Appl Clin Inform 2020; 11(04): 544-555
DOI: 10.1055/s-0040-1715649
Review Article

Influence of Connected Health Interventions for Adherence to Cardiovascular Disease Prevention: A Scoping Review

Dahbia Agher
1  INSERM, University Sorbonne Paris Nord, Sorbonne University, Laboratory of Medical Informatics and Knowledge Engineering in e-Health, LIMICS, Paris, France
2  BeWellConnect, Research and Development, Visiomed Group 75016 Paris, France
,
Karima Sedki
1  INSERM, University Sorbonne Paris Nord, Sorbonne University, Laboratory of Medical Informatics and Knowledge Engineering in e-Health, LIMICS, Paris, France
,
Rosy Tsopra
3  INSERM, Université Paris Descartes, Sorbonne Université, Centre de Recherche des Cordeliers, Information Sciences to support Personalized Medicine, F-75006 Paris, France
4  Department of Medical Informatics, H⊚pital Européen Georges-Pompidou, AP-HP, Paris, France
,
Sylvie Despres
1  INSERM, University Sorbonne Paris Nord, Sorbonne University, Laboratory of Medical Informatics and Knowledge Engineering in e-Health, LIMICS, Paris, France
,
Marie-Christine Jaulent
1  INSERM, University Sorbonne Paris Nord, Sorbonne University, Laboratory of Medical Informatics and Knowledge Engineering in e-Health, LIMICS, Paris, France
› Author Affiliations

Abstract

Background Recent health care developments include connected health interventions to improve chronic disease management and/or promote actions reducing aggravating risk factors for conditions such as cardiovascular diseases. Adherence is one of the main challenges for ensuring the correct use of connected health interventions over time.

Objective This scoping review deals with the connected health interventions used in interventional studies, describing the ways in which these interventions and their functions effectively help patients to deal with cardiovascular risk factors over time, in their own environments. The objective is to acquire knowledge and highlight current trends in this field, which is currently both productive and immature.

Methods A structured literature review was constructed from Medline-indexed journals in PubMed. We established inclusion criteria relating to three dimensions (cardiovascular risk factors, connected health interventions, and level of adherence). Our initial search yielded 98 articles; 78 were retained after screening on the basis of title and abstract, 49 articles underwent full-text screening, and 24 were finally retained for the analysis, according to preestablished inclusion criteria. We excluded studies of invasive interventions and studies not dealing with digital health. We extracted a description of the connected health interventions from data for the population or end users.

Results We performed a synthetic analysis of outcomes, based on the distribution of bibliometrics, and identified several connected health interventions and main characteristics affecting adherence. Our analysis focused on three types of user action: to read, to do, and to connect. Finally, we extracted current trends in characteristics: connect, adherence, and influence.

Conclusion Connected health interventions for prevention are unlikely to affect outcomes significantly unless other characteristics and user preferences are considered. Future studies should aim to determine which connected health design combinations are the most effective for supporting long-term changes in behavior and for preventing cardiovascular disease risks.

Authors' Contributions

All the authors contributed substantially to the design of the study and the acquisition, analysis, and/or interpretation of the data. The paper was drafted by the first author and critically reviewed by all the remaining authors. All the authors approved the final version.


Protection of Human and Animal Subjects

Not applicable.


Supplementary Material



Publication History

Received: 18 February 2020

Accepted: 10 July 2020

Publication Date:
19 August 2020 (online)

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