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    Examining the effectiveness of eHealth approaches to blood pressure monitoring and control in older adults: A systematic review
    (Taylor & Francis Inc, 2026) Yildirim, Hilal; Borycki, Elizabeth; Mallidou, Anastasia A.; Dordunoo, Dzifa; Yildiz, Sedat
    This systematic review aimed to evaluate the effectiveness of eHealth interventions for monitoring and controlling blood pressure in older adults. A quantitative systematic review method was used, and studies with experimental designs were analyzed. In this review, effectiveness was primarily defined in terms of changes in systolic and/or diastolic blood pressure; secondarily, it was defined in terms of medication adherence, hypertension self-efficacy, self-monitoring behaviors, and lifestyle changes. Findings obtained in recent years suggest that eHealth interventions may be potentially useful in monitoring and managing hypertension in older adults. eHealth interventions that actively involve healthcare professionals and include multi-component approaches such as lifestyle education, risk factor management, and medication support have been found to be more effective in blood pressure control. Such interventions have been reported to achieve clinically meaningful reductions, particularly in systolic blood pressure. However, the effectiveness of eHealth applications is not the same for all older adults. The effectiveness of eHealth-based blood pressure monitoring is more limited in older adults with low digital literacy, cognitive or physical limitations, and limited access to the internet and technological devices. The results of this review show that eHealth interventions can be a supportive tool for blood pressure control in older adults, but that effectiveness varies depending on the content of the intervention, the level of professional support, and individual circumstances. In the future, more experimental studies are needed on standardized eHealth interventions designed to meet the needs and capacities of older adults and evaluate their long-term effectiveness.