Mobile health applications designed for self-management of chronic pulmonary diseases in children and adolescents: a systematic mapping review  <span class="so-article-trans-title" dir="auto"> Translated title: Aplicativos de saúde móvel projetados para a autogestão de doenças pulmonares crônicas em crianças e adolescentes: revisão sistemática de mapeamento </span>

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ABSTRACT

Objective:

Mobile health (mHealth) applications are scarce for children and adolescents with chronic pulmonary diseases (CPDs). This study aimed to map and describe the contents of the mHealth apps available for use in children and adolescents with CPDs.

Methods:

We performed a systematic mapping review of published scientific literature in PubMed, Scopus, and Cochrane Library by February of 2023, using relevant keywords. Inclusion criteria were as follows: children aged < 18 years with CPDs; and studies published in English on mHealth apps.

Results:

A total number of 353 studies were found, 9 of which met the inclusion criteria. These studies described seven mHealth apps for Android and iOS, designed either for asthma (n = 5) or for cystic fibrosis (n = 2). Five content areas were identified: education/information; pharmacological treatment; emergency; support; and non-pharmacological treatment. The studies (4, 2, and 3, respectively) showed consistent findings using qualitative, quantitative, and mixed methodologies.

Conclusions:

This mapping review provided a guided selection of the most appropriate mHealth apps for use in children and adolescents with CPDs based on the needs of each target population. However, these mHealth apps have limited capabilities to reinforce disease self-management and provide information related to treatment compliance.

RESUMO

Objetivo:

Aplicativos de saúde móvel (mHealth, do inglês mobile health) para crianças e adolescentes com doenças pulmonares crônicas (DPC) são escassos. Este estudo teve como objetivo mapear e descrever o conteúdo dos aplicativos de mHealth disponíveis para uso em crianças e adolescentes com DPC.

Métodos:

Realizamos uma revisão sistemática de mapeamento da literatura científica publicada nos bancos de dados PubMed, Scopus e Cochrane Library até fevereiro de 2023, utilizando descritores relevantes. Os critérios de inclusão foram os seguintes: crianças menores de 18 anos com DPC e estudos publicados em inglês sobre aplicativos de mHealth.

Resultados:

Foram encontrados 353 estudos, dos quais 9 atenderam aos critérios de inclusão. Esses estudos descreveram sete aplicativos de mHealth para Android e iOS projetados para asma (n = 5) ou para fibrose cística (n = 2). Foram identificadas cinco áreas de conteúdo: educação/informação, tratamento farmacológico, emergência, suporte e tratamento não farmacológico. Os estudos (4, 2 e 3, respectivamente) apresentaram achados consistentes utilizando metodologias qualitativas, quantitativas e mistas.

Conclusões:

Esta revisão de mapeamento forneceu uma seleção guiada dos aplicativos de mHealth mais adequados para uso em crianças e adolescentes com DPC com base nas necessidades de cada população-alvo. No entanto, esses aplicativos de mHealth têm capacidades limitadas para reforçar a autogestão da doença e fornecer informações relacionadas à adesão ao tratamento.

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Most cited references 21

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A typology of reviews: an analysis of 14 review types and associated methodologies.

Maria J Grant, Andrew Booth (2009)

The expansion of evidence-based practice across sectors has lead to an increasing variety of review types. However, the diversity of terminology used means that the full potential of these review types may be lost amongst a confusion of indistinct and misapplied terms. The objective of this study is to provide descriptive insight into the most common types of reviews, with illustrative examples from health and health information domains. Following scoping searches, an examination was made of the vocabulary associated with the literature of review and synthesis (literary warrant). A simple analytical framework -- Search, AppraisaL, Synthesis and Analysis (SALSA) -- was used to examine the main review types. Fourteen review types and associated methodologies were analysed against the SALSA framework, illustrating the inputs and processes of each review type. A description of the key characteristics is given, together with perceived strengths and weaknesses. A limited number of review types are currently utilized within the health information domain. Few review types possess prescribed and explicit methodologies and many fall short of being mutually exclusive. Notwithstanding such limitations, this typology provides a valuable reference point for those commissioning, conducting, supporting or interpreting reviews, both within health information and the wider health care domain.

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A Human-Centered Design Methodology to Enhance the Usability, Human Factors, and User Experience of Connected Health Systems: A Three-Phase Methodology

Richard Harte, Liam Glynn, Alejandro Rodriguez-Molinero … (2017)

Background Design processes such as human-centered design, which involve the end user throughout the product development and testing process, can be crucial in ensuring that the product meets the needs and capabilities of the user, particularly in terms of safety and user experience. The structured and iterative nature of human-centered design can often present a challenge when design teams are faced with the necessary, rapid, product development life cycles associated with the competitive connected health industry. Objective We wanted to derive a structured methodology that followed the principles of human-centered design that would allow designers and developers to ensure that the needs of the user are taken into account throughout the design process, while maintaining a rapid pace of development. In this paper, we present the methodology and its rationale before outlining how it was applied to assess and enhance the usability, human factors, and user experience of a connected health system known as the Wireless Insole for Independent and Safe Elderly Living (WIISEL) system, a system designed to continuously assess fall risk by measuring gait and balance parameters associated with fall risk. Methods We derived a three-phase methodology. In Phase 1 we emphasized the construction of a use case document. This document can be used to detail the context of use of the system by utilizing storyboarding, paper prototypes, and mock-ups in conjunction with user interviews to gather insightful user feedback on different proposed concepts. In Phase 2 we emphasized the use of expert usability inspections such as heuristic evaluations and cognitive walkthroughs with small multidisciplinary groups to review the prototypes born out of the Phase 1 feedback. Finally, in Phase 3 we emphasized classical user testing with target end users, using various metrics to measure the user experience and improve the final prototypes. Results We report a successful implementation of the methodology for the design and development of a system for detecting and predicting falls in older adults. We describe in detail what testing and evaluation activities we carried out to effectively test the system and overcome usability and human factors problems. Conclusions We feel this methodology can be applied to a wide variety of connected health devices and systems. We consider this a methodology that can be scaled to different-sized projects accordingly.

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Patient Self-Management of Asthma Using Mobile Health Applications: A Systematic Review of the Functionalities and Effects

Mehrdad Farzandipour, Ehsan Nabovati, Reihane Sharif … (2017)

Objective The aim of this systematic review was to summarize the evidence regarding the effects of mobile health applications (mHealth apps) for self-management outcomes in patients with asthma and to assess the functionalities of effective interventions. Methods We systematically searched Medline, Scopus, and the Cochrane Central Register of Controlled Trials. We included English-language studies that evaluated the effects of smartphone or tablet computer apps on self-management outcomes in asthmatic patients. The characteristics of these studies, effects of interventions, and features of mHealth apps were extracted. Results A total of 10 studies met all the inclusion criteria. Outcomes that were assessed in the included studies were categorized into three groups (clinical, patient-reported, and economic). mHealth apps improved asthma control (five studies) and lung function (two studies) from the clinical outcomes. From the patient-reported outcomes, quality of life (three studies) was statistically significantly improved, while there was no significant impact on self-efficacy scores (two studies). Effects on economic outcomes were equivocal, so that the number of visits (in two studies) and admission and hospitalization-relevant outcomes (in one study) statistically significantly improved; and in four other studies, these outcomes did not improve significantly. mHealth apps features were categorized into seven categories (inform, instruct, record, display, guide, remind/alert, and communicate). Eight of the 10 mHealth apps included more than one functionality. Nearly all interventions had the functionality of recording user-entered data and half of them had the functionality of providing educational information and reminders to patients. Conclusion Multifunctional mHealth apps have good potential in the control of asthma and in improving the quality of life in such patients compared with traditional interventions. Further studies are needed to identify the effectiveness of these interventions on outcomes related to medication adherence and costs.

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Author and article information

Contributors

Vaia Sapouna:

ORCID: http://orcid.org/0000-0002-1935-2538

Role: study concept and designRole: drafting of the manuscriptRole: critical review of intellectual contentRole: writing of the final version of the manuscriptRole: data analysis and interpretationRole: approved the final version of the manuscript

Pavlos Kitixis:

ORCID: http://orcid.org/0000-0002-8333-8458

Role: data analysis and interpretationRole: approved the final version of the manuscript

Elpiniki Petrou:

ORCID: http://orcid.org/0009-0003-0722-8542

Role: data analysis and interpretationRole: approved the final version of the manuscript

Theano Michailidou:

ORCID: http://orcid.org/0009-0005-8473-3571

Role: data analysis and interpretationRole: approved the final version of the manuscript

Panagiotis Dalamarinis:

ORCID: http://orcid.org/0009-0004-2082-846X

Role: data analysis and interpretationRole: approved the final version of the manuscript

Eleni Kortianou:

ORCID: http://orcid.org/0000-0003-2214-5545

Role: study concept and designRole: drafting of the manuscriptRole: critical review of intellectual contentRole: writing of the final version of the manuscriptRole: approved the final version of the manuscript

Journal

Journal ID (nlm-ta): J Bras Pneumol

Journal ID (iso-abbrev): J Bras Pneumol

Journal ID (publisher-id): jbpneu

Title: Jornal Brasileiro de Pneumologia

Publisher: Sociedade Brasileira de Pneumologia e Tisiologia

ISSN (Print): 1806-3713

ISSN (Electronic): 1806-3756

Publication date (Electronic, pub): 18 October 2023

Publication date (Electronic, collection): 2023

Volume: 49

Issue: 5

Electronic Location Identifier: e20230201

Affiliations

[1 ]. Clinical Exercise Physiology and Rehabilitation Laboratory, Physiotherapy Department, Faculty of Health Sciences, University of Thessaly, Lamia, Greece.

[2 ]. Physical Medicine and Rehabilitation Centre Kentavros, Volos, Greece.

Author notes

Correspondence to: Eleni Kortianou. 3rd Old National Road Lamia-Athens, 35100, Lamia, Greece. Tel.: 302 231060246. Fax: 302 231033945. E-mail: ekortianou@ 123456uth.gr

CONFLICTS OF INTEREST: None declared

Author information

Vaia Sapouna http://orcid.org/0000-0002-1935-2538

Pavlos Kitixis http://orcid.org/0000-0002-8333-8458

Elpiniki Petrou http://orcid.org/0009-0003-0722-8542

Theano Michailidou http://orcid.org/0009-0005-8473-3571

Panagiotis Dalamarinis http://orcid.org/0009-0004-2082-846X

Eleni Kortianou http://orcid.org/0000-0003-2214-5545

Article

Other ID: 00000

DOI: 10.36416/1806-3756/e20230201

PMC ID: 10759968

PubMed ID: 37909552

SO-VID: d77e16f8-a368-4cff-8cd8-794dd294dec6

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium provided the original work is properly cited.

History

Date received : 11 June 2023

Date accepted : 24 July 2023

Page count

Figures: 2, Tables: 6, Equations: 0, References: 20

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RESUMO

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Most cited references 21

A typology of reviews: an analysis of 14 review types and associated methodologies.

A Human-Centered Design Methodology to Enhance the Usability, Human Factors, and User Experience of Connected Health Systems: A Three-Phase Methodology

Patient Self-Management of Asthma Using Mobile Health Applications: A Systematic Review of the Functionalities and Effects

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