Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/154104
Title: EFFECTIVENESS OF SMARTPHONE-BASED SELF-MANAGEMENT INTERVENTIONS ON MEDICATION ADHERENCE AND BLOOD PRESSURE OUTCOMES IN PATIENTS WITH CHD: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: SUA YUN SHAN
Keywords: Coronary heart disease
Self-management
Smartphone
Medication adherence
Systematic review
Issue Date: 25-May-2019
Citation: SUA YUN SHAN (2019-05-25). EFFECTIVENESS OF SMARTPHONE-BASED SELF-MANAGEMENT INTERVENTIONS ON MEDICATION ADHERENCE AND BLOOD PRESSURE OUTCOMES IN PATIENTS WITH CHD: A SYSTEMATIC REVIEW AND META-ANALYSIS. ScholarBank@NUS Repository.
Abstract: Background: The prevalence of Coronary Heart Disease (CHD) has surged rapidly over the years with no indication of slowing. It negatively impacts individuals and places an immense burden on healthcare costs. However, with appropriate self-management, health outcomes can be improved and cardiovascular risks can be reduced. Recently, smartphone-based technologies have been increasing in popularity when it comes to providing self-management programs. However, their effectiveness on medication adherence and clinical outcomes for patients with CHD are still poorly understood. Objectives: To synthesize and evaluate the effectiveness of smartphone-based self-management interventions on medication adherence and blood pressure levels in adults with CHD. Methods: A systematic search was conducted in six databases (PubMed, Cochrane, CINAHL, ProQuest, Scopus and Embase). Only randomised controlled trials of smartphone-based self-management interventions for CHD patients that reported any of the interested outcomes were included. The studies were screened, data were extracted and quality was assessed by two independent reviewers. Meta-analyses were performed for different interested outcomes while narrative syntheses were conducted for studies that could not be pooled in a meta-analysis or when substantial heterogeneity is present. Results: 15 studies were included in this review. A meta-analysis showed a medium size effect of 0.53 (95% CI -0.41 to 1.46) in improving medication adherence with smartphone-based self-management interventions. Systolic blood pressure levels also improved with a mean difference of 1.64 (95% CI -5.61 to 2.33; p=0.42), albeit statistically insignificant. Diastolic blood pressure levels improved significantly with a mean difference of 2.07 (95% CI -3.11 to -1.04, p<0.0001). Conclusion & Implications of the Study: Smartphone-based self-management interventions were found to have favourable effects on medication adherence and blood pressure levels in CHD patients. However, more studies with good study design and interventions that follow a theoretical framework are required to assess the effectiveness of smartphone-based self-management interventions for CHD.
URI: https://scholarbank.nus.edu.sg/handle/10635/154104
Appears in Collections:Bachelor's Theses

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