Urological Research Center, Lillebaelt Hospital, Vejle, Denmark; Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
Urological Research Center, Lillebaelt Hospital, Vejle, Denmark; Department of Engineering, Aarhus University, Aarhus, Denmark; Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus N, Denmark.
Patient Educ Couns. 2021 Apr;104(4):680-688. doi: 10.1016/j.pec.2020.10.026. Epub 2020 Oct 21.
Self-management approaches are widely used to improve chronic care. In this context, health care professionals call for efficient tools to engage patients in managing their illness. Mobile health (mHealth), defined by WHO as medical and public health practice supported by mobile devices, is demonstrated to enhance self-management and health-coaching as an engaging tool in supporting behaviour change. Nevertheless, it is unclear how health-coaching and mHealth can benefit from each other.
We conducted a scoping review to provide a literature-overview and identify any existing gaps in knowledge of mHealth in combination with health-coaching interventions for improving self-management in patients with chronic diseases.
No patients were involved in the review process.
The five-stage framework by Arksey and O'Malley was used. The review surveys; PubMed, CINAHL, Embase, Scopus, and PsycInfo. Two independent reviewers performed review selection and characterization.
The review points at two approaches; (i) coaching used to support mHealth and (ii) mHealth as support for coaching. The findings suggest that patients prefer physical interactions to telecommunication. mHealth was primarily used to facilitate telecommunication and to monitor disease aspects.
We found that mHealth and health-coaching interventions benefit from each other. The review report on a considerable unclarity in the coaching-methods and that the patients were more satisfied with physical interactions than mHealth. We suggest to prioritize human contact and to explore more personalized health technology.
This scoping review can provide a framework for researchers and care providers to support discussion and introduction of new approaches and technology in self-management for patients with chronic diseases, thereby improving patients' quality of life.
自我管理方法被广泛用于改善慢性病护理。在这种情况下，医疗保健专业人员呼吁使用高效工具来促使患者参与管理自己的疾病。世界卫生组织将移动医疗（mHealth）定义为通过移动设备支持的医疗和公共卫生实践，已被证明可以增强自我管理和健康指导作为支持行为改变的有效工具。然而，目前尚不清楚健康指导和 mHealth 如何相互受益。
我们进行了范围界定审查，以提供文献综述，并确定 mHealth 与健康指导干预相结合用于改善慢性病患者自我管理方面的现有知识差距。
患者未参与审查过程。
采用 Arksey 和 O'Malley 的五阶段框架。审查调查了 PubMed、CINAHL、Embase、Scopus 和 PsycInfo。两名独立的审查员进行了审查选择和特征描述。
该审查指出了两种方法；（i）用于支持 mHealth 的指导，以及（ii）mHealth 作为指导的支持。研究结果表明，患者更喜欢物理互动而不是远程通信。mHealth 主要用于促进远程通信和监测疾病方面。
我们发现 mHealth 和健康指导干预措施相互受益。该审查报告指出，指导方法存在相当大的不明确性，并且患者对物理互动比对 mHealth 更满意。我们建议优先考虑人工接触，并探索更个性化的健康技术。
这项范围界定审查可以为研究人员和护理提供者提供一个框架，以支持讨论和引入慢性病患者自我管理的新方法和技术，从而提高患者的生活质量。
