Abstract:
BACKGROUND:The long-term effects of mobile health (mHealth) interventions have not been documented, especially in resource-constrained settings. OBJECTIVE:This study aimed to assess the effects of a 1-year mHealth intervention on blood pressure levels and body weight in low-resource urban settings in Peru, 4 years after the completion of the original study. METHODS:Four years after the original Grupo de Investigación en Salud Móvil en America Latina (GISMAL) study, we attempted to contact the 212 individuals originally enrolled in the study in Peru. The primary outcomes were systolic and diastolic blood pressure levels and hypertension incidence. Secondary outcome measures were body weight, BMI, and self-reported target behaviors. The study personnel collecting the data were masked to the group assignment. Linear mixed models were used to evaluate the effects of the intervention on primary and secondary outcomes in an intention-to-treat analysis. RESULTS:Data from 164 (77.4%) of the 212 originally enrolled participants were available and analyzed (80 in the intervention group and 84 in the control group). The intervention did not result in changes in systolic (-2.54 mm Hg, 95% CI -8.23 to 3.15) or diastolic (3.41 mm Hg, 95% CI -0.75 to 7.57) blood pressure compared with the control group. The intervention reduced the risk of developing hypertension, but the result was not significant (risk ratio (RR) 0.76, 95% CI 0.45-1.28). However, those who received the intervention had lower body weight (-5.42 kg, 95% CI -10.4 to -0.48) and BMI (-2.56 kg/m2, 95% CI -4.46 to -0.66). In addition, compared to the control participants, those who received ≥50% of the scheduled calls during the intervention had greater reductions in body weight (-6.23 kg, 95% CI -11.47 to -0.99) and BMI (-2.81 kg/m2, 95% CI -4.77 to -0.85). CONCLUSIONS:An mHealth intervention comprising motivational interview calls and SMS text messaging appears to have effects on health 4 years after intervention completion. Although there were no effects on blood pressure levels, important reductions in body weight and BMI were seen 5 years after randomization. Thus, mHealth appears to be a promising preventive strategy for noncommunicable diseases in resource-constrained settings. TRIAL REGISTRATION:Clinicaltrials.gov NCT01295216; https://clinicaltrials.gov/ct2/show/NCT01295216.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Bernabe-Ortiz A,Pauschardt J,Diez-Canseco F,Miranda JJdoi
10.2196/14595subject
Has Abstractpub_date
2020-04-21 00:00:00pages
e14595issue
4eissn
1439-4456issn
1438-8871pii
v22i4e14595journal_volume
22pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Internet technologies can create advanced and rich web-based apps that allow radiologists to easily access teleradiology systems and remotely view medical images. However, each technology has its own drawbacks. It is difficult to balance the advantages and disadvantages of these internet technologies and ide...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16224
更新日期:2020-09-25 00:00:00
abstract:BACKGROUND:Information disclosure is a top priority for official responses to the COVID-19 pandemic. The timely and standardized information published by authorities as a response to the crisis can better inform the public and enable better preparations for the pandemic; however, there is limited evidence of any system...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19572
更新日期:2020-08-27 00:00:00
abstract:BACKGROUND:Over the last two decades, patient review websites have emerged as an essential online platform for doctor ratings and reviews. Recent studies suggested the significance of such websites as a data source for patients to choose doctors for healthcare providers to learn and improve from patient feedback and to...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18652
更新日期:2020-07-07 00:00:00
abstract:BACKGROUND:Adherence to childhood immunization schedules is a function of various factors. Given the increased use of technology as a strategy to increase immunization coverage, it is important to investigate how parents perceive different forms of communication, including traditional means and text-message reminders. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1976
更新日期:2012-06-06 00:00:00
abstract::The ongoing coronavirus disease outbreak demonstrates the need for novel applications of real-time data to produce timely information about incident cases. Using health information technology (HIT) and real-world data, we sought to produce an interface that could, in near real time, identify patients presenting with s...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18707
更新日期:2020-05-28 00:00:00
abstract:BACKGROUND:There is no functional pharmacovigilance system in Cambodia to our knowledge. Mobile phone-based tools, such as short message service (SMS) text messages, are increasingly used for surveillance purposes. OBJECTIVE:To pilot-test the FrontlineSMS mobile phone-based tool for notification of adverse events, usi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2477
更新日期:2013-04-16 00:00:00
abstract:BACKGROUND:Mental health conditions are prevalent among US veterans and pose a number of self-management and health care navigation challenges. Post-Traumatic Stress Disorder (PTSD) with comorbid chronic medical conditions (CMCs) is especially common, in both returning Iraq or Afghanistan and earlier war-era veterans. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5594
更新日期:2016-10-26 00:00:00
abstract:BACKGROUND:Brief motivational interviewing (MI) can contribute to reductions in morbidity and mortality related to coronary artery disease, through health behavior change. Brief MI, unlike more intensive interventions, was proposed to meet the needs of clinicians with little spare time. While the provision of face-to-f...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6298
更新日期:2016-08-18 00:00:00
abstract:BACKGROUND:The prevalence of diabetes is increasing and with the requirements for self-management and risk of late complications, it remains a challenge for the individual and society. Patients can benefit from support from health care personnel in their self-management, and the traditional communication between patien...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.7045
更新日期:2017-06-23 00:00:00
abstract:BACKGROUND:Family conflict can reduce adolescent adherence to type 1 diabetes management tasks. The Family Teamwork in-person intervention was shown to be efficacious in reducing conflict and low adherence to diabetes-related tasks. Its reach and potential impact, however, were limited by the need to deliver the interv...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15318
更新日期:2019-09-13 00:00:00
abstract:BACKGROUND:Since the outbreak of COVID-19, the Chinese government and the Chinese Center for Disease Control and Prevention have released COVID-19-related information to the public through various channels to raise their concern level of the pandemic, increase their knowledge of disease prevention, and ensure the uptak...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20487
更新日期:2020-11-09 00:00:00
abstract:BACKGROUND:Artificial intelligence (AI) is developing quickly in the medical field and can benefit both medical staff and patients. The clinical decision support system Watson for Oncology (WFO) is an outstanding representative AI in the medical field, and it can provide to cancer patients prompt treatment recommendati...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11087
更新日期:2018-09-25 00:00:00
abstract:BACKGROUND:The electronic cigarette (e-cigarette) industry has grown in size and organizational complexity in recent years, most notably with the entry of major tobacco companies in 2012 and the proliferation of vape shops. Many brands maintain retail websites that present e-cigarette marketing claims and sell directly...
journal_title:Journal of medical Internet research
pub_type: 历史文章,杂志文章
doi:10.2196/jmir.8550
更新日期:2018-03-12 00:00:00
abstract:BACKGROUND:Reporting cumulative antimicrobial susceptibility testing data on a regular basis is crucial to inform antimicrobial resistance (AMR) action plans at local, national, and global levels. However, analyzing data and generating a report are time consuming and often require trained personnel. OBJECTIVE:This stu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/19762
更新日期:2020-10-02 00:00:00
abstract:BACKGROUND:Stress is a common experience in today's society. Smartphone ownership is widespread, and smartphones can be used to monitor health and well-being. Smartphone-based self-assessment of stress can be done in naturalistic settings and may potentially reflect real-time stress level. OBJECTIVE:The objectives of ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.6397
更新日期:2017-02-13 00:00:00
abstract:BACKGROUND:The Institute of Medicine recommends Survivorship Care Plans (SCPs) for all cancer survivors. However, it is unclear whether certain patient groups may or may not benefit from SCPs. OBJECTIVE:The aim was to assess whether the effects of an automatically generated paper SCP on patients' satisfaction with inf...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2196/jmir.4914
更新日期:2016-07-08 00:00:00
abstract:BACKGROUND:Only a few telemedicine applications have made their way into regular care. One reason is the lack of acceptance of telemedicine by potential end users. OBJECTIVE:The aim of this systematic review was to identify theoretical predictors that influence the acceptance of telemedicine. METHODS:An electronic se...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13117
更新日期:2019-05-21 00:00:00
abstract:BACKGROUND:In early life, both mothers and fathers are important influences on their children's diet, active play, and obesity risk. Parents are increasingly relying on the internet and social media as a source of information on all aspects of parenting. However, little is known about the use of Web-based sources of in...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11454
更新日期:2019-01-23 00:00:00
abstract:BACKGROUND:Videoconferencing-based treatments have shown great potential in increasing engagement and compliance by decreasing the barriers of time and distance. In general, employees tend to experience a lot of stress, but find it difficult to visit a clinic during office hours. OBJECTIVE:The purpose of this study wa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/10760
更新日期:2018-10-22 00:00:00
abstract::The recent global outbreak of SARS (severe acute respiratory syndrome) provides an opportunity to study the use and impact of public health informatics and population health technology to detect and fight a global epidemic. Population health technology is the umbrella term for technology applications that have a popul...
journal_title:Journal of medical Internet research
pub_type: 社论
doi:10.2196/jmir.5.2.e14
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Type 2 diabetes is a serious, pervasive metabolic condition that disproportionately affects ethnic minority patients. Telehealth interventions can facilitate type 2 diabetes monitoring and prevent secondary complications. However, trials designed to test the effectiveness of telehealth interventions may unde...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6374
更新日期:2016-09-26 00:00:00
abstract:BACKGROUND:Personally controlled health management systems (PCHMS), which include a personal health record (PHR), health management tools, and consumer resources, represent the next stage in consumer eHealth systems. It is still unclear, however, what features contribute to an engaging and efficacious PCHMS. OBJECTIVE...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2414
更新日期:2013-05-06 00:00:00
abstract:BACKGROUND:Massive open online courses (MOOCs), as originally conceived, promised to provide educational access to anyone with an internet connection. However, the expansiveness of MOOC education has been found to be somewhat limited. Nonetheless, leading universities continue to offer MOOCs, including many in the heal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17318
更新日期:2020-07-08 00:00:00
abstract:BACKGROUND:Those who go online regarding their sexual health are potential users of new Internet-based sexual health interventions. Understanding the size and characteristics of this population is important in informing intervention design and delivery. OBJECTIVE:We aimed to estimate the prevalence in Britain of recen...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4373
更新日期:2016-01-20 00:00:00
abstract:BACKGROUND:This is a methodological study investigating the online responses to a national debate over an important health and social problem in Russia. Russia is the largest Internet market in Europe, exceeding Germany in the absolute number of users. However, Russia is unusual in that the main search provider is not ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2270
更新日期:2012-12-13 00:00:00
abstract:BACKGROUND:Groups and individuals that seek to negatively influence public opinion about the safety and value of vaccination are active in online and social media and may influence decision making within some communities. OBJECTIVE:We sought to measure whether exposure to negative opinions about human papillomavirus (...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4343
更新日期:2015-06-10 00:00:00
abstract:BACKGROUND:As the use of digital media for health promotion has become increasingly common, descriptive studies exploring current and innovative marketing strategies can enhance the understanding of effective strategies and best practices. OBJECTIVE:This study aims to describe the implementation of a provincial digita...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/11534
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:eHealth is widely used as a tool for improving health care delivery and information. However, distinct policies and strategies are required for its proper implementation and integration at national and international levels. OBJECTIVE:To determine the scope of policy issues faced by individuals, institutions...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.1633
更新日期:2012-02-17 00:00:00
abstract:BACKGROUND:There are few studies on the role of technology delivery mode on health intervention outcomes. Furthermore, the opportunity to examine potential mode effects on a program that is theory-based and integrates principles of communication and decision-making science to influence sexual and reproductive health ou...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10398
更新日期:2018-08-29 00:00:00
abstract:BACKGROUND:Recruitment of health research participants through social media is becoming more common. In the United States, 80% of adults use at least one social media platform. Social media platforms may allow researchers to reach potential participants efficiently. However, online research methods may be associated wi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/23021
更新日期:2020-10-07 00:00:00