Coe-O'Brien Rachel, Joseph Leonard, Kuisma Raija, Paungmali Aatit, Sitilertpisan Patraporn, Pirunsan Ubon
1Croydon University Hospital, National Health Service Trust, 530 London Road, Croydon, CR7 7YE UK.
2School of Health Science, University of Brighton, Robert Dodd Building, 49, Darley Road, Eastbourne, East Sussex BN20 7UR UK.
Health Inf Sci Syst. 2020 Jan 2;8(1):5. doi: 10.1007/s13755-019-0097-x. eCollection 2020 Dec.
Smartphone applications (SPApps) have become a key tool for the self-management of low back pain (LBP). However, the scientific evidence behind the outcome measures used in SPApps for LBP is never investigated before. Therefore, this systematic review firstly assess the quality of the free SPApps for LBP, secondly examines the outcome measures used and thirdly evaluates the outcome measures against the International Classification of Functioning, Disability and Health (ICF) core set classifications for LBP.
A systematic scoping review was conducted in the iTunes and Google Play™ on-line stores for LBP SPApps which are free to download. These searches were conducted using keywords suggested by the Cochrane Back and Neck Group. SPApps were screened and downloaded to assess the quality using the Mobile App Rating Scale (MARS). SPApps using outcome measures were reviewed separately to evaluate whether their outcome measures represented any of the ICF components for LBP.
The overall quality of the apps has a mean MARS score of 2.5/5. Out of 74 apps reviewed, only four apps had outcome measures that could be linked to ICF components for LBP. Two of the four categories comprising the LBP core set were well represented.
The overall quality of the SPApps for LBP is low. Only very few SPApps offer outcome measures to monitor their effectiveness in the management of LBP. There is very limited evidence to show that the outcome measures used in the apps represents all the four core sets of LBP criteria set by ICF.
智能手机应用程序（SPApps）已成为腰痛（LBP）自我管理的关键工具。然而，此前从未对SPApps用于LBP的结局指标背后的科学证据进行过调查。因此，本系统评价首先评估免费LBP的SPApps的质量，其次检查所使用的结局指标，第三根据国际功能、残疾和健康分类（ICF）腰痛核心集分类评估结局指标。
在iTunes和谷歌Play™在线商店对可免费下载的LBP的SPApps进行系统的范围综述。这些搜索使用Cochrane背部和颈部小组建议的关键词进行。对SPApps进行筛选并下载，使用移动应用评分量表（MARS）评估质量。对使用结局指标的SPApps分别进行审查，以评估其结局指标是否代表LBP的任何ICF组成部分。
应用程序的总体质量平均MARS评分为2.5/5。在审查的74个应用程序中，只有4个应用程序的结局指标可以与LBP的ICF组成部分相关联。构成LBP核心集的四个类别中有两个得到了很好的体现。
LBP的SPApps总体质量较低。只有极少数SPApps提供结局指标来监测其在LBP管理中的有效性。几乎没有证据表明应用程序中使用的结局指标代表了ICF设定的LBP标准的所有四个核心集。
