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Mobile health as a viable strategy to enhance stroke risk factor control: A systematic review and meta-analysis.

Publication ,  Journal Article
Liu, S; Feng, W; Chhatbar, PY; Liu, Y; Ji, X; Ovbiagele, B
Published in: J Neurol Sci
July 15, 2017

BACKGROUND: With the rapid growth worldwide in cell-phone use, Internet connectivity, and digital health technology, mobile health (mHealth) technology may offer a promising approach to bridge evidence-treatment gaps in stroke prevention. We aimed to evaluate the effectiveness of mHealth for stroke risk factor control through a systematic review and meta-analysis. METHODS: We searched PubMed from January 1, 2000 to May 17, 2016 using the following keywords: mobile health, mHealth, short message, cellular phone, mobile phone, stroke prevention and control, diabetes mellitus, hypertension, hyperlipidemia and smoking cessation. We performed a meta-analysis of all eligible randomized control clinical trials that assessed a sustained (at least 6months) effect of mHealth. RESULTS: Of 78 articles identified, 13 met eligibility criteria (6 for glycemic control and 7 for smoking cessation) and were included for the final meta-analysis. There were no eligible studies for dyslipidemia or hypertension. mHealth resulted in greater Hemoglobin A1c reduction at 6months (6 studies; 663 subjects; SMD: -0.44; 95% CI: [-0.82, -0.06], P=0.02; Mean difference of decrease in HbA1c: -0.39%; 95% CI: [-0.74, -0.04], P=0.03). mHealth also lead to relatively higher smoking abstinence rates at 6months (7 studies; 9514 subjects; OR: 1.54; 95% CI: [1.24, 1.90], P<0.0001). CONCLUSIONS: Our meta-analysis supports that use of mHealth improves glycemic control and smoking abstinence rates.

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Published In

J Neurol Sci

DOI

EISSN

1878-5883

Publication Date

July 15, 2017

Volume

378

Start / End Page

140 / 145

Location

Netherlands

Related Subject Headings

  • Telemedicine
  • Stroke
  • Smoking Cessation
  • Risk Factors
  • Randomized Controlled Trials as Topic
  • Humans
  • Blood Glucose
  • 5202 Biological psychology
  • 3209 Neurosciences
  • 3202 Clinical sciences
 

Citation

APA
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ICMJE
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Liu, S., Feng, W., Chhatbar, P. Y., Liu, Y., Ji, X., & Ovbiagele, B. (2017). Mobile health as a viable strategy to enhance stroke risk factor control: A systematic review and meta-analysis. J Neurol Sci, 378, 140–145. https://doi.org/10.1016/j.jns.2017.04.050
Liu, Shimeng, Wuwei Feng, Pratik Y. Chhatbar, Yumei Liu, Xunming Ji, and Bruce Ovbiagele. “Mobile health as a viable strategy to enhance stroke risk factor control: A systematic review and meta-analysis.J Neurol Sci 378 (July 15, 2017): 140–45. https://doi.org/10.1016/j.jns.2017.04.050.
Liu S, Feng W, Chhatbar PY, Liu Y, Ji X, Ovbiagele B. Mobile health as a viable strategy to enhance stroke risk factor control: A systematic review and meta-analysis. J Neurol Sci. 2017 Jul 15;378:140–5.
Liu, Shimeng, et al. “Mobile health as a viable strategy to enhance stroke risk factor control: A systematic review and meta-analysis.J Neurol Sci, vol. 378, July 2017, pp. 140–45. Pubmed, doi:10.1016/j.jns.2017.04.050.
Liu S, Feng W, Chhatbar PY, Liu Y, Ji X, Ovbiagele B. Mobile health as a viable strategy to enhance stroke risk factor control: A systematic review and meta-analysis. J Neurol Sci. 2017 Jul 15;378:140–145.
Journal cover image

Published In

J Neurol Sci

DOI

EISSN

1878-5883

Publication Date

July 15, 2017

Volume

378

Start / End Page

140 / 145

Location

Netherlands

Related Subject Headings

  • Telemedicine
  • Stroke
  • Smoking Cessation
  • Risk Factors
  • Randomized Controlled Trials as Topic
  • Humans
  • Blood Glucose
  • 5202 Biological psychology
  • 3209 Neurosciences
  • 3202 Clinical sciences