Mapping mHealth research: a decade of evolution.
Mapping mHealth research: a decade of evolution.
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DOI：
10.2196/jmir.2430
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发表时间：
2013-05-21
影响因子：
7.4
通讯作者：
Schulz PJ
中科院分区：
文献类型：
--
作者：
Fiordelli M;Diviani N;Schulz PJ
在过去的十年中，移动医疗作为电子医疗的一部分不断扩大。保健方面的移动的应用有可能针对不同的受众，满足不同情况下的具体需求，产生不同的结果，并补充高度发达的保健技术。市场正在迅速发展，使无数新的移动的技术可能用于医疗保健系统;然而，关于这些技术对健康结果的影响的系统研究仍然很少。提供迄今为止移动健康研究领域的全面视图，并了解新一代智能手机是否以及如何引发研究，因为它们在5年前推出。具体而言，我们专注于旨在评估移动的手机对健康影响的研究，并试图确定移动的技术可能产生影响的医疗保健服务的主要领域。对移动的电话和智能手机在医疗保健中的影响进行了系统的文献综述。摘要和文章使用部分改编自现有文献的类型学进行分类，部分根据综述中包含的出版物归纳创建。最终样本包括2002年至2012年间发表的117篇文章。其中大多数是在我们观察期的后半期发表的，在2007年至2008年期间明显激增，文章数量几乎翻了一番。这些文章发表在77种不同的期刊上，大部分来自医学或技术和医学领域。虽然所涉及的健康状况范围很广，但注意到明显侧重于慢性病。这些研究的研究方法主要是临床试验和初步研究，但在我们观察期的后半段引入了新的设计。为测试移动的健康应用程序而抽取的样本规模也随着时间的推移而增加。大多数研究测试了基本的移动的手机功能（如短信），只有少数研究评估了智能手机应用程序的影响。关于调查结果，我们观察到从评估技术本身到评估其影响的转变。研究中使用的结局指标主要是临床指标，包括自我报告和客观指标。对移动健康的研究兴趣日益增长，研究设计和目标规格日益复杂，影响领域也日益多样化。然而，新的移动的技术提供的新机会迄今似乎尚未得到探索。绘制该领域的演变图可以更好地了解其优势和劣势，并为未来的发展提供信息。
For the last decade, mHealth has constantly expanded as a part of eHealth. Mobile applications for health have the potential to target heterogeneous audiences and address specific needs in different situations, with diverse outcomes, and to complement highly developed health care technologies. The market is rapidly evolving, making countless new mobile technologies potentially available to the health care system; however, systematic research on the impact of these technologies on health outcomes remains scarce. To provide a comprehensive view of the field of mHealth research to date and to understand whether and how the new generation of smartphones has triggered research, since their introduction 5 years ago. Specifically, we focused on studies aiming to evaluate the impact of mobile phones on health, and we sought to identify the main areas of health care delivery where mobile technologies can have an impact. A systematic literature review was conducted on the impact of mobile phones and smartphones in health care. Abstracts and articles were categorized using typologies that were partly adapted from existing literature and partly created inductively from publications included in the review. The final sample consisted of 117 articles published between 2002 and 2012. The majority of them were published in the second half of our observation period, with a clear upsurge between 2007 and 2008, when the number of articles almost doubled. The articles were published in 77 different journals, mostly from the field of medicine or technology and medicine. Although the range of health conditions addressed was very wide, a clear focus on chronic conditions was noted. The research methodology of these studies was mostly clinical trials and pilot studies, but new designs were introduced in the second half of our observation period. The size of the samples drawn to test mobile health applications also increased over time. The majority of the studies tested basic mobile phone features (eg, text messaging), while only a few assessed the impact of smartphone apps. Regarding the investigated outcomes, we observed a shift from assessment of the technology itself to assessment of its impact. The outcome measures used in the studies were mostly clinical, including both self-reported and objective measures. Research interest in mHealth is growing, together with an increasing complexity in research designs and aim specifications, as well as a diversification of the impact areas. However, new opportunities offered by new mobile technologies do not seem to have been explored thus far. Mapping the evolution of the field allows a better understanding of its strengths and weaknesses and can inform future developments.
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