Effectiveness of mobile health interventions on management of patients with hypertension: a systematic review of systematic reviews†
Categoría del artículo: Review
Publicado en línea: 14 mar 2025
Páginas: 1 - 12
Recibido: 17 oct 2023
Aceptado: 04 ago 2024
DOI: https://doi.org/10.2478/fon-2025-0001
Palabras clave
© 2025 Si-Si Wu et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Objective
To systematically evaluate the effectiveness of mobile health (mHealth) interventions on self-management and blood pressure (BP) control in patients with hypertension and to provide recommendations for the clinic and future research.
Methods
Databases including Embase, Cochrane Library, CINAHL, CNKI, SinoMed, Wanfang, and Weipu were searched to collect systematic reviews (SRs) and meta-analyses on mHealth interventions for hypertension management. Two researchers independently screened the articles and extracted data, and the Assessment of Multiple Systematic Reviews (AMSTAR 2) was used to evaluate the methodological quality of the included reviews.
Results
A total of 11 SRs were included: 1 review was rated as high quality, 3 as low quality, and 7 as critically low quality. The mobile phone was the most common intervention type, followed by the internet. Seven reviews performed meta-analyses and showed that mHealth was associated with a significant reduction in systolic blood pressure (SBP), from 2.28 mmHg (95%CI –3.90 to –0.66;
Conclusions
mHealth interventions can improve BP control, MA, diet, and smoking in patients with hypertension, but the evidence for the efficacy of mHealth on physical activity and alcohol drinking improvement is limited. The methodological quality of existing SRs on the management of BP in patients with hypertension was relatively low, and more well-designed SRs or meta-analyses were needed to provide more evidence. mHealth interventions are useful for improving BP control of patients with hypertension.