Exploring Hypertension Patient Engagement Using mHealth. A Scoping Review.

IF 3.1 Q2 PERIPHERAL VASCULAR DISEASE High Blood Pressure & Cardiovascular Prevention Pub Date : 2024-07-01 Epub Date: 2024-06-24 DOI:10.1007/s40292-024-00656-y
Debora Rosa, Matteo Peverelli, Andrea Poliani, Giulia Villa, Duilio Fiorenzo Manara
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Abstract

Introduction: Widespread use of smartphone applications has opened new perspectives for home Blood Pressure monitoring based on mobile health (mHealth) technologies. Patient engagement has been dubbed 'the silver bullet of the century'.

Aim: The aim was to identify the impact of engagement in patients with blood pressure using mHealth.

Methods: This scoping review was conducted in accordance with the Ark0sey and O'Malley framework.

Database: Pubmed, CINAHL, Scopus and PsycInfo. This review considered both qualitative and quantitative primary searches. We excluded articles belonging to grey literature, secondary literature and paediatric setting. Between September and November 2023, the review was carried out.

Results: A total of 569 documents were retrieved from the four databases. After the deduplication process, five articles were removed. The selection process based on titles and abstracts included 133 records. Ten studies were selected and analysed. The reviewers identified the following themes: device type and mobile applications, engagement, blood pressure control, health behaviours and hypertension knowledge. Self-management using digital technologies in the home is strongly linked to engagement, reduction and control of Blood Pressure, improved health practices and increased knowledge of hypertension. Healthcare interventions using IT platforms have had a significant impact on the health outcomes of patients diagnosed with hypertension.

Conclusions: The review findings suggest the value of these technologies in improving patient engagement and, consequently, adherence to antihypertensive treatment and achieving blood pressure control rates, potentially reducing cardiovascular risk.

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探索利用移动医疗提高高血压患者参与度。范围综述。
引言智能手机应用程序的广泛使用为基于移动医疗(mHealth)技术的家庭血压监测开辟了新的前景。患者参与被誉为 "本世纪的银弹"。目的:本研究旨在确定使用移动医疗技术对血压患者进行参与的影响:本范围界定综述根据 Ark0sey 和 O'Malley 框架进行:数据库:Pubmed、CINAHL、Scopus 和 PsycInfo。本综述考虑了定性和定量的主要检索。我们排除了属于灰色文献、二手文献和儿科环境的文章。综述于 2023 年 9 月至 11 月间进行:从四个数据库中共检索到 569 篇文献。经过去重处理,删除了 5 篇文章。基于标题和摘要的筛选过程包括 133 条记录。共选择并分析了 10 项研究。审稿人确定了以下主题:设备类型和移动应用、参与、血压控制、健康行为和高血压知识。在家中使用数字技术进行自我管理与参与、降低和控制血压、改善健康行为和增加高血压知识密切相关。使用信息技术平台进行的医疗保健干预对确诊为高血压患者的健康结果产生了重大影响:综述结果表明,这些技术在提高患者参与度,进而坚持降压治疗和实现血压控制率,降低心血管风险方面具有重要价值。
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来源期刊
CiteScore
5.70
自引率
3.30%
发文量
57
期刊介绍: High Blood Pressure & Cardiovascular Prevention promotes knowledge, update and discussion in the field of hypertension and cardiovascular disease prevention, by providing a regular programme of independent review articles covering key aspects of the management of hypertension and cardiovascular diseases. The journal includes:   Invited ''State of the Art'' reviews.  Expert commentaries on guidelines, major trials, technical advances.Presentation of new intervention trials design.''Pros and Cons'' or round tables on controversial issues.Statements on guidelines from hypertension and cardiovascular scientific societies.Socio-economic issues.Cost/benefit in prevention of cardiovascular diseases.Monitoring of healthcare systems.News and views from the Italian Society of Hypertension (including abstracts).All manuscripts are subject to peer review by international experts. Letters to the editor are welcomed and will be considered for publication.
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