The Impact of Mobile Health Interventions on Chronic Disease Outcomes in Developing Countries: A Systematic Review
The Impact of Mobile Health Interventions on Chronic Disease Outcomes in Developing Countries: A Systematic Review
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DOI：
10.1089/tmj.2012.0328
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发表时间：
2014-01-01
影响因子：
4.7
通讯作者：
Rubinstein, Adolfo
中科院分区：
文献类型：
--
作者：
Beratarrechea, Andrea;Lee, Allison G.;Rubinstein, Adolfo
导言：除非实施有效和具有成本效益的干预措施，否则发展中国家的慢性病发病率将继续上升。本综述旨在讨论移动的健康（m-health）对低收入和中等收入国家（LMIC）慢性病结局的影响。材料和方法：使用CENTRAL、MEDLINE、EMBASE和LILACS数据库和灰色文献进行系统的文献检索。检索了科学文献，以确定评估手机语音和短信干预措施以解决低收入或中等收入国家成人慢性病的对照研究。测量的结果包括发病率，死亡率，住院率，行为或生活方式的改变，护理过程的改善，临床结果，成本，患者提供者的满意度，依从性，和健康相关的生活质量（HRQoL）。结果：从检索到的1,709篇摘要中，163篇文章被选为全文综述，包括9项随机对照试验，4,604名参与者。大多数研究涉及一个以上的结果。在所选文章中，6篇研究了临床结局，6篇研究了护理过程，3篇研究了医疗费用，2篇研究了HRQoL。移动健康对慢性病的结果产生积极影响，提高出勤率，临床结果，和HRQoL，是符合成本效益的。结论：移动健康正在成为一个有前途的工具，以解决访问，覆盖面和公平的差距，在发展中国家和低资源环境。移动保健干预措施的结果显示，对低收入中等收入国家的慢性病产生了积极影响。然而，这项审查的一个限制因素是研究和患者人数相对较少，这突出表明需要在发展中国家进行更严格的研究。
Introduction:Rates of chronic diseases will continue to rise in developing countries unless effective and cost-effective interventions are implemented. This review aims to discuss the impact of mobile health (m-health) on chronic disease outcomes in low- and middle-income countries (LMIC).Materials and Methods:Systematic literature searches were performed using CENTRAL, MEDLINE, EMBASE, and LILACS databases and gray literature. Scientific literature was searched to identify controlled studies evaluating cell phone voice and text message interventions to address chronic diseases in adults in low- or middle-income countries. Outcomes measured included morbidity, mortality, hospitalization rates, behavioral or lifestyle changes, process of care improvements, clinical outcomes, costs, patient-provider satisfaction, compliance, and health-related quality of life (HRQoL).Results:From the 1,709 abstracts retrieved, 163 articles were selected for full text review, including 9 randomized controlled trials with 4,604 participants. Most of the studies addressed more than one outcome. Of the articles selected, six studied clinical outcomes, six studied processes of care, three examined healthcare costs, and two examined HRQoL. M-health positively impacted on chronic disease outcomes, improving attendance rates, clinical outcomes, and HRQoL, and was cost-effective.Conclusions:M-health is emerging as a promising tool to address access, coverage, and equity gaps in developing countries and low-resource settings. The results for m-health interventions showed a positive impact on chronic diseases in LMIC. However, a limiting factor of this review was the relatively small number of studies and patients enrolled, highlighting the need for more rigorous research in this area in developing countries.