technology|
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