Jiménez-Muñoz Laura, Gutiérrez-Rojas Luis, Porras-Segovia Alejandro, Courtet Philippe, Baca-García Enrique
Department of Psychiatry, University Hospital Jimenez Diaz Foundation, Madrid, Spain.
Department of Psychiatry, Jimenez Diaz Foundation Health Research Institute (IIS), Madrid, Spain.
Intern Med J. 2022 Jan;52(1):21-29. doi: 10.1111/imj.15081.
Chronic physical conditions (CPC) decrease the quality of life of millions of people. In the absence of curative treatments, maintaining healthy lifestyle habits is one of the main pillars in their clinical management. Mobile-based interventions may help patients take care of their health and follow medical recommendations. The purpose of this review is to summarise the latest evidence about mobile telephone applications (apps) for the management of CPC.
We performed a systematic search of the PubMed and EMBASE databases to identify articles that explored apps for the management of CPC, testing the apps empirically and providing clear outputs on effectiveness and/or feasibility. A total of 3528 articles were identified in the initial search. Following screening and selection process, 20 articles were included in the final review.
Mobile apps for CPC are very heterogeneous. The condition with the greater number of apps available was diabetes, followed by cardiovascular diseases. Results of feasibility were generally positive, with high rates of study completion and user engagement. Some studies used incentives, monetary of otherwise. Some of the apps have been tested in randomised controlled trials showing effectiveness in improving symptoms and/or controlling analytical parameters.
Mobile apps are promising tools for the management of CPC. Some apps have been sufficiently tested to propose their implementation in clinical practice. However, several barriers exist that can slow down the routine use of new technologies in healthcare settings.
慢性身体疾病（CPC）降低了数百万人的生活质量。在缺乏治愈性治疗方法的情况下，保持健康的生活方式习惯是其临床管理的主要支柱之一。基于移动设备的干预措施可能有助于患者关注自身健康并遵循医疗建议。本综述的目的是总结有关用于慢性身体疾病管理的移动电话应用程序（应用）的最新证据。
我们对PubMed和EMBASE数据库进行了系统检索，以识别探索用于慢性身体疾病管理的应用、对这些应用进行实证测试并提供关于有效性和/或可行性的明确结果的文章。在初步检索中总共识别出3528篇文章。经过筛选和选择过程，最终综述纳入了20篇文章。
用于慢性身体疾病的移动应用非常多样化。可用应用数量最多的疾病是糖尿病，其次是心血管疾病。可行性结果总体呈阳性，研究完成率和用户参与率较高。一些研究使用了激励措施，包括金钱或其他形式。一些应用已在随机对照试验中进行了测试，显示出在改善症状和/或控制分析参数方面的有效性。
移动应用是用于慢性身体疾病管理的有前景的工具。一些应用已得到充分测试，可建议在临床实践中实施。然而，存在一些障碍可能会减缓新技术在医疗环境中的常规使用。
