Skip to main content
SpringerLink
Log in

Mobilapplikationen und Management der Hypertonie

Möglichkeiten, Probleme und Perspektiven

Mobile applications and management of hypertension

Possibilities, problems and perspectives

  • Schwerpunkt
  • Published:
Herz Aims and scope Submit manuscript

Zusammenfassung

Internetgängige Mobiltelefone, sog. Smartphones, erlauben es den Nutzern, über das Internet Programme („Apps“) herunterzuladen und diese überall und jederzeit bei der Bewältigung unterschiedlicher Aufgaben einzusetzen. Dabei ergeben sich neue Möglichkeiten, Hypertoniepatienten und ihren Erfordernissen besser gerecht zu werden. Insbesondere im Hinblick auf Therapieadhärenz, Blutdruckkontrolle und lebensstiländernde Maßnahmen haben Mobilapplikationen und kombinierte Blutdruckmessgeräte das Potenzial, die Therapie zu verbessern. Momentan interessieren sich besonders jüngere Nutzer für eine solche Technologie. In Zukunft ist davon auszugehen, dass sich diese auch bei älteren und multimorbideren Nutzern durchsetzen wird. Hier mögen Kosten sowie ein Soft- und Hardware-Angebot (z. B. Tablet-PCs), das sich an den speziellen Bedürfnissen einer älteren Nutzergruppe orientiert, entscheidende Faktoren sein.

Abstract

Via the internet smartphones allow the download of applications (“Apps”) that can address various requirements of daily life. These technical advances create new opportunities to better meet needs of patients suffering from hypertension. This may apply particularly for medication adherence, blood pressure control and lifestyle-changing activities. At the moment younger users in particular are interested in such technology. From other clinical contexts it is known that text messages via cell phones improve medication adherence. A combination of a smartphone and a blood pressure measurement device with the possibility to electronically collect data is promising as the quality of data may improve. Technology interventions by mobile applications that are supported by education or an additional intervention demonstrate a beneficial impact for the reduction of physical inactivity and/or overweight and obesity. However, it is not clear what parts of the technology or interventions are effective. For future developments it will be important to reduce costs and better meet hardware and software requirements of elderly users.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Vrijens B, Vincze G, Kristanto P et al (2008) Adherence to prescribed antihypertensive drug treatments: longitudinal study of electronically compiled dosing histories. BMJ 336(7653):1114–1117

    Article  PubMed  Google Scholar 

  2. Osterberg L, Blaschke T (2005) Adherence to medication. N Engl J Med 353(5):487–497

    Article  PubMed  CAS  Google Scholar 

  3. Bray EP, Holder R, Mant J, McManus RJ (2010) Does self-monitoring reduce blood pressure? Meta-analysis with meta-regression of randomized controlled trials. Ann Med 42(5):371–386

    Article  PubMed  Google Scholar 

  4. Deutsche Akkreditierungsstelle Technik in der TGA GmbH (2009) Leitfaden Usability. http://www.datech.de/share/files/Leitfaden-Usability.pdf (zugegriffen: 20. Juli 2012)

  5. Trill R (2008) eHealth ist die Zukunft – ein Blick bis ins Jahr 2015. In: Jäckel A (Hrsg) Telemedizinführer Deutschland, Bad Nauheim, Ausgabe 2008. S 102–106

  6. Bundesverband Informationswirtschaft, Telekommunikation und neue Medien e. V. (2012) Jeder fünfte Handynutzer besitzt ein Smartphone. http://www.bitkom.org/de/themen/54894_65506.aspx (zugegriffen: 20. Juli 2012)

  7. Bundesverband Informationswirtschaft, Telekommunikation und neue Medien e. V. (2012) Fast eine Milliarde App-Downloads allein in Deutschland. http://www.bitkom.org/de/presse/8477_71298.aspx (zugegriffen: 20. Juli 2012)

  8. MobiHealthNews (2012) The fastest growing and most successful health & medical apps. http://mobihealthnews.com/the-fastest-growing-and-most-successful-health-medical-apps/ (zugegriffen: 20. Juli 2012)

  9. Fronstin P; Employee Benefit Research Institute (EBRI) (2011) Findings from the 2011 EBRI/MGA Consumer Engagement in Health Care Survey. EBRI Issue Brief 365:1–26

    PubMed  Google Scholar 

  10. Becker S, Vossiek H, Walter S et al (2011) Eine Smartphone-Applikation bei der Unterstützung der Medikamenten-Compliance – gibt es bereits Nutzer für solche Technologie? Kongress der Deutschen Gesellschaft für Nephrologie, Abstract P127

  11. Statistisches Bundesamt (2011) Mobile Internetnutzung über das Handy 2010 stark gestiegen. http://www.destatis.de

  12. Sarasohn-Kahn J (2010) How smartphones are changing health care for consumers and providers. California HealthCare Foundation, Oakland, CA. http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/H/PDF%20HowSmartphonesChangingHealthCare.pdf (zugegriffen: 20. Juli 2012)

  13. Fox S, Purcell K (2010) Chronic disease and the internet. Pew Internet & American Life Project. http://pewinternet.org/~/media//Files/Reports/2010/PIP_Chronic_Disease_with_topline.pdf (zugegriffen: 20. Juli 2012)

  14. Vervloet M, Dijk L van, Santen-Reestman J et al (2012) SMS reminders improve adherence to oral medication in type 2 diabetes patients who are real time electronically monitored. Int J Med Inform 81(9):594–604

    Article  PubMed  CAS  Google Scholar 

  15. Louch G, Dalkin S, Bodansky J, Conner M (2012) An exploratory randomised controlled trial using short messaging service to facilitate insulin administration in young adults with type 1 diabetes. Psychol Health Med. [Epub ahead of print]

  16. Pop-Eleches C, Thirumurthy H, Habyarimana JP et al (2011) Mobile phone technologies improve adherence to antiretroviral treatment in a resource-limited setting: a randomized controlled trial of text message reminders. AIDS 25(6):825–834

    Article  PubMed  Google Scholar 

  17. Vervloet M, Linn AJ, Weert JC van et al (2012) The effectiveness of interventions using electronic reminders to improve adherence to chronic medication: a systematic review of the literature. J Am Med Inform Assoc 19(5):696–704

    Article  PubMed  Google Scholar 

  18. Illeyes M, Tisler A, Farsang C et al (2000) The effect of non-pharmacological interventions on blood-pressure in primary und secondary care settings. Abstract at the „New Approaches to Improving High Blood Pressure Care and Control“ Investigator-Initiated Symposia, The Westin Michigan Avenue Hotel, Chicago, IL, 18th August, 2000

  19. Mengden T, Hernandez Medina RM, Beltran B et al (1998) Reliability of reporting self-measured blood pressure values by hypertensive patients. Am J Hypertens 11(12):1413–1417

    Article  PubMed  CAS  Google Scholar 

  20. Lane SJ, Heddle NM, Arnold E, Walker I (2006) A review of randomized controlled trials comparing the effectiveness of hand held computers with paper methods for data collection. BMC Med Inform Decis Mak 6:23

    Article  PubMed  Google Scholar 

  21. Omboni S, Guarda A (2011) Impact of home blood pressure telemonitoring and blood pressure control: a meta-analysis of randomized controlled studies. Am J Hypertens 24(9):989–998

    Article  PubMed  Google Scholar 

  22. Stephens J, Allen J (2012) Mobile phone interventions to increase physical activity and reduce weight: a systematic review. J Cardiovasc Nurs. [Epub ahead of print]

  23. Fjeldsoe BS, Marshall AL, Miller YD (2009) Behavior change interventions delivered by mobile telephone short-message service. Am J Prev Med 36(2):165–173

    Article  PubMed  Google Scholar 

  24. Wojciechowski M, Ristok H, Brandes M et al (2011) Architecture of the ‚Daily Care Journal‘ for the support of health care networks. In: Wichert R, Eberhardt B (Hrsg) Verband der Elektrotechnik, Elektronik, Informationstechnik -VDE- Bundesministerium für Bildung und Forschung -BMBF-, Deutschland: Ambient Assisted Living. 4. AAL-Kongress 2011: Berlin, Germany, January 25–26, 2011. Springer, Berlin (Advanced technologies and societal change 1).

  25. Gaßner K, Conrad M (2010) ICT enabled independent living for the elderly – A status-quo analysis on products an the research landscape in the field of Ambient Assisted Living (AAL) in EU-27. Innovation und Technik, VDI/VDE Innovation + Technik GmbH, Berlin. http://www.epractice.eu/files/ICT%20enabled%20independent%20living%20for%20elderly%20-%20A%20status-quo%20anlysis%20on%20products%20and%20the%20research%20lanscape%20in%20the%20field%20of%20Ambient%20Assisted%20Living%20%28AAL%29%20in%20EU-27.pdf (zugegriffen 8. September 2012)

  26. Nes AA, Dulmen S van, Eide E et al (2012) The development and feasibility of a web-based intervention with diaries and situational feedback via smartphone to support self-management in patients with diabetes type 2. Diabetes Res Clin Pract [Epub ahead of print]

Download references

Interessenkonflikt

Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Klinik für Nephrologie, Universitätsklinikum Essen, Essen, Deutschland

    S. Becker, A. Mitchell & A. Kribben

  2. Stiftung Katholisches Krankenhaus, Marienhospital Herne, Klinikum der Ruhr-Universität Bochum, Hölkeskampring 40, 44625, Herne, Deutschland

    S. Becker & A. Mitchell

  3. Fraunhofer-Institut für Software- und Systemtechnik ISST, Dortmund, Deutschland

    T. Königsmann

  4. Klinik für Kardiologie, Westdeutsches Herzzentrum, Universitätsklinikum Essen, Universität Duisburg-Essen, Essen, Deutschland

    R. Erbel

Authors
  1. S. Becker
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Mitchell
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Königsmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. A. Kribben
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. R. Erbel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Becker.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Becker, S., Mitchell, A., Königsmann, T. et al. Mobilapplikationen und Management der Hypertonie. Herz 37, 742–745 (2012). https://doi.org/10.1007/s00059-012-3685-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00059-012-3685-y

Schlüsselwörter

Keywords

Search

Navigation