Effectiveness of the Green Heart Smartphone Application as a Self-Management Intervention for Hypertension and Dyslipidemia: A Randomized Clinical Trial

• DOI: 10.34172/aim.28501
• Publication Date: 2024-05-29T09:01:47Z
• Authors: Mojgan Ghavami; Alireza Abdshah; Saeed Sadeghian; Ayat Ahmadi; Mohammad Sajad Jo...; Diba Akbarzadeh; Fateme Haji Ali A...
• Keywords: Dyslipidemia; Self-Management

<strong data-sider-select-id="7ab5ea40-f741-4139-8771-a29bf3fdc508">Background: Cardiovascular disease (CVD) is a major global health concern, the leading cause of death and disability. Thus, preventive interventions targeting modifiable risk factors are essential. Mobile-health technologies have emerged as promising tools for improving prevention by modifying factors. We created "Green Heart" mobile app to help coronary artery (CAD) patients control their The has three modules: smoking cessation, dyslipidemia (DLP) control, blood pressure (BP) management. This study evaluated app’s performance in monitoring hypertension (HTN) DLP among known CAD cases. data-sider-select-id="9c6f818f-4a60-4747-b579-2ba8a66812cc">Methods: A randomized controlled trial enrolled 1590 subjects, including 1114 hypertensive 1488 subjects with DLP, assigned them randomly paper-based education or application-based groups. data-sider-select-id="d9f8005a-6bd3-4c35-b26f-a7a6179bdcdf">Results: Regarding HTN, after 6 months, we finally analyzed 545 546 patients, conventional groups, respectively. Patients group were more likely BP managed successfully (88.6% vs. 78.5%; P<0.001). showed higher odds successful management (odds ratio [OR]: 2.13; 95% CI: 1.51 - 3.03). 728 714 group. percentage (24.8%) had low-density lipoprotein cholesterol (LDL-C) levels less than 70 mg/dL (16.1%; reducing LDL-C (OR: 1.72; 1.32–2.26). data-sider-select-id="0c4c5391-73e1-4310-8caa-6743d1dfaa5f">Conclusion: found that using Green Heart self-monitoring setting significantly improved across population.