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Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis

Gary McLean, Becky Band Orcid Logo, 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 Orcid Logo

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DOI (Published version): 10.1097/hjh.0000000000000859

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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...

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Published in: Journal of Hypertension
ISSN: 0263-6352
Published: Ovid Technologies (Wolters Kluwer Health) 2016
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URI: https://cronfa.swan.ac.uk/Record/cronfa67044
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spelling v2 67044 2024-07-09 Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis 06b53a31f254b004de8649a376ce2fbd 0000-0001-5403-1708 Becky Band Becky Band true false 2024-07-09 HSOC 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. Journal Article Journal of Hypertension 34 4 600 612 Ovid Technologies (Wolters Kluwer Health) 0263-6352 blood pressure, digital intervention, hypertension 1 4 2016 2016-04-01 10.1097/hjh.0000000000000859 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University 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. 2024-11-06T10:30:01.9517999 2024-07-09T15:27:33.5940876 Faculty of Medicine, Health and Life Sciences School of Psychology Gary McLean 1 Becky Band 0000-0001-5403-1708 2 Kathryn Saunderson 3 Peter Hanlon 4 Elizabeth Murray 5 Paul Little 6 Richard J. McManus 7 Lucy Yardley 8 Frances S. Mair 9
title Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis
spellingShingle Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis
Becky Band
title_short Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis
title_full Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis
title_fullStr Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis
title_full_unstemmed Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis
title_sort Digital interventions to promote self-management in adults with hypertension systematic review and meta-analysis
author_id_str_mv 06b53a31f254b004de8649a376ce2fbd
author_id_fullname_str_mv 06b53a31f254b004de8649a376ce2fbd_***_Becky Band
author Becky Band
author2 Gary McLean
Becky Band
Kathryn Saunderson
Peter Hanlon
Elizabeth Murray
Paul Little
Richard J. McManus
Lucy Yardley
Frances S. Mair
format Journal article
container_title Journal of Hypertension
container_volume 34
container_issue 4
container_start_page 600
publishDate 2016
institution Swansea University
issn 0263-6352
doi_str_mv 10.1097/hjh.0000000000000859
publisher Ovid Technologies (Wolters Kluwer Health)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
document_store_str 0
active_str 0
description 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.
published_date 2016-04-01T10:30:01Z
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