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Effectiveness of Mobile Phone-Based Interventions for Improving Health Outcomes in Patients with Chronic Heart Failure: A Systematic Review and Meta-Analysis

Author

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  • Youn-Jung Son

    (Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea)

  • Yaelim Lee

    (College of Nursing, The Catholic University of Korea, Seoul 06591, Korea)

  • Hyeon-Ju Lee

    (Department of Nursing, Tongmyoung University, Busan 48520, Korea)

Abstract

Mobile phone-based interventions are increasingly used to prevent adverse health outcomes in heart failure patients. However, the effects of mobile phone-based interventions on the health outcomes of heart failure patients remain unclear. Our review aims to synthesize the randomized controlled trials (RCT) of mobile phone-based interventions for heart failure patients and identify the intervention features that are most effective. Electronic searches of RCTs published from January 2000 to July 2019 were conducted. Primary outcomes included all-cause mortality, readmission, emergency department visits, length of hospital stays, and quality of life. Secondary outcomes were self-care behaviors, including medication adherence and other clinical outcomes. A total of eight studies with varying methodological quality met the inclusion criteria and were analyzed. Voice call intervention was more frequently used compared with telemonitoring and short message services. Our meta-analysis showed that voice call interventions had significant effects on the length of hospital stays. However, no significant effects on all-cause mortality, readmission, emergency department visits, or quality of life were found. Compared to other mobile phone-based interventions, voice calls were more effective in reducing the length of hospital stay. Future studies are needed to identify which features of mobile phone-based intervention most effectively improve health outcomes.

Suggested Citation

  • Youn-Jung Son & Yaelim Lee & Hyeon-Ju Lee, 2020. "Effectiveness of Mobile Phone-Based Interventions for Improving Health Outcomes in Patients with Chronic Heart Failure: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(5), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1749-:d:329803
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Martin Härter & Jörg Dirmaier & Sarah Dwinger & Levente Kriston & Lutz Herbarth & Elisabeth Siegmund-Schultze & Isaac Bermejo & Herbert Matschinger & Dirk Heider & Hans-Helmut König, 2016. "Effectiveness of Telephone-Based Health Coaching for Patients with Chronic Conditions: A Randomised Controlled Trial," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-18, September.
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