Key result
EHR-integrated mHealth for hypertension in Black patients predominantly utilizes health monitoring devices and smartphone apps.
Why the study?
Limited research exists on how primary care can effectively integrate electronic health records and mobile health technologies to reduce hypertension disparities in Black/African American individuals.
Do EHR-integrated mHealth interventions in primary care improve hypertension management in Black/African American populations?
Systematic Review
Do EHR-integrated mHealth interventions in primary care improve hypertension management in Black/African American populations?
EHR-integrated mHealth technologies in primary care show promise for improving hypertension management in Black/African American populations by enhancing health education, continuous monitoring, and patient-physician communication.
Answers are grounded in this paper and cite their sources.
Monitoring devices and apps predominate in these EHR-integrated interventions; extends evidence on mHealth tailoring for hypertension in Black/African American populations.
Black/African American individuals face twice the risk of hypertension compared to non-Hispanic Whites in the United States (US). A synergistic strategy integrating primary care with Electronic Health Records (EHR) and mobile health (mHealth) technologies may help address hypertension disparities. This unique strategy prioritizes early disease identification, improved care access, and self-management. However, limited research exists on how primary care can effectively integrate these components to reduce hypertension in Black/African American individuals. We aimed to (i) identify characteristics of Black/African American populations represented in EHR-driven mHealth interventions for hypertension management in primary care settings and (ii) identify the specific EHR-driven mHealth interventions. We used the PubMed, Web of Science, and Scopus databases to identify studies conducted in the US. The included articles focused on (i) Black/African American individuals, (ii) EHR and mHealth integration; (iii) primary care setting, and (iv) hypertension or blood pressure as the outcome. We screened 749 studies and synthesized 14. Combined, Black/African American patients were female (61%), 52.6 years on average, with diabetes health comorbidity (35%). Included studies utilized health monitoring devices (n = 14), smartphone applications (n = 11), interactive messaging (n = 8), and patient portals (n = 3). These tools facilitated health monitoring (n = 14), social networking (n = 3), and lifestyle counseling (n = 14). EHR-mHealth technologies in primary care show promise to improve hypertension management in Black/African American populations. Current interventions focus on enhancing health education access, continuous health monitoring, patient–physician communication, and social engagement. Further research is needed to optimize integration into clinical workflow for hypertension management.
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Adediran et al. (2025) conducted a systematic review in Hypertension. EHR-integrated mobile health (mHealth) interventions was evaluated on Hypertension or blood pressure. EHR-integrated mHealth interventions for hypertension in Black/African American populations across 14 studies predominantly utilized health monitoring devices (n=14) and smartphone apps (n=11).
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