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Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review

BACKGROUND: With an explosive growth in mobile health, an estimated 500 million patients are potentially using mHealth apps for supporting health and self-care of chronic diseases. Therefore, this review focused on mHealth apps for use among patients with heart failure. OBJECTIVE: The aim of this in...

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Detalles Bibliográficos
Autores principales: Athilingam, Ponrathi, Jenkins, Bradlee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6834210/
https://www.ncbi.nlm.nih.gov/pubmed/31758762
http://dx.doi.org/10.2196/10057
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author Athilingam, Ponrathi
Jenkins, Bradlee
author_facet Athilingam, Ponrathi
Jenkins, Bradlee
author_sort Athilingam, Ponrathi
collection PubMed
description BACKGROUND: With an explosive growth in mobile health, an estimated 500 million patients are potentially using mHealth apps for supporting health and self-care of chronic diseases. Therefore, this review focused on mHealth apps for use among patients with heart failure. OBJECTIVE: The aim of this integrative review was to identify and assess the functionalities of mHealth apps that provided usability and efficacy data and apps that are commercially available without supporting data, all of which are to support heart failure self-care management and thus impact heart failure outcomes. METHODS: A search of published, peer-reviewed literature was conducted for studies of technology-based interventions that used mHealth apps specific for heart failure. The initial database search yielded 8597 citations. After filters for English language and heart failure, the final 487 abstracts was reviewed. After removing duplicates, a total of 18 articles that tested usability and efficacy of mobile apps for heart failure self-management were included for review. Google Play and Apple App Store were searched with specified criteria to identify mHealth apps for heart failure. A total of 26 commercially available apps specific for heart failure were identified and rated using the validated Mobile Application Rating Scale. RESULTS: The review included studies with low-quality design and sample sizes ranging from 7 to 165 with a total sample size of 847 participants from all 18 studies. Nine studies assessed usability of the newly developed mobile health system. Six of the studies included are randomized controlled trials, and 4 studies are pilot randomized controlled trials with sample sizes of fewer than 40. There were inconsistencies in the self-care components tested, increasing bias. Thus, risk of bias was assessed using the Cochrane Collaboration’s tool for risk of selection, performance, detection, attrition, and reporting biases. Most studies included in this review are underpowered and had high risk of bias across all categories. Three studies failed to provide enough information to allow for a complete assessment of bias, and thus had unknown or unclear risk of bias. This review on the commercially available apps demonstrated many incomplete apps, many apps with bugs, and several apps with low quality. CONCLUSIONS: The heterogeneity of study design, sample size, intervention components, and outcomes measured precluded the performance of a systematic review or meta-analysis, thus introducing bias of this review. Although the heart failure–related outcomes reported in this review vary, they demonstrated trends toward making an impact and offer a potentially cost-effective solution with 24/7 access to symptom monitoring as a point of care solution, promoting patient engagement in their own home care.
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spelling pubmed-68342102019-11-21 Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review Athilingam, Ponrathi Jenkins, Bradlee JMIR Cardio Review BACKGROUND: With an explosive growth in mobile health, an estimated 500 million patients are potentially using mHealth apps for supporting health and self-care of chronic diseases. Therefore, this review focused on mHealth apps for use among patients with heart failure. OBJECTIVE: The aim of this integrative review was to identify and assess the functionalities of mHealth apps that provided usability and efficacy data and apps that are commercially available without supporting data, all of which are to support heart failure self-care management and thus impact heart failure outcomes. METHODS: A search of published, peer-reviewed literature was conducted for studies of technology-based interventions that used mHealth apps specific for heart failure. The initial database search yielded 8597 citations. After filters for English language and heart failure, the final 487 abstracts was reviewed. After removing duplicates, a total of 18 articles that tested usability and efficacy of mobile apps for heart failure self-management were included for review. Google Play and Apple App Store were searched with specified criteria to identify mHealth apps for heart failure. A total of 26 commercially available apps specific for heart failure were identified and rated using the validated Mobile Application Rating Scale. RESULTS: The review included studies with low-quality design and sample sizes ranging from 7 to 165 with a total sample size of 847 participants from all 18 studies. Nine studies assessed usability of the newly developed mobile health system. Six of the studies included are randomized controlled trials, and 4 studies are pilot randomized controlled trials with sample sizes of fewer than 40. There were inconsistencies in the self-care components tested, increasing bias. Thus, risk of bias was assessed using the Cochrane Collaboration’s tool for risk of selection, performance, detection, attrition, and reporting biases. Most studies included in this review are underpowered and had high risk of bias across all categories. Three studies failed to provide enough information to allow for a complete assessment of bias, and thus had unknown or unclear risk of bias. This review on the commercially available apps demonstrated many incomplete apps, many apps with bugs, and several apps with low quality. CONCLUSIONS: The heterogeneity of study design, sample size, intervention components, and outcomes measured precluded the performance of a systematic review or meta-analysis, thus introducing bias of this review. Although the heart failure–related outcomes reported in this review vary, they demonstrated trends toward making an impact and offer a potentially cost-effective solution with 24/7 access to symptom monitoring as a point of care solution, promoting patient engagement in their own home care. JMIR Publications 2018-05-02 /pmc/articles/PMC6834210/ /pubmed/31758762 http://dx.doi.org/10.2196/10057 Text en ©Ponrathi Athilingam, Bradlee Jenkins. Originally published in JMIR Cardio (http://cardio.jmir.org), 02.05.2018. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cardio, is properly cited. The complete bibliographic information, a link to the original publication on http://cardio.jmir.org, as well as this copyright and license information must be included.
spellingShingle Review
Athilingam, Ponrathi
Jenkins, Bradlee
Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review
title Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review
title_full Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review
title_fullStr Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review
title_full_unstemmed Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review
title_short Mobile Phone Apps to Support Heart Failure Self-Care Management: Integrative Review
title_sort mobile phone apps to support heart failure self-care management: integrative review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6834210/
https://www.ncbi.nlm.nih.gov/pubmed/31758762
http://dx.doi.org/10.2196/10057
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