Applications of Mobile Health Technologies to Address Cardiometabolic Health Disparities in the United States: A Systematic Review.

IF 3.4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ethnicity & Disease Pub Date : 2024-04-24 eCollection Date: 2023-09-01 DOI:10.18865/ed.33.4.180
Marisol S Cora-Cruz, Elena M Wilson, Grecia B Vargas, Valerie Thompson, Ikechukwu Enenmoh, Chelsea Goffe, Aqueasha M Martin-Hammond, Tanjala S Purnell
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Abstract

Introduction: Black and Hispanic adults are disproportionately burdened by cardiometabolic disorders. The aim of this systematic review was to examine the effectiveness of mobile health technologies to promote disease prevention and self-management among US adults in diverse communities.

Methods: Potential studies were identified using a comprehensive search of the PubMed and EMBASE databases for recent studies published from December 2018 through 2021. Keywords and search strategies were established to focus on health disparity populations and the application of mobile health technology for cardiovascular disease risk reduction. Titles and abstracts were assessed and, if a study was eligible, 2 independent reviewers completed a full-length review with extraction in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

Results: A total of 13 studies met our inclusion criteria. Study sample sizes ranged from 8 to 533 baseline participants. Studies were conducted in diverse communities (eg, North Carolina and California). Most studies used mobile applications (n=11) and a majority used accelerometers or similar technologies (eg, smartwatches) to assess changes in dietary behavior, blood pressure control, and physical activity. Overall, studies reported positive associations between mobile technology use and risk factor reduction actions and behaviors. Long-term adherence varied across studies. Those that prioritized culturally tailored approaches reported more significant impacts than those that did not.

Conclusions: Evidence suggests that mobile technology may be useful in promoting disease self-management and risk reduction among populations at higher risk of cardiometabolic diseases. The use of mobile health technologies, particularly when tailored to target populations, may be a practical approach to advancing population health equity.

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美国应用移动医疗技术解决心脏代谢健康差异问题:系统回顾。
导言:黑人和西班牙裔成年人的心脏代谢疾病负担过重。本系统性综述旨在研究移动医疗技术在促进美国不同社区成人疾病预防和自我管理方面的有效性:通过对 PubMed 和 EMBASE 数据库中 2018 年 12 月至 2021 年期间发表的最新研究进行全面检索,确定了潜在的研究。确定的关键词和搜索策略侧重于健康差异人群和移动医疗技术在降低心血管疾病风险方面的应用。对标题和摘要进行评估,如果研究符合条件,则由两名独立审稿人根据《系统综述和元分析首选报告项目》指南完成全文审阅和提取:共有 13 项研究符合我们的纳入标准。研究样本量从 8 到 533 个基线参与者不等。研究在不同的社区(如北卡罗来纳州和加利福尼亚州)进行。大多数研究使用了移动应用程序(n=11),大多数研究使用了加速度计或类似技术(如智能手表)来评估饮食行为、血压控制和体育锻炼方面的变化。总体而言,研究报告显示,移动技术的使用与减少风险因素的行动和行为之间存在正相关。不同研究的长期坚持率各不相同。优先考虑文化定制方法的研究比不优先考虑文化定制方法的研究报告了更显著的影响:结论:有证据表明,移动技术在促进高危人群自我管理疾病和降低风险方面可能很有用。使用移动医疗技术,尤其是针对目标人群量身定制的技术,可能是促进人口健康公平的一种实用方法。
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来源期刊
Ethnicity & Disease
Ethnicity & Disease 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.30
自引率
0.00%
发文量
43
审稿时长
6-12 weeks
期刊介绍: Ethnicity & Disease is an international journal that exclusively publishes information on the causal and associative relationships in the etiology of common illnesses through the study of ethnic patterns of disease. Topics focus on: ethnic differentials in disease rates;impact of migration on health status; social and ethnic factors related to health care access and health; and metabolic epidemiology. A major priority of the journal is to provide a forum for exchange between the United States and the developing countries of Europe, Africa, Asia, and Latin America.
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