Genevieve Coorey|Lis Neubeck|John C. Mulley|Julie Redfern
Effectiveness, acceptability and usefulness of mobile applications for cardiovascular disease self-management: Systematic review with meta-synthesis of quantitative and qualitative data
The George Institute for Global Health|University of Sydney|Edinburgh Napier University|University of Sydney|The George Institute for Global Health|The George Institute for Global Health|University of Sydney
background mobile technologies innovative scalable approaches reducing risk cardiovascular disease evidence related effectiveness acceptability remains limited aimed explore effectiveness acceptability usefulness mobile applications apps cardiovascular disease selfmanagement risk factor control design systematic review metasynthesis quantitative qualitative data methods comprehensive search multiple databases medline embase cinahl scopus cochrane central grey literature studies included intervention primarily app aimed improving least two lifestyle behaviours adults cardiovascular disease metasynthesis quantitative qualitative data performed review evaluate findings results ten studies varying designs including 607 patients five countries included interventions targeted hypertension heart failure stroke cardiac rehabilitation populations factors improved among app users rehospitalisation rates diseasespecific knowledge quality life psychosocial wellbeing blood pressure body mass index waist circumference cholesterol exercise capacity improved physical activity medication adherence smoking cessation also characteristic app users appealing app features included tracking healthy behaviours selfmonitoring disease education personalised customisable content small samples short duration selection bias noted limitations across studies relatively low overall scientific quality evidence conclusions multiple behaviours cardiovascular disease risk factors appear modifiable shorter term use mobile apps evidence effectiveness requires larger controlled studies longer duration emphasis process evaluation data better understand important system patientlevel characteristics