Cochrane · systematic review · CD011851
Mobile phone text messaging for medication adherence in secondary prevention of cardiovascular disease
Redfern, J, Tu, Q, Hyun, K, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 85.7%Low 1 · 14.3%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyMobile phone text messaging compared to usual care for medication adherence in secondary prevention of cardiovascular disease
Population: people with established arterial occlusive events
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Medication adherence (self‐reported adherence, questionnaire, tablet counts, medication event monitoring systems, pharmacy prescription data) Mobile phone text messaging vs usual care | no estimate extracted | 18 studies · 8136 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Fatal cardiovascular events (percentage of people having fatal cardiovascular events) Mobile phone text messaging vs usual care | OR 0.83 [0.47, 1.45] | 4 studies · 1654 participants | Low Downgraded: risk of bias, imprecision |
Non‐fatal cardiovascular events (percentage of people having non‐fatal cardiovascular events) Mobile phone text messaging vs usual care | no estimate extracted | NR | Very low Downgraded: risk of bias, imprecision, inconsistency |
Combined CVD events (percentage of people having combined CVD events) Mobile phone text messaging vs usual care | no estimate extracted | NR | Very low Downgraded: risk of bias, imprecision, inconsistency |
Low‐density lipoprotein cholesterol (mg/dL) (endpoint low‐density lipoprotein cholesterol reading) Mobile phone text messaging vs usual care | no estimate extracted | 8 studies · 4983 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Blood pressure (mmHg) (endpoint blood pressure reading) Mobile phone text messaging vs usual care | no estimate extracted | 8 studies · 5173 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Heart rate (beats per minute) (endpoint heart rate reading) Mobile phone text messaging vs usual care | no estimate extracted | 4 studies · 2946 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Mobile phone text messaging to improve medication adherence in secondary prevention of cardiovascular disease
Population: patients with established arterial occlusive events
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Adherence to treatment | no estimate extracted | 7 studies · 1310 participants | Very low Downgraded: risk of bias |