Apps and Adolescents: A Systematic Review of Adolescents' Use of Mobile Phone and Tablet Apps That Support Personal Management of Their Chronic or Long-Term Physical Conditions.
Apps and Adolescents: A Systematic Review of Adolescents' Use of Mobile Phone and Tablet Apps That Support Personal Management of Their Chronic or Long-Term Physical Conditions.
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应用程序和青少年：对青少年使用手机和平板电脑应用程序的系统审查，以支持其慢性或长期身体状况的个人管理。
DOI：
10.2196/jmir.5043
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发表时间：
2015-12-23
影响因子：
7.4
通讯作者：
Swallow V
中科院分区：
文献类型：
--
作者：
Majeed-Ariss R;Baildam E;Campbell M;Chieng A;Fallon D;Hall A;McDonagh JE;Stones SR;Thomson W;Swallow V
10-24岁青少年中身体慢性或长期疾病的患病率正在上升。这些青少年和他们健康的同龄人广泛使用带有软件程序应用程序的手机和平板电脑移动技术进行社交网络或游戏。应用程序还用于医疗保健，以支持个人状况管理，它们在这方面具有相当大的潜力。关于应用程序在健康背景下使用的文献越来越多，因此对其有效性进行系统审查非常及时。系统回顾旨在支持青少年管理其身体慢性或长期状况的移动应用程序的有效性的文献。我们对2003年以来在5个相关书目数据库中发表的英语文献进行了检索。两名独立审稿人使用数据提取和质量评估工具筛选标题和摘要。搜索返回了1120个结果。在19篇符合条件的全文论文中，有4篇符合我们的审查标准，报告了一项试点随机对照试验和三项前测/后测研究。样本范围从4到18个参与者，总共有46个参与者。据报道，这些应用程序针对的是1型糖尿病、哮喘和癌症。两篇论文提供了计算效应量的数据。研究设计、报告结果、随访时间、参与者年龄和健康状况方面的异质性阻碍了meta分析。青少年是否在使用应用程序时接受指导或独自负责浏览应用程序存在差异。三项研究报告称，患者在一定程度上参与了应用程序的设计、开发和/或评估。所有研究都报告了卫生专业人员参与应用程序建模阶段，尽管并不总是清楚是否代表了与青少年合作的特定临床（而不是学术）专业知识。研究的缺乏和总体样本量的小强调了未来需要对移动应用程序的开发、评估、使用和有效性进行研究，以支持青少年对其状况的个人管理。审查的一个关键发现是现有的基于证据的应用程序很少，相比之下，应用程序市场上有成千上万的应用程序不是基于证据的，也不是用户或专业人士知情的。虽然我们的目的是评估应用程序的有效性，但缺乏符合我们标准的研究意味着我们无法在这方面得出结论。根据现有证据，应用程序可能被认为是可行的健康干预措施，但需要更多涉及更大样本量的研究，并在各个阶段征求患者和卫生专业人员的意见，以确定应用程序的可接受性和有效性。这篇综述提供了有价值的发现，并为未来严格开发和评估患有慢性或长期疾病的青少年健康应用程序铺平了道路。
The prevalence of physical chronic or long-term conditions in adolescents aged 10-24 years is rising. Mobile phone and tablet mobile technologies featuring software program apps are widely used by these adolescents and their healthy peers for social networking or gaming. Apps are also used in health care to support personal condition management and they have considerable potential in this context. There is a growing body of literature on app use in health contexts, thereby making a systematic review of their effectiveness very timely. To systematically review the literature on the effectiveness of mobile apps designed to support adolescents’ management of their physical chronic or long-term conditions. We conducted a review of the English-language literature published since 2003 in five relevant bibliographical databases using key search terms. Two independent reviewers screened titles and abstracts using data extraction and quality assessment tools. The search returned 1120 hits. Of the 19 eligible full-text papers, four met our review criteria, reporting one pilot randomized controlled trial and three pretest/post-test studies. Samples ranged from 4 to 18 participants, with a combined sample of 46 participants. The apps reported were targeted at type 1 diabetes, asthma, and cancer. Two papers provided data for calculating effect size. Heterogeneity in terms of study design, reported outcomes, follow-up times, participants’ ages, and health conditions prevented meta-analyses. There was variation in whether adolescents received guidance in using the app or were solely responsible for navigating the app. Three studies reported some level of patient involvement in app design, development, and/or evaluation. Health professional involvement in the modelling stages of apps was reported in all studies, although it was not always clear whether specific clinical (as opposed to academic) expertise in working with adolescents was represented. The dearth of studies and the small overall sample size emphasizes the need for future studies of the development, evaluation, use, and effectiveness of mobile apps to support adolescents’ personal management of their conditions. A key finding of the review is the paucity of evidence-based apps that exist, in contrast to the thousands of apps available on the app market that are not evidence-based or user or professional informed. Although we aimed to assess the effectiveness of apps, the dearth of studies meeting our criteria meant that we were unable to be conclusive in this regard. Based on the available evidence, apps may be considered feasible health interventions, but more studies involving larger sample sizes, and with patient and health professional input at all stages, are needed to determine apps’ acceptability and effectiveness. This review provides valuable findings and paves the way for future rigorous development and evaluation of health apps for adolescents with chronic or long-term conditions.