Abstract
Introduction
A systematic review was conducted to determine if mobile health (mHealth) interventions,
and which intervention characteristics, effectively support dietary adherence and
reduce risk factors in patients with cardiovascular disease (CVD).
Method
Using 7 databases, studies involving adult participants with specific CVD diagnoses,
mHealth intervention testing, and dietary adherence assessment were identified. Systematic
reviews, qualitative studies, or studies testing interventions involving open dialogue
between participants and health care providers or researchers were excluded. Two independent
reviewers conducted screening and assessed the risk of bias.
Results
Thirteen studies involved participants with prehypertension (n = 1), hypertension
(n = 9), coronary artery disease (n = 2), and heart failure (n = 1). mHealth interventions
in 8 studies improved dietary adherence, 4 showed mixed results, and 1 showed no improvements.
Eight studies found interactive text and/or application-based mHealth intervention
features effectively improved dietary adherence. One study had a low risk of bias,
2 had some concerns/moderate risk, and 10 had a high/critical or serious risk.
Discussion
In most included studies, mHealth interventions positively impacted dietary adherence
for patients with CVD.
Implications for Research and Practice
Clinicians may recommend mHealth interventions to support nutrition education and
self-management for their patients with CVD.
Key Words
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Article info
Publication history
Published online: April 25, 2023
Accepted:
March 20,
2023
Publication stage
In Press Corrected ProofFootnotes
Conflict of Interest Disclosure: The authors have not stated any conflicts of interest.
Identification
Copyright
© 2023 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
