Leidong Wei, Monachino Michelle, Lloyd-Williams Don, Nguyen Thi Le Ha, Dsouza Brayal, Moreira Joaquim Paulo
School of Social Affairs, Henan Normal University, Xinxiang, Hean, China.
International Healthcare Management Research and Development Center, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China.
Digit Health. 2025 Mar 3;11:20552076241305707. doi: 10.1177/20552076241305707. eCollection 2025 Jan-Dec.
Mobile health is being increasingly considered as a strategy to deliver healthcare to people with chronic diseases. This stands particularly true for cancer management where treatment is being progressively administered at home, requiring more involvement, education, and changes in behavior from patients. This article aims to identify the main axes of intervention for behavioral change of mHealth in cancer management and its relative impacts, as well as identify recent evidence on user preferences for optimal engagement in mHealth-based behavioral change strategies.
A literature search was carried out in the Databases PubMed and Cochrane during the period October-December 2023. The search retrieved 505 initial entries narrowed down to 21 articles included in this commentary.
Evidence is available on Mobile apps for cancer management being used to successfully promote behavioral changes in the areas of treatment adherence, symptoms self-management, communication with healthcare professionals, and holistic well-being in cancer patients. These are activities traditionally relevant in healthcare management interventions and contribute to further developing the relevance of the field of Digital Health in healthcare management.
The article contributes to a practical understanding of how Mobile interventions are being applied to promote higher self-care, a better emotional status, lesser adverse impacts, and, ultimately, increased survival rates for cancer patients. Several cancer patients' preferences were identified for the promotion of user engagement related to app design, available features, interoperability, and app creation process, as well as advanced healthcare management intervention. Preferences were found to be different for adolescents and young adult cancer patients when compared to other cohort groups.
移动健康越来越被视为一种为慢性病患者提供医疗服务的策略。这在癌症管理中尤为如此，因为癌症治疗越来越多地在家中进行，这需要患者更多的参与、教育以及行为改变。本文旨在确定移动健康在癌症管理中行为改变的主要干预方向及其相关影响，并确定关于用户对基于移动健康的行为改变策略最佳参与度偏好的最新证据。
于2023年10月至12月期间在PubMed和Cochrane数据库中进行了文献检索。检索到505条初始记录，经筛选后纳入本评论的文章有21篇。
有证据表明，用于癌症管理的移动应用程序已成功促进了癌症患者在治疗依从性、症状自我管理、与医护人员沟通以及整体幸福感等方面的行为改变。这些活动在传统的医疗管理干预中具有相关性，有助于进一步提升数字健康领域在医疗管理中的相关性。
本文有助于实际了解移动干预如何应用于促进癌症患者更高的自我护理水平、更好的情绪状态、更少的不良影响，并最终提高生存率。研究确定了癌症患者在应用程序设计、可用功能、互操作性、应用程序创建过程以及先进医疗管理干预等方面与促进用户参与相关的若干偏好。与其他队列组相比，青少年和青年癌症患者的偏好有所不同。
