{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T05:11:46Z","timestamp":1794287506684,"version":"4.9.0"},"reference-count":55,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,11,10]],"date-time":"2024-11-10T00:00:00Z","timestamp":1731196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypertension, characterized by high blood pressure, poses a significant risk for cardiovascular diseases, stroke, and heart attack. Managing it is particularly challenging in areas with limited healthcare access and for patients who cannot attend regular in-person visits. Telemedicine interventions offer a promising solution by improving patient adherence and facilitating timely treatment adjustments. This study aims to systematically evaluate the impact of these telemedicine interventions on reducing systolic and diastolic blood pressure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive search of PubMed, Scopus, and Web of Science was conducted to identify relevant studies. Two independent reviewers screened and selected eligible articles, extracting key data using a standardized form. The quality of the included studies was assessed with the Mixed Methods Appraisal Tool (MMAT). A random effects model was used to combine the results, with treatment effects measured using standardized mean differences (Hedges's g). Consistency of findings was evaluated through statistical tests, including the Q test and I\u00b2 statistic, to assess heterogeneity. Data analysis was conducted using Stata statistical software version 17.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 2700 articles retrieved, 35 studies were selected for inclusion in the analysis. Using a random-effects model, the overall effect size was Hedges's g\u2009=\u2009\u22120.22 (95% CI: \u22120.30 to \u22120.15; p-value\u2009&lt;\u20090.001), indicating a small but meaningful reduction in blood pressure (systolic and diastolic). Telemedicine interventions had a greater impact on systolic blood pressure (Hedges's g\u2009=\u2009\u22120.27, 95% CI: \u22120.39 to \u22120.15; p-value\u2009&lt;\u20090.001) compared to diastolic blood pressure (Hedges's g\u2009=\u2009\u22120.17, 95% CI: \u22120.26 to \u22120.07; p-value\u2009&lt;\u20090.001), though both reductions were clinically relevant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates that telemedicine interventions significantly reduce both systolic and diastolic blood pressure, with a more pronounced effect on systolic pressure. The overall effect size indicates a small but meaningful improvement in hypertension management. These findings highlight the potential of telemedicine as an effective strategy for enhancing patient outcomes in hypertension care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x241291222","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T02:07:48Z","timestamp":1731290868000},"page":"1357-1370","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Assessing the impact of telemedicine interventions on systolic and diastolic blood pressure reduction: A systematic review and meta-analysis"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5730-3972","authenticated-orcid":false,"given":"Khadijeh","family":"Moulaei","sequence":"first","affiliation":[{"name":"Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran"},{"name":"Artificial Intelligence in Medical Sciences Research Center, Smart University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peyvand","family":"Parhizkar Roudsari","sequence":"additional","affiliation":[{"name":"Tehran University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel","family":"Shahrokhi Sardoo","sequence":"additional","affiliation":[{"name":"Tehran University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mobina","family":"Hosseini","sequence":"additional","affiliation":[{"name":"Qazvin University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehrdad","family":"Anabestani","sequence":"additional","affiliation":[{"name":"Islamic Azad University of Karaj"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Moulaei","sequence":"additional","affiliation":[{"name":"Tehran University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babak","family":"Sabet","sequence":"additional","affiliation":[{"name":"Shahid Beheshti University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Reza","family":"Afrash","sequence":"additional","affiliation":[{"name":"Artificial Intelligence in Medical Sciences Research Center, Smart University of Medical Sciences, Tehran, Iran"},{"name":"Department of Artificial Intelligence, Smart University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-021-00559-8"},{"key":"e_1_3_3_3_2","unstructured":"Hypertension. 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