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Mobile phone text-messaging interventions aimed to prevent cardiovascular diseases (Text2PreventCVD): Systematic review and individual patient data meta-analysis

Shariful Islam, Sheikh, Farmer, AJ, Bobrow, K, Maddison, Ralph, Whittaker, R, Pfaeffli Dale, LA, Lechner, A, Lear, S, Eapen, Z, Niessen, LW, Santo, K, Stepien, S, Redfern, J, Rodgers, A and Chow, CK 2018, Mobile phone text-messaging interventions aimed to prevent cardiovascular diseases (Text2PreventCVD): Systematic review and individual patient data meta-analysis, in Open Heart, BMJ PUBLISHING GROUP,, doi: 10.1136/openhrt-2019-001017.

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Title Mobile phone text-messaging interventions aimed to prevent cardiovascular diseases (Text2PreventCVD): Systematic review and individual patient data meta-analysis
Author(s) Shariful Islam, SheikhORCID iD for Shariful Islam, Sheikh orcid.org/0000-0001-7926-9368
Farmer, AJ
Bobrow, K
Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Whittaker, R
Pfaeffli Dale, LA
Lechner, A
Lear, S
Eapen, Z
Niessen, LW
Santo, K
Stepien, S
Redfern, J
Rodgers, A
Chow, CK
Conference location England
Title of proceedings Open Heart
Publication date 2018
Total pages 10
Publisher BMJ PUBLISHING GROUP
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Cardiac & Cardiovascular Systems
Cardiovascular System & Cardiology
PHYSICAL-ACTIVITY
SECONDARY PREVENTION
SCIENTIFIC STATEMENT
MORTALITY
RISK
PROGRAMS
MHEALTH
FITNESS
CARE
SMS
cardiovascular diseases
cardiovascular risk factors
diabetes
mobile phones
short message service
Summary BackgroundA variety of small mobile phone text-messaging interventions have indicated improvement in risk factors for cardiovascular disease (CVD). Yet the extent of this improvement and whether it impacts multiple risk factors together is uncertain. We aimed to conduct a systematic review and individual patient data (IPD) meta-analysis to investigate the effects of text-messaging interventions for CVD prevention.MethodsElectronic databases were searched to identify trials investigating a text-messaging intervention focusing on CVD prevention with the potential to modify at least two CVD risk factors in adults. The main outcome was blood pressure (BP). We conducted standard and IPD meta-analysis on pooled data. We accounted for clustering of patients within studies and the primary analysis used random-effects models. Sensitivity and subgroup analyses were performed.ResultsNine trials were included in the systematic review involving 3779 participants and 5 (n=2612) contributed data to the IPD meta-analysis. Standard meta-analysis showed that the weighted mean differences are as follows: systolic blood pressure (SBP), −4.13 mm Hg (95% CI −11.07 to 2.81, p<0.0001); diastolic blood pressure (DBP), −1.11 mm Hg (−1.91 to −0.31, p=0.002); and body mass index (BMI), −0.32 (−0.49 to −0.16, p=0.000). In the IPD meta-analysis, the mean difference are as follows: SBP, −1.3 mm Hg (−5.4 to 2.7, p=0.5236); DBP, −0.8 mm Hg (−2.5 to 1.0, p=0.3912); and BMI, −0.2 (−0.8 to 0.4, p=0.5200) in the random-effects model. The impact on other risk factors is described, but there were insufficient data to conduct meta-analyses.ConclusionMobile phone text-messaging interventions have modest impacts on BP and BMI. Simultaneous but small impacts on multiple risk factors are likely to be clinically relevant and improve outcome, but there are currently insufficient data in pooled analyses to examine the extent to which simultaneous reduction in multiple risk factors occurs.PROSPERO registration numberCRD42016033236.
ISSN 2398-595X
2053-3624
Language eng
DOI 10.1136/openhrt-2019-001017
Indigenous content off
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30116102

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.