Table 2 Intervention characteristics.

From: A systematic review and meta-analysis of digital interventions targeting lifestyle factors in patients with hypertension

Study

Aspect of intervention

Intensity

Duration (months)

Person involvement?

Behavioural theories/techniques

Green [24]

Home blood pressure monitoring device with instructions to upload readings to website

Twice weekly

12

No

Nil mentioned

Access to Group Health website, which includes facilities for refilling medication, viewing medical record, and resources for lifestyle change

Patient directed

Bennett [21]

Motivational coaching sessions with dietician – two in person, two over the phone

Every 3 weeks

3

Yes

Motivational interviewing

Website with self-monitoring of adherence to behaviour change goals

Patient directed

Session with health coach to select four obesogenic behaviour change goals

Once, at start of intervention

Golshahi [23]

Regular SMS messages with self-management advice about medication adherence, increased physical activity, DASH diet, smoking cessation

Twice weekly

8

No

Nil mentioned

Kim [34]

Home blood pressure monitor, reminders to monitor and upload readings to app

Three times weekly

6

Yes

Nil mentioned

iPhone with Healthy Circle app disease management platform with educational materials and behaviour recommendations. This could be accessed by healthcare professionals

Patient directed

Liu [25]

Emails with links to website containing diet and exercise plans, information about setting behaviour goals and self-monitoring of lifestyle behaviours. Participants able to set their own goals or select interventions

Weekly

4

No

Transtheoretical model

Skolarus [27]

Home BP monitor and reminders to monitor and send readings to research team

Weekly

6

No

Self-determination theory

Tailored text messaging in response to their BP measurements comparing most recent BP reading to enrolment BP

Weekly

Tailored healthy behaviour messages based on participant baseline characteristics

1–2 times weekly (patient choice)

Generic healthy behaviour advice for BP lowering

2–10 times weekly (patient choice)

Li [26]

Health education and promotion articles related to hypertension, followed by a short quiz, sent via WeChat

1–2 times weekly (depending on risk group)

6

Yes

Self-efficacy theory

Home blood pressure monitor and feedback on self-reported readings

Weekly

Access to WeChat group chats – able to discuss amongst participants and have private chat with researchers

Patient directed

Meurer [32]

Home blood pressure monitor and reminders to text BP readings

Weekly

3

No

Self-determination theory

Text messages with healthy behaviour lifestyle interventions

Weekly

Tailored text messages depending on whether participants took anti-hypertensive medication

Weekly

Rehman [19]

Educational talk regarding lifestyle modifications during clinic visit

Once, at start of intervention

3

Yes

Nil mentioned

Regular text messages with patient education for lifestyle changes

5 times weekly

Text messages with reminders to take medication

Twice daily

Home BP monitor and reminders to monitor

Weekly

Borgstrom [28]

Text messages reminding patients to pursue healthy lifestyle change

Weekly

6

No

Nil mentioned

Jahan [29]

In-person health education provided by community health workers to encourage behaviour change, and health education booklet

Twice in the first month, then monthly

5

Yes

Nil mentioned

Text messages with reminders for lifestyle change

5 times in the first month, then weekly

Lison [18]

Webpage with online modules focused on obesity and hypertension

Weekly for first 5 weeks, then biweekly

3

No

Nil mentioned

Downloadable documents and videos with lifestyle change advice

Patient directed

Liu [33]

Emails with links to e-Counseling sessions to promote adherence to lifestyle change behaviours

Weekly for 4 months, then biweekly for 4 months, then monthly for 4 months

12

No

Prochaska’s transtheoretical model of health behaviour change

Persell [31]

Home blood pressure monitor and reminders to input readings

Daily for 3 weeks, then weekly

6

No

Cognitive behavioural therapy

App with reminders and tracking of lifestyle change

Patient directed

Still [22]

Web-based education modules with information about hypertension

Weekly for 6 weeks

3

Yes

Ryan and Swain’s individual and family self-management theory

Home blood pressure monitor and tracking logs to record readings

Twice daily, twice weekly

Medication management app with SMS reminders to take medication

Patient directed

Nurse counselling sessions discussing medication adherence and BP monitoring

Once every 6 weeks

Yun [20]

‘Smart Management Strategy for Health’ App and website, with materials to support health behaviour change and facility to create weekly plan for health management. Email reminders then sent based on their plan.

Weekly

3

No

12 rules for highly effective health behaviour and health management strategies

Kario [30]

Home blood pressure monitoring and app to upload readings. App then delivered personalised programme of lifestyle change advice

Patient directed

3

No

Nil mentioned