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Heart Disease and Stroke Prevention: Interactive Digital Interventions for Blood Pressure Self-Management

CDC

An Evidence-Based Practice

Description

In these interventions, patients who have high blood pressure use digital devices to receive personalized, automated guidance on blood pressure self-management.

Devices include mobile phones, web-based programs, or telephones. Interactive content does not require direct input from a health professional.

Impact

The Community Preventive Services Task Force (CPSTF) recommends the use of interactive digital interventions to improve blood pressure control in patients with high blood pressure.

Results / Accomplishments

The systematic review included seven studies.

Among recruited patients who had high blood pressure, interventions led to the following outcomes:
-Systolic blood pressure decreased by a mean of 3.7 mmHg (6 studies)
-Diastolic blood pressure decreased by a mean of 2.4 mmHg (5 studies)
-One study reported patients in the intervention group were significantly more likely to have their blood pressure under control after 24 months.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS H21-8
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Heart Disease & Stroke
For more details
https://www.thecommunityguide.org/findings/heart-d...

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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