Digital Interventions to promote self-management in adults with hypertension: protocol for systematic review and meta-analysis

McLean, G., Murray, E., Band, R., Saunderson, K., Hanlon, P. , Little, P., McManus, R. J., Yardley, L. and Mair, F. S. (2016) Digital Interventions to promote self-management in adults with hypertension: protocol for systematic review and meta-analysis. JMIR Research Protocols, 4(4), e133. (doi:10.2196/resprot.4648) (PMID:26589728)

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Abstract

Background: Digital interventions, defined as any intervention accessed and taking input from patients in the form of a computer/Web-based program or mobile phoned-based app, can potentially help empower patients to self-manage long-term conditions such as hypertension. Importantly, digital interventions have the potential to provide patients with personalized information and support for active involvement in treatment as well as cost saving. Objective: The purpose of this systematic review is to synthesize the evidence for using digital interventions to support patient self-management of hypertension, and determine their impact on control and reduction of blood pressure, other clinical outcomes, quality of life, medication adherence, health service utilization, and economic benefits. Methods: A systematic search of bibliographic databases including Medline, Embase, CINAHL, and PsycINFO will be undertaken. Abstracts and citations will be independently screened by 2 researchers against predetermined inclusion criteria. Any disagreements will be resolved by discussion and further consideration of the inclusion criteria. Only randomized controlled trials which have been published in peer peer-reviewed journals with a diagnosis of hypertension will be considered. Inclusion criteria will be (1) adults (age ≥18 years) with hypertension (as defined by the primary authors); (2) an interactive digital intervention compared with usual care; and (3) outcomes of objectively measured change in blood pressure. Data extraction from identified articles will be undertaken by 2 independent reviewers using a uniform template. The main outcomes are systolic blood pressure (SBP) and diastolic blood pressure (DBP), and quality of life indicators. Secondary outcomes include cost- effectiveness, medication adherence, emotional well-being, and physical activity. Risk of bias of included studies will be assessed using the Cochrane tool. Results: Our research is currently ongoing. Data will be summarized narratively, and if possible, meta-analyses will be performed to assess the impact of the interventions on outcomes. Conclusions: By summarizing and synthesizing available data, this review will help inform policy on the use of digital interventions for self-management of hypertension and will clarify areas for further research.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Saunderson, Dr Kathryn and Mair, Professor Frances and Hanlon, Dr Peter and McLean, Dr Gary
Authors: McLean, G., Murray, E., Band, R., Saunderson, K., Hanlon, P., Little, P., McManus, R. J., Yardley, L., and Mair, F. S.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Journal Name:JMIR Research Protocols
Publisher:J M I R Publications, Inc.
ISSN:1929-0748
ISSN (Online):1929-0748
Copyright Holders:Copyright © 2015 The Authors
First Published:First published in JMIR Research Protocols 4(4):e133
Publisher Policy:Reproduced under a Creative Commons License

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