The effectiveness of mobile-health behaviour change interventions for cardiovascular disease self-management: a systematic review

Pfaeffli Dale, Leila, Dobson, Rosie, Whittaker, Robyn and Maddison, Ralph 2016, The effectiveness of mobile-health behaviour change interventions for cardiovascular disease self-management: a systematic review, European journal of preventative cardiology, vol. 23, no. 8, pp. 801-817, doi: 10.1177/2047487315613462.

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Title The effectiveness of mobile-health behaviour change interventions for cardiovascular disease self-management: a systematic review
Author(s) Pfaeffli Dale, Leila
Dobson, Rosie
Whittaker, Robyn
Maddison, RalphORCID iD for Maddison, Ralph
Journal name European journal of preventative cardiology
Volume number 23
Issue number 8
Start page 801
End page 817
Total pages 17
Publisher Sage
Place of publication London, Eng.
Publication date 2016-05
ISSN 2047-4881
Keyword(s) Cardiovascular diseases
text messaging
cellular phone
lifestyle change
medication adherence
Summary BACKGROUND: Mobile wireless devices (mHealth) have been used to deliver cardiovascular disease self-management interventions to educate and support patients in making healthy lifestyle changes. This systematic review aimed to determine the effectiveness of mHealth interventions on behavioural lifestyle changes and medication adherence for cardiovascular disease self-management. METHODS: A comprehensive literature search was conducted from inception through to 3 March 2015 using MEDLINE, PubMed, PsycINFO, EMBASE and The Cochrane Library. Eligible studies used an experimental trial design to determine the effectiveness of an mHealth intervention to change lifestyle behaviours in any cardiovascular disease population. Data extracted included intervention and comparison group characteristics with a specific focus on the use of behaviour change techniques. RESULTS: Seven studies met our inclusion criteria and were included in the qualitative synthesis. All interventions were delivered in part by mobile phone text messaging. Three studies were effective at improving adherence to medication and two studies increased physical activity behaviour. No effects were observed on dietary behaviour or smoking cessation, measured in one study each. Simple text messaging interventions appeared to be most effective; however, no clear relationships were found between study findings and intervention dose, duration or behaviour change techniques targeted. CONCLUSIONS: Our review found mHealth has the potential to change lifestyle behaviour. Results are still limited to a small number of trials, inconsistent outcome measures and ineffective reporting of intervention characteristics. Large scale, longitudinal studies are now warranted to gain a clear understanding of the effects of mHealth on behaviour change in the cardiovascular disease population.
Language eng
DOI 10.1177/2047487315613462
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Sage
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Document type: Journal Article
Collections: Faculty of Health
Institute for Physical Activity and Nutrition
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