TY - JOUR AU - Kassavou, Aikaterini AU - Wang, Michael AU - Mirzaei, Venus AU - Shpendi, Sonia AU - Hasan, Rana PY - 2022 DA - 2022/7/12 TI -基于智能手机app的高血压相关行为自我监测与高血压降低的关系:系统评价和meta分析JO - JMIR Mhealth Uhealth SP - e34767 VL - 10 IS - 7kw -自我监测KW -智能手机应用程序KW -行为改变KW -高血压KW -血压KW -移动健康KW -移动健康KW -自我管理KW -生活方式AB -背景:行为自我监测可以支持生活方式的改变;然而，我们不知道这些干预措施是否有效地支持高血压相关健康行为的积极改变，从而降低高血压患者的血压。目的:本系统文献综述评估基于智能手机应用程序的健康行为自我监测在多大程度上支持血压降低和高血压相关行为的改变。它还探讨了可能解释干预效果的行为成分。方法:于2021年8月对7个数据库进行系统检索。文章筛选、研究干预编码、数据提取均由审稿人独立完成。搜索策略是使用先前评论和相关文献中的关键词制定的。2000年以后发表的英语成人试验也被纳入考虑范围。随机效应荟萃分析方法用于解释研究中效应的分布。 Results: We identified 4638 articles, of which 227 were included for full-text screening. A total of 15 randomized controlled trials were included in the review. In total, 7415 patients with hypertension were included in the meta-analysis. The results indicate that app-based behavioral self-monitoring interventions had a small but significant effect in reducing systolic blood pressure (SBP), on average, by 1.64 mmHg (95% CI 2.73-0.55, n=7301; odds ratio [OR] 1.60, 95% CI 0.74-3.42, n=114) and in improving changes in medication adherence behavior (standardized mean difference [SMD] 0.78, 95% CI 0.22-1.34) compared to usual care or minimal intervention. The review found the intervention had a small effect on supporting improvements in healthy diet by changing habits related to high sodium food (SMD –0.44, 95% CI –0.79 to –0.08) and a trend, although insignificant, toward supporting smoking cessation, low alcohol consumption, and better physical activity behaviors. A subgroup analysis found that behavioral self-monitoring interventions combined with tailored advice resulted in higher and significant changes in both SBP and diastolic blood pressure (DBP) in comparison to those not providing tailored advice (SBP: –2.92 mmHg, 95% CI –3.94 to –1.90, n=3102 vs –0.72 mmHg, 95% CI –1.67 to 0.23, n=4199, χ2=9.65, P=.002; DBP: –2.05 mmHg, 95% CI –3.10 to –1.01, n=968 vs 1.54 mmHg, 95% CI –0.53 to 3.61, n=400, χ2=9.19, P=.002). Conclusions: Self-monitoring of hypertension-related behaviors via smartphone apps combined with tailored advice has a modest but potentially clinically significant effect on blood pressure reduction. Future studies could use rigorous methods to explore its effects on supporting changes in both blood pressure and hypertension-related health behaviors to inform recommendations for policy making and service provision. Trial Registration: PROSPERO CRD42019136158; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=136158 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/7/e34767 UR - https://doi.org/10.2196/34767 UR - http://www.ncbi.nlm.nih.gov/pubmed/35819830 DO - 10.2196/34767 ID - info:doi/10.2196/34767 ER -