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Digital Health Interventions for Hypertension Management in US Populations Experiencing Health Disparities: A
Miriam E Katz1, Reed Mszar2, Alyssa A Grimshaw3
1New York Medical College School of Medicine, Valhalla.
JAMA Network Open
|February 14, 2024
Summary
Digital health interventions significantly reduced blood pressure (BP) in vulnerable populations. Tailored digital health strategies show promise for improving hypertension equity and outcomes.
Area of Science:
- Cardiovascular Medicine
- Digital Health
- Health Equity
Background:
- Hypertension is a leading cause of cardiovascular disease, with persistent disparities in blood pressure (BP) control.
- Digital health technologies offer potential for increased access to hypertension care, yet their use in vulnerable populations is understudied.
Approach:
- Systematic review and meta-analysis of 28 studies (8257 participants) published up to October 2023.
- Included randomized clinical trials and cohort studies focusing on digital health interventions for hypertension in adults, emphasizing social determinants of health and health disparities.
- Analyzed changes in systolic BP (SBP) and diastolic BP (DBP) using a random-effects model, with follow-up at 6 and 12 months.
Key Points:
- Multicomponent digital health interventions, including remote BP monitoring and culturally tailored approaches, were most common.
- Statistically significant reductions in SBP were observed at 6 months (-4.24 mm Hg) and 12 months (-4.30 mm Hg) in intervention groups compared to control groups.
- Few studies reported on BP changes or hypertension control beyond one year.
Conclusions:
- Digital health interventions demonstrated greater BP reductions in intervention groups compared to standard care in populations experiencing health disparities.
- Tailored digital health initiatives hold potential for advancing equity in hypertension management and outcomes.
- Further research is needed to assess long-term effectiveness and hypertension control beyond one year.
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