Currently submitted to: JMIR mHealth and uHealth
Date Submitted: Mar 7, 2024
(currently open for review)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Identifying mHealth interventions for post-hospitalization care of stroke and MI patients: A scoping review.
ABSTRACT
Background:
Cardiovascular disease (CVD) and stroke are the leading causes of mortality and major contributors to disability worldwide. Consequently, evidence-based medicine highlights the significance of mitigating CVD and stroke risk factors to reduce the global health burden. The persistent and incurable nature of such chronic illnesses makes it crucial to continuously monitor signs and symptoms to reduce hospital readmissions and improve quality of life. As a result, mobile health technology has expanded rapidly to provide such continuous support. However, there is limited evidence about the utility of mHealth in MI and stroke patients and their long-term care.
Objective:
This scoping review aims to give an overview of the literature that highlights different mHealth interventions for post-hospitalization care of MI and stroke patients.
Methods:
We applied the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) methodology. A literature search was carried out across four databases—CINAHIL, PubMed, Scopus, and Cochrane— for studies between 26th July 2015 to 31st January 2023. All interventional trials were included if their primary intervention included mHealth for MI and stroke patients. All case reports, animal studies, or grey literature were excluded.
Results:
In total, 23 articles were selected with over 9471 people with MI and stroke using mHealth intervention with a mean age of 59.7 years and a total of 2738 women (28.91%). A total of four different mHealth interventions were identified including smartphone applications (n = 14, 60.9%), text messages (n = 4,17.4%), telephone calls (n = 3, 13.1%), and internet-based platforms (n = 2, 8.7%).
Conclusions:
This scoping review confirms that mHealth interventions have a positive impact on the long-term needs of MI and stroke patients. However, robust randomized trials are needed to further extend the applicability of these findings because of heterogeneous outcomes across all articles. Future high-quality research should focus on uniform outcome measures to investigate which mHealth intervention is superior for continuous healthcare management. Clinical Trial: N/A
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