Use of Mobile Applications to Increase Therapeutic Adherence in Adults: A Systematic Review
- 22 October 2022
- journal article
- review article
- Published by Springer Science and Business Media LLC in Journal of Medical Systems
- Vol. 46 (12), 1-10
- https://doi.org/10.1007/s10916-022-01876-2
Abstract
Failure to comply with therapeutic treatments implies negative repercussions for the patient's quality of life, their social environment, and health system. The use of information and communication technologies, especially mobile applications, has favored the increase in global therapeutic adherence figures. The objective of this study is to characterize the use of mobile applications as a strategy to increase therapeutic adherence in adults. A systematic literature review in Web of Science and Scopus was performed following the Preferred Information elements for Systematic Reviews and Meta-analysis. Information such as: the year of publication, the study population, the medical conditions of the participants, the main characteristics or functionalities of the mobile applications, and the methods or tools used to measure treatment adherence were extracted from each included article. The risk of bias was assessed. Twelve randomized controlled trials (RCTs), published in English from 1996 to May 2021, were included. Chronic diseases have been mostly addressed through interventions with mobile applications. The most reported functions of mobile applications were reminders, educational modules, two-way communication, and games. Tools such as: "Morisky Medication Adherence Scale of eight items"; "Medication adherence questionnaire"; "Self-reported adherence"; among others, were used to evaluate and report the treatment adherence. In conclusion, including treatment interventions using mobile applications in clinical practice has proven to be beneficial to improve therapeutic adherence. However, it is necessary to develop high-quality clinical trials (size and duration) to generalize results and justify their use in conventional health services.Keywords
Funding Information
- Ministerio de Ciencia Tecnología e Innovación
This publication has 31 references indexed in Scilit:
- Análisis crítico de ensayos clínicos aleatorizados: Riesgo de sesgoRevista Estomatológica Herediana, 2016
- Impact of mHealth Chronic Disease Management on Treatment Adherence and Patient Outcomes: A Systematic ReviewJournal of Medical Internet Research, 2015
- Mobile phone text messaging for promoting adherence to anti-tuberculosis treatment: a systematic reviewBMC Infectious Diseases, 2013
- An Intervention to Improve Adherence and Management of Symptoms for Patients Prescribed Oral Chemotherapy AgentsCancer Nursing, 2013
- Medication adherence: A call for actionAmerican Heart Journal, 2011
- Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA StatementJournal of Clinical Epidemiology, 2009
- How are habits formed: Modelling habit formation in the real worldEuropean Journal of Social Psychology, 2009
- Healthcare via Cell Phones: A Systematic ReviewTelemedicine and e-Health, 2009
- Variations in Patients’ Adherence to Medical RecommendationsMedical Care, 2004