Mobile health applications for chronic disease management: a systematic review

9 November, 2019

Citation, abstract and a comment from me below.

CITATION: Lee et al. Effective behavioral intervention strategies using mobile health applications for chronic disease management: a systematic review

BMC Medical Informatics and Decision Making (2018) 18:12

https://doi.org/10.1186/s12911-018-0591-0

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819153/pdf/12911_2018_Arti...

ABSTRACT

Background: Mobile health (mHealth) has continuously been used as a method in behavioral research to improve self-management in patients with chronic diseases. However, the evidence of its effectiveness in chronic disease management in the adult population is still lacking. We conducted a systematic review to examine the effectiveness of mHealth interventions on process measures as well as health outcomes in randomized controlled trials (RCTs) to improve chronic disease management.

Methods: Relevant randomized controlled studies that were published between January 2005 and March 2016 were searched in six databases: PubMed, CINAHL, EMBASE, the Cochrane Library, PsycINFO, and Web of Science. The inclusion criteria were RCTs that conducted an intervention using mobile devices such as smartphones or tablets for adult patients with chronic diseases to examine disease management or health promotion.

Results: Of the 12 RCTs reviewed, 10 of the mHealth interventions demonstrated statistically significant improvement in some health outcomes. The most common features of mHealth systems used in the reviewed RCTs were real-time or regular basis symptom assessments, pre-programed reminders, or feedbacks tailored specifically to the data provided by participants via mHealth devices. Most studies developed their own mHealth systems including mobile apps. Training of mHealth systems was provided to participants in person or through paper-based instructions. None of the studies reported the relationship between health outcomes and patient engagement levels on the mHealth system.

Conclusions: Findings from mHealth intervention studies for chronic disease management have shown promising aspects, particularly in improving self-management and some health outcomes.

Comment (Neil PW): All but one of the studies were from high-income countries (the one exception is Turkey, an upper-middle income country). Is anyone aware of relevant research from LMICs?

Best wishes, Neil

Coordinator, mHIFA Project (Mobile Healthcare Information For All) - Supported by HIFA members

http://www.hifa.org/projects/mobile-hifa-mhifa

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HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with more than 19,000 members in 177 countries, interacting on six global forums in four languages. Twitter: @hifa_org FB: facebook.com/HIFAdotORG neil@hifa.org