A Review of the Quality and Impact of Mobile Health Apps

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Quinn Grundy
Keyword(s):  
Public Health ◽  
Mobile Health ◽  
Annual Review ◽  
Publication Date ◽  
Health Apps ◽  
Digital Environments ◽  
User Data ◽  
Mobile Health Applications ◽  
Mobile Health Apps ◽  
The Impact

Mobile health applications (apps) have transformed the possibilities for health promotion and disease self-management; however, their promise is not fully realized owing to their reliance on commercial ecosystems for development and distribution. This review provides an overview of the types of mobile health apps and describes key stakeholders in terms of how apps are used, developed, and regulated. I outline key challenges facing consumers, public health professionals, and policy makers in evaluating the quality of health apps and summarize what is known about the impact of apps on health outcomes and health equity. I suggest that factors within the wider mobile ecosystem largely define the impact of health apps and, most notably, practices around the collection and commercialization of user data. Finally, I suggest that upstream public health strategies, grounded in an understanding of corporate influences on health, are necessary to promote healthy digital environments in which mobile health app innovation can flourish. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Mobile health applications for managing atrial fibrillation for healthcare professionals and patients: a systematic review

EP Europace ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. 1567-1578
Author(s):  
Deirdre A Lane ◽  
Naoimh McMahon ◽  
Josephine Gibson ◽  
Jo C Weldon ◽  
Michal M Farkowski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mobile Health ◽  
User Engagement ◽  
Post Intervention ◽  
Health Apps ◽  
Mobile Health Applications ◽  
Mobile Health Apps ◽  
The Impact ◽  
Health Applications

Abstract Aims A plethora of mobile health applications (m-health apps) to support healthcare are available for both patients and healthcare professionals (HCPs) but content and quality vary considerably and few have undergone formal assessment. The aim is to systematically review the literature on m-health apps for managing atrial fibrillation (AF) that examine the impact on knowledge of AF, patient and HCP behaviour, patients’ quality-of-life, and user engagement. Methods and results MEDLINE, EMBASE, CINAHL, and PsychInfo were searched from 1 January 2005 to 5 September 2019, with hand-searching of clinical trial registers and grey literature. Studies were eligible for inclusion if they reported changes in any of the following: (i) knowledge of AF; (ii) provider behaviour (e.g. guideline adherence); (iii) patient behaviour (e.g. medication adherence); (iv) patient quality-of-life; and (v) user engagement. Two reviewers independently assessed articles for eligibility. A narrative review was undertaken as included studies varied widely in their design, interventions, comparators, and outcomes. Seven studies were included; six m-health apps aimed at patients and one at HCPs. Mobile health apps ranged widely in design, features, and method of delivery. Four studies reported patient knowledge of AF; three demonstrated significant knowledge improvement post-intervention or compared to usual care. One study reported greater HCP adherence to oral anticoagulation guidelines after m-health app implementation. Two studies reported on patient medication adherence and quality-of-life; both showed improved quality-of-life post-intervention but only one observed increased adherence. Regarding user engagement, five studies reported patient perspectives on usability, three on acceptability, and one on feasibility; overall all m-health apps were rated positively. Conclusion Mobile health apps demonstrate improvements in patient knowledge, behaviour, and quality of life. Studies formally evaluating the impact of m-health on HCP behaviour are scarce and larger-scale studies with representative patient cohorts, appropriate comparators, and longer-term assessment of the impact of m-health apps are warranted.

The prevalence and sociodemographic predictors of mobile health applications ownership among cancer survivors.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e24046-e24046
Author(s):  
Gideon T Dosunmu ◽  
Kobina Kwantsin Hagan ◽  
Chike Udoye ◽  
Moh'd M. Khushman
Keyword(s):  
Cancer Survivors ◽  
Mobile Health ◽  
Employment Status ◽  
Limited Resources ◽  
Health Apps ◽  
Sociodemographic Predictors ◽  
Mobile Health Applications ◽  
Mobile Health Apps ◽  
Growing Population ◽  
Health Applications

e24046 Background: The transition of cancer patients from patients to survivors is challenging. Cancer survivors often experience chronic physical, social and mental health needs which remain largely unmet. Due to the growing population of cancer survivors and limited resources available to address their needs, mobile health applications (apps) have emerged to help cancer patients in assuming their new role as survivors. Here, we explored the prevalence and sociodemographic predictors of mobile health apps ownership among Cancer Survivors in the United States using a nationally representative sample. Methods: Data from cycles 1 (2017) and 2 (2018) of the 5th edition of the Health Information National Trends Survey (HINTS 5) was reviewed. Descriptive statistics was used to evaluate the sociodemographic characteristics and the prevalence of mobile health apps ownership among cancer survivors. Univariate logistic regression models were used to explore the relationship between sociodemographic predictors and mobile health apps ownership. Results: We identified 1,097 (weighted estimate of 44,666,781) individuals who self-reported having been diagnosed with cancer in the . Of these, 57.39% were females, 79% were whites, 47.18% had 2 or more medical comorbidities, 63.7% were unemployed and about 50% were aged 65 or more. Prevalence of mobile health apps ownership was 44.82%. Among all the sociodemographic variables; educational level (p = 0.015), income (p = 0.014) and employment status (p < 0.005) were predictors of mobile health apps ownership among cancer. Conclusions: Cancer survivors are digitally connected and can be approached through mobile health apps. In our study, the prevalence of mobile health apps ownership in cancer survivors was 44.8%. Educational level, income and employment status were identified as predictors of mobile health apps ownership. Due to the growing population of cancer survivors and limited resources available to address their needs, efforts to address barriers of mobile health apps adoption and utilization should be encouraged.

Police Violence and Public Health

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jordan E. DeVylder ◽  
Deidre M. Anglin ◽  
Lisa Bowleg ◽  
Lisa Fedina ◽  
Bruce G. Link
Keyword(s):  
Public Health ◽  
Premature Mortality ◽  
Annual Review ◽  
Publication Date ◽  
Structural Racism ◽  
Public Health Perspective ◽  
Police Violence ◽  
True Solution ◽  
The Usa ◽  
The Impact

Despite their enormous potential impact on population health and health inequities, police violence and use of excessive force have only recently been addressed from a public health perspective. Moving to change this state of affairs, this article considers police violence in the USA within a social determinants and health disparities framework, highlighting recent literature linking this exposure to mental health symptoms, physical health conditions, and premature mortality. The review demonstrates that police violence is common in the USA; is disproportionately directed toward Black, Latinx, and other marginalized communities; and exerts a significant and adverse effect on a broad range of health outcomes. The state-sponsored nature of police violence, its embedding within a historical and contemporary context of structural racism, and the unique circumstances of the exposure itself make it an especially salient and impactful form of violence exposure, both overlapping with and distinct from other forms of violence. We conclude by noting potential solutions that clinicaly psychology and allied fields may offer to alleviate the impact of police violence, while simultaneously recognizing that a true solution to this issue requires a drastic reformation or replacement of the criminal justice system, as well as addressing the broader context of structural and systemic racism in the USA. Expected final online publication date for the Annual Review of Clinical Psychology, Volume 18 is May 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Technology for Remote Health Monitoring in an Older Population: A Role for Mobile Devices

2018 ◽  
Vol 2 (3) ◽  
pp. 43 ◽  
Author(s):  
Kate Dupuis ◽  
Lia Tsotsos
Keyword(s):  
Older Adults ◽  
Mobile Devices ◽  
Healthcare System ◽  
Mobile Health ◽  
Older Population ◽  
Related Factors ◽  
Health Apps ◽  
Health Related ◽  
Mobile Health Apps ◽  
The Impact

The impact of an aging population on healthcare and the sustainability of our healthcare system are pressing issues in contemporary society. Technology has the potential to address these challenges, alleviating pressures on the healthcare system and empowering individuals to have greater control over monitoring their own health. Importantly, mobile devices such as smartphones and tablets can allow older adults to have “on the go” access to health-related information. This paper explores mobile health apps that enable older adults and those who care for them to track health-related factors such as body readings and medication adherence, and it serves as a review of the literature on the usability and acceptance of mobile health apps in an older population.

RNA Engineering for Public Health: Innovations in RNA-Based Diagnostics and Therapeutics

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Walter Thavarajah ◽  
Laura M. Hertz ◽  
David Z. Bushhouse ◽  
Chloé M. Archuleta ◽  
Julius B. Lucks
Keyword(s):  
Public Health ◽  
Annual Review ◽  
Publication Date ◽  
Molecular Processes ◽  
Fluorescent Signal ◽  
Extracellular Signals ◽  
Health Innovations ◽  
Wide Range ◽  
Rna Design ◽  
The Impact

RNA is essential for cellular function: From sensing intra- and extracellular signals to controlling gene expression, RNA mediates a diverse and expansive list of molecular processes. A long-standing goal of synthetic biology has been to develop RNA engineering principles that can be used to harness and reprogram these RNA-mediated processes to engineer biological systems solving pressing global challenges. Recent advances in the field of RNA engineering are bringing this to fruition, enabling the creation of RNA-based tools to combat some of the most urgent public health crises. Specifically, new diagnostics using engineered RNAs are able to detect both pathogens and chemicals while generating an easily detectable fluorescent signal as an indicator. New classes of vaccines and therapeutics are also using engineered RNAs to target a wide range of genetic and pathogenic diseases. Here, we discuss the recent breakthroughs in RNA engineering enabling these innovations and examine how advances in RNA design promise to accelerate the impact of engineered RNA systems. Expected final online publication date for the Annual Review of Chemical and Biomolecular Engineering, Volume 12 is June 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Scaling Up Public Health Interventions: Engaging Partners Across Multiple Levels

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Jennifer Leeman ◽  
Alix Boisson ◽  
Vivian Go
Keyword(s):  
Public Health ◽  
Scale Up ◽  
Lessons Learned ◽  
Annual Review ◽  
Publication Date ◽  
Illustrative Case ◽  
Middle Income ◽  
Effective Interventions ◽  
Illustrative Case Study ◽  
The Impact

Advancing the science of intervention scale-up is essential to increasing the impact of effective interventions at the regional and national levels. In contrast with work in high-income countries (HICs), where scale-up research has been limited, researchers in low- and middle-income countries (LMICs) have conducted numerous studies on the regional and national scale-up of interventions. In this article, we review the state of the science on intervention scale-up in both HICs and LMICs. We provide an introduction to the elements of scale-up followed by a description of the scale-up process, with an illustrative case study from our own research. We then present findings from a scoping review comparing scale-up studies in LMIC and HIC settings. We conclude with lessons learned and recommendations for improving scale-up research. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

scholarly journals Evaluating evaluation frameworks: a scoping review of frameworks for assessing health apps

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e047001
Author(s):  
Sarah Lagan ◽  
Lev Sandler ◽  
John Torous
Keyword(s):  
Mobile Health ◽  
Scoping Review ◽  
Data Extraction ◽  
Evaluation Framework ◽  
Publication Date ◽  
Evaluation Tool ◽  
Eligibility Criteria ◽  
Health Apps ◽  
Mobile Health Apps ◽  
The Mind

ObjectivesDespite an estimated 300 000 mobile health apps on the market, there remains no consensus around helping patients and clinicians select safe and effective apps. In 2018, our team drew on existing evaluation frameworks to identify salient categories and create a new framework endorsed by the American Psychiatric Association (APA). We have since created a more expanded and operational framework Mhealth Index and Navigation Database (MIND) that aligns with the APA categories but includes objective and auditable questions (105). We sought to survey the existing space, conducting a review of all mobile health app evaluation frameworks published since 2018, and demonstrate the comprehensiveness of this new model by comparing it to existing and emerging frameworks.DesignWe conducted a scoping review of mobile health app evaluation frameworks.Data sourcesReferences were identified through searches of PubMed, EMBASE and PsychINFO with publication date between January 2018 and October 2020.Eligibility criteriaPapers were selected for inclusion if they meet the predetermined eligibility criteria—presenting an evaluation framework for mobile health apps with patient, clinician or end user-facing questions.Data extraction and synthesisTwo reviewers screened the literature separately and applied the inclusion criteria. The data extracted from the papers included: author and dates of publication, source affiliation, country of origin, name of framework, study design, description of framework, intended audience/user and framework scoring system. We then compiled a collection of more than 1701 questions across 79 frameworks. We compared and grouped these questions using the MIND framework as a reference. We sought to identify the most common domains of evaluation while assessing the comprehensiveness and flexibility—as well as any potential gaps—of MIND.ResultsNew app evaluation frameworks continue to emerge and expand. Since our 2019 review of the app evaluation framework space, more frameworks include questions around privacy (43) and clinical foundation (57), reflecting an increased focus on issues of app security and evidence base. The majority of mapped frameworks overlapped with at least half of the MIND categories. The results of this search have informed a database (apps.digitalpsych.org) that users can access today.ConclusionAs the number of app evaluation frameworks continues to rise, it is becoming difficult for users to select both an appropriate evaluation tool and to find an appropriate health app. This review provides a comparison of what different app evaluation frameworks are offering, where the field is converging and new priorities for improving clinical guidance.

scholarly journals PNS187 US NATIONAL TRENDS OF MOBILE HEALTH APPS USE IN 2014 AND 2018

2019 ◽  
Vol 22 ◽  
pp. S317
Author(s):  
X. Feng ◽  
T. Lavelle ◽  
P.J. Lin
Keyword(s):  
Mobile Health ◽  
Health Apps ◽  
Mobile Health Apps ◽  
National Trends
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