Are COPD self-management mobile applications effective? A systematic review and meta-analysis.
G ShawMaxine E WhelanLaura Catherine ArmitageNia Wyn RobertsA J FarmerPublished in: NPJ primary care respiratory medicine (2020)
The burden of chronic obstructive pulmonary disease (COPD) to patients and health services is steadily increasing. Self-management supported by mobile device applications could improve outcomes for people with COPD. Our aim was to synthesize evidence on the effectiveness of mobile health applications compared with usual care. A systematic review was conducted to identify randomized controlled trials. Outcomes of interest included exacerbations, physical function, and Quality of Life (QoL). Where possible, outcome data were pooled for meta-analyses. Of 1709 citations returned, 13 were eligible trials. Number of exacerbations, quality of life, physical function, dyspnea, physical activity, and self-efficacy were reported. Evidence for effectiveness was inconsistent between studies, and the pooled effect size for physical function and QoL was not significant. There was notable variation in outcome measures used across trials. Developing a standardized outcome-reporting framework for digital health interventions in COPD self-management may help standardize future research.
Keyphrases
- chronic obstructive pulmonary disease
- randomized controlled trial
- lung function
- systematic review
- physical activity
- meta analyses
- healthcare
- end stage renal disease
- cystic fibrosis
- newly diagnosed
- chronic kidney disease
- ejection fraction
- palliative care
- public health
- peritoneal dialysis
- electronic health record
- body mass index
- air pollution
- big data
- prognostic factors
- emergency department
- clinical trial
- current status
- health information
- risk assessment
- artificial intelligence
- pain management
- health insurance
- machine learning
- depressive symptoms
- risk factors
- weight loss
- adipose tissue
- case control
- advanced cancer
- insulin resistance