ReviewNPJ digital medicine2021
Mobile health strategies for blood pressure self-management in urban populations with digital barriers: systematic review and meta-analyses.
Review in NPJ digital medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 7 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Barriers and facilitators to digital health tool adoption for hypertension management: systematic review of qualitative studies.BMJ open · 2026Pooled it
- A conceptual framework and umbrella review of digital health technology interventions and health equity.BMC health services research · 2025Pooled it
- Evaluating Effectiveness of mHealth Apps for Older Adults With Diabetes: Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2025Pooled it
- Digital Health Interventions for Hypertension Management in US Populations Experiencing Health Disparities: A Systematic Review and Meta-Analysis.JAMA network open · 2024Pooled it
- Effective Behavior Change Techniques in Digital Health Interventions for the Prevention or Management of Noncommunicable Diseases: An Umbrella Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023Pooled it
- The impact of mobile health applications on the outcomes of patients with chronic kidney disease: a systematic review and meta-analysis.Journal of medicine and life · 2023Pooled it
- Assessing the Effectiveness of mHealth Interventions for Diabetes and Hypertension Management in Africa: Systematic Review and Meta-Analysis.JMIR mHealth and uHealth · 2023Pooled it
- Impact of Push Notifications on Physical Activity and Sodium Intake Among Patients with Hypertension: Microrandomized Trial of a Just-in-Time Adaptive Intervention.Journal of medical Internet research · 2026Trial
- Implementation of Direct-to-Patient Mobile Teledermatology in VA.Journal of general internal medicine · 2024Trial
- Hypertension Identification using Mobile Health Outreach Project (HI HOPE): A Pilot Study.Journal of community health · 2026Article
- An Apple-watch all day keeps your life astray-or does it?Scandinavian journal of public health · 2026Article
- Cardiovascular disease prevention in China: challenges and opportunities in the artificial intelligence-enabled digital health era.Nature reviews. Cardiology · 2026Review
- WhatsApp-Led mHealth Intervention for Hypertension Management Among Adults Aged 40 to 59 Years in Kerala, India: Protocol for a Mixed Methods Study.JMIR research protocols · 2026Article
- Community Health Worker Feedback on an mHealth Intervention for Hypertension in Rural Guatemala: Mixed Methods Formative Study.JMIR formative research · 2026Article
- Heterogeneous associations of a mobile health-based disease management program on uncontrolled hypertension: A target trial emulation study.PLOS digital health · 2026Article
- Assessing Daily Antihypertensive Medication Compliance Among Black Adults Using Smartphone-Based Ecological Momentary Assessment: A Feasibility Study.Computers, informatics, nursing : CIN · 2025Article
- Development of a Patient-Facing Clinical Decision Support Application for Hypertension.Applied clinical informatics · 2025Article
- Physical activity and diet just-in-time adaptive intervention to reduce blood pressure: a randomized controlled trial.NPJ digital medicine · 2025Article
- Electronic health records-integrated mobile health interventions in primary care to improve hypertension management in Black/African American populations: a systematic review.Oxford open digital health · 2025Article
- The Effects of the COVID-19 Pandemic on Age-Based Disparities in Digital Health Technology Use: Secondary Analysis of the 2017-2022 Health Information National Trends Survey.Journal of medical Internet research · 2024Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
Mobile health (mHealth) technologies improve hypertension outcomes, but it is unknown if this benefit applies to all populations. This review aimed to describe the impact of mHealth interventions on blood pressure outcomes in populations with disparities in digital health use. We conducted a systematic search to identify studies with systolic blood pressure (SBP) outcomes located in urban settings in high-income countries that included a digital health disparity population, defined as mean age ≥65 years; lower educational attainment (≥60% ≤high school education); and/or racial/ethnic minority (<50% non-Hispanic White for US studies). Interventions were categorized using an established self-management taxonomy. We conducted a narrative synthesis; among randomized clinical trials (RCTs) with a six-month SBP outcome, we conducted random-effects meta-analyses. Twenty-nine articles (representing 25 studies) were included, of which 15 were RCTs. Fifteen studies used text messaging; twelve used mobile applications. Studies were included based on race/ethnicity (14), education (10), and/or age (6). Common intervention components were: lifestyle advice (20); provision of self-monitoring equipment (17); and training on digital device use (15). In the meta-analyses of seven RCTs, SBP reduction at 6-months in the intervention group (mean SBP difference = -4.10, 95% CI: [-6.38, -1.83]) was significant, but there was no significant difference in SBP change between the intervention and control groups (p = 0.48). The use of mHealth tools has shown promise for chronic disease management but few studies have included older, limited educational attainment, or minority populations. Additional robust studies with these populations are needed to determine what interventions work best for diverse hypertensive patients.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.