Self-management of Chronic Conditions Using mHealth Interventions in Korea: A Systematic Review
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Objectives: Population aging has increased the burden of chronic diseases globally. mHealth is often cited as a viable solution to enhance the management of chronic conditions. In this study, we conducted a systematic review of mHealth interventions for the self-management of chronic diseases in Korea, a highly-connected country with a high chronic care burden. Methods: Five databases were searched for relevant empirical studies that employed randomized controlled trial (RCT) or quasi-experimental methods published in English or Korean from the years 2008 to 2018. The selected studies were reviewed according to the PRISMA guidelines. The selected studies were classified using the Individual and Family Self-Management Theory conceptual framework. Results: Sixteen studies met the inclusion criteria, 9 of which were targeted towards diabetes management, and 7 of which were RCTs. Other target diseases included hypertension, stroke, asthma, and others. mHealth interventions were primarily delivered through smartphone applications, mobile phones connected to a monitoring device, and short message services (SMS). Various self-management processes were applied, including providing social influence and support, and facilitating self-monitoring and goal setting. Eleven studies showed mHealth interventions to be effective in improving self-management behaviors, biomarkers, or patient-reported outcome measures associated with chronic diseases. Conclusions: While the number of identified studies was not large, none reported negative impacts of mHealth on selected outcomes. Future studies on mHealth should design interventions with a greater variety of targeted functions and should adopt more rigorous methodologies to strengthen the evidence for its effectiveness in chronic disease management.
Abstract
Objectives: Population aging has increased the burden of chronic diseases globally. mHealth is often cited as a viable solution to enhance the management of chronic conditions. In this study, we conducted a systematic review of mHealth interventions for the self-management of chronic diseases in Korea, a highly-connected country with a high chronic care burden. Methods: Five databases were searched for relevant empirical studies that employed randomized controlled trial (RCT) or quasi-experimental methods published in English or Korean from the years 2008 to 2018. The selected studies were reviewed according to the PRISMA guidelines. The selected studies were classified using the Individual and Family Self-Management Theory conceptual framework. Results: Sixteen studies met the inclusion criteria, 9 of which were targeted towards diabetes management, and 7 of which were RCTs. Other target diseases included hypertension, stroke, asthma, and others. mHealth interventions were primarily delivered through smartphone applications, mobile phones connected to a monitoring device, and short message services (SMS). Various self-management processes were applied, including providing social influence and support, and facilitating self-monitoring and goal setting. Eleven studies showed mHealth interventions to be effective in improving self-management behaviors, biomarkers, or patient-reported outcome measures associated with chronic diseases. Conclusions: While the number of identified studies was not large, none reported negative impacts of mHealth on selected outcomes. Future studies on mHealth should design interventions with a greater variety of targeted functions and should adopt more rigorous methodologies to strengthen the evidence for its effectiveness in chronic disease management.
참고문헌 (30)
- [URL]
- 강영호, "Burden of Noncommunicable Diseases and National Strategies to Control Them in Korea", 예방의학회지, 46(4), pp.155~164 (2013), 대한예방의학회
- [URL]
- Mirzaei M, "A patient-centred approach to health service delivery: improving health outcomes for people with chronic illness", BMC Health Serv Res, 13, pp.251~ (2013)[DOI]
- Barlow J, "Self-management approaches for people with chronic conditions: a review", Patient Educ Couns, 48(2), pp.177~187 (2002)[DOI]
- World Health Organization, "mHealth: new horizons for health through mobile technologies" (2011), World Health Organization
- Whitehead L, "The effectiveness of self-management mobile phone and tablet apps in long-term condition management: a systematic review", J Med Internet Res, 18(5), pp.e97~ (2016)[DOI]
- Wang Y, "A systematic review of application and effectiveness of mHealth interventions for obesity and diabetes treatment and self-management", Adv Nutr, 8(3), pp.449~462 (2017)[DOI]
- Sun WD, "The development of health care system for older Koreans" (2005), Korea Institute for Health and Social Affairs
- 이윤태, "Ubiquitous Health in Korea: Progress, Barriers, and Prospects", Healthcare Informatics Research, 18(4), pp.242~251 (2012), 대한의료정보학회
- [URL]
- 신수용, "모바일 헬스: 유헬스의 새로운 돌파구", Telecommunications Review, 23(3), pp.288~296 (2013), 에스케이텔레콤 (주)
- [URL]
- Moher D, "Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement", PLoS Med, 6(7), pp.e1000097~ (2009)[DOI]
- Hee-Seon Kim, "The development of a mobile u-Health program and evaluation for self-diet management for diabetic patients", Nutrition Research and Practice, 10(3), pp.342~351 (2016), 한국영양학회
- 김헌성, "Efficacy of the Smartphone-Based Glucose Management Application Stratified by User Satisfaction", Diabetes and Metabolism Journal, 38(3), pp.204~210 (2014), 대한당뇨병학회[DOI]
- Kim MY, "Feasibility of a smartphone application based action plan and monitoring in asthma", Asia Pac Allergy, 6(3), pp.174~180 (2016)[DOI]
- 서우근, "Feasibility of Using a Mobile Application for the Monitoring and Management of Stroke-Associated Risk Factors", Journal of Clinical Neurology, 11(2), pp.142~148 (2015), 대한신경과학회[DOI]
- 조성자, "일차의료에서 지질저하제 치료 후 외래방문율 개선효과에 대한 휴대폰 문자메시지와 편지 회상법간의 무작위배정 대조군 비교 임상시험", Korean Journal of Family Medicine, 31(4), pp.284~293 (2010), 대한가정의학회
- Kim SI, "Effectiveness of mobile and internet intervention in patients with obese type 2 diabetes", Int J Med Inform, 77(6), pp.399~404 (2008)[DOI]
- 이정아, "고혈압 환자에서 순응도 개선을 위한 단기간의 휴대전화 문자메시지의 효과", Korean Journal of Health Promotion, 14(1), pp.1~8 (2014), 대한임상건강증진학회
- Jung H, "The impact of community-based eHealth self-management intervention among elderly living alone with hypertension", J Telemed Telecare, 23(1), pp.167~173 (2017)[DOI]
- 유성훈, "노인 당뇨병환자에서 ‘Ubiquitous Healthcare’가 당뇨병 자기관리 지식에 미치는 영향", Diabetes and Metabolism Journal, 33(1), pp.58~64 (2009), 대한당뇨병학회
- Cho JH, "Mobile communication using a mobile phone with a glucometer for glucose control in Type 2 patients with diabetes: as effective as an Internet-based glucose monitoring system", J Telemed Telecare, 15(2), pp.77~82 (2009)[DOI]
- Cho JH, "Effects on diabetes management of a health-care provider mediated, remote coaching system via a PDA-type glucometer and the Internet", J Telemed Telecare, 17(7), pp.365~370 (2011)[DOI]
- 정영순, "고혈압관리에서의 스마트케어 서비스의 효과", 한국산학기술학회논문지, 14(3), pp.1213~1220 (2013), 한국산학기술학회[DOI]
- 정영순, "Effectiveness of the Smart Care Service for Diabetes Management", Healthcare Informatics Research, 20(4), pp.288~294 (2014), 대한의료정보학회[DOI]
- Noh JH, "Web-based comprehensive information system for self-management of diabetes mellitus", Diabetes Technol Ther, 12(5), pp.333~337 (2010)[DOI]
- 송태민, "U-Health Service for Managing Chronic Disease: A Case Study on Managing Metabolic Syndrome in a Health Center in South Korea", Healthcare Informatics Research, 17(4), pp.260~266 (2011), 대한의료정보학회
- Chow CK, "mHealth in cardiovascular health care", Heart Lung Circ, 25(8), pp.802~807 (2016)[DOI]