While the results of this systematic review are promising , there is insufficient evidence to draw conclusions on the effectiveness of text message-based interventions for adherence to medications for secondary prevention of CVD .
BACKGROUND Worldwide at least 100 million people are thought to have prevalent cardiovascular disease ( CVD ) .
This population has a five times greater chance of suffering a recurrent cardiovascular event than people without known CVD .
Secondary CVD prevention is defined as action aim ed to reduce the probability of recurrence of such events .
Drug interventions have been shown to be cost-effective in reducing this risk and are recommended in international guidelines .
However , adherence to recommended treatments remains sub-optimal .
In order to influence non-adherence , there is a need to develop scalable and cost-effective behaviour-change interventions .
OBJECTIVES To assess the effects of mobile phone text messaging in patients with established arterial occlusive events on adherence to treatment , fatal and non-fatal cardiovascular events , and adverse effects .
Effect of self-care education on lifestyle modification, medication adherence and blood pressure in hypertensive adults: Randomized controlled clinical trial
Background : Self-care management has recently been suggested as an effective approach for secondary prevention of hypertension . This study was conducted to examine whether self-care behaviors could modulate blood pressure levels and also comparing the different training methods of self-care on patients ' adherence and controlling hypertension . Material s and Methods : This study was a prospect i ve r and omized controlled clinical trial , conducted on 180 hypertensive patients referring to four centers in Isfahan , Iran , between July and December 2013 . Block r and omization method were applied to divide eligible subjects into four equal groups , including group A in which the patients and their family were educated by cardiology resident about self-care behaviors through eight sessions , group B and group C were obtained self-care education through four pamphlets or eight short message services ( SMS ) , respectively and group D were obtained only usual care of hypertension without any training about self-care management . Results : Increasing vegetable intake and frequency of subject who took antihypertensive medication regularly and the reduction in the frequency of subjects who consumed high salt were significantly more in group A than the others ( P = 0.001 , P < 0.001 and P < 0.001 , respectively ) . The systolic and diastolic blood pressure had significantly more reduction in the group A than the other groups ( −8.18 ± 18.3 and − 3.89 ± 4.1 ; P < 0.001 , respectively ) . Conclusions : The self-care management education integration into the usual care along with using SMS and other educational material s may improve the efficient and effective adherence strategies
While the results of this systematic review are promising , there is insufficient evidence to draw conclusions on the effectiveness of text message-based interventions for adherence to medications for secondary prevention of CVD .
BACKGROUND Worldwide at least 100 million people are thought to have prevalent cardiovascular disease ( CVD ) .
This population has a five times greater chance of suffering a recurrent cardiovascular event than people without known CVD .
Secondary CVD prevention is defined as action aim ed to reduce the probability of recurrence of such events .
Drug interventions have been shown to be cost-effective in reducing this risk and are recommended in international guidelines .
However , adherence to recommended treatments remains sub-optimal .
In order to influence non-adherence , there is a need to develop scalable and cost-effective behaviour-change interventions .
OBJECTIVES To assess the effects of mobile phone text messaging in patients with established arterial occlusive events on adherence to treatment , fatal and non-fatal cardiovascular events , and adverse effects .