Efficacy of Mobile Apps to Support the Care of Patients With Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Bonoto, Bráulio Cezar; Araújo, Vânia Eloísa de; Godói, Isabella Piassi Dias; Lemos, Larissa de Araújo; Godman, Brian; Bennie, Marion; Diniz, Leonardo Maurício; Guerra, Augusto Afonso

doi:10.2196/mhealth.6309

Cited by 257 publications

(251 citation statements)

References 47 publications

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“…In one metaanalysis, a decrease of 5 mm Hg in DBP or 10 mm Hg in SBP was found to reduce coronary heart disease events by 22% and stroke by 41% [47], as a decrease of 1 mm Hg in SBP leads to a 5% reduction in the risk of stroke [46]. The findings of this review are in line with other systematic reviews that involved smartphone and tablet based intervention in managing chronic diseases, which showed that the use of apps has the potential to improve health outcomes among those living with chronic diseases [8,10,11,49,50].…”

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

“…Achieving an optimum level of self-management behaviour is difficult and requires considerable effort from patients. Mobile health technology (mHealth), defined as the use of mobile devices to deliver healthcare [7], has the potential to facilitate and optimise patients' self-management [8][9][10][11].This can be performed through integrating healthcare with everyday life by delivering and collecting health information and services in a convenient, accessible and interactive mode [12,13]. The use of the new generation of these mobile devices, including smartphone and tablets, has increased rapidly in recent years, and it is estimated that by 2018 smartphones will be used by one-third of the global population [14].…”

mentioning

confidence: 99%

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Mobile Apps to Support the Self-Management of Hypertension: Systematic Review of Effectiveness, Usability, and User Satisfaction (Preprint)

Alessa¹,

Abdi²,

Hawley³

et al. 2018

Preprint

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IntroductionHypertension, in which the blood pressure (BP) in the arteries is raised, is one of the most common chronic diseases in adults. Patients can be diagnosed with hypertension when their systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) is above 140/90 mm Hg respectively [1]. Hypertension has been recognised as a major risk factor for many diseases, such as renal failure, heart disease and stroke [1]. Despite the effect of lowering BP on reducing the risk of renal and cardiovascular disease, most people with hypertension poorly control their BP [2]. Therefore, it is important to encourage patients' involvement in controlling their BP.Self-management is considered as an important element of chronic care management [3]. Self-management demands an active role of patients in managing their symptoms, treatment, psychosocial and physical effects, and changing lifestyle [4][5][6]. Achieving an optimum level of self-management behaviour is difficult and requires considerable effort from patients. Mobile health technology (mHealth), defined as the use of mobile devices to deliver healthcare [7], has the potential to facilitate and optimise patients' self-management [8][9][10][11].This can be performed through integrating healthcare with everyday life by delivering and collecting health information and services in a convenient, accessible and interactive mode [12,13]. The use of the new generation of these mobile devices, including smartphone and tablets, has increased rapidly in recent years, and it is estimated that by 2018 smartphones will be used by one-third of the global population [14].Smartphones have become an important platform to deliver health to patients through health apps. The rapid growth in the use of these devices has been accompanied by a huge expansion in health and health-related behaviour applications, and more than 100,000 of these are used by millions of people [14,15]. Many health apps are targeted to support people with hypertension in their self-management by offering self-monitoring activities, reminders, tailored information, and feedback [16,17].To the best of our knowledge, despite the potential benefits of apps for people with hypertension and the increased use of these apps, a synthesis of studies on their effectiveness in this population has not been conducted. This systematic review will synthesise the existing evidence on the effectiveness of apps in lowering BP, as well as their usability and patients' satisfaction with their use. MethodA systematic review was conducted and reported in accordance with the PRISMA statement for systematic reviews [18,19]. Eligibility criteriaThe inclusion criteria were dependent on PICOS [18] as described below. PopulationThe population was people with hypertension (aged 18 years and over) and/or healthcare professionals (HCPs) supporting people with hypertension in their self-management in any care setting, without limitations on the participants' gender, age or socio-demographic characteristics. Studies about people with ch...

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Mobile Apps to Support the Self-Management of Hypertension: Systematic Review of Effectiveness, Usability, and User Satisfaction (Preprint)

Alessa¹,

Abdi²,

Hawley³

et al. 2018

Preprint

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“…A systematic review and meta-analysis of randomized controlled trials, published in March 2017, enrolled 1236 publications about the topic (59). A systematic review and meta-analysis of randomized controlled trials, published in March 2017, enrolled 1236 publications about the topic (59).…”

Section: Electronic Teaching and Applications For Smart Devicesmentioning

confidence: 99%

Technology in Diabetes Treatment: Update and Future

Schiel¹,

Bambauer²,

Steveling

2018

Artificial Organs

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Worldwide the number of people with diabetes mellitus is increasing. There are estimations that diabetes is one of the leading causes of death. The most important goals for the treatment of diabetes are self‐management of the disease and an optimal quality of diabetes control. In the therapy new technologies, like real‐time continuous interstitial glucose monitoring, continuous subcutaneous insulin infusion (CSII), electronic tools for the monitoring of therapeutic approaches, automated bolus calculators for insulin and electronic tools for education and information of patients, have become widespread and play important roles. All these efforts are related to the interaction between patients, caregivers, scientists or researchers and industry. The presentation of different aspects of new technological approaches in the present article should give more information about different technologies. However, because of the rather quickly appearance of new technologies, the presentation can only be a spotlight. Further studies are mandatory to analyze the effects and long‐term benefits of each technology and electronic device.

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“…Areas of use include assistance in appointment-making, the monitoring of certain parameters in patients with chronic illnesses or the regular documentation of pain or other symptoms [3][4][5]. Initial experience for the use of mobile applications in the area of oncology has shown promising results: A prospective pilot trial was able to demonstrate significantly improved overall survival for lung cancer patients who were systematically telemonitored with the help of a mobile phone application based on patient-reported data and using the dynamics of patients' clinical symptoms for risk-stratification and individualized follow-up [6].…”

Section: Introductionmentioning

confidence: 99%

Oncologic Therapy Support Via Means of a Dedicated Mobile App (OPTIMISE-1): Protocol for a Prospective Pilot Trial (Preprint)

Shafie¹,

Bougatf²,

Sprave³

et al. 2017

Preprint

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Background:The increasing role of consumer electronics and web-enabled mobile devices in the medical sector opens up promising possibilities for integrating novel technical solutions into therapy and patient support for oncologic illnesses. Recent surveys at our institution suggest a high accpentance among patients for the concept of an additional patient-care concept during radiotherapy based on patient-reported outcome by means of a mobile application. Objective:To assess the feasibility of integrating a mobile application-based concept into patient-care during radiotherapy. Methods/design:Patients presenting themselves for the irradiation of thoracic or pelvic tumors will be surveyed regarding general performance, treatment-related Quality of Life (QoL) and symptoms and their need to personally consult a physician on a treatment-daily basis by means of a mobile application. The primary endpoint of feasibility will be reached when 80% of the patients have successfully answered 80% of their respective questions scheduled for each treatment day. Furthermore, treatment-related patient satisfaction and diagnosisrelated QoL is assessed by PSQ-18 and EORTC questionnaires at the end of radiotherapy and at the first follow-up. Discussion:It is the purpose of this study to prospectively evaluate the feasibility possibility of employing a mobile application for the systematic support of radiooncological patients throughout the course of their radiotherapy by monitoring symptoms and patient performance and facilitating the background-exchange of relevant information between patient and physician. It will serve as a basis for future studies aiming to exploit the constant innovation in mobile medical appliances and integrate novel patient-centered concept into patient-care in the context of radiotherapy.Trial registration: NCT03168048 (registered 05/24/2017)

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Efficacy of Mobile Apps to Support the Care of Patients With Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Cited by 257 publications

References 47 publications

Mobile Apps to Support the Self-Management of Hypertension: Systematic Review of Effectiveness, Usability, and User Satisfaction (Preprint)

Mobile Apps to Support the Self-Management of Hypertension: Systematic Review of Effectiveness, Usability, and User Satisfaction (Preprint)

Technology in Diabetes Treatment: Update and Future

Oncologic Therapy Support Via Means of a Dedicated Mobile App (OPTIMISE-1): Protocol for a Prospective Pilot Trial (Preprint)

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