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June 4, 2020Open Access

Effectiveness of Digital Interventions for Reducing Behavioral Risks of Cardiovascular Disease in Nonclinical Adult Populations: Systematic Review of Reviews (Preprint)

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Why the study?

Despite the popularity of digital health interventions to reduce cardiovascular disease behavioral risks, an overall summary and comparison of the effectiveness of different delivery modes to inform policy was lacking.

Do digital interventions improve behavioral and health outcomes related to cardiovascular disease risk factors in nonclinical adult populations?

Comparison

Digital health interventions vs any comparator or different delivery modes

Design

Systematic review of reviews

Authors

NGNatalie GoldKing's College - North CarolinaAYAmy YauLondon School of Hygiene & Tropical MedicineBRBenjamin P. RigbyUniversity of Glasgow

Discussion

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Implication

Transient benefits warrant cautious short-term use only; confirms limited durability and extends calls for sustained digital designs.

Structured PICO

Do digital interventions improve behavioral and health outcomes related to cardiovascular disease risk factors in nonclinical adult populations?

P
Population
Adults (≥18 years) in high-income countries from nonclinical populations, evaluated across 94 reviews (92 academic, 2 gray literature).
I
Intervention
Digital interventions targeting diet, physical activity, smoking, or alcohol consumption, alone or in combination.
C
Comparator
No intervention or face-to-face interventions.
O
Outcome
Behavioral and health outcomes related to physical activity, smoking, alcohol consumption, or diet.

Digital interventions provide small, short-term improvements in behavioral risk factors for cardiovascular disease, such as smoking and alcohol consumption, but long-term efficacy remains limited.

Limitations

  • heterogeneous interventions
  • many reviews had critically low AMSTAR-2 ratings
  • high attrition rates
  • short follow-up times

Cite This Study

Gold et al. (2020) studied this question.

synapsesocial.com/papers/6a7e0541fa78bd257118714fhttps://doi.org/10.2196/preprints.19688
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An Updated Review of Interventions that Include Promotion of Physical Activity for Adult Men2014 · 125 citations
  2. 2Non-face-to-face physical activity interventions in older adults: a systematic review2014 · 106 citations
  3. 3A systematic review and meta‐analysis of interventions for weight management using text messaging2014 · 172 citations
  4. 4Self-directed interventions to promote weight loss: a systematic review and meta-analysis2016 · 36 citations
  5. 5A systematic review of tailored eHealth interventions for weight loss2019 · 202 citations