Mobile health applications in self-management of patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis of their efficacy

Yang, Fen; Wang, Yuncui; Yang, Chongming; Hu, Hui; Xiong, Zeng

doi:10.1186/s12890-018-0671-z

Cited by 67 publications

(62 citation statements)

References 41 publications

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“…The results from our pooled data meta-analysis do not identify a statistically significant effect on measures of physical function or QoL. Previous meta-analyses have identified no differences in physical function (using the 6-minute walk test) 10 , dyspnea 10 , and average days of hospitalization 9 , but have noted that the intervention arm was favored for physical activity 10 and a lower risk of hospital admissions 9 .…”

Section: Discussioncontrasting

confidence: 75%

“…Several systematic reviews have been conducted exploring applications to support self-management of COPD, but questions remain regarding their potential to improve clinical and nonclinical outcomes. Meta-analyses to date have pooled trials investigating hospital admissions 9 , physical activity 10 , physical function 10 , dyspnea 10 , and exacerbations 11 . However, reviews to date have used varying eligibility criteria for inclusion, excluding tablet computers 11 , excluding trials with any healthcare professional input 12 , excluding trials shorter than 1 month in duration 9 , or only including trials reporting hospitalization or exacerbation events 9,11 .…”

Section: Introductionmentioning

confidence: 99%

“…Meta-analyses to date have pooled trials investigating hospital admissions 9 , physical activity 10 , physical function 10 , dyspnea 10 , and exacerbations 11 . However, reviews to date have used varying eligibility criteria for inclusion, excluding tablet computers 11 , excluding trials with any healthcare professional input 12 , excluding trials shorter than 1 month in duration 9 , or only including trials reporting hospitalization or exacerbation events 9,11 . With technologies rapidly evolving, it is also important to identify the effective and less effective components of current interventions to help inform future interventions, so this review will provide a detailed description of each intervention.…”

Section: Introductionmentioning

confidence: 99%

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Are COPD self-management mobile applications effective? A systematic review and meta-analysis

Shaw

Whelan

Armitage

et al. 2020

npj Prim. Care Respir. Med.

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The burden of chronic obstructive pulmonary disease (COPD) to patients and health services is steadily increasing. Selfmanagement supported by mobile device applications could improve outcomes for people with COPD. Our aim was to synthesize evidence on the effectiveness of mobile health applications compared with usual care. A systematic review was conducted to identify randomized controlled trials. Outcomes of interest included exacerbations, physical function, and Quality of Life (QoL). Where possible, outcome data were pooled for meta-analyses. Of 1709 citations returned, 13 were eligible trials. Number of exacerbations, quality of life, physical function, dyspnea, physical activity, and self-efficacy were reported. Evidence for effectiveness was inconsistent between studies, and the pooled effect size for physical function and QoL was not significant. There was notable variation in outcome measures used across trials. Developing a standardized outcome-reporting framework for digital health interventions in COPD self-management may help standardize future research.npj Primary Care Respiratory Medicine (2020) 30:11 ; https://doi.

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Section: Discussioncontrasting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Are COPD self-management mobile applications effective? A systematic review and meta-analysis

Shaw

Whelan

Armitage

et al. 2020

npj Prim. Care Respir. Med.

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“…e list of excluded literature studies and reasons of exclusion are displayed in Appendix 2 in Supplementary materials. us, a total of 8 SRs and MAs [16][17][18][19][20][21][22][23] were finally included in this overview. e study selection process is shown in Figure 1.…”

Section: Study Identificationmentioning

confidence: 99%

“…We included six systematic review and meta-analysis [16-18, 20, 22, 23], one meta-analysis [19], and one systematic review, which were published between 2011 and 2019, with four from Asian countries [16][17][18][19] and four from European countries [20][21][22][23], and all databases reviews retrieved ranged from one to six, with PubMed, Embase, and Cochrane Library as the most widely searched databases. e number of RCTs included in each review ranged from 3 to 28, and the total participants ranged from 391 to 3645.…”

Section: Characteristics Of Included Reviewmentioning

confidence: 99%

Telemonitoring Interventions in COPD Patients: Overview of Systematic Reviews

Xie

Zhao

et al. 2020

BioMed Research International

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Objective. The role of telemonitoring interventions (TIs) for chronic obstructive pulmonary disease (COPD) has been studied in many systematic reviews (SRs) and meta-analyses (MAs), but robust conclusions have not been reached due to wide variations in scopes, qualities, and outcomes. The aim of this overview was to determine the effectiveness of TIs on COPD patients. Methods. PubMed, EMBASE, Web of Science, and Cochrane Library were searched for all reviews on the topic of TI in treating COPD from inception to July 8, 2019, without restrictions on language. According to the inclusion and exclusion criteria, the retrieved literature studies were screened to select SRs and MAs of randomized control trials (RCTs) that evaluated the effects of TIs in COPD patients. The methodological quality of SRs and MAs was assessed with the AMSTAR-2 tool, and the strength of evidence was assessed with the grades of recommendations, assessment, development, and evaluation (GRADE) system for concerned outcomes in terms of mortality, quality of life (SGRQ total scores), exercise capacity (6MWD), and exacerbation-related outcomes (hospitalizations, exacerbation rate, and emergency room visits). Results. Our overview included eight SRs and MAs published in 2011 to 2019, from 95 RCTs involving 10632 participants. After strict evaluation by the AMSTAR-2 tool, 75% of the SRs and MAs in this overview had either low or critically low methodological quality. The effects of TIs for COPD on mortality, quality of life, exercise capacity, and exacerbation-related outcomes are limited, and all of these outcomes scored either low or very low quality of evidence on the GRADE system. Conclusions. There might be insufficient evidence to support the effectiveness of TIs for COPD currently, but the results of this overview should be interpreted dialectically and prudently, and the role of TIs in COPD needs further exploration.

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A mobile‐based self‐care application for patients with chronic obstructive pulmonary disease: A protocol for design, implementation, and evaluation

Haghparast,

Okhovvat,

Khoddam

et al. 2024

Health Science Reports

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Background and AimsEducation and providing self‐care skills are essential for patients with chronic respiratory disease. Today, the use of information and communication technologies has provided many opportunities for facilitating self‐care in chronic patients. In this regard, the attention of researchers has been shifted toward the design and use of mobile phone‐based technologies for self‐care purposes in patients with chronic obstructive pulmonary disease (COPD). In this study, a protocol is proposed for the design, implementation, and evaluation of a mobile‐based self‐care application for patients with COPD.MethodsThe design science approach will be used in the design, implementation, and evaluation of the self‐care application. This solution‐oriented paradigm goes beyond the level of description and explanation and takes steps toward problem‐solving. One of the most common models of design science is the waterfall model of information technology development. The seven consecutive stages of the waterfall model include preliminary analysis, system analysis, design, programming, testing, implementation, and maintenance/modification.ConclusionThe present protocol is the first to design, implement, and evaluate a mobile‐based self‐care application for patients with COPD in Iran. The integration of new technologies for the self‐care education of COPD patients is considered an innovative strategy. This application is designed based on the self‐care needs of COPD patients, which will ultimately promote the self‐care activities of patients.

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Mobile health applications in self-management of patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis of their efficacy

Cited by 67 publications

References 41 publications

Are COPD self-management mobile applications effective? A systematic review and meta-analysis

Are COPD self-management mobile applications effective? A systematic review and meta-analysis

Telemonitoring Interventions in COPD Patients: Overview of Systematic Reviews

A mobile‐based self‐care application for patients with chronic obstructive pulmonary disease: A protocol for design, implementation, and evaluation

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