Saee Hamine|Emily Gerth?Guyette|Dunia Faulx|Beverly B. Green|Amy Sarah Ginsburg
Impact of mHealth Chronic Disease Management on Treatment Adherence and Patient Outcomes: A Systematic Review
University of Washington|Program for Appropriate Technology in Health|Program for Appropriate Technology in Health|Group Health Cooperative|Kaiser Permanente Washington Health Research Institute|Program for Appropriate Technology in Health
background adherence chronic disease management critical achieving improved health outcomes quality life costeffective health careas burden chronic diseases continues grow globally impact nonadherencemobile technologies increasingly used health care public health practice mhealth patient communication monitoring education facilitate adherence chronic diseases managementobjective conducted systematic review literature evaluate effectiveness mhealth supporting adherence patients chronic diseases management madherence usability feasibility acceptability madherence tools platforms chronic disease management among patients health care providers methodswe searched pubmed embase ebsco databases studies assessed role madherence chronic disease management diabetes mellitus cardiovascular disease chronic lung diseases 1980 may 2014outcomes interest included effect mhealth patient adherence chronic diseases management diseasespecific clinical outcomes intervention usability feasibility acceptability madherence tools platforms chronic disease management among target endusersresults 107 articles met inclusion criteriashort message service commonly used madherence tool 402 43107 studiesusability feasibility acceptability patient preferences madherence interventions assessed 579 62107 studies found generally higha total 27 studies employed randomized controlled trial rct methods assess impact adherence behaviors significant improvements observed 15 studies 56of 41 rcts measured effects diseasespecific clinical outcomes significant improvements groups reported 16 studies 39 conclusionsthere potential mhealth tools better facilitate adherence chronic disease management evidence supporting current effectiveness mixedfurther research focus understanding improving mhealth tools overcome specific barriers adherence