Development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials

Abstract COVID-19 pandemic challenges have accelerated the reliance on digital health fuelling the expanded incorporation of mobile apps into healthcare services, particularly for the management of long-term conditions such as chronic diseases (CDs). However, the impact of health apps on outcomes fo...

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Autores principales:	Maria Cucciniello, Francesco Petracca, Oriana Ciani, Rosanna Tarricone
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/18d99e8e8d0147028f7e8b492cac2065
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spelling	oai:doaj.org-article:18d99e8e8d0147028f7e8b492cac20652021-12-02T19:16:16ZDevelopment features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials10.1038/s41746-021-00517-12398-6352https://doaj.org/article/18d99e8e8d0147028f7e8b492cac20652021-10-01T00:00:00Zhttps://doi.org/10.1038/s41746-021-00517-1https://doaj.org/toc/2398-6352Abstract COVID-19 pandemic challenges have accelerated the reliance on digital health fuelling the expanded incorporation of mobile apps into healthcare services, particularly for the management of long-term conditions such as chronic diseases (CDs). However, the impact of health apps on outcomes for CD remains unclear, potentially owing to both the poor adoption of formal development standards in the design process and the methodological quality of studies. A systematic search of randomised trials was performed on Medline, ScienceDirect, the Cochrane Library and Scopus to provide a comprehensive outlook and review the impact of health apps on CD. We identified 69 studies on diabetes (n = 29), cardiovascular diseases (n = 13), chronic respiratory diseases (n = 13), cancer (n = 10) or their combinations (n = 4). The apps rarely adopted developmental factors in the design stage, with only around one-third of studies reporting user or healthcare professional engagement. Apps differed significantly in content, with a median of eight behaviour change techniques adopted, most frequently pertaining to the ‘Feedback and monitoring’ (91%) and ‘Shaping knowledge’ (72%) categories. As for the study methodologies, all studies adopted a traditional randomised control trial (RCT) design, with relatively short follow-ups and limited sample sizes. Findings were not significant for the majority of studies across all CD, with most RCTs revealing a high risk of bias. To support the adoption of apps for CD management, this review reinforces the need for more robust development and appropriate study characteristics to sustain evidence generation and elucidate whether study results reflect the true benefits of apps or a biased estimate due to unsuitable designs.Maria CuccinielloFrancesco PetraccaOriana CianiRosanna TarriconeNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 4, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Computer applications to medicine. Medical informatics R858-859.7 Maria Cucciniello Francesco Petracca Oriana Ciani Rosanna Tarricone Development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials
description	Abstract COVID-19 pandemic challenges have accelerated the reliance on digital health fuelling the expanded incorporation of mobile apps into healthcare services, particularly for the management of long-term conditions such as chronic diseases (CDs). However, the impact of health apps on outcomes for CD remains unclear, potentially owing to both the poor adoption of formal development standards in the design process and the methodological quality of studies. A systematic search of randomised trials was performed on Medline, ScienceDirect, the Cochrane Library and Scopus to provide a comprehensive outlook and review the impact of health apps on CD. We identified 69 studies on diabetes (n = 29), cardiovascular diseases (n = 13), chronic respiratory diseases (n = 13), cancer (n = 10) or their combinations (n = 4). The apps rarely adopted developmental factors in the design stage, with only around one-third of studies reporting user or healthcare professional engagement. Apps differed significantly in content, with a median of eight behaviour change techniques adopted, most frequently pertaining to the ‘Feedback and monitoring’ (91%) and ‘Shaping knowledge’ (72%) categories. As for the study methodologies, all studies adopted a traditional randomised control trial (RCT) design, with relatively short follow-ups and limited sample sizes. Findings were not significant for the majority of studies across all CD, with most RCTs revealing a high risk of bias. To support the adoption of apps for CD management, this review reinforces the need for more robust development and appropriate study characteristics to sustain evidence generation and elucidate whether study results reflect the true benefits of apps or a biased estimate due to unsuitable designs.
format	article
author	Maria Cucciniello Francesco Petracca Oriana Ciani Rosanna Tarricone
author_facet	Maria Cucciniello Francesco Petracca Oriana Ciani Rosanna Tarricone
author_sort	Maria Cucciniello
title	Development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials
title_short	Development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials
title_full	Development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials
title_fullStr	Development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials
title_full_unstemmed	Development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials
title_sort	development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/18d99e8e8d0147028f7e8b492cac2065
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Development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials

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