Evidence map›Paper›PMID 38820572›Full record

SynthesisJournal of medical Internet research2024

Patients' Perspectives on the Data Confidentiality, Privacy, and Security of mHealth Apps: Systematic Review.

Nasser Alhammad, Mohannad Alajlani, Alaa Abd-Alrazaq, Gregory Epiphaniou, Theodoros Arvanitis

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

64 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 more citing papers are in PubMed but not listed here.

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

5 authors.

Nasser AlhammadInstitute of Digital Healthcare, WMG, University of Warwick, Coventry, United Kingdom.ORCID 0009-0007-6454-5375
Mohannad AlajlaniInstitute of Digital Healthcare, WMG, University of Warwick, Coventry, United Kingdom.ORCID 0000-0002-5691-7120
Alaa Abd-AlrazaqAI Center for Precision Health, Weill Cornell Medicine, Doha, Qatar.ORCID 0000-0001-7695-4626
Gregory EpiphaniouInstitute of Digital Healthcare, WMG, University of Warwick, Coventry, United Kingdom.ORCID 0000-0003-1054-6368
Theodoros ArvanitisSchool of Engineering, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-5473-135X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile health (mHealth) apps have the potential to enhance health care service delivery. However, concerns regarding patients' confidentiality, privacy, and security consistently affect the adoption of mHealth apps. Despite this, no review has comprehensively summarized the findings of studies on this subject matter.

objectiveThis systematic review aims to investigate patients' perspectives and awareness of the confidentiality, privacy, and security of the data collected through mHealth apps.

methodsUsing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a comprehensive literature search was conducted in 3 electronic databases: PubMed, Ovid, and ScienceDirect. All the retrieved articles were screened according to specific inclusion criteria to select relevant articles published between 2014 and 2022.

resultsA total of 33 articles exploring mHealth patients' perspectives and awareness of data privacy, security, and confidentiality issues and the associated factors were included in this systematic review. Thematic analyses of the retrieved data led to the synthesis of 4 themes: concerns about data privacy, confidentiality, and security; awareness; facilitators and enablers; and associated factors. Patients showed discordant and concordant perspectives regarding data privacy, security, and confidentiality, as well as suggesting approaches to improve the use of mHealth apps (facilitators), such as protection of personal data, ensuring that health status or medical conditions are not mentioned, brief training or education on data security, and assuring data confidentiality and privacy. Similarly, awareness of the subject matter differed across the studies, suggesting the need to improve patients' awareness of data security and privacy. Older patients, those with a history of experiencing data breaches, and those belonging to the higher-income class were more likely to raise concerns about the data security and privacy of mHealth apps. These concerns were not frequent among patients with higher satisfaction levels and those who perceived the data type to be less sensitive.

conclusionsPatients expressed diverse views on mHealth apps' privacy, security, and confidentiality, with some of the issues raised affecting technology use. These findings may assist mHealth app developers and other stakeholders in improving patients' awareness and adjusting current privacy and security features in mHealth apps to enhance their adoption and use.

trial registrationPROSPERO CRD42023456658; https://tinyurl.com/ytnjtmca.

Indexed as

Computer SecurityConfidentialityMobile ApplicationsTelemedicineHumansPrivacyawarenessconfidentialitymHealth appsmobile healthmobile health appsmobile phoneperspectivesprivacysecurity

Identifiers

PMID38820572
PMCPMC11179037

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.