The Role of Text Messaging in Cardiovascular Risk Factor Optimization
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Purpose of Review
Many cases of CVD may be avoidable through lowering behavioural risk factors such as smoking and physical inactivity. Mobile health (mHealth) provides a novel opportunity to deliver cardiovascular prevention programs in a format that is potentially scalable. Here, we provide an overview of text messaging-based mHealth interventions in cardiovascular prevention.
Text messaging-based interventions appear effective on a range of behavioural risk factors and can effect change on multiple risk factors—e.g. smoking, weight, blood pressure—simultaneously. For many texting studies, there are challenges in interpretation as many texting interventions are part of larger complex interventions making it difficult to determine the benefits of the separate components.
Whilst there is evidence for text messaging improving cardiovascular risk factor levels in the short-term, future studies are needed to examine the durability of these effects and whether they can be translated to improvements in clinical care and outcomes.
KeywordsmHealth Mobile health Cardiovascular disease Text message SMS Risk factors
Clara K. Chow is supported by National Health and Medical Research Council Career Development Award (APP1033478) co-funded by the National Heart Foundation of Australia and Sydney Medical Foundation Chapmen Fellowship. She reports speaker fees paid to her institution from Astra Zeneca, Sanofi, Pfizer and Amgen. She is also an author of some of the literature that has been referenced in this paper.
Compliance with Ethical Standards
Conflict of Interest
Harry Klimis, Mohammad Ehsan Khan and Cindy Kok declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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