Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2020 Mar 7;17(5):1749.
doi: 10.3390/ijerph17051749.

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

Youn-Jung Son  1 , Yaelim Lee  2 , Hyeon-Ju Lee  3
Affiliations
Meta-Analysis

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

Youn-Jung Son et al. Int J Environ Res Public Health. .

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.

Keywords: heart failure; hospitalization; mobile phone; mortality; quality of life; readmission.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow chart of the systematic review of the literature selection process for the study.
Figure 2
Figure 2
Effect of mobile phone-based interventions on health outcomes. CI = confidence interval; SMD = standard mean difference; ED visit = emergency department visit; QoL = quality of life.
See this image and copyright information in PMC

References

    1. Ponikowski P., Voors A.A., Anker S.D., Bueno H., Cleland J.G., Coats A.J., Falk V., González-Juanatey J.R., Harjola V.P., Jankowska E.A., et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur. J. Heart Fail. 2016;18:891–975. doi: 10.1002/ejhf.592. - DOI - PubMed
    1. Savarese G., Lund L.H. Global public health burden of heart failure. Card. Fail. Rev. 2017;3:7–11. doi: 10.15420/cfr.2016:25:2. - DOI - PMC - PubMed
    1. Mozaffarian D., Benjamin E.J., Go A.S., Arnett D.K., Blaha M.J., Cushman M., de Ferranti S., Després J.P., Fullerton H.J., Howard V.J., et al. Heart disease and stroke statistics–2015 update: A report from the American Heart Association. Circulation. 2015;131:e29–e322. doi: 10.1161/CIR.0000000000000152. - DOI - PubMed
    1. Vasan R.S., Wilson P.W.F. Epidemiology and Causes of Heart Failure. [(accessed on 20 March 2018)]; Available online: http://www.uptodate.com/contents/epidemiology-and-causes-of-heart-failure.
    1. Avaldi V.M., Lenzi J., Castaldini I., Urbinati S., Di Pasquale G., Morini M., Protonotari A., Maggioni A.P., Fantini M.P. Hospital readmissions of patients with heart failure: The impact of hospital and primary care organizational factors in Northern Italy. PLoS ONE. 2015;10:e0127796. doi: 10.1371/journal.pone.0127796. - DOI - PMC - PubMed

Publication types