Evaluation of the effectiveness of personal electronic health assistants in monitoring patients with chronic diseases





Hypertension, Personal electronic health assistants, HyperVigilance Platform, Quality of life, Associated costs


Introduction: Chronic diseases pose significant challenges in healthcare, which has driven the development of electronic health solutions. The effectiveness of these solutions in the management of diseases such as hypertension has generated interest, but further in-depth, evidence-based evaluation is required.

Objective: The study aims to comprehensively evaluate how a customizable web platform, called "HyperVigilance", influences blood pressure control in hypertensive patients, considering additional variables such as patient satisfaction, quality of life and costs associated with treatment. In addition, the aim is to explore possible demographic factors that could moderate the results.

Methodology: The study was conducted with a quasi-experimental research design that included an intervention group using the "HyperVigilance" platform and a control group receiving standard medical care. Statistical tests were applied and demographic factors such as age, gender and socioeconomic status were considered.

Results: The use of the "HyperVigilance" platform resulted in a significant reduction in blood pressure, increased patient satisfaction and a marked improvement in quality of life, as well as a reduction in the costs associated with the treatment of hypertension.

Conclusions: The study concludes that the "HyperVigilance" platform is effective in controlling blood pressure and improving quality of life in patients with hypertension. The results support the growing role of digital interventions in chronic disease management, but highlight the need for long-term studies and exploration of different populations for a more complete understanding of their impact.


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Adakawa MI. Relevance of Akerloff’s theory of information asymmetry for the prevention and control of zoonotic infectious diseases in Sub-Saharan Africa: Perspective of Library and Information Services Provision. Advanced Notes in Information Science 2022;1:31–58. https://doi.org/10.47909/anis.978-9916-9760-0-5.97.

Agarwal R, Bills JE, Hecht TJW, Light RP. Role of Home Blood Pressure Monitoring in Overcoming Therapeutic Inertia and Improving Hypertension Control: A Systematic Review and Meta-Analysis. Hypertension. 2011 Jan;57(1):29-38. doi: 10.1161/HYPERTENSIONAHA.110.160911.

Araujo-Inastrilla CR, Vitón-Castillo AA. Blockchain in health sciences: Research trends in Scopus. Iberoamerican Journal of Science Measurement and Communication 2023;3. https://doi.org/10.47909/ijsmc.56.

Barrios CJC, Francisco SM, Hereñú MP. Workplace Violence in the Health Sector: Focus on the Argentinean context. Community and Interculturality in Dialogue 2022;2:31–31. https://doi.org/10.56294/cid202231.

Bond GE, Burr RL, Wolf FM, Feldt K. The Effects of a Web-Based Intervention on Psychosocial Well-Being Among Adults Aged 60 and Older With Diabetes. Diabetes Educ. 2010 May;36(3):446-456. doi: 10.1177/0145721710366758.

Braga AEP, Muriel-Torrado E. Disinformation and censorship on the web: Ethical implications for Information Science. Advanced Notes in Information Science 2023;4. https://doi.org/10.47909/anis.978-9916-9906-3-6.67.

Calvaresi D, Calbimonte J-P, Siboni E, Eggenschwiler S, Manzo G, Hilfiker R, et al. EREBOTS: Privacy-Compliant Agent-Based Platform for Multi-Scenario Personalized Health-Assistant Chatbots. Electronics 2021;10:666. https://doi.org/10.3390/electronics10060666.

Carter MC, Burley VJ, Nykjaer C, Cade JE. Adherence to a Smartphone Application for Weight Loss Compared to Website and Paper Diary: Pilot Randomized Controlled Trial. J Med Internet Res. 2013 Apr;15(4):e32. doi: 10.2196/jmir.2283.

Castellanos S, Figueroa C. Cognitive accessibility in health care institutions. Pilot study and instrument proposal. Data and Metadata 2023;2:22–22. https://doi.org/10.56294/dm202322.

Catrambone R, Ledwith A. Enfoque interdisciplinario en el acompañamiento de las trayectorias académicas: formación docente y psicopedagógica en acción. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria 2023;3:50–50. https://doi.org/10.56294/ri202350.

Cleghorn C, et al. Health Benefits and Cost-Effectiveness From Promoting Smartphone Apps for Weight Loss: Multistate Life Table Modeling. JMIR Mhealth Uhealth. 2019 Jan;7(1):e11118. doi: 10.2196/11118.

Costantini S, Lauretis LD, Ferri C, Giancola J, Persia F. A Smart Health Assistant via DALI Logical Agents n.d.

Davis CR, Murphy KJ, Curtis RG, Maher CA. A Process Evaluation Examining the Performance, Adherence, and Acceptability of a Physical Activity and Diet Artificial Intelligence Virtual Health Assistant. International Journal of Environmental Research and Public Health 2020;17:9137. https://doi.org/10.3390/ijerph17239137.

Díaz-Chieng LY, Auza-Santiváñez JC, Castillo JIR. The future of health in the metaverse. Metaverse Basic and Applied Research 2022;1:1–1. https://doi.org/10.56294/mr20221.

Diez RCÁ, Esparza RMV, Bañuelos-García VH, Santillán MTV, Félix BIL, Luna VA, et al. Economía plateada y emprendimiento, un área innovadora de futuro: Un marco de referencia académico, científico y empresarial para la construcción de nuevos conocimientos. Iberoamerican Journal of Science Measurement and Communication 2022;2. https://doi.org/10.47909/ijsmc.45.

Donadello I, Dragoni M. AI-enabled persuasive personal health assistant. Soc Netw Anal Min 2022;12:106. https://doi.org/10.1007/s13278-022-00935-3.

El-Gayar O, Timsina P, Nawar N, Eid W. A systematic review of IT for diabetes self-management: are we there yet? Int J Med Inform. 2013 Aug;82(8):637-652. doi: 10.1016/j.ijmedinf.2013.05.006.

Fernández F. Methodological aspects around the reconstruction of surname sub-sets in bimodal networks. AWARI 2020;1:e010–e010. https://doi.org/10.47909/awari.62.

Florentin GNB. The human dimension in nursing. An approach according to Watson’s Theory. Community and Interculturality in Dialogue 2023;3:68–68. https://doi.org/10.56294/cid202368.

Free C, et al. The Effectiveness of Mobile-Health Technology-Based Health Behavior Change or Disease Management Interventions for Health Care Consumers: A Systematic Review. PLoS Med. 2013 Jan;10(1):e1001362. doi: 10.1371/journal.pmed.1001362.

Gamboa AJP, Cano CAG, Castillo VS. Decision making in university contexts based on knowledge management systems. Data and Metadata 2022;1:92–92. https://doi.org/10.56294/dm202292.

Gontijo MCA, Hamanaka RY, Araujo RF de. Research data management: a bibliometric and altmetric study based on Dimensions. Iberoamerican Journal of Science Measurement and Communication 2021;1:1–19. https://doi.org/10.47909/ijsmc.120.

Gontijo MCA, Hamanaka RY, Araújo RF de. Research data management: production and impact from Dimensions database data. Advanced Notes in Information Science 2022;2:112–20. https://doi.org/10.47909/anis.978-9916-9760-3-6.89.

Gonzalez-Argote J. Navigating the Labyrinth of Communities and Interculturality. Community and Interculturality in Dialogue 2021;1:1–1. https://doi.org/10.56294/cid20211.

Gonzalez-Argote J. Uso de la realidad virtual en la rehabilitación. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria 2022;2:24–24. https://doi.org/10.56294/ri202224.

Gu Y, Zhang Y, Chen H, Dong J, Ren Y. Design of Health Assistant Bracelet for The Elderly Based on STM32. 2019 IEEE 4th Advanced Information Technology, Electronic and Automation Control Conference (IAEAC), 2019, p. 2559–62. https://doi.org/10.1109/IAEAC47372.2019.8997765.

Hafez S, Munyati BM, Zeno K, Gbozee CKZ, Jusu M, Reeves MS, et al. Examining the gender imbalance in the National Community Health Assistant Programme in Liberia: a qualitative analysis of policy and Programme implementation. Health Policy and Planning 2023;38:181–91. https://doi.org/10.1093/heapol/czac075.

Hall K, Maxwell L, Cobb R, Steele M, Chambers R, Roll M, et al. Physiotherapy service provision in a specialist adult cystic fibrosis service: A pre-post design study with the inclusion of an allied health assistant. Chron Respir Dis 2021;18:14799731211017895. https://doi.org/10.1177/14799731211017895.

Healey J, Wiah SO, Horace JM, Majekodunmi DB, Duokie DS. Liberia’s Community Health Assistant Program: Scale, Quality, and Resilience. Global Health: Science and Practice 2021;9:S18–24. https://doi.org/10.9745/GHSP-D-20-00509.

Hebden L, Cook A, Van Der Ploeg HP, King L, Bauman A, Allman-Farinelli M. A mobile health intervention for weight management among young adults: a pilot randomized controlled trial. J Hum Nutr Diet. 2014 Aug;27(4):322-332. doi: 10.1111/jhn.12155.

Hernandez-Cruz N. Mapping the thematic evolution in Communication over the first two decades from the 21st century: A longitudinal approach. Iberoamerican Journal of Science Measurement and Communication 2021;1:1–10. https://doi.org/10.47909/ijsmc.88.

Horigan G, Davies M, Findlay-White F, Chaney D, Coates V. Reasons why patients referred to diabetes education programmes choose not to attend: a systematic review. Diabet Med. 2017 Jan;34(1):14-26. doi: 10.1111/dme.13120.

Huglin J, Whelan L, McLean S, Greer K, Mitchell D, Downie S, et al. Exploring utilisation of the allied health assistant workforce in the Victorian health, aged care and disability sectors. BMC Health Serv Res 2021;21:1144. https://doi.org/10.1186/s12913-021-07171-z.

Johansson C, Gustafsson L-K, Lindberg D, Asztalos Morell I. Culturally sensitive active ageing seen through the lens of the welfare theory of health: assistant nurses’ views. Front Psychol 2023;14:1161688. https://doi.org/10.3389/fpsyg.2023.1161688.

Karnani R, C SK, R VM. Aplicación del aprendizaje en espiral para incorporar la informática al plan de estudios de la formación de pregrado en enfermería. Salud, Ciencia y Tecnología 2023;3:460–460. https://doi.org/10.56294/saludcyt2023460.

Khangura S, Konnyu K, Cushman R, Grimshaw J, Moher D. Evidence summaries: the evolution of a rapid review approach. Syst Rev. 2012 Dec;1(1):10. doi: 10.1186/2046-4053-1-10.

Krishna S, Boren SA, Balas EA. Healthcare via Cell Phones: A Systematic Review. Telemedicine and e-Health. 2009 Apr;15(3):231-240. doi: 10.1089/tmj.2008.0099.

Lepez CO, Simeoni IA. Pedagogical experience with Public Health campaigns from the design of socio-educational projects with insertion in the local territory. Community and Interculturality in Dialogue 2023;3:74–74. https://doi.org/10.56294/cid202374.

López-López YYG, Pérez-Martínez NG, García VHB, Martínez F de MG. Organizational Resilience: 30 years of intellectual structure and future perspectives. Iberoamerican Journal of Science Measurement and Communication 2022;2. https://doi.org/10.47909/ijsmc.37.

Maddison R, et al. A mobile phone intervention increases physical activity in people with cardiovascular disease: results from the HEART randomized controlled trial. Eur J Prev Cardiolog. 2015 Jun;22(6):701-709. doi: 10.1177/2047487314535076.

Mago G. Propuesta de instrumento para auditar el sistema de gestión de seguridad y salud en el trabajo en Venezuela: Versión 9. Salud, Ciencia y Tecnología 2023;3:506–506. https://doi.org/10.56294/saludcyt2023506.

Martínez-Líbano J, González-Campusano N, Castillo JP, Oyanedel JC, Yeomans-Cabrera M-M. Psychometric Properties of the Social Media Addiction Scale (SMAS) on Chilean University Students. Data and Metadata 2023;2:91–91. https://doi.org/10.56294/dm202391.

Mascarenhas HAD, Dias TMR, Dias PM. Adoption of Network Analysis Techniques to Understand the Training Process in Brazil. AWARI 2020;1:e004–e004. https://doi.org/10.47909/awari.63.

Miranda AIG, Campo MCV, Serra JLG, López YV, Falcón YP. Discapacidad y funcionabilidad de los adultos mayores. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria 2022;2:11–11. https://doi.org/10.56294/ri202211.

Nayar AM, Attar Z, Kachwala S, Biswas T, Wagh SK. Dost-Mental Health Assistant Chatbot. 2022 5th International Conference on Advances in Science and Technology (ICAST), 2022, p. 252–7. https://doi.org/10.1109/ICAST55766.2022.10039576.

Omboni S, Gazzola T, Carabelli G, Parati G. Clinical usefulness and cost-effectiveness of home blood pressure telemonitoring: meta-analysis of randomized controlled studies. J Hypertens. 2013 Mar;31(3):455-468. doi: 10.1097/HJH.0b013e32835ca8dd.

Parati G, et al. Home blood pressure telemonitoring improves hypertension control in general practice. The TeleBPCare study. J Hypertens. 2009 Jan;27(1):198-203. doi: 10.1097/HJH.0b013e3283163caf.

Park LG, Howie-Esquivel J, Chung ML, Dracup K. A text messaging intervention to promote medication adherence for patients with coronary heart disease: A randomized controlled trial. Patient Educ Couns. 2014 Feb;94(2):261-268. doi: 10.1016/j.pec.2013.10.027.

Peiris D, Praveen D, Johnson C, Mogulluru K. Use of mHealth Systems and Tools for Non-Communicable Diseases in Low- and Middle-Income Countries: a Systematic Review. J Cardiovasc Transl Res. 2014 Nov;7(8):677-691. doi: 10.1007/s12265-014-9581-5.

Quinn CC, Shardell MD, Terrin ML, Barr EA, Ballew SH, Gruber-Baldini AL. Cluster-Randomized Trial of a Mobile Phone Personalized Behavioral Intervention for Blood Glucose Control. Diabetes Care. 2011 Sep;34(9):1934-1942. doi: 10.2337/dc11-0366.

Rivas LM, Cruz LM. Revisión de ensayos clínicos sobre la eficacia de la rehabilitación cognitiva en pacientes con lesión cerebral traumática. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria 2022;2:25–25. https://doi.org/10.56294/ri202225.

Rodríguez RMF, Matos GR, Muñoz EEC. Explorando los vínculos entre factores tóxico-ambientales y hemopatías malignas: consideraciones para la toma de decisiones en salud basadas en datos. Data and Metadata 2023;2:39–39. https://doi.org/10.56294/dm202339.

Ron M, Pérez A, Hernández-Runque E. Nivel de riesgo para la salud y predicción del dolor musculo-esqueletico en trabajadores en condiciones de teletrabajo: Un enfoque matricial. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria 2023;3:40–40. https://doi.org/10.56294/ri202340.

Rosal MC, Olendzki B, Reed GW, Gumieniak O, Scavron J, Ockene I. Diabetes self-management among low-income Spanish-speaking patients: A pilot study. Ann Behav Med. 2005 Jun;29(3):225-235. doi: 10.1207/s15324796abm2903_9.

Sánchez CMC, León LAG, Yanes RCA, Oloriz MAG. Metaverse: the future of medicine in a virtual world. Metaverse Basic and Applied Research 2022;1:4–4. https://doi.org/10.56294/mr20224.

Sanders J, Martin-Hammond A. Exploring autonomy in the design of an intelligent health assistant for older adults. Proceedings of the 24th International Conference on Intelligent User Interfaces: Companion, New York, NY, USA: Association for Computing Machinery; 2019, p. 95–6. https://doi.org/10.1145/3308557.3308713.

Schwarz M, Ward EC, Cornwell P, Coccetti A. Dysphagia screening using an allied health assistant delegation model: service considerations for implementation. Disability and Rehabilitation 2022;44:1275–83. https://doi.org/10.1080/09638288.2020.1800109.

Sebo TAR, Oentarto ASA, Situmorang DDB. “Counseling-Verse”: A Survey of Young Adults from Faith-Based Educational Institution on the Implementation of Future Mental Health Services in the Metaverse. Metaverse Basic and Applied Research 2023;2:42–42. https://doi.org/10.56294/mr202342.

Sembay MJ, Macedo DDJ de. Health information systems: proposal of a provenance data management method in the instantiation of the W3C PROV-DM model. Advanced Notes in Information Science 2022;2:192–201. https://doi.org/10.47909/anis.978-9916-9760-3-6.10.

Serrano EAG, Murcia JM, Briñez MHG, Ayala BEC. Estrés reto-obstáculo y pérdida de productividad y actividad: un análisis correlacional enfocado en el personal de enfermería. Salud, Ciencia y Tecnología 2022;2:155–155. https://doi.org/10.56294/saludcyt2022155.

Silva FCC da. The value of information in the face of new global disorder. AWARI 2022;3. https://doi.org/10.47909/awari.165.

Snowdon DA, Vincent P, Callisaya ML, Collyer TA, Wang YT, Taylor NF. Feasibility of allied health assistant management of people with acute hip fracture: protocol for a feasibility randomised controlled trial. BMJ Open 2021;11:e054298. https://doi.org/10.1136/bmjopen-2021-054298.

Swathi S, Saranya E, Prabakaran RM, Sachin Kumar M, Bairavel S. Virtual Health Assistant. 2021 International Conference on System, Computation, Automation and Networking (ICSCAN), 2021, p. 1–4. https://doi.org/10.1109/ICSCAN53069.2021.9526460.

Tacuri ABG, Pérez GPL. Hospitalización prevenible en enfermedades crónico degenerativas: hipertensión arterial y diabetes. Salud, Ciencia y Tecnología 2023;3:487–487. https://doi.org/10.56294/saludcyt2023487.

Teves L, Cueto JJ. Social Network Analysis (SNA) applied to current issues. Guidelines for its implementation in research and management projects. AWARI 2020;1:e019–e019. https://doi.org/10.47909/awari.80.

Thwaini MH. Anomaly Detection in Network Traffic using Machine Learning for Early Threat Detection. Data and Metadata 2022;1:34–34. https://doi.org/10.56294/dm202272.

Toconas L del C. Empathy in nursing professionals for care subjects with depression. Community and Interculturality in Dialogue 2023;3:67–67. https://doi.org/10.56294/cid202367.

Tumiri T, Duran L, Lin J, Ríos NB, Mosca A, Gómez T. La Imagen de enfermería y simulación. Metaverse Basic and Applied Research 2023;2:36–36. https://doi.org/10.56294/mr202336.

Valencia JGB. Methodological slip for the figurative of graphical folds narratives: between network analysis and discursive conjunctions. AWARI 2020;1:e003–e003. https://doi.org/10.47909/awari.74.

Verma D, Bahurupi Y, Kant R, Singh M, Aggarwal P, Saxena V. Effect of mhealth interventions on glycemic control and HbA1c improvement among type II diabetes patients in Asian population: A systematic review and meta-analysis. Indian J Endocr Metab. 2021;25(6):484. doi: 10.4103/ijem.ijem_387_21.

Vianna H, Barbosa JLV. Pompilos, a Model for Augmenting Health Assistant Applications with Social Media Content. Jucs 2020;26:4–32. https://doi.org/10.3897/jucs.2020.002.

Vilaro MJ, Wilson-Howard DS, Zalake MS, Tavassoli F, Lok BC, Modave FP, et al. Key changes to improve social presence of a virtual health assistant promoting colorectal cancer screening informed by a technology acceptance model. BMC Med Inform Decis Mak 2021;21:196. https://doi.org/10.1186/s12911-021-01549-z.

World Health Organization. Non communicable diseases. Accessed: 13 October 2023. Available at: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases.

Zhang W. Blockchain-based solutions for clinical trial data management: a systematic review. Metaverse Basic and Applied Research 2022;1:17–17. https://doi.org/10.56294/mr202217.

Zulu JM, Kinsman J, Hurtig A-K, Michelo C, George A, Schneider H. Integrating community health assistant-driven sexual and reproductive health services in the community health system in Nyimba district in Zambia: mapping key actors, points of integration, and conditions shaping the process. Reprod Health 2019;16:122. https://doi.org/10.1186/s12978-019-0788-4.




How to Cite

De La Cruz MBV, Zegarra CIL, Vega RMB, Sime CLT, Narro JBS, Ferrer-Peñaranda L-A, Dávila-Morán RC. Evaluation of the effectiveness of personal electronic health assistants in monitoring patients with chronic diseases. EAI Endorsed Trans Perv Health Tech [Internet]. 2023 Oct. 24 [cited 2023 Dec. 10];9. Available from: https://publications.eai.eu/index.php/phat/article/view/4215