Heart Disease and Stroke Prevention: Mobile Health (mHealth) Interventions for Treatment Adherence among Newly Diagnosed Patients

CDC

An Evidence-Based Practice

Description

mHealth interventions for treatment adherence use mobile devices to deliver self-management guidance to patients who have been recently diagnosed with cardiovascular disease.

Content must be accessible through mobile-phones, smartphones, or other hand-held devices. Interventions must include one or more of the following:
-Text-messages that provide information or encouragement for treatment adherence
-Text-message reminders for medications, appointments, or treatment goals
-Web-based content that can be viewed on mobile devices
-Applications (apps) developed or selected for the intervention with goal-setting, reminder functions, or both

Interventions also may include the following:
-An interactive component (i.e., patients enter personal data or make choices) that gives patients personally relevant, tailored information and feedback
-Mobile communication or direct contact with a healthcare provider
-Web-based content to supplement text-message interventions

Results / Accomplishments

The systematic review and meta-analysis included 27 studies.
-Adherence to medications improved significantly (9 studies).
-Adherence to treatment (i.e., one or more medications, clinical care follow-up, or risk factor management recommendations) improved significantly (15 studies).
-Conclusions about intervention effects on additional outcomes related to changes for cardiovascular disease risk factors (i.e., blood pressure, lipids, smoking cessation), morbidity, and mortality were limited by the small numbers of studies and mixed, or inconsistent, results.

The CPSTF examined results from a subset of 12 trials conducted in high-income countries.
-Adherence to medications improved significantly (3 studies).
-Adherence to treatment (i.e., one or more medications, clinical care follow-up, or risk factor management recommendations) improved significantly (6 studies).
-Two additional studies reported improvements in medication adherence using objective measures (1 study) or self-reported outcomes (1 study). A third study reported improvements in treatment adherence.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS H21-8
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Heart Disease & Stroke
For more details
https://www.thecommunityguide.org/findings/heart-d...

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.