Efficacy of a mobile hypertension prevention delivery platform with human coaching
Abstract
This pilot study evaluated the efficacy of a Hypertension Prevention Program (HPP) administered through a mobile application platform with human coaching (app) on reduction in blood pressure and weight in 50 adults with prehypertension or hypertension. Participants were recruited into a 24-week mobile application intervention to administer the HPP between January 2016 and July 2016. Dietary elements of the programme were based on the Dietary Approaches to Stop Hypertension. The programme included in-app human coaching with bi-weekly phone calls, meal logging, blood pressure tracking and educational material. Main outcome variables included change in systolic and diastolic blood pressure, hypertension category, and weight loss. Data were analysed between October 2016 and December 2016. The HPP yielded overall improvements in weight (-3.04±4.04 kg, P=<0.001), diastolic blood pressure (-5.06±11.89 mm Hg, P=0.004), and hypertension category (-0.48±0.74 mm Hg, P=<0.001). Sustained engagement of 80% resulted in significant reductions in systolic blood pressure (-7.75±12.56, P=<0.001) and weight (-3.73±4.01 kg, P<0.001) for programme completers, contributing to hypertension category change (-0.58±0.64 mm Hg, P<0.001). Mobile delivery of a lifestyle intervention for hypertension prevention showed short-term potential to reduce risk of hypertension, supporting the need for longer studies to investigate the use of mHealth lifestyle modification to reduce the risk of hypertension, a public health priority.
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Researchers evaluated a range of measures that aligned with their target chronic condition, such as blood glucose, weight, symptoms, patient-reported outcomes, diary entries, and steps.
“Researchers evaluated a range of measures that aligned with their target chronic condition, such as blood glucose [56,60,61,64,73], weight [56,73,74], symptoms [66,68,69], patient-reported outcomes [38,46,52,65,71], diary entries [47,66], and steps [51].”
From A Library of Analytic Indicators to Evaluate Effective Engagement with Consumer mHealth Apps for Chronic Conditions: Scoping Review (2019) · cites this paper as [74]
Toro-Ramos et al found that users with sustained usage across 19 weeks of a hypertension self-management app experienced significant reductions in systolic blood pressure and weight.
“Toro-Ramos et al measured the number of weeks users engaged with their hypertension self-management app and found that users with sustained usage across 19 weeks experienced significant reductions in systolic blood pressure and weight [74].”
From A Library of Analytic Indicators to Evaluate Effective Engagement with Consumer mHealth Apps for Chronic Conditions: Scoping Review (2019) · cites this paper as [74]
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- Authors
- Toro-Ramos, T., Kim, Y., Wood, M., Rajda, J., Niejadlik, K., Honcz, J., Marrero, D., Fawer, A., & Michaelides, A.
- Affiliations
- Noom (United States) (US)
- Aetna (United States) (US)
- University of Arizona (US)
- ORCID
- Venue
- Journal of Human Hypertension
- Published
- 2017-10-03
- Volume
- 31
- Issue
- 12
- Pages
- 795-800
- ISSN
- 0950-9240 (ISSN-L)
- 1476-5527
- OpenAlex
- W2763066131
- Cited by
- 44
- References
- 30
- Citations by year
- 2025: 1 · 2024: 5 · 2023: 6 · 2022: 10 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 4
- FWCI
- 7.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Human Hypertension (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Keywords
- hypertension prevention, mobile health, lifestyle intervention, prehypertension, blood pressure reduction, weight loss, DASH diet, dietary intervention, participant engagement
- MeSH terms
- Adult, Blood Pressure, Female, Humans, Hypertension, Male, Middle Aged, Pilot Projects, Weight Loss, Mobile Applications
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