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Mobile Health Devices as Tools for Worldwide Cardiovascular Risk Reduction and Disease Management.

John D Piette1, Justin List2, Gurpreet K Rana2

  • 1From Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI (J.D.P., D.S., M.H.); Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI (J.D.P., D.S., M.H.); Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI (J.D.P., M.H.); Robert Wood Johnson Clinical Scholars Program, University of Michigan, Ann Arbor, MI (J.L., M.H.): and Taubman Health Sciences Library, University of Michigan, Ann Arbor, MI (G.K.R., W.T.). jpiette@umich.edu.

Circulation
|November 25, 2015
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Summary
This summary is machine-generated.

Mobile health (mHealth) tools show promise in improving cardiovascular disease management globally. Interventions like interactive voice response and text messaging are effective for lifestyle changes and disease control, especially in low- and middle-income countries.

Keywords:
computational biologydeveloping countriestelemedicine

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Area of Science:

  • Cardiology
  • Digital Health
  • Public Health

Background:

  • Cardiovascular diseases (CVDs) pose a significant global health burden.
  • Lifestyle behaviors and disease management are critical for CVD prevention and control.
  • Mobile health (mHealth) offers a potential avenue to address these challenges.

Purpose of the Study:

  • To review and synthesize evidence on the effectiveness of mHealth tools for improving cardiovascular lifestyle behaviors and disease management worldwide.
  • To assess the benefits of mHealth interventions, particularly in low- and middle-income countries.
  • To identify future directions for mHealth in cardiovascular care.

Main Methods:

  • State-of-the-art literature review and synthesis of peer-reviewed and gray literature since 2004.
  • Prioritization of randomized trials focusing on CVDs and risk factors.
  • Inclusion of evidence from over 30 low- and middle-income countries.

Main Results:

  • Interactive voice response (IVR) and short message service (SMS) interventions improve cardiovascular preventive care by addressing risk factors (weight, smoking, physical activity).
  • IVR and SMS interventions show benefits in hypertension management, reducing hospital readmissions, and improving diabetic glycemic control.
  • mHealth interventions are feasible in low- and middle-income countries, potentially improving medication adherence and disease outcomes.

Conclusions:

  • mHealth interventions demonstrate emerging potential to enhance cardiovascular lifestyle behaviors and disease management globally.
  • Future mHealth programs should integrate evidence-based behavioral theories and artificial intelligence for personalized patient care.
  • Continued research and implementation are needed to fully realize the benefits of mHealth in cardiovascular health.