A lot of action, but not in the right direction: systematic review and content analysis of smartphone applications for the prevention, detection, and management of cancer.

A lot of action, but not in the right direction: systematic review and content analysis of smartphone applications for the prevention, detection, and management of cancer.
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DOI:
10.2196/jmir.2661
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发表时间:
2013-12-23
影响因子:
7.4
通讯作者:
Jadad AR
Jadad AR
中科院分区:
医学2区
文献类型:
--
作者:
Bender JL;Yue RY;To MJ;Deacken L;Jadad AR

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移动的电话已变得几乎无处不在,为提供卫生干预措施提供了一种有希望的手段。然而,对癌症的智能手机应用程序(应用程序)知之甚少。这项研究的目的是描述可供公众使用的以癌症为重点的智能手机应用程序的目的和内容,以及有关其实用性或有效性的证据。我们对四大智能手机平台的官方应用程序商店进行了系统的评估:iPhone,Android,Nokia和BlackBerry。如果应用程序专注于癌症并可供公众使用,则将其纳入审查范围。对MEDLINE、Embase和科克伦图书馆的文献进行系统性综述,以确定癌症相关智能手机应用程序的评价。来自智能手机应用程序商店的295个应用程序符合纳入标准。大多数应用程序针对乳腺癌(46.8%,138/295)或一般癌症(28.5%,84/295)。据报道,该应用程序的目的主要是提高人们对癌症的认识(32.2%,95/295)或提供有关癌症的教育信息(26.4%,78/295),其次是支持筹款活动的应用程序(12.9%,38/295),协助早期发现(11.5%,34/295),推动慈善组织(10.2%,30/295)、支持疾病管理(3.7%,11/295)、癌症预防(2.0%,6/295)或社会支持(1.0%,3/295)。大多数应用程序没有描述其组织隶属关系(64.1%,189/295)。与非营利组织有关的应用程序更可能是免费的(χ2 1=16.3,P<0.001),并具有筹款或宣传目的(χ2 2=13.3,P= 0.001)。对健康文献的审查产生了594篇文章,其中没有一篇报道了对以癌症为重点的智能手机应用程序的评价。目前有数百种针对癌症的应用程序,它们有可能加强促进行为改变的努力,监测疾病的一系列症状和生理指标,并以方便和低成本提供实时支持性干预措施。然而,缺乏关于其效用、有效性和安全性的证据。今后的努力应侧重于改进和巩固证据基础,使之成为供公众使用的白名单。
Mobile phones have become nearly ubiquitous, offering a promising means to deliver health interventions. However, little is known about smartphone applications (apps) for cancer. The purpose of this study was to characterize the purpose and content of cancer-focused smartphone apps available for use by the general public and the evidence on their utility or effectiveness. We conducted a systematic review of the official application stores for the four major smartphone platforms: iPhone, Android, Nokia, and BlackBerry. Apps were included in the review if they were focused on cancer and available for use by the general public. This was complemented by a systematic review of literature from MEDLINE, Embase, and the Cochrane Library to identify evaluations of cancer-related smartphone apps. A total of 295 apps from the smartphone app stores met the inclusion criteria. The majority of apps targeted breast cancer (46.8%, 138/295) or cancer in general (28.5%, 84/295). The reported app purpose was predominantly to raise awareness about cancer (32.2%, 95/295) or to provide educational information about cancer (26.4%, 78/295), followed by apps to support fundraising efforts (12.9%, 38/295), assist in early detection (11.5%, 34/295), promote a charitable organization (10.2%, 30/295), support disease management (3.7%, 11/295), cancer prevention (2.0%, 6/295), or social support (1.0%, 3/295). The majority of the apps did not describe their organizational affiliation (64.1%, 189/295). Apps affiliated with non-profit organizations were more likely to be free of cost (χ2 1=16.3, P<.001) and have a fundraising or awareness purpose (χ2 2=13.3, P=.001). The review of the health literature yielded 594 articles, none of which reported an evaluation of a cancer-focused smartphone application. There are hundreds of cancer-focused apps with the potential to enhance efforts to promote behavior change, to monitor a host of symptoms and physiological indicators of disease, and to provide real-time supportive interventions, conveniently and at low cost. However, there is a lack of evidence on their utility, effectiveness, and safety. Future efforts should focus on improving and consolidating the evidence base into a whitelist for public consumption.
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