Journal article 8 views
Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis
Gary McLean,
Becky Band 
,
Kathryn Saunderson,
Peter Hanlon,
Elizabeth Murray,
Paul Little,
Richard J. McManus,
Lucy Yardley,
Frances S. Mair
,
Kathryn Saunderson,
Peter Hanlon,
Elizabeth Murray,
Paul Little,
Richard J. McManus,
Lucy Yardley,
Frances S. Mair
Journal of Hypertension, Volume: 34, Issue: 4, Pages: 600 - 612
Swansea University Author:
Becky Band
Full text not available from this repository: check for access using links below.
DOI (Published version): 10.1097/hjh.0000000000000859
Abstract
Objective: To synthesize the evidence for using interactive digital interventions (IDIs) to support patient self-management of hypertension, and to determine their impact on control and reduction of blood pressure.Method: Systematic review with meta-analysis was undertaken with a search performed in...
| Published in: | Journal of Hypertension |
|---|---|
| ISSN: | 0263-6352 |
| Published: |
Ovid Technologies (Wolters Kluwer Health)
2016
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa67044 |
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| Abstract: |
Objective: To synthesize the evidence for using interactive digital interventions (IDIs) to support patient self-management of hypertension, and to determine their impact on control and reduction of blood pressure.Method: Systematic review with meta-analysis was undertaken with a search performed in MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, Cochrane Library, DoPHER, TROPHI, Social Science Citation Index and Science Citation Index. The population was adults (>18 years) with hypertension, intervention was an IDI and the comparator was usual care. Primary outcomes were change in SBP and DBP. Only randomized controlled trials and studies published in journals and in English were eligible. Eligible IDIs included interventions accessed through a computer, smartphone or other hand-held device.Results: Four out of seven studies showed a significantly greater reduction for intervention compared to usual care for SBP, with no difference found for three. Overall, IDIs significantly reduced SBP, with the weighted mean difference being −3.74 mmHg [95% confidence interval (CI) −2.19 to −2.58] with no heterogeneity observed (I-squared = 0.0%, P = 0.990). For DBP, four out of six studies indicated a greater reduction for intervention compared to controls, with no difference found for two. For DBP, a significant reduction of −2.37 mmHg (95% CI −0.40 to −4.35) was found, but considerable heterogeneity was noted (I-squared = 80.1%, P = <0.001).Conclusion: IDIs lower both SBP and DBP compared to usual care. Results suggest these findings can be applied to a wide range of healthcare systems and populations. However, sustainability and long-term clinical effectiveness of these interventions remain uncertain. |
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| Keywords: |
blood pressure, digital intervention, hypertension |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
This study presents independent research funded by the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research Programme (Grant Reference Number (RP-PG-1211-20001). NHS Solent is the grant host. We would also like to acknowledge all members of the
DIPSS investigator team, including Bryan Williams, Susan Michie, Carl R May, Peter Smith, Mark Weal, Adam Geraghty, James Raftery, Lily Yao, Rebecca Kandiyali, Bob Gann, Tony Snell, Sarah WiIliams, Keith Manship, Shelley Mason, Katharine Jenner. |
| Issue: |
4 |
| Start Page: |
600 |
| End Page: |
612 |