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. Author manuscript; available in PMC: 2018 May 1.
Published in final edited form as: J Cardiovasc Nurs. 2017 May-Jun;32(3):260–270. doi: 10.1097/JCN.0000000000000336

Table 1.

Study Characteristics

1st Author
(Year),
Country
Target
Behavior
Study
Design &
Duration
Sample
N=baseline→evaluation
Intervention Outcome
Measures
& Evaluation
Principal Findings
Carrasco
(2008),
Spain
HTN RCT

6 months
Sample Size:
N= 285→273
(IG: 142→131,
CG: 143→142)

Mean age:
IG: 62.1 years,
CG: 62.8 years

Female:
IG: 39.7%, CG: 40.8%
IG: reported
BP, HR, and
weight to their
GP weekly via
SMS + (GP
feedback
optional)

CG: self-
measured BP,
HR, and weight
weekly +
reported their
measures in-
person during
routine visits
Primary: degree
of HTN control
and uncontrolled
HTN at 6 months

Secondary: BP,
HR, quality of
life, anxiety
survey scores,
number of
consultation
visits, and
hospital
admissions


Evaluation:
baseline and 6
months
  • No significant difference in % with controlled BP at 6 months

  • No significant BP decreases from baseline for both groups

  • No significant difference in quality of life and anxiety survey scores

  • No significant median difference in number of hospital admissions

Kiselev
(2012),
Russia
HTN RCT

12 months
Sample Size:
N= 199→164
(IG: 97→62, CG: 102)

Mean age:
IG: 49 years,
CG: 51 years

Female:
IG: 45%, CG: 50%
IG & CG (at
baseline):
prescribed
medication,
encouraged to
measured BP at
home, and
received
informational
brochures
IG:
daily/weekly
SMS for 12
months

CG: standard
care
Primary: BP goal
of 135/85 mmHg


Secondary:
weight loss and
smoking
cessation


Evaluation:
baseline, 6, and
12 months
  • 77% (IG) vs. 12% (CG) reached BP goal at 12 months

Lin (2014),
China
Weight
loss
RCT

6 months

SMS
component
was
supplemental
Sample Size:
N=123→110
(IG: 63→56,
CG: 60→54)

Mean age:
IG: 38.35 years,
CG: 38.07 years

Female:
IG: 60.32%, CG: 60%
IG: daily SMS
+ goal setting +
3 group
education
sessions + 5
coaching calls

CG: brief
education
information at
baseline
Primary: weight
change


Secondary: BP,
BMI, waist
circumference,
body fat (%),
dietary intake,
physical activity,
and psychosocial
factors


Evaluation:
baseline and 6
months
  • Significant difference in mean weight change at 6 months (IG: −1.6kg, CG: +0.24kg)

  • Significant difference in mean BP change (IG: −1.71/−3.24mmHG, CG: +2.34/+1.2mmHg)

  • Significant difference in mean BMI change (IG: −0.61 kg/m2, CG: +0.07 kg/m2)

  • Significant difference in mean decrease in waist circumference

  • Significant difference in mean %body fat change (IG: −0.66%, CG: +0.36%)

Márquez-
Contreras
(2014),
Spain
HTN RCT

6 months
Sample Size:
N= 104→67
(IG: 52→34,
CG: 52→33)

Mean age:
IG: 56.3 years,
CG: 59.4 years

Female:
IG: 47.1%, CG: 42.4%
IG & CG (at
baseline):
printed HTN
information and
prescribed
medication

IG: weekly
SMS for 4
months

CG: standard of
care
Primary: Patient
percentage
compliance score,
based on
medication
adherence


Secondary: BP
and weight


Evaluation:
baseline, 1, 3, and
6 months
  • No significant difference in medication adherence between groups at 6 months

  • 65% (IG) vs. 52% (CG) had controlled BP; however, no significant difference in mean BP decreases between groups

  • Significant mean weight loss decrease in IG

Palileo-
Villanueva*
(reference 16),
Philippines
HTN RCT

3 months
Sample Size:
N= 700→286
(IG: 350→151,
CG: 350→135)

Mean age:
IG: 59 years,
CG: 59.6 years

Female:
IG: 66.1%, CG: 64.4%
IG: weekly
medication
adherence
reminders via
SMS

CG: standard of
care
Primary: SBP and
DBP


Secondary:
medication
adherence (self-
report) and SMS
acceptability
survey


Evaluation:
baseline and 3
months
  • No significant difference in mean SBP decrease at 3 months (IG: −13.7mmHg, CG: −9.5mmHg)

  • Higher medication adherence in IG

  • Overall positive SMS experience with 80% reporting that the SMS help them remember to take their medication

Park
(2009),
South
Korea
HTN,
Weight
loss
Quasi-
experimental

2 months
Sample Size:
N= 55→49
(IG: 30→28,
CG: 25→21)

Mean ages:
IG: 53.2 years,
CG: 54.6 years

Female:
IG: 39.3%, CG: 57.1%
IG: reported
BP, weight, and
medication
information
weekly via
SMS or web-
based diary +
tailored
feedback from
study staff

CG: provided
with study
information
only
Primary: BP,
weight, waist
circumference,
and serum lipids


Evaluation:
baseline and 2
months
  • Significant mean BP decrease in IG only at 2 months

  • IG showed significant mean weight decrease; however, no significant difference in mean weight loss between groups

  • Significant difference in waist circumference (IG: −2.8cm, CG: +2.1cm)

  • No significant difference in serum lipid level

*

Data available from https://clinicaltrials.gov

Abbreviations Key: Blood Pressure (BP), Body Mass Index (BMI), Cardiovascular disease (CVD), General Provider (GP), Heart Rate (HR), High blood pressure (HBP), Hypertension (HTN), Intervention Group (IG), Randomized Controlled Trial (RTC)