Evidence map›Paper›PMID 25803266›Full record

SynthesisJournal of medical Internet research2015

Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review.

Saee Hamine, Emily Gerth-Guyette, Dunia Faulx, Beverly B Green, Amy Sarah Ginsburg

5 registry-linked trialsOpen access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of medical Internet research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 566 papers, 25 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
566citing papers in PubMed, 25 pooled it
186.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03093467 nacompletednot on this mapstarted 2017, after this paper: background citation

Effectiveness of an Internet-based Intervention for the Treatment of Depression: Towards the Improvement of the Management of Depression

TypeinterventionalSponsorInstituto Milenio para Investigación en Depresión y PersonalidadRan2017 to 2019Enrolled167ConditionsDepressionArmsASCENSO, Antidepressants or in combination with anxiolytics, neuroleptics or mood stabilizers., Psychotherapy
NCT03376607 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Community- and mHealth-Based Integrated Management of Diabetes in Primary Healthcare in Rwanda: The D²Rwanda Study

TypeinterventionalSponsorUniversity of AarhusRan2019 to 2021Enrolled209ConditionsDiabetes Mellitus, Telemedicine, Community Health WorkersArmsHBCP programme, mobile health application
NCT03517371 nacompletednot on this mapstarted 2019, after this paper: background citation

Walking and mHealth to Increase Participation in Parkinson Disease

TypeinterventionalSponsorBoston University Charles River CampusRan2019 to 2024Enrolled140ConditionsParkinson DiseaseArmsmHealth delivered exercise program, Exercise only
NCT03800719 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Personalized Support Using Instant Messaging Applications to Increase Smoking Cessation in Smokers Proactively Recruited From Smoking Hotspots in Hong Kong: a Pragmatic Randomized Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2018 to 2020Enrolled696ConditionsSmoking CessationArmsAWARD advice, Health warning leaflet, Active referral to smoking cessation (SC) services, Regular messages through Instant Messaging (IM), Psychosocial support and referral to SC services through IM
NCT06615349 narecruitingnot on this mapstarted 2025, after this paper: background citation

DigiPall; a Randomized Controlled Trial of Digital Patient Reported Outcome and Biomarker Monitoring in Palliative Care

TypeinterventionalSponsorDavid BlumRan2025 to 2027Enrolled382ConditionsTerminal Illness, Terminal CancerArmsDigiPall
3 · Its place in the literature

Who cites it

566 citing papers in PubMed, 25 syntheses or guidelines pooled it, 1,210 citations in OpenAlex.

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506 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Saee HamineUniversity of Washington, Seattle, WA, United States.ORCID http://orcid.org/0000-0002-2859-386X
Emily Gerth-GuyetteORCID http://orcid.org/0000-0002-3719-3892
Dunia FaulxORCID http://orcid.org/0000-0003-4138-0858
Beverly B GreenORCID http://orcid.org/0000-0003-3040-3436
Amy Sarah GinsburgORCID http://orcid.org/0000-0002-2291-2276
Program for Appropriate Technology in Health · USGroup Health Cooperative · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence to chronic disease management is critical to achieving improved health outcomes, quality of life, and cost-effective health care. As the burden of chronic diseases continues to grow globally, so does the impact of non-adherence. Mobile technologies are increasingly being used in health care and public health practice (mHealth) for patient communication, monitoring, and education, and to facilitate adherence to chronic diseases management.

objectiveWe conducted a systematic review of the literature to evaluate the effectiveness of mHealth in supporting the adherence of patients to chronic diseases management ("mAdherence"), and the usability, feasibility, and acceptability of mAdherence tools and platforms in chronic disease management among patients and health care providers.

methodsWe searched PubMed, Embase, and EBSCO databases for studies that assessed the role of mAdherence in chronic disease management of diabetes mellitus, cardiovascular disease, and chronic lung diseases from 1980 through May 2014. Outcomes of interest included effect of mHealth on patient adherence to chronic diseases management, disease-specific clinical outcomes after intervention, and the usability, feasibility, and acceptability of mAdherence tools and platforms in chronic disease management among target end-users.

resultsIn all, 107 articles met all inclusion criteria. Short message service was the most commonly used mAdherence tool in 40.2% (43/107) of studies. Usability, feasibility, and acceptability or patient preferences for mAdherence interventions were assessed in 57.9% (62/107) of studies and found to be generally high. A total of 27 studies employed randomized controlled trial (RCT) methods to assess impact on adherence behaviors, and significant improvements were observed in 15 of those studies (56%). Of the 41 RCTs that measured effects on disease-specific clinical outcomes, significant improvements between groups were reported in 16 studies (39%).

conclusionsThere is potential for mHealth tools to better facilitate adherence to chronic disease management, but the evidence supporting its current effectiveness is mixed. Further research should focus on understanding and improving how mHealth tools can overcome specific barriers to adherence.

Indexed as

Disease ManagementCardiovascular DiseasesChronic DiseaseDiabetes MellitusHumansLung DiseasesPatient ComplianceRandomized Controlled Trials as TopicTelemedicineText MessagingTreatment Outcomecardiovascular diseaseschronic diseasediabetes mellituslung diseasesmHealthmobile healthpatient adherencepatient compliancetelemedicine

Identifiers

PMID25803266
PMCPMC4376208
OpenAlexW2033250946

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.