Impact of health-promoting text messages on cardiovascular risk: Findings from a randomized controlled trial in primary care - Scorecard - MDSpire

Impact of health-promoting text messages on cardiovascular risk: Findings from a randomized controlled trial in primary care

  • By

  • Björk Javanshiri, Amanda

  • Borgström Bolmsjö, Beata

  • Wolff, Moa

  • Glock, Hanna

  • Milos Nymberg, Veronica

  • Nymberg, Peter

  • Modig, Sara

  • Calling, Susanna

  • May 5, 2026

  • 0 min

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Clinical Scorecard: Effects of Text Message Interventions on Cardiovascular Risk Factors: Results from a Randomized Controlled Study in Primary Care Settings

At a Glance

CategoryDetail
ConditionCardiovascular Disease (CVD)
Key MechanismsText message interventions promoting healthy lifestyle changes
Target PopulationSwedish primary care patients with hypertension
Care SettingPrimary care

Key Highlights

  • 401 participants in a multi-center randomized controlled trial
  • Intervention group received four health-promoting text messages per week for 6 months
  • No overall difference in CVD risk profiles between intervention and control groups
  • Significant improvements in sedentary participants and those with poor self-rated health
  • Modest reduction in HbA1c in the intervention group

Guideline-Based Recommendations

Diagnosis

  • Monitor CVD risk factors in patients with hypertension

Management

  • Consider text message interventions for promoting healthy lifestyle changes

Monitoring & Follow-up

  • Evaluate changes in metabolic risk factors and CVD risk profiles

Risks

  • Limited clinical impact of text message interventions on overall CVD risk

Patient & Prescribing Data

Patients with hypertension, particularly sedentary individuals or those with poor self-rated health

Text message interventions may yield modest benefits in targeted groups

Clinical Best Practices

  • Utilize health-promoting text messages as a supplementary intervention
  • Focus on personalized approaches for sedentary patients and those with poor self-rated health

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