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Digital interventions to promote self-management in adults with hypertension: protocol for systematic review and meta-analysis

Digital interventions to promote self-management in adults with hypertension: protocol for systematic review and meta-analysis
Digital interventions to promote self-management in adults with hypertension: protocol for systematic review and meta-analysis
Background: Digital interventions, defined as any intervention accessed and taking input from patients in the form of a computer/Web-based program or mobile phoned-based app, can potentially help empower patients to self-manage long-term conditions such as hypertension. Importantly, digital interventions have the potential to provide patients with personalized information and support for active involvement in treatment as well as cost saving.

Objective: The purpose of this systematic review is to synthesize the evidence for using digital interventions to support patient self-management of hypertension, and determine their impact on control and reduction of blood pressure, other clinical outcomes, quality of life, medication adherence, health service utilization, and economic benefits.

Methods: A systematic search of bibliographic databases including Medline, Embase, CINAHL, and PsycINFO will be undertaken. Abstracts and citations will be independently screened by 2 researchers against predetermined inclusion criteria. Any disagreements will be resolved by discussion and further consideration of the inclusion criteria. Only randomized controlled trials which have been published in peer peer-reviewed journals with a diagnosis of hypertension will be considered. Inclusion criteria will be (1) adults (age ? 18 years) with hypertension (as defined by the primary authors); (2) an interactive digital intervention compared with usual care; and (3) outcomes of objectively measured change in blood pressure. Data extraction from identified articles will be undertaken by 2 independent reviewers using a uniform template. The main outcomes are systolic blood pressure (SBP) and diastolic blood pressure (DBP), and quality of life indicators. Secondary outcomes include cost- effectiveness, medication adherence, emotional well-being, and physical activity. Risk of bias of included studies will be assessed using the Cochrane tool.

Results: Our research is currently ongoing. Data will be summarized narratively, and if possible, meta-analyses will be performed to assess the impact of the interventions on outcomes.
Conclusions: By summarizing and synthesizing available data, this review will help inform policy on the use of digital interventions for self-management of hypertension and will clarify areas for further research.

Trial Registration: Prospero 2014: CRD42014010268; http://www.crd.york.ac.uk/PROSPERO/display_record.asp? ID=CRD42014010268 (Archived by WebCite at http://www.webcitation.org/6c5alQQJL)
digital intervention, hypertension, self-management
1-7
McLean, Gary
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Murray, Elizabeth
cb300780-9041-44af-9ae5-e13531eb23b8
Band, Rebecca
be8901bb-bb1b-4131-8e19-c1d4a3bdfb8d
Saunderson, Kathryn
c23464e8-8b8e-4ff0-bdf2-4f83b74bf09b
Hanlon, Peter
699f0ecb-858a-4b5c-8f98-178ad0563ab9
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
McManus, Richard
eac36c17-f265-499a-aaab-03f1a3df5286
Yardley, Lucy
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Mair, Frances
5a57846b-cda7-4368-9d20-0aa2a1d490ca
McLean, Gary
f3855be3-7b25-4ea4-a2e9-5d9148808332
Murray, Elizabeth
cb300780-9041-44af-9ae5-e13531eb23b8
Band, Rebecca
be8901bb-bb1b-4131-8e19-c1d4a3bdfb8d
Saunderson, Kathryn
c23464e8-8b8e-4ff0-bdf2-4f83b74bf09b
Hanlon, Peter
699f0ecb-858a-4b5c-8f98-178ad0563ab9
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
McManus, Richard
eac36c17-f265-499a-aaab-03f1a3df5286
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Mair, Frances
5a57846b-cda7-4368-9d20-0aa2a1d490ca

McLean, Gary, Murray, Elizabeth, Band, Rebecca, Saunderson, Kathryn, Hanlon, Peter, Little, Paul, McManus, Richard, Yardley, Lucy and Mair, Frances (2015) Digital interventions to promote self-management in adults with hypertension: protocol for systematic review and meta-analysis. JMIR Research Protocols, 4 (4), 1-7. (doi:10.2196/resprot.4648). (PMID:26589728)

Record type: Article

Abstract

Background: Digital interventions, defined as any intervention accessed and taking input from patients in the form of a computer/Web-based program or mobile phoned-based app, can potentially help empower patients to self-manage long-term conditions such as hypertension. Importantly, digital interventions have the potential to provide patients with personalized information and support for active involvement in treatment as well as cost saving.

Objective: The purpose of this systematic review is to synthesize the evidence for using digital interventions to support patient self-management of hypertension, and determine their impact on control and reduction of blood pressure, other clinical outcomes, quality of life, medication adherence, health service utilization, and economic benefits.

Methods: A systematic search of bibliographic databases including Medline, Embase, CINAHL, and PsycINFO will be undertaken. Abstracts and citations will be independently screened by 2 researchers against predetermined inclusion criteria. Any disagreements will be resolved by discussion and further consideration of the inclusion criteria. Only randomized controlled trials which have been published in peer peer-reviewed journals with a diagnosis of hypertension will be considered. Inclusion criteria will be (1) adults (age ? 18 years) with hypertension (as defined by the primary authors); (2) an interactive digital intervention compared with usual care; and (3) outcomes of objectively measured change in blood pressure. Data extraction from identified articles will be undertaken by 2 independent reviewers using a uniform template. The main outcomes are systolic blood pressure (SBP) and diastolic blood pressure (DBP), and quality of life indicators. Secondary outcomes include cost- effectiveness, medication adherence, emotional well-being, and physical activity. Risk of bias of included studies will be assessed using the Cochrane tool.

Results: Our research is currently ongoing. Data will be summarized narratively, and if possible, meta-analyses will be performed to assess the impact of the interventions on outcomes.
Conclusions: By summarizing and synthesizing available data, this review will help inform policy on the use of digital interventions for self-management of hypertension and will clarify areas for further research.

Trial Registration: Prospero 2014: CRD42014010268; http://www.crd.york.ac.uk/PROSPERO/display_record.asp? ID=CRD42014010268 (Archived by WebCite at http://www.webcitation.org/6c5alQQJL)

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Accepted/In Press date: 20 September 2015
e-pub ahead of print date: 20 November 2015
Published date: 6 December 2015
Keywords: digital intervention, hypertension, self-management
Organisations: Primary Care & Population Sciences, Psychology

Identifiers

Local EPrints ID: 384827
URI: http://eprints.soton.ac.uk/id/eprint/384827
PURE UUID: c38896a9-be37-44b9-a305-bc92d80b07af
ORCID for Rebecca Band: ORCID iD orcid.org/0000-0001-5403-1708
ORCID for Paul Little: ORCID iD orcid.org/0000-0003-3664-1873
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

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Date deposited: 11 Jan 2016 16:38
Last modified: 12 Jul 2024 01:52

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Contributors

Author: Gary McLean
Author: Elizabeth Murray
Author: Rebecca Band ORCID iD
Author: Kathryn Saunderson
Author: Peter Hanlon
Author: Paul Little ORCID iD
Author: Richard McManus
Author: Lucy Yardley ORCID iD
Author: Frances Mair

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