Key result
Twice-weekly mobile health messages increase odds of BP control by ~133% vs usual care.
Why the study?
More than half of patients with hypertension in sub-Saharan Africa do not achieve blood pressure control, prompting evaluation of mobile health technology in this population.
Does a mobile health app delivering twice-weekly messages improve systolic blood pressure reduction and blood pressure control in adults with hypertension?
RCT (n=225)
1:1 ratio using a computer-generated sequence
Yes
Does a mobile health app delivering twice-weekly messages improve systolic blood pressure reduction and blood pressure control in adults with hypertension?
Effect estimate: AOR 2.33 (95% CI 1.23-4.42)
Absolute Event Rate: 44.3% vs 24.8%
p-value: p=0.002
Twice-weekly mobile app messages added to usual care significantly improved systolic blood pressure reduction and control rates at 6 months in African patients with hypertension.
Supports adding twice-weekly mHealth messages to hypertension care; extends RCT evidence to African populations.
Background: More than half of patients with hypertension in sub-Saharan African do not achieve blood pressure control. This study determined the effect of mobile health technology on systolic blood pressure reduction and blood pressure (BP) control among patients with hypertension in Nigeria and Ghana. Methods: A randomised control trial of 225 adults with hypertension attending two General/Medical Outpatient Clinics each in Nigeria and Ghana was randomized into intervention (n = 116) and control (n = 109) arm respectively. Patients in the intervention arm received messages twice weekly from a mobile app for six months in addition to the usual care while the control arm received usual care only. The study outcomes were systolic blood pressure (SBP) reduction and blood pressure control at six months, while the secondary outcome was medication adherence at six months. Data were collected at 0 and 6 months, it was analysed using SPSS-21 software at a significance level of p < 0.05. Binary logistic regression was used to generate the predictors of good blood pressure control. Results: The mean age for the control and intervention were 60.2 ± 13.5 and 62.6 ± 10.8 years respectively; p-value = 0.300. The intervention group had greater reductions in SBP (-18.7mmHg vs -3.9mmHg; p < 0.001) and greater BP control rate (44.3% vs 24.8%; p-value 0.002). Conclusions: The mobile health intervention resulted in significant SBP reduction rate and improvement in BP control rate in the 6th month. However, improvement in adherence level in the 3rd month and was not sustained in the 6th month. The addition of mobile health technology may be extended for use in the national hypertension control plan. Female gender, formal education and being in the intervention arm were predictors of blood pressure control.
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Dele-Ojo et al. (2023) conducted an RCT in Hypertension (n=225). Mobile health technology (m-notify® app) vs. Usual care was evaluated on Blood pressure control at 6 months (AOR 2.33, 95% CI 1.23-4.42, p=0.002). A mobile health intervention sending twice-weekly messages significantly improved blood pressure control to 44.3% compared to 24.8% with usual care at 6 months among patients with hypertension.
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