Evidence map›Paper›PMID 27993761›Full record

ArticleJMIR mHealth and uHealth2016

Patient-Facing Mobile Apps to Treat High-Need, High-Cost Populations: A Scoping Review.

Karandeep Singh, Kaitlin Drouin, Lisa P Newmark, Malina Filkins, Elizabeth Silvers, Paul A Bain, Donna M Zulman, Jae-Ho Lee, Ronen Rozenblum, Erika Pabo and 3 more

Open access · goldAbstract readScoping Review
In one paragraph

Article in JMIR mHealth and uHealth, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
14.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

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  14. Caring for high-need patients.BMC health services research · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Karandeep SinghDepartments of Learning Health Sciences and Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, United States.ORCID http://orcid.org/0000-0001-8980-2330
Kaitlin DrouinDepartment of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, MA, United States.ORCID http://orcid.org/0000-0002-3514-3197
Lisa P NewmarkInformation Systems, Partners HealthCare System, Wellesley, MA, United States.ORCID http://orcid.org/0000-0002-1492-2626
Malina FilkinsUniversity of Massachusetts Medical School, Worcester, MA, United States.ORCID http://orcid.org/0000-0002-9945-8518
Elizabeth SilversInformation Systems, Partners HealthCare System, Wellesley, MA, United States.ORCID http://orcid.org/0000-0003-0300-9804
Paul A BainHarvard Medical School, Boston, MA, United States.ORCID http://orcid.org/0000-0002-4257-2467
Donna M ZulmanDivision of General Medical Disciplines, Stanford University School of Medicine, Stanford, CA, United States.ORCID http://orcid.org/0000-0001-8904-2810
Jae-Ho LeeDepartment of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0003-2619-1231
Ronen RozenblumHarvard Medical School, Boston, MA, United States.ORCID http://orcid.org/0000-0002-8503-5864
Erika PaboHarvard Medical School, Boston, MA, United States.ORCID http://orcid.org/0000-0003-3776-1754
Adam LandmanHarvard Medical School, Boston, MA, United States.ORCID http://orcid.org/0000-0002-2166-0521
Elissa V KlingerDivision of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, United States.ORCID http://orcid.org/0000-0003-1311-0826
David W BatesHarvard Medical School, Boston, MA, United States.ORCID http://orcid.org/0000-0001-6268-1540
Brigham and Women's Hospital · USMass General Brigham · USUlsan College · KRUniversity of Massachusetts Chan Medical School · USUniversity of Michigan · USVA Palo Alto Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-management is essential to caring for high-need, high-cost (HNHC) populations. Advances in mobile phone technology coupled with increased availability and adoption of health-focused mobile apps have made self-management more achievable, but the extent and quality of the literature supporting their use is not well defined.

objectiveThe purpose of this review was to assess the breadth, quality, bias, and types of outcomes measured in the literature supporting the use of apps targeting HNHC populations.

methodsData sources included articles in PubMed and MEDLINE (National Center for Biotechnology Information), EMBASE (Elsevier), the Cochrane Central Register of Controlled Trials (EBSCO), Web of Science (Thomson Reuters), and the NTIS (National Technical Information Service) Bibliographic Database (EBSCO) published since 2008. We selected studies involving use of patient-facing iOS or Android mobile health apps. Extraction was performed by 1 reviewer; 40 randomly selected articles were evaluated by 2 reviewers to assess agreement.

resultsOur final analysis included 175 studies. The populations most commonly targeted by apps included patients with obesity, physical handicaps, diabetes, older age, and dementia. Only 30.3% (53/175) of the apps studied in the reviewed literature were identifiable and available to the public through app stores. Many of the studies were cross-sectional analyses (42.9%, 75/175), small (median number of participants=31, interquartile range 11.0-207.2, maximum 11,690), or performed by an app's developers (61.1%, 107/175). Of the 175 studies, only 36 (20.6%, 36/175) studies evaluated a clinical outcome.

conclusionsMost apps described in the literature could not be located on the iOS or Android app stores, and existing research does not robustly evaluate the potential of mobile apps. Whereas apps may be useful in patients with chronic conditions, data do not support this yet. Although we had 2-3 reviewers to screen and assess abstract eligibility, only 1 reviewer abstracted the data. This is one limitation of our study. With respect to the 40 articles (22.9%, 40/175) that were assigned to 2 reviewers (of which 3 articles were excluded), inter-rater agreement was significant on the majority of items (17 of 30) but fair-to-moderate on others.

Indexed as

chronic diseasemHealthmobile appsreviewself-management

Identifiers

PMID27993761
PMCPMC5206484
OpenAlexW2564157238

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.