Evidence map›Paper›PMID 40743531›Full record

ArticleJournal of medical Internet research2025

Impact of Patient Engagement on Blood Pressure Control Among Older Individuals With Hypertension in a Mobile Health Intervention: Longitudinal Analysis Using Latent Growth Curve Modeling.

Nanxiang Zhang, Hai Lin, Xichun Wu, Yongjun Zheng, Jianan Yin, Chonglong Ding, Qi Pan, Shuo Yang, Hao Luo, Xinyan Zou and 2 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Nanxiang ZhangDepartment of Medical Statistics, School of Public Health, Sun Yat-sen University, #74 Zhongshan 2nd Road, Guangzhou, China, 86 13660501365.ORCID http://orcid.org/0000-0002-7920-588X
Hai LinZhongshan Center for Disease Control and Prevention, Zhongshan, China.ORCID http://orcid.org/0009-0004-9439-1758
Xichun WuZhongshan Rehabilitation Hospital, Zhongshan, China.ORCID http://orcid.org/0009-0001-0595-3981
Yongjun ZhengSanxiang Community Health Service Center of Zhongshan, Zhongshan, China.ORCID http://orcid.org/0009-0001-0942-5318
Jianan YinDepartment of Medical Statistics, School of Public Health, Sun Yat-sen University, #74 Zhongshan 2nd Road, Guangzhou, China, 86 13660501365.ORCID http://orcid.org/0009-0004-9043-4415
Chonglong DingDepartment of Medical Statistics, School of Public Health, Sun Yat-sen University, #74 Zhongshan 2nd Road, Guangzhou, China, 86 13660501365.ORCID http://orcid.org/0009-0002-3799-0135
Qi PanDepartment of Medical Statistics, School of Public Health, Sun Yat-sen University, #74 Zhongshan 2nd Road, Guangzhou, China, 86 13660501365.ORCID http://orcid.org/0009-0007-9602-0776
Shuo YangDepartment of Medical Statistics, School of Public Health, Sun Yat-sen University, #74 Zhongshan 2nd Road, Guangzhou, China, 86 13660501365.ORCID http://orcid.org/0009-0006-0898-9361
Hao LuoDepartment of Medical Statistics, School of Public Health, Sun Yat-sen University, #74 Zhongshan 2nd Road, Guangzhou, China, 86 13660501365.ORCID http://orcid.org/0000-0002-2036-8123
Xinyan ZouDepartment of Medical Statistics, School of Public Health, Sun Yat-sen University, #74 Zhongshan 2nd Road, Guangzhou, China, 86 13660501365.ORCID http://orcid.org/0009-0005-2235-7638
Yingfeng GeDepartment of Medical Statistics, School of Public Health, Sun Yat-sen University, #74 Zhongshan 2nd Road, Guangzhou, China, 86 13660501365.ORCID http://orcid.org/0009-0007-9105-669X
Jinxin ZhangDepartment of Medical Statistics, School of Public Health, Sun Yat-sen University, #74 Zhongshan 2nd Road, Guangzhou, China, 86 13660501365.ORCID http://orcid.org/0000-0002-1123-5556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Limited research has investigated the influence of patient engagement on the long-term effects of mobile health (mHealth) interventions, particularly among older adults. Objective: This study aimed to examine the long-term impact of a social media-driven mHealth intervention on blood pressure control among older Chinese individuals with hypertension, through repeated measurements of patient engagement and outcomes at 5 preset time points. Methods: The study included older Chinese individuals with hypertension between 2017 and 2022. Participants received a hypertension self-management program via the WeChat social media app (Tencent Holdings Ltd), which provided clinically based digital coaching. Blood pressure measurements were taken repeatedly using a home blood pressure monitor (HBPM) connected to the app at baseline, 3, 6, 9, and 12 months. Patient engagement was evaluated based on the frequency of completed measurements at corresponding follow-ups. Latent growth curve models (LGCMs) served to assess the impact of patient engagement on blood pressure among older individuals with hypertension across preset points. Results: A total of 1723 patients completed the 12-month follow-up (average age 70.1, SD 6.8 years; 890/1723, 51.7% female; and baseline systolic blood pressure 137.2 mm Hg). LGCMs revealed systolic blood pressure decreased significantly over 1 year, notably at 9 months (131 mm Hg, β9=3.244, P<.001), and continued up to 12 months (131.6mm Hg, β12=2.827, P<.001). In addition, a higher frequency of completed measurements was associated with better systolic blood pressure control at 3, 6, 9, and 12 months (β3=-0.016, P=.002; β6=-0.006, P=.02; β9=-0.002, P=.44; β12=-0.003, P=.02). These results remained significant even after accounting for age, sex, and comorbidity status. Conclusions: This study, using LGCMs and repeated measures data, revealed a significant positive impact of patient engagement on long-term blood pressure control in mHealth interventions targeting older individuals with hypertension. These findings stress the importance of integration of patient-centered engagement approach into mHealth programs designed for chronic disease management in aging populations.

Indexed as

Blood PressureHypertensionPatient ParticipationTelemedicineAgedAged, 80 and overChinaFemaleHumansLongitudinal StudiesMaleMiddle AgedMobile ApplicationsSelf-ManagementSocial Mediaaging populationhypertensionlatent growth curve modelmHealthmobile healthpatient engagement

Identifiers

PMID40743531
PMCPMC12313159

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.