본문 바로가기
KERD
논문

국내 성인의 신체활동 증진을 위한 모바일 헬스 개입: 건강 형평성 중심의 체계적 검토

mHealth Interventions to Promote Physical Activity of Adults in Korea: Health Equity-Focused Systematic Review

이지산|김하나
pp. 1-14|DOI 10.21032/jhis.2023.48.S1.S1

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

Republic of KoreaExerciseSystematic reviewMobile healthHealth equity

초록

Objectives: This study systematically review the existing literatures to identify the effectiveness of physical activity promotion programs using mobile health (mHealth) among Korean adults, with a focus on factors affecting health equity. Methods: To search for studies published in the past 10 years (from January 2013 to April 2023), Korean DBs (KoreaMed, KMBASE, KISS, RISS) were used. Hedge’g values were calculated to present uniform quantita- tive effect estimates for each study and to present pooled effect sizes for the same variables. Additionally, GRADE was used to assess the certainty of evi- dence and the review was conducted using the PROGRESS-Plus framework for health equity review. Results: Of the 1,204 literatures, 15 literatures were selected. Six prevention-based mHealth interventions and nine management-based mHealth interventions had significant effect sizes on multiple physi- cal activity-related variables. A review of the PROGRESS-Plus factors revealed that personal characteristics (age, illness), occupation, and gender were the most frequently considered factors affecting health equity, while race, ethnicity, culture, language, religion, features of relationships  , and time-depen- dent relationships were not considered. Conclusions: The results of the current study confirm the potential of mHealth-enabled physical activity promo- tion interventions to manage health and prevent disease in Korean adults. It also highlights the need to consider health equity in all phases of research design, implementation, and evaluation to provide opportunities for inclusive participation of a broad range of populations.

Abstract

Objectives: This study systematically review the existing literatures to identify the effectiveness of physical activity promotion programs using mobile health (mHealth) among Korean adults, with a focus on factors affecting health equity. Methods: To search for studies published in the past 10 years (from January 2013 to April 2023), Korean DBs (KoreaMed, KMBASE, KISS, RISS) were used. Hedge’g values were calculated to present uniform quantita- tive effect estimates for each study and to present pooled effect sizes for the same variables. Additionally, GRADE was used to assess the certainty of evi- dence and the review was conducted using the PROGRESS-Plus framework for health equity review. Results: Of the 1,204 literatures, 15 literatures were selected. Six prevention-based mHealth interventions and nine management-based mHealth interventions had significant effect sizes on multiple physi- cal activity-related variables. A review of the PROGRESS-Plus factors revealed that personal characteristics (age, illness), occupation, and gender were the most frequently considered factors affecting health equity, while race, ethnicity, culture, language, religion, features of relationships  , and time-depen- dent relationships were not considered. Conclusions: The results of the current study confirm the potential of mHealth-enabled physical activity promo- tion interventions to manage health and prevent disease in Korean adults. It also highlights the need to consider health equity in all phases of research design, implementation, and evaluation to provide opportunities for inclusive participation of a broad range of populations.

참고문헌 (49)

  1. "mHealth: new horizons for health through mobile technologies"[URL]
  2. Powers SK, "Dodd SL, & Jackson EM" (2014), Pearson
  3. George A. Kelley, "Effects of aerobic exercise on C-reactive protein, body composition, and maximum oxygen consumption in adults: a meta-analysis of randomized controlled trials", Metabolism, 55(11), pp.1500~1507 (2006), Elsevier BV[DOI]
  4. Frank J Penedo, "Exercise and well-being: a review of mental and physical health benefits associated with physical activity", Current Opinion in Psychiatry, 18(2), pp.189~193 (2005), Ovid Technologies (Wolters Kluwer Health)[DOI]
  5. "Korea National Health and Nutrition Examination Survey"[URL]
  6. EHR, wireless and health monitoring, "Pervasive healthcare computing: EMR", pp.2009, Varshney U
  7. G. Demiris, "Patient-centered Applications: Use of Information Technology to Promote Disease Management and Wellness. A White Paper by the AMIA Knowledge in Motion Working Group", Journal of the American Medical Informatics Association, 15(1), pp.8~13 (2008), Oxford University Press (OUP)[DOI]
  8. Markus D. Jakobsen, "Physical exercise at the workplace prevents deterioration of work ability among healthcare workers: cluster randomized controlled trial", BMC Public Health, 15(1) (2015), Springer Science and Business Media LLC[DOI]
  9. Finkelstein J, "Mobile App to Reduce Inactivity in Sedentary Overweight Women", Stud Health Technol Inform, 216, pp.89~92 (2015)
  10. Monica Casey, "Patients’ experiences of using a smartphone application to increase physical activity: the SMART MOVE qualitative study in primary care", British Journal of General Practice, 64(625), pp.e500~e508 (2014), Royal College of General Practitioners[DOI]
  11. "National Health Plan"[URL]
  12. "OECD Economic servey of Korea 2020"[URL]
  13. 김한해, "제5차 국민건강증진종합계획(HP2030)에서의 ‘건강형평성’ 목표: HP2020에 대한 평가와 국외 사례고찰을 바탕으로", 보건교육건강증진학회지, 38(4), pp.33~51 (2021), 한국보건교육건강증진학회[DOI]
  14. Choi IS, "National evidencebased healthcare collaborating agency(NECA)", National Evidence-based Healthcare Collaborating Agency, ~ (2011)
  15. Matthew J. Page, "The PRISMA 2020 statement: An updated guideline for reporting systematic reviews", International Journal of Surgery, 88, pp.105906~ (2021), Ovid Technologies (Wolters Kluwer Health)[DOI]
  16. Han YM, "Effect of an online weight management education program on weight and psychological factors for overweight and obese women", pp.2022
  17. 안지희, "모바일 헬스케어에 따른 신체활동중재가 비만, 심폐체력 및 대사증후군위험요인에 미치는 영향", 한국체육과학회지, 29(3), pp.795~806 (2020), 한국체육과학회[DOI]
  18. Gordon Guyatt, "GRADE guidelines: 1. Introduction—GRADE evidence profiles and summary of findings tables", Journal of Clinical Epidemiology, 64(4), pp.383~394 (2011), Elsevier BV[DOI]
  19. Oliver S, "An Introduction to Systematic Reviews" (2012), SAGE Publications
  20. Oliver S, "Health promotion, inequalities and young people’s health: a systematic review of research" (2008), EPPI-Centre
  21. Jennifer O'Neill, "Applying an equity lens to interventions: using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health", Journal of Clinical Epidemiology, 67(1), pp.56~64 (2014), Elsevier BV[DOI]
  22. Kim EJ, "Effects of a health partnership using mobile health application for male workers with cardiovascular risk factors in small and medium enterprises", pp.2021
  23. Nam HW, "Development and evaluation app-based musculoskeletal exercise program(AMSEP)for nurses in operating rRoom", pp.2017
  24. Park MH, "Development of SNS platform based healthy lifestyle coaching program and effectiveness evaluation", pp.2018
  25. Yang HK, "Development and effect of lifestyle improvement program using self-monitoring app to reduce risk factors for cardio-cerebrovascular disease", pp.2021
  26. 유현순, "치매 예방 모바일 어플리케이션 이용효과에 대한 실증적 연구", 한국웰니스학회지, 16(3), pp.1~8 (2021), 한국웰니스학회[DOI]
  27. Yu HJ, "Effect of the use of a mobile health application for musculoskeletal symptom management on self-management", pp.2021
  28. Lee RS, "Comparison of effects of app-based stretching exercise programs on musculoskelectal symptoms of small company workers", pp.2019
  29. 최윤하, "택시 운전자들을 위한 스마트폰 앱 기반 걷기운동 프로그램 개발 및 효과 : Bandura의 자기효능이론을 중심으로", Journal of Korean Academy of Nursing, 50(2), pp.242~254 (2020), 한국간호과학회
  30. Tae-Yon Kim, "Effects of a mobile healthcare service provided by public health centers on practicing of health behaviors and health risk factors", Nutrition Research and Practice, 13(6), pp.509~520 (2019), 한국영양학회[DOI]
  31. 박영주, "Application and Effect of Mobiletype-Bone Health Intervention in Korean Young Adult Women with Low Bone Mass: A Randomized Control Trial", Asian Nursing Research, 11(1), pp.56~64 (2017), 한국간호과학회
  32. Kang HM, "Design and validation of digital healthcare service ‘Re-bone’for menopause women", pp.2022
  33. 정미라, "피트니스 트래커를 활용한 사업장 걷기운동 프로그램의 효과: 개별 상담과 맞춤형 문자메시지 적용", 지역사회간호학회지, 30(3), pp.257~270 (2019), 한국지역사회간호학회
  34. 김태욱, "비만 중년여성의 신체조성, 혈액성분 및 운동지속 관련 변인에 있어 m-Health App 사용의 효과검증", 한국체육학회지, 54(2), pp.407~419 (2015), 한국체육학회
  35. Cohed J, "A power primer", Psychological Bulletin, 122, pp.155~159 (1992)
  36. Kevin Patrick, "Health and the Mobile Phone", American Journal of Preventive Medicine, 35(2), pp.177~181 (2008), Elsevier BV[DOI]
  37. Hannah E Payne, "Behavioral Functionality of Mobile Apps in Health Interventions: A Systematic Review of the Literature", JMIR mHealth and uHealth, 3(1), pp.e20~ (2015), JMIR Publications Inc.[DOI]
  38. Stephanie Schoeppe, "Efficacy of interventions that use apps to improve diet, physical activity and sedentary behaviour: a systematic review", International Journal of Behavioral Nutrition and Physical Activity, 13(1) (2016), Springer Science and Business Media LLC[DOI]
  39. Bonnie Spring, "Healthy Apps: Mobile Devices for Continuous Monitoring and Intervention", IEEE Pulse, 4(6), pp.34~40 (2013), Institute of Electrical and Electronics Engineers (IEEE)[DOI]
  40. 한아름, "신체활동 중재로써 모바일헬스케어 어플리케이션과 SMS", MMS가 신체활동량에 미치는 영향, 2017, pp.15(2), 39~59[DOI]
  41. L. Hebden, "A mobile health intervention for weight management among young adults: a pilot randomised controlled trial", Journal of Human Nutrition and Dietetics, 27(4), pp.322~332 (2013), Wiley[DOI]
  42. Liam G Glynn, "Effectiveness of a smartphone application to promote physical activity in primary care: the SMART MOVE randomised controlled trial", British Journal of General Practice, 64(624), pp.e384~e391 (2014), Royal College of General Practitioners[DOI]
  43. 전경숙, "의료이용의 남녀차이와 영향요인에 관한 연구", 한국보건간호학회지, 24(2), pp.182~196 (2010), 한국보건간호학회
  44. Tiffany C Veinot, "Good intentions are not enough: how informatics interventions can worsen inequality", Journal of the American Medical Informatics Association, 25(8), pp.1080~1088 (2018), Oxford University Press (OUP)[DOI]
  45. 김진현, "건강정보이해능력과 건강관련변수들 간의 관계에 관한 메타분석 연구", 보건교육건강증진학회지, 35(1), pp.101~113 (2018), 한국보건교육건강증진학회[DOI]
  46. Min SD, "Evolution of healthcare solutions according to environmental changes", Korean Institute of Electrical Engineers, 72(3), pp.16~21 (2023)
  47. Diana Guertler, "Engagement and Nonusage Attrition With a Free Physical Activity Promotion Program: The Case of 10,000 Steps Australia", Journal of Medical Internet Research, 17(7), pp.e176~ (2015), JMIR Publications Inc.[DOI]
  48. Maximilian Sandholzer, "Predictors of students’ self-reported adoption of a smartphone application for medical education in general practice", BMC Medical Education, 15(1) (2015), Springer Science and Business Media LLC[DOI]
  49. "Immigration statistics"[URL]

관련 논문AI추천

노인 신체활동 개선 모바일헬스(mHealth) 중재 효과에 대한 메타분석김지예, 김혜경, 이상아, 이서현, 이재원, 이지영한국보건교육건강증진학회 · 보건교육건강증진학회지2022 · 제39권 제5호모바일 앱 기반 신체활동증진 전략과 기술… 어디까지 왔나?송금주, 오정화, 정해권, 조정환한국체육측정평가학회 · 한국체육측정평가학회지2016 · 제18권 제1호메타분석과 네크워크-메타분석에 의한 스마트폰기반 신체활동증진 프로그램의 조절변인 효과검증윤지운, 이미영한국체육측정평가학회 · 한국체육측정평가학회지2018 · 제20권 제4호신체활동 중재로써 모바일헬스케어 어플리케이션과 SMS/MMS가 신체활동량에 미치는 영향서상훈, 한아름여가문화학회 · 여가학연구2017 · 제15권 제2호일반 성인의 스마트 헬스케어 이용 특성과스마트 헬스케어 미이용 관련 요인김형수, 옥종선, 이예정, 이희정, 정성원, 조현준대한근관절건강학회 · 근관절건강학회지2024 · 제31권 제3호신체활동 증진을 위한 스마트폰 어플리케이션의 질 평가우혜경, 이재빈한국보건교육건강증진학회 · 보건교육건강증진학회지2019 · 제36권 제4호
원문 보기