Article

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.
CI - (c) The European Society of Cardiology 2015.

Langue : ANGLAIS