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Mobile Phone-Based Intervention in Hypertension Management
Nobian Andre1, Retno Wibawanti2, Bambang Budi Siswanto3
1Faculty of Medicine, Universitas Indonesia, Indonesia.
International Journal of Hypertension
|May 14, 2019
Summary
Mobile phone reminders significantly improve medication adherence for hypertension patients, leading to better blood pressure control. This digital health approach offers a promising non-pharmacological strategy for managing high blood pressure.
Area of Science:
- Cardiology
- Digital Health
- Evidence-Based Medicine
Background:
- Hypertension is a primary risk factor for cardiovascular disease, and medication nonadherence compromises treatment efficacy.
- Widespread mobile phone use presents an opportunity to enhance patient adherence to antihypertensive therapies.
Purpose of the Study:
- To critically evaluate the effectiveness of mobile phone-based interventions in improving medication adherence among patients with hypertension.
Main Methods:
- A systematic literature search was conducted across PubMed, Cochrane, and ProQuest databases.
- Studies were selected based on predefined criteria and critically appraised using the Centre for Evidence-Based Medicine, Oxford University guidelines.
Main Results:
- Mobile phone reminders led to greater blood pressure reduction compared to control groups (systolic: 94.4% vs 41.2%, p=0.003; diastolic: 94.4% vs 76.5%, p=0.04).
- Patients with baseline nonadherence showed greater benefits from mobile interventions (RR 2.3) than those already adherent (RR 1.3).
Conclusions:
- Mobile phone-based interventions are effective in enhancing medication adherence for hypertensive patients.
- Clinical guidelines should consider these digital interventions for improved blood pressure management.
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