Efficacy of Mobile Health for Self-management of Cardiometabolic Risk Factors: A Theory-Guided Systematic Review

Sabianca Delva, Kyra J. Waligora Mendez, Mia Cajita, Binu Koirala, Rongzi Shan, Shannon Wongvibulsin, Valerie Vilarino, Danielle R. Gilmore, Hae Ra Han

Research output: Contribution to journalArticlepeer-review

Abstract

Background Although mobile health (mHealth) technologies are burgeoning in the research arena, there is a lack of mHealth interventions focused on improving self-management of individuals with cardiometabolic risk factors (CMRFs). Objective The purpose of this article was to critically and systematically review the efficacy of mHealth interventions for self-management of CMRF while evaluating quality, limitations, and issues with disparities using the technology acceptance model as a guiding framework. Methods PubMed, CINAHL, EMBASE, and Lilacs were searched to identify research articles published between January 2008 and November 2018. Articles were included if they were published in English, included adults, were conducted in the United States, and used mHealth to promote self-care or self-management of CMRFs. A total of 28 articles were included in this review. Results Studies incorporating mHealth have been linked to positive outcomes in self-management of diabetes, physical activity, diet, and weight loss. Most mHealth interventions included modalities such as text messaging, mobile applications, and wearable technologies. There was a lack of studies that are (1) in resource-poor settings, (2) theoretically driven, (3) community-engaged research, (4) measuring digital/health literacy, (5) measuring and evaluating engagement, (6) measuring outcomes related to disease self-management, and (7) focused on vulnerable populations, especially immigrants. Conclusion There is still a lack of mHealth interventions created specifically for immigrant populations, especially within the Latino community - the largest growing minority group in the United States. In an effort to meet this challenge, more culturally tailored mHealth interventions are needed.

Original languageEnglish (US)
Pages (from-to)34-55
Number of pages22
JournalJournal of Cardiovascular Nursing
Volume36
Issue number1
DOIs
StatePublished - 2021

Keywords

  • cardiometabolic risk factors
  • cardiovascular disease
  • metabolic syndrome
  • mobile health (mHealth)
  • telemedicine

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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