Elaine C. Khoong|Kristan Olazo|Natalie A. Rivadeneira|Sneha Thatipelli|Jill Barr?Walker|Valy Fontil|Courtney R. Lyles|Urmimala Sarkar
Mobile health strategies for blood pressure self-management in urban populations with digital barriers: systematic review and meta-analyses
San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|Northwestern University|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital|San Francisco General Hospital|University of California, San Francisco|San Francisco General Hospital
abstract mobile health mhealth technologies improve hypertension outcomes unknown benefit applies populations review aimed describe impact mhealth interventions blood pressure outcomes populations disparities digital health use conducted systematic search identify studies systolic blood pressure sbp outcomes located urban settings highincome countries included digital health disparity population defined mean age 65 years lower educational attainment 60 high school education andor racialethnic minority lt50 nonhispanic white us studies interventions categorized using established selfmanagement taxonomy conducted narrative synthesis among randomized clinical trials rcts sixmonth sbp outcome conducted randomeffects metaanalyses twentynine articles representing 25 studies included 15 rcts fifteen studies used text messaging twelve used mobile applications studies included based raceethnicity 14 education 10 andor age 6 common intervention components lifestyle advice 20 provision selfmonitoring equipment 17 training digital device use 15 metaanalyses seven rcts sbp reduction 6months intervention group mean sbp difference 410 95 ci 638 183 significant significant difference sbp change intervention control groups p 048 use mhealth tools shown promise chronic disease management studies included older limited educational attainment minority populations additional robust studies populations needed determine interventions work best diverse hypertensive patients