The effectiveness of smoking cessation, physical activity/diet and alcohol reduction interventions delivered by mobile phones for the prevention of non-communicable diseases: A systematic review of randomised controlled trials

Autor: Aileen Wynne, Sharmani Barnard, Pablo Perel, Jennifer Sutherland, Sophie Russell, Ellie Hotopf, Andrew M. Doel, Caroline Free, Suzanne Edwards, Emma Rezel, Melissa J Palmer, Lily Grigsby-Duffy
Jazyk: angličtina
Rok vydání: 2018
Předmět:
020205 medical informatics
medicine.medical_treatment
Psychological intervention
Blood Pressure
02 engineering and technology
Vascular Medicine
law.invention
0302 clinical medicine
Randomized controlled trial
law
Outcome Assessment
Health Care
0202 electrical engineering
electronic engineering
information engineering
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Randomized Controlled Trials as Topic
Multidisciplinary
Alcohol Consumption
Alcohol Abstinence
Incidence (epidemiology)
Behavior change methods
Telephones
Sports Science
Engineering and Technology
Medicine
Research Article
medicine.medical_specialty
Computer and Information Sciences
Alcohol Drinking
Science
Equipment
Computer Software
03 medical and health sciences
Internal medicine
Diabetes mellitus
medicine
Humans
Sports and Exercise Medicine
Adverse effect
Noncommunicable Diseases
Exercise
Nutrition
Communication Equipment
Text Messaging
business.industry
Biology and Life Sciences
Physical Activity
Apps
medicine.disease
Diet
Physical Fitness
Relative risk
Smoking cessation
Smoking Cessation
Cell Phones
business
Cell Phone
Zdroj: PLoS ONE, Vol 13, Iss 1, p e0189801 (2018)
PLoS ONE
Palmer, M, Sutherland, J, Barnard, S, Wynne, A, Rezel, E, Doel, A, Grigsby-Duffy, L, Edwards, S, Russell, S, Hotopf, E, Perel, P & Free, C 2018, ' The effectiveness of smoking cessation, physical activity/diet and alcohol reduction interventions delivered by mobile phones for the prevention of non-communicable diseases : A systematic review of randomised controlled trials ', PLoS ONE, vol. 13, no. 1, e0189801 . https://doi.org/10.1371/journal.pone.0189801
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0189801
Popis: Background We conducted a systematic review to assess the effectiveness of smoking cessation, physical activity (PA), diet, and alcohol reduction interventions delivered by mobile technology to prevent non-communicable diseases (NCDs). Methods We searched for randomised controlled trials (RCTs) of mobile-based NCD prevention interventions using MEDLINE, EMBASE, Global Health, CINAHL (Jan 1990–Jan 2016). Two authors extracted data. Findings 71 trials were included: smoking cessation (n = 18); PA (n = 15), diet (n = 3), PA and diet (n = 25); PA, diet, and smoking cessation (n = 2); and harmful alcohol consumption (n = 8). 4 trials had low risk of bias. The effect of SMS-based smoking cessation support on biochemically verified continuous abstinence was pooled relative risk [RR] 2.19 [95% CI 1.80–2.68], I2 = 0%) and on verified 7 day point prevalence of smoking cessation was pooled RR 1.51 [95% CI 1.06–2.15], I2 = 0%, with no reported adverse events. There was no difference in peak oxygen intake at 3 months in a trial of an SMS-based PA intervention. The effect of SMS-based diet and PA interventions on: incidence of diabetes was pooled RR 0.67 [95% CI 0.49, 0.90], I2 = 0.0%; end-point weight was pooled MD -0.99Kg [95% CI -3.63, 1.64] I2 = 29.4%; % change in weight was pooled MD -3.1 [95%CI -4.86- -1.3] I2 0.3%; and on triglyceride levels was pooled MD -0.19 mmol/L [95% CI -0.29, -0.08], I2 = 0.0%. The results of other pooled analyses of the effect of SMS-based diet and PA interventions were heteroge-nous (I2 59–90%). The effects of alcohol reduction interventions were inconclusive. Conclusions Smoking cessation support delivered by SMS increases quitting rates. Trials of PA interventions reporting outcomes 3 months showed no benefits. There were at best modest benefits of diet and PA interventions. The effects of the most promising SMS-based smoking, diet and PA interventions on morbidity and mortality in high-risk groups should be established in adequately powered RCTs.
Databáze: OpenAIRE
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