O'Neill Margaret, Houghton Catherine, Crilly Geraldine, Dowling Maura
Medical Assessment Unit, St John's Hospital, Limerick, Ireland.
School of Nursing and Midwifery, National University of Ireland, Galway, University Road, Galway, Ireland.
Chronic Illn. 2022 Mar;18(1):22-45. doi: 10.1177/1742395320983877. Epub 2021 Feb 14.
The aim of this qualitative evidence synthesis was to identify and synthesise qualitative research relating to experiences of using mobile health (mHealth) applications to aid self-management of Type 2 Diabetes.
Using a systematic search strategy, 11 databases were searched (Medline, CINAHL, PsychInfo, PubMed, Web of Science, Embase, Cochrane Library, Scopus, ProQuest A&1, ProQuest UK & Ireland, Mednar). "Best fit" framework synthesis was used guided by the Health Information Technology Acceptance Model (HITAM). Assessment of methodological limitations was conducted using Critical Appraisal Skills Programme (CASP) and confidence in the review findings were guided by GRADE-CERQual.
Fourteen eligible studies were included in the synthesis (7 qualitative and 5 mixed methods). Key themes identified under the health, information and technology zones of the HITAM revealed the benefits of mHealth apps, barriers to their use, their perceived usefulness and ease of use.
Most people used the apps for feedback on their self-management and found them helpful in their communication with health care providers. Some embraced the technology and found it easy to use while others found mHealth apps to be counterintuitive.
本定性证据综合分析的目的是识别和综合与使用移动健康（mHealth）应用程序辅助2型糖尿病自我管理的体验相关的定性研究。
采用系统检索策略，检索了11个数据库（Medline、CINAHL、PsychInfo、PubMed、Web of Science、Embase、Cochrane图书馆、Scopus、ProQuest A&1、ProQuest英国及爱尔兰、Mednar）。在健康信息技术接受模型（HITAM）的指导下，使用“最佳拟合”框架综合分析。使用批判性评估技能计划（CASP）对方法学局限性进行评估，并以GRADE-CERQual指导对综述结果的信心。
14项符合条件的研究纳入综合分析（7项定性研究和5项混合方法研究）。在HITAM的健康、信息和技术领域确定的关键主题揭示了移动健康应用程序的益处、使用障碍、其感知的有用性和易用性。
大多数人使用这些应用程序来获得自我管理的反馈，并发现它们有助于与医疗保健提供者沟通。一些人接受了这项技术，发现它易于使用，而另一些人则发现移动健康应用程序违反直觉。
