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Evaluation of Patient-Facing Mobile Apps to Support Physiotherapy Care: Systematic Review.

作者信息

Merolli Mark, Francis Jill J, Vallance Patrick, Bennell Kim L, Malliaras Peter, Hinman Rana S

机构信息

Centre for Health, Exercise & Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Australia.

Centre for Digital Transformation of Health, The University of Melbourne, Melbourne, Australia.

出版信息

JMIR Mhealth Uhealth. 2024 Mar 4;12:e55003. doi: 10.2196/55003.


DOI:10.2196/55003
PMID:38437018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10949126/
Abstract

BACKGROUND: Mobile health interventions delivered through mobile apps are increasingly used in physiotherapy care. This may be because of the potential of apps to facilitate changes in behavior, which is central to the aims of care delivered by physiotherapists. A benefit of using apps is their ability to incorporate behavior change techniques (BCTs) that can optimize the effectiveness of physiotherapeutic interventions. Research continues to suggest that despite their importance, behavior change strategies are often missing in patient management. Evaluating mobile apps that physiotherapists can use to drive behavior change may inform clinical practice and potentially improve patient outcomes. Examining the quality of apps and exploring their key features that can support behavior change and physiotherapy care are important aspects of such an evaluation. OBJECTIVE: The primary aim of this study was to describe the range of mobile apps in app stores that are intended for use by patients to support physiotherapy care. The secondary aims were to assess app quality, BCTs, and their behavior change potential. METHODS: A systematic review of mobile apps in app stores was undertaken. The Apple App Store and Google Play were searched using a 2-step search strategy, using terms relevant to the physiotherapy discipline. Strict inclusion and exclusion criteria were applied: apps had to be intended for use by patients and be self-contained (or stand-alone) without the requirement to be used in conjunction with a partner wearable device or another plugin. Included apps were coded for BCTs using the Behavior Change Technique Taxonomy version 1. App quality was assessed using the Mobile App Rating Scale, and the App Behavior Change Scale was used to assess the app's potential to change behavior. RESULTS: In total, 1240 apps were screened, and 35 were included. Of these 35 apps, 22 (63%) were available on both the Apple App Store and Google Play platforms. In total, 24 (69%) were general in their focus (eg, not condition-specific), with the remaining 11 (31%) being more specific (eg, knee rehabilitation and pelvic floor training). The mean app quality score (Mobile App Rating Scale) was 3.7 (SD 0.4) of 5 (range 2.8-4.5). The mean number of BCTs identified per app was 8.5 (SD 3.6). BCTs most frequently included in the apps were instruction on how to perform a behavior (n=32), action planning (n=30), and self-monitoring of behavior (n=28). The mean behavior change potential score (App Behavior Change Scale) was 8.5 (SD 3.1) of 21 (range 3-15). CONCLUSIONS: Mobile apps available to support patient care received from a physiotherapist are of variable quality. Although they contain some BCTs, the potential for behavior change varied widely across apps. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/29047.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aecf/10949126/fc67100e1b8a/mhealth_v12i1e55003_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aecf/10949126/fc67100e1b8a/mhealth_v12i1e55003_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aecf/10949126/fc67100e1b8a/mhealth_v12i1e55003_fig1.jpg

相似文献

[1]
Evaluation of Patient-Facing Mobile Apps to Support Physiotherapy Care: Systematic Review.

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[2]
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[3]
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[6]
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[7]
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引用本文的文献

[1]
Behavior Change Support Systems for Self-Treating Procrastination: Systematic Search in App Stores and Analysis of Motivational Design Archetypes.

J Med Internet Res. 2025-2-20

[2]
Usage, Attitudes, Facilitators, and Barriers Toward Digital Health Technologies in Musculoskeletal Care: Survey Among Primary Care Physiotherapists in Norway.

JMIR Rehabil Assist Technol. 2024-9-16

本文引用的文献

[1]
Technologies in Home-Based Digital Rehabilitation: Scoping Review.

JMIR Rehabil Assist Technol. 2023-7-27

[2]
Problems and Barriers Related to the Use of Digital Health Applications: Scoping Review.

J Med Internet Res. 2023-5-12

[3]
Interventions Aimed at Enhancing Health Care Providers' Behavior Toward the Prescription of Mobile Health Apps: Systematic Review.

JMIR Mhealth Uhealth. 2023-2-27

[4]
Mobile app use to support therapeutic exercise for musculoskeletal pain conditions may help improve pain intensity and self-reported physical function: a systematic review.

J Physiother. 2023-1

[5]
Exercise adherence Mobile app for Knee Osteoarthritis: protocol for the MappKO randomised controlled trial.

BMC Musculoskelet Disord. 2022-9-20

[6]
mHealth Apps for Low Back Pain Self-management: Scoping Review.

JMIR Mhealth Uhealth. 2022-8-26

[7]
mHealth Apps for Musculoskeletal Rehabilitation: Systematic Search in App Stores and Content Analysis.

JMIR Rehabil Assist Technol. 2022-8-1

[8]
Digitally Delivered Exercise and Education Treatment Program for Low Back Pain: Longitudinal Observational Cohort Study.

JMIR Rehabil Assist Technol. 2022-6-21

[9]
Inertial Measurement Units and Application for Remote Health Care in Hip and Knee Osteoarthritis: Narrative Review.

JMIR Rehabil Assist Technol. 2022-6-2

[10]
Potential of digitalization within physiotherapy: a comparative survey.

BMC Health Serv Res. 2022-4-13

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