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Use of Short Messaging Service for Hypertension Management: A Systematic Review

Vargas, Grecia MSPH; Cajita, Maan Isabella BSN, RN-BC; Whitehouse, Erin MPH, RN-BS; Han, Hae-Ra PhD, RN, FAAN

Journal of Cardiovascular Nursing: May/June 2017 - Volume 32 - Issue 3 - p 260–270
doi: 10.1097/JCN.0000000000000336
ARTICLES: Systematic Reviews

Background: Mobile phone Short Message Service (SMS) is a tool now used by the health research community, providing the capability for instant communication between patients and health professionals. Greater understanding of how to best use SMS as a means to improve healthcare delivery and outcomes will foster innovation in research and provide an opportunity to progress as a public health community.

Purpose: The purposes of this systematic review are 2-fold: (1) to provide insight on the most used mobile phone SMS practices and characteristics in hypertension (HTN) outcome-focused publications and (2) to critically evaluate empirical evidence associated with SMS utilization and BP outcomes.

Methods: Two independent systematic literature searches were completed. The final selected studies each then underwent data extraction and quality-rating assessment, followed by an evaluation for a meta-analysis to measure mean difference of the change in BP.

Results: A total of 6 studies meeting the inclusion criteria were included in the review. Feasibility assessment for a meta-analysis was found unfavorable because of the variation among studies. Short Message Service interventions focused on BP management were most effective in studies featuring 2-way communication and individual patient-tailored content, and guided by evidence-based HTN management practices.

Implications: Short Message Service interventions for HTN management were supported through evidence provided by the studies reviewed. Short Message Service holds strong potential to bring greater innovation to HTN management and care, especially in racial/ethnic minority populations that face psychosocial and structural barriers in healthcare access and utilization.

Grecia Vargas, MSPH Study Coordinator, David Geffen School of Medicine at UCLA, Los Angeles, California.

Maan Isabella Cajita, BSN, RN-BC PhD Students, Department of Community-Public Health, The Johns Hopkins University School of Nursing, Baltimore, Maryland.

Erin Whitehouse, MPH, RN-BS PhD Students, Department of Community-Public Health, The Johns Hopkins University School of Nursing, Baltimore, Maryland.

Hae-Ra Han, PhD, RN, FAAN Associate Professor and Co-Director of the Center for Cardiovascular and Chronic Care, Department of Community-Public Health, The Johns Hopkins University School of Nursing, Baltimore, Maryland.

This study was supported, in part, by a grant from the Centro SOL at the Johns Hopkins University School of Medicine and a training grant from the National Institute of Nursing Research of the National Institutes of Health under award number 5T32NR012704-05. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. Additional resources were provided by Center for Cardiovascular and Chronic Care at the Johns Hopkins University School of Nursing.

The authors have no conflicts of interest to disclose.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.jcnjournal.com).

Correspondence Hae-Ra Han, PhD, RN, FAAN, Department of Community-Public Health, The Johns Hopkins University School of Nursing, 525 N Wolfe St, Baltimore, MD (hhan3@jhu.edu).

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