Factors Influencing Adherence to mHealth Apps among Adults with Non-communicable Disease: A Systematic Review. (Preprint)

2021 ◽  
Author(s):  
Robert Jakob ◽  
Samira Harperink ◽  
Aaron Maria Rudolf ◽  
Elgar Fleisch ◽  
Severin Haug ◽  
...  
Keyword(s):  
Literature Search ◽  
Communicable Diseases ◽  
Retention Data ◽  
Related Factors ◽  
Non Communicable Diseases ◽  
Factors Influencing ◽  
Actual Use ◽  
Health Domains ◽  
Mhealth Apps ◽  
Intended Use

BACKGROUND Mobile health applications show vast potential in supporting patients and health care systems with the globally increasing prevalence and economic costs of non-communicable diseases. However, despite the availability of evidence-based mHealth apps, a substantial proportion of users does not adhere to them as intended and may consequently not receive treatment. Therefore, understanding factors that act as barriers or facilitators to adherence is a fundamental concern to prevent intervention dropouts and increase the effectiveness of digital health interventions. OBJECTIVE This review aims to identify intervention- and patient-related factors influencing the continued use of mHealth applications targeting non-communicable diseases (NCDs). We further derive quantified adherence scores for different health domains, which may help stakeholders plan, develop, and evaluate mHealth apps. METHODS A comprehensive systematic literature search (January 2007- December 2020) was conducted in MEDLINE, Embase, Web of Science, Scopus, and ACM Digital Library. Data on intended use, actual use, and factors influencing adherence were extracted. Intervention-related and patient-related factors with a positive or negative influence on adherence are presented separately for the health domains NCD-Self-Management, Mental Health, Substance Use, Nutrition, Physical Activity, Weight Loss, Multicomponent Lifestyle Interventions, Mindfulness, and other NCDs. Quantified adherence measures, calculated as the ratio between estimated intended and actual use, were derived for each study and compared with qualitative findings. RESULTS The literature search yielded 2862 potentially relevant articles, of which 99 were included as part of the inclusion criteria. Four intervention-related factors indicated positive effects on adherence across all health domains: (1) personalization or tailoring the content of the mHealth app to the individual needs of the user, (2) reminders in the form of individualized push notifications, (3) a user-friendly and technically stable app design, and (4) personal support complementary to the digital intervention. Social and gamification features were also identified as drivers of app adherence across several health domains. A wide variety of patient-related factors like user characteristics or user recruitment channels further affects adherence. Derived adherence scores of included mHealth apps averaged 56.0%. CONCLUSIONS This study contributes to the scarce scientific evidence on factors positively or negatively influencing adherence to mHealth apps and is the first to compare adherence relative to the intended use of various health domains quantitatively. As underlying studies mostly have a pilot character with short study durations, research on factors influencing adherence to mHealth apps is still limited. To facilitate future research on mHealth app adherence, researchers should clearly outline and justify the app's intended use, report objective data on actual use relative to the intended use, and ideally, provide long-term usage and retention data.

scholarly journals The Practicality of Mobile Applications in Healthcare Administration and COVID-19 Pandemic

2021 ◽  
pp. 117-130
Author(s):  
Nursyamila Zamri ◽  
Fathima Begum Syed Mohideen
Keyword(s):  
Infectious Diseases ◽  
Healthy Lifestyle ◽  
Age Groups ◽  
Well Being ◽  
Communicable Diseases ◽  
Mobile App ◽  
Healthcare Administration ◽  
Non Communicable Diseases ◽  
Advantages And Disadvantages ◽  
Mhealth Apps

Mobile health (mHealth) applications (apps) aid healthcare administration through monitoring health issues and virtually achieving personal well-being goals. There are numerous mHealth apps available; however, their usefulness is unclear. Furthermore, older age groups may be unfamiliar with mHealth apps. Therefore, the purpose of this literature review is to provide an overview of the practicality of mHealth apps in healthcare administration. mHealth apps carry important roles for non-communicable and infectious diseases, primarily during the COVID-19 pandemic. Hence, people with different backgrounds or ages need to understand to utilise mHealth apps, particularly the ‘MySejahtera’ app. Thus, the classifications, functions, advantages, and disadvantages of mHealth apps are addressed. The information was obtained from a variety of electronic databases, including PUBMED, Google Scholar, UpToDate, and web sources. Several journals, books, articles, and reports were retrieved and analysed based on their relevance from May 2011 to November 2020. Non-communicable diseases, particularly chronic diseases, can be assisted by mHealth as the unique interaction via mHealth apps assist patients in executing optimistic behaviours towards a healthy lifestyle. In the case of COVID-19, this review emphasises the importance of the ‘MySejahtera’ app, which is actively being used in Malaysia to handle the COVID-19 pandemic. This article also discusses mHealth apps’ effectiveness and how Malaysians used the ‘MySejahtera’ app during the COVID-19 pandemic. More secure apps, comparable to the ‘MySejahtera’ app are required to manage infectious diseases like COVID-19 and non-communicable diseases such as diabetes mellitus since the number of mobile app users will continue to grow worldwide.

scholarly journals Self-reported non-communicable diseases and associated socio-demographic status among ethnic minority populations in Vietnam, 2019

2020 ◽  
Vol 7 (2) ◽  
pp. 205510292095470
Author(s):  
Hoang Van Minh ◽  
Khuong Quynh Long ◽  
Nguyen Thanh Ha ◽  
Doan Thi Thuy Duong ◽  
Tran Trung ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Older People ◽  
Ethnic Minority ◽  
Household Survey ◽  
Communicable Diseases ◽  
Poor People ◽  
Minority Populations ◽  
Related Factors ◽  
Non Communicable Diseases ◽  
Ethnic Minority Populations

The aim of this study was to report the prevalence of self-reported non-communicable diseases among ethnic minority populations in Vietnam and related factors. A total of 5033 individuals aged 15 years and older who belonged to ethnic minority populations from 12 provinces in Vietnam completed a household survey. The overall prevalence of self-reported non-communicable diseases was 12.4% (95% CI: 11.5%–13.4%). Cardiovascular diseases were the most prevalent, followed by diabetes. Ethnicity was shown to have an independently significant correlation to having any non-communicable diseases. Older people, near-poor and non-poor people had significantly higher odds of having non-communicable diseases as compared to younger and poor people.

scholarly journals A priority health index identifies the top six priority risk and related factors for non-communicable diseases in Brazilian cities

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Eduardo J Simoes ◽  
Adam Bouras ◽  
Juan Jose Cortez-Escalante ◽  
Deborah C Malta ◽  
Denise Lopes Porto ◽  
...  
Keyword(s):  
Communicable Diseases ◽  
Health Index ◽  
Related Factors ◽  
Non Communicable Diseases ◽  
A Priority

scholarly journals Access to medicines for chronic diseases in Brazil: a multidimensional approach

2016 ◽  
Vol 50 (suppl 2) ◽  
Author(s):  
Maria Auxiliadora Oliveira ◽  
Vera Lucia Luiza ◽  
Noemia Urruth Leão Tavares ◽  
Sotero Serrate Mengue ◽  
Paulo Sergio Dourado Arrais ◽  
...  
Keyword(s):  
Health System ◽  
Communicable Disease ◽  
Statistical Significance ◽  
Household Survey ◽  
Access To Medicines ◽  
Communicable Diseases ◽  
Related Factors ◽  
Non Communicable Diseases ◽  
Geographic Accessibility ◽  
Unified Health System

ABSTRACT OBJECTIVE To analyze the access to medicines to treat non-communicable diseases in Brazil according to socioeconomic, demographic, and health-related factors, from a multidimensional perspective. METHODS Analysis of data from the National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM), household survey, sampling plan by conglomerates with representativeness of the Brazilian population and large areas of the country, according to sex and age domains. Data collected in 2013–2014 with sample of adults (≥ 20 years) who reported having non-communicable diseases and medical indication for use of medicines (n = 12,725). We assessed the prevalence of access to medicines for self-reported non-communicable diseases, considering four dimensions: availability, geographic accessibility, acceptability, and affordability. We applied Pearson’s Chi-square test to assess the statistical significance of the differences between strata, considering the level of significance of 5%. We found prevalence of 94.3%, 5.2%, and 0.5% for full, partial, and null access, respectively. Higher prevalence was observed among seniors in the South compared to the Northeast; for those who reported having one non-communicable disease compared to those who reported having two or more; for those who needed one medicine compared to those who needed three or more; and for those who self-assessed their health as good or very good. Geographic accessibility was similar in the Unified Health System and in the private pharmacies (72.0%). Total availability of medicines was 45.2% in the Unified Health System, 67.4% in the Popular Pharmacy Program, and 88.5% in private pharmacies. Acceptability was 92.5% in the Unified Health System, 97.8% in the Popular Pharmacy Program, and 98.7% in private pharmacies. As to affordability, 2.6% of the individuals failed to take the medicines they should in the 30-day period prior to the interview due to financial difficulty. Prevalence of full access to medicines for non-communicable diseases in Brazil is high and presents significant differences for age group, region of the country, number of non-communicable diseases, and for medicines prescribed and self-assessment of health. The major barriers to access to medicines were identified in the dimensions analyzed.

scholarly journals School related factors affecting non communicable diseases risk factors among 13-15 years old adolescents from two schools in Delhi

2019 ◽  
Vol 6 (7) ◽  
pp. 3087
Author(s):  
Ashwini Kedar ◽  
Sanjay Gupta
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Health Education ◽  
Fast Food ◽  
Central Government ◽  
Vegetable Intake ◽  
Communicable Diseases ◽  
Related Factors ◽  
Non Communicable Diseases ◽  
Active Involvement

Background: Children and adolescents are more vulnerable to developing NCD (non communicable diseases) risk factors due to changing lifestyles. Hence it is essential to recognize NCD risk factors among adolescents. School plays an important role in imparting knowledge and shaping the behaviours and practices among children. This study focusses on the school related factors that may be influencing the NCD risk factors among adolescents.Methods: The study was conducted among 438 students, 13 to 15 years old of two central government schools in Delhi. A self-administered modified STEPS questionnaire, an observation checklist for assessing facilities at schools and an interview schedule for school staff were used to collect data.Results: The statistically significant determinants of inadequate fruits and vegetable intake and excess fast food intake were consumption of fast food from vendors selling food outside the school (OR=4.36), inadequate physical activity at school (OR=2.56) and feeling stressed at school (OR=2.93). Physical activity at school was an important determinant for overall physical activity of students (OR=2.38). Current tobacco use and current alcohol use was determined by feeling stressed at school (OR=3.12). Health education classes at school had a protective effect on the NCD risk factors.Conclusions: Many school related factors such as absence of playground at school, stressed life at school and vendors selling fast food outside school were seen to influence lifestyle risk factors amongst adolescents. Hence an active involvement of school by increasing health education classes and providing adequate facilities for physical activities may help in reducing the NCD risk factors among students.

scholarly journals Dose–response relationship between physical activity and mortality in people with non-communicable diseases: a study protocol for the systematic review and meta-analysis of cohort studies

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e028653 ◽  
Author(s):  
Wolfgang Geidl ◽  
Sabrina Schlesinger ◽  
Eriselda Mino ◽  
Lorena Miranda ◽  
Anna Ryan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Study Protocol ◽  
Dose Response ◽  
Literature Search ◽  
Meta Analysis ◽  
Communicable Diseases ◽  
Risk Of Bias ◽  
Non Communicable Diseases ◽  
Related Energy

IntroductionThis study protocol outlines our planned systematic review and dose-response meta-analysis of postdiagnosis physical activity and mortality in people with non-communicable diseases (NCDs).Methods and analysisThis study is based on the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Protocols. A systematic literature search will be conducted in various databases—namely, PubMed, Scopus and Web of Science—by two researchers in order to identify prospective observational studies that investigate postdiagnosis physical activity or activity-related energy expenditure and mortality in individuals with NCDs. The target population is adults (≥18 years of age) with one of the following nine NCDs: low back pain, type 2 diabetes mellitus, osteoarthritis, depressive disorder, chronic obstructive pulmonary disease, breast cancer, lung cancer, stroke or ischaemic heart disease. We will focus on all-cause mortality as the primary outcome and investigate indication-specific mortality as the secondary outcome. For each study identified as a result of the literature search, we will conduct graphical dose-response analyses of mortality as a function of activity-related energy consumption. If more than two studies are available for one disease, we will perform linear and non-linear dose-response meta-analyses for said disease using random-effects models. We will investigate the heterogeneity of the studies and publication bias. To assess the risk of bias and the quality of the included studies, we will use the Risk Of Bias In Non-randomised Studies - of Interventions tool, which is a Cochrane tool.Ethics and disseminationThis systematic review will be conducted in compliance with ethical precepts. As the systematic review is based on published studies, approval from an ethics committee is not required. The systematic review and meta-analysis will be published in a peer-reviewed journal.PROSPERO registration numberCRD42018103357

Taxing and Marketing Restrictions of “Foods High in Fat, Salt or Sugar” in the EU

2016 ◽  
Vol 7 (3) ◽  
pp. 597-603
Author(s):  
Paolo R. Vergano ◽  
Blanca Salas Ferrer
Keyword(s):  
World Health Organization ◽  
Physical Inactivity ◽  
Communicable Diseases ◽  
Overweight And Obesity ◽  
World Health ◽  
Related Factors ◽  
Non Communicable Diseases ◽  
The World ◽  
Health Organization ◽  
The Eu

According to the World Health Organization (hereinafter, WHO), 38 million people die each year as a consequence of non-communicable diseases (hereinafter, NCDs). NCDs are mainly caused by diet-related factors, but also by physical inactivity and abuse of certain substances. In particular, overweight and obesity reportedly affect more than 10% of men and 14% of women globally and kill as many as 2.8 million people every year.

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