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dc.contributor.authorAuthorCavero-Redondo, Iván.
dc.contributor.authorAuthorSaz-Lara, Alicia.
dc.contributor.authorAuthorSequí-Dominguez, Irene.
dc.contributor.authorAuthorGómez-Guijarro, Maria Dolores.
dc.contributor.authorAuthorRuiz-Grao, Marta Carolina.
dc.contributor.authorAuthorMartinez-Vizcaino, Vicente.
dc.contributor.authorAuthorÁlvarez-Bueno, Celia.
dc.date.accessionedDate Accessioned2024-09-03T19:21:34Z
dc.date.availableDate Available2024-09-03T19:21:34Z
dc.date.issuedDate Issued2021
dc.identifier.citationReferencia BibliográficaInternational Journal of Nursing Studies, 124, 13 p.
dc.identifier.issnISSN0020-7489
dc.identifier.uriURIhttp://repositorio.udla.cl/xmlui/handle/udla/1652
dc.identifier.uriURIhttps://www.sciencedirect.com/journal/international-journal-of-nursing-studies
dc.description.abstractAbstractBackground: Increasingly, health professionals and patients have begun to be involved in eHealth interventions to assist in the self-management of hypertension. Therefore, this study was aimed at comparing the effect of different types of eHealth interventions (phone calls, blood pressure telemonitoring, emails, web-site, smartphone-app, short message service (SMS) and more than two eHealth interventions) on reducing systolic and diastolic blood pressure, increasing adherence to medication treatment, improving physical activity compliance, controlling blood pressure, and improving quality of life (QoL). Methods: A systematic search in MEDLINE (via PubMed), EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases was conducted to identify experimental studies addressing the effect of eHealth interventions on the self-management of hypertension. Comparative evaluation of the eHealth interventions effect were performed by conducting a standard pairwise meta-analysis and a network meta-analysis for direct and indirect comparisons between eHealth interventions and control/non-intervention. Results: Fifty-one studies were included in the analysis showing a moderate effect size for more than two types of eHealth interventions (-0.46; 95%CI: -0.64, -0.27, p < 0.001 and -0.29; 95%CI: -0.46, -0.13, p < 0.001), phone calls (-0.37; 95%CI: -0.57, -0.17, p < 0.001 and -0.29; 95%CI: -0.52, -0.07, p = 0.011) and smartphone-app (-0.26; 95%CI: -0.50, -0.01, p = 0.040 and -0.40; 95%CI: -0.70, -0.10, p = 0.010) on reducing both systolic and diastolic blood pressure, respectively. Additionally, i) smartphone-app improved medication adherence by 45%; ii) more than two types of eHealth interventions and emails improved physical activity compliance by 18% and 57% respectively; ii) more than two types of eHealth interventions, phone calls, blood pressure telemonitoring, website and SMS improved blood pressure control between 16% and 30%; and iv) blood pressure telemonitoring showed a week effect on QoL Conclusions: Our study reported eHealth to be a suitable intervention for the self-management of hypertension. Considering our results and the population's accessibility to eHealth devices, eHealth could be a useful and largely scalable tool for the self-management of hypertension. Systematic review registration: PROSPERO CRD42020187468.
dc.format.extentdc.format.extent13 páginas
dc.format.extentdc.format.extent919.6Kb
dc.format.mimetypedc.format.mimetypePDF
dc.language.isoLanguage ISOeng
dc.publisherPublisherElsevier
dc.publisherPublisherCreative Commons Attribution License (CC BY)
dc.sourceSourcesInternational Journal of Nursing Studies
dc.subjectSubjectMetaanálisis en Red
dc.subject.lcshdc.subject.lcshPresión sanguínea
dc.subject.lcshdc.subject.lcshSalud
dc.subject.lcshdc.subject.lcshHipertensión
dc.titleTitleComparative effect of eHealth interventions on hypertension management-related outcomes: A network meta-analysis
dc.typeDocument TypeArtículo de revisión
dc.udla.catalogadordc.udla.catalogadorCBM
dc.udla.indexdc.udla.indexWoS
dc.udla.indexdc.udla.indexScience Citation Index Expanded
dc.udla.indexdc.udla.indexScopus
dc.udla.indexdc.udla.indexSocial Sciences Citation Index
dc.udla.indexdc.udla.indexAcademic Search Ultimate
dc.udla.indexdc.udla.indexBiomedical Reference Collection: Corporate Edition
dc.udla.indexdc.udla.indexCINAHL
dc.udla.indexdc.udla.indexHealth Research Premium Collection
dc.udla.indexdc.udla.indexMEDLINE
dc.identifier.doidc.identifier.doi10.1016/j.ijnurstu.2021.104085
dc.facultaddc.facultadFacultad de Salud y Ciencias Sociales


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