Does evidence support the use of mobile phone apps as a driver for promoting healthy lifestyles from a public health perspective? A systematic review of Randomized Control Trials

Covolo, Loredana; Ceretti, Elisabetta; Moneda, Marco; Castaldi, Silvana; Gelatti, Umberto

doi:10.1016/j.pec.2017.07.032

Cited by 70 publications

(82 citation statements)

References 61 publications

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“…331 Smartphone apps may promote healthy lifestyle change, although they vary in quality, as does the quality of reported evaluation research. 332 To date few studies have examined clinical or cost effectiveness. 333 User engagement may be lower in actual clinical care that in trial settings.…”

Section: Digital Technologies For People With Mental Illnessmentioning

confidence: 99%

The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness

Firth

Siddiqi

Koyanagi

et al. 2019

The Lancet Psychiatry

1,040

1,093

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Executive SummaryThe poor physical health of people with mental illness is a multi-faceted, transdiagnostic, and global problem. Physical health disparities are observed across the entire spectrum of mental illnesses, in low, middle-and high-income countries. This stems from both a heightened risk of physical diseases in people with mental illness, along with their reduced access to adequate healthcare. The high rates of physical comorbidities (and typically-poor clinical management of this) drastically reduces life expectancy, and also increases the personal, social and economic burden of illness across the lifespan.This Commission has brought together an international team of researchers, clinicians, and key stakeholders from various backgrounds and professionally / personally-relevant experience, in order to summarize advances in understanding on this topic, and present clear directions for health promotion, clinical care and future research. The breadth and multifactorial nature of physical health disparities across the range of mental health diagnoses poses an almost limitless number of potential considerations. Therefore, rather than attempting to cover all of the different possible combinations of physical-mental comorbidities individually, the aim of this Commission was to: (i) establish highlypertinent aspects of physical health-related morbidity and mortality which apply transdiagnostically, (ii) highlight the common modifiable factors driving these disparities, (iii) present actions and initiatives for health policy and clinical services to address these issues, and (iv) identify promising areas for future research towards discovering novel solutions. This was addressed across 5 different Parts of the Commission: Parts 1 and 2 determined the scope, priorities and key targets for physical health improvement across multiple mental illnesses. Parts 3, 4 and 5 discussed emerging strategies and produced recommendations for improving physical health outcomes in people with mental illness. Leaders and contributors for each Part are shown in the Appendix (pg.1) . Part 1: 'Its more than premature mortality'Part 1 identified almost 100 systematic reviews/meta-analyses examining the prevalence of physical comorbidities in mental illness. Around 70% of the meta-research focused on cardiometabolic diseases; consistently reporting that mental illnesses were associated with 1.4-to 2-fold increased risk for obesity, diabetes and cardiovascular diseases compared to the general population. Although mostly studied in 'severe mental illness' ('SMI', and particularly psychotic disorders), the prevalence of cardiometabolic diseases was similarly elevated across a broad range of other diagnoses, including substance use disorders (SUDs), and 'common mental disorders' ('CMDs', such as depression and anxiety). Part 2: Key modifiable factors in health behaviours and health servicesPart 2 built on the findings of Part 1 with a hierarchal evidence synthesis of modifiable risk factors for physical diseases in mental illness. The bu...

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Section: Digital Technologies For People With Mental Illnessmentioning

confidence: 99%

The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness

Firth

Siddiqi

Koyanagi

et al. 2019

The Lancet Psychiatry

1,040

1,093

View full text Add to dashboard Cite

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“…However, the high prevalence impedes this as a practical strategy to combat obesity (8). Advances in mobile health technologies (mHealth) offer an opportunity to monitor various behaviours, and to deliver interventions in the adolescent's natural environment (10)(11)(12)(13). Thus, mHealth platforms may be a cost-saving alternative to an in-clinic intervention for paediatric weight management (14,15).…”

Section: Introductionmentioning

confidence: 99%

An addiction model‐based mobile health weight loss intervention in adolescents with obesity

et al. 2018

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SummaryBackground: Clinical approaches to treating childhood obesity can be expensive and poorly reimbursed, and often produce suboptimal results. It has been theorized that overeating may have addictive qualities, and a sizable number of adolescents with obesity endorse addictive habits. Interestingly, few weight management interventions have tested techniques founded in addiction medicine principles. We therefore performed a pilot study of an addiction model based mHealth weight loss intervention in adolescents.

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“…These trials are still limited due to the short follow-up, low recruitment rate, and high ratio of withdrawals before the scheduled time. It is therefore hard to see whether they might became valuable tools helping patients with their own health [23].…”

Section: Principal Resultsmentioning

confidence: 99%

Use of Health Apps and Wearable Devices: Survey Among Italian Associations for Patient Advocacy (Preprint)

Mosconi¹,

Radrezza²,

Lettieri³

et al. 2018

Preprint

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Does evidence support the use of mobile phone apps as a driver for promoting healthy lifestyles from a public health perspective? A systematic review of Randomized Control Trials

Cited by 70 publications

References 61 publications

The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness

The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness

An addiction model‐based mobile health weight loss intervention in adolescents with obesity

Use of Health Apps and Wearable Devices: Survey Among Italian Associations for Patient Advocacy (Preprint)

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