Table 3.
Outcomes of engagement using mHealth interventions.
Review and included studies | Disease | Study period (months) | mHealth type | Non-mHealth | Result | |
Hamilton et al [28] | ||||||
|
Scherr D, 2006 [37] | Sa1: CHFb; S2: HTc |
3 | Clinical app | TCd Blood pressure automatic monitor |
S1: 94%; S2: 84%; follow-up >90 days |
|
Scherr D, 2009 [31] | S/TC: CHF | 6 | Clinical app, email | TC | S: 95% adherence |
|
Worringham C, 2011 [36] | S: ACSe TC: none |
1.5 | Real-time monitoring post exercise sessions, emergency mobile phone contact | none | 87% of sessions (outdoor walking-based exercise program) completed |
|
Blasco A, 2012 [32] | S/TC: CVDf and risk factorsg | 12 | Wireless app protocol, web portal | TC | 98% completed >50% of sessions; 83% completed >75% of sessions |
|
Seto E, 2012 [35] | S: CHF | 6 | Clinical app, email, text messages, website | TC Telephone contact |
S: 50% adherence in 80% of patients; 80% adherence in 66% of patients; 95% adherence in 32% of patients; follow-up >180 days |
|
Varnfield M, 2014 [34] | S/TC: myocardial infarction | 6 | Smartphone | TC Qualitative patient and clinician feedback |
S: 94% adherence; TC: 68% adherence (P<.05) |
|
Forman D, 2014 [38] | S: CHF TC: none |
1 | Heart coach app | TC Qualitative patient and clinician feedback |
90% daily engagement with technology |
Nelson et al [30] | ||||||
|
Fischer H, 2012 [39] | S: diabetes II | 3 | Text message reminder for blood glucose measurements | None | S: 79% of users responded regularly to >50% of blood glucose reminder message prompts |
Perski et al [29] | ||||||
|
Glasgow R, 2011 [33] | S1: diabetes II; S2: diabetes II |
6 | S1/S2: computer-assisted self-management program with human support | None | S1: 66% visits 0-6 weeks, 74% visits 6 weeks to 4 months (P=.14); S2: 44% visits 0-6 weeks, 51% visits 6 weeks to 4 months (P=.22) |
|
Arden-Close E, 2015 [40] | S: BMI >30 with HT or diabetes | 6-12 | Web weight management intervention | None | 47% access to core sessions; 47% access to optional sessions; 3% no access |
aS: mHealth study group.
bCHF: congestive heart failure.
cHT: hypertension.
dTC: traditional control group.
eACS: acute coronary syndrome.
fCVD: cardiovascular disease.
gRisk factors include tobacco smoking, low-density lipoprotein cholesterol≤100 mg/dL (2.6 mmol/L), hypertension, or diabetes mellitus.