Assessment of the Efficacy, Safety, and Effectiveness of Weight Control and Obesity Management Mobile Health Interventions: Systematic Review
| Autor: | Noemí Robles, Mariona Balfegó, Guillem Cuatrecasas Cambra, G. Paluzie, Montse Moharra, Carme Carrion, Pilar García-Lorda, Alberto Zamora, Francesc Saigí-Rubió, Elisa Puigdomenech Puig |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
obesity 020205 medical informatics Psychological intervention Health Informatics 02 engineering and technology PsycINFO Review Information technology Cochrane Library Overweight law.invention Body Mass Index 03 medical and health sciences 0302 clinical medicine Randomized controlled trial systematic review law 0202 electrical engineering electronic engineering information engineering medicine overweight Humans 030212 general & internal medicine Cluster randomised controlled trial mHealth business.industry technology assessment T58.5-58.64 Obesity Management Clinical trial Weight Reduction Programs Treatment Outcome Physical therapy Patient Safety medicine.symptom Public aspects of medicine RA1-1270 business |
| Zdroj: | JMIR mHealth and uHealth, Vol 7, Iss 10, p e12612 (2019) JMIR mHealth and uHealth |
| ISSN: | 2291-5222 |
| Popis: | Background The use of apps to tackle overweight and obesity by tracking physical and dietary patterns and providing recommendations and motivation strategies to achieve personalized goals has increased over recent years. However, evidence of the efficacy, effectiveness, and safety of these apps is severely lacking. Objective The aim of this study was to identify efficacy, safety, and effectiveness criteria used to assess weight control, overweight, and obesity management in mobile health (mHealth) interventions through a systematic review. Methods PubMed, PsycINFO, Scopus, UK Trial Database, ClinicalTrials.gov, and the Cochrane Library were surveyed up to May 2018. All types of clinical studies were considered. A total of 2 independent reviewers assessed quality using Scottish Intercollegiate Guidelines Network (SIGN) criteria. Ratings were used to provide an overall score for each study (low, moderate, or high). Data were synthesized in evidence tables. Results From 233 potentially relevant publications, only 28 studies were included. Of these, 13 (46%) were randomized control trials, 11 were single-arm studies (39%), 3 were nonrandomized controlled trials (11%), and 1 study was a cluster randomized trial (4%). The studies were classified as low (15), high (7), and moderate (6) quality according to SIGN criteria. All studies focused on efficacy, with only 1 trial mentioning safety and another 1 effectiveness. In 11 studies, the apps were used as stand-alone interventions, the others were multicomponent studies that included other tools for support such as sensors or websites. The main management tool included in the apps was feedback messaging (24), followed by goal-setting mechanisms (20) and self-monitoring (19). The majority of studies took weight or body mass index loss as the main outcome (22) followed by changes in physical activity (14) and diet (12). Regarding outputs, usability, adherence, and engagement (17) were the most reported, followed by satisfaction (7) and acceptability (4). Conclusions There is a remarkable heterogeneity among these studies and the majority have methodological limitations that leave considerable room for improvement. Further research is required to identify all relevant criteria for assessing the efficacy of mHealth interventions in the management of overweight and obesity. Trial Registration PROSPERO CRD42017056761; https://tinyurl.com/y2zhxtjx |
| Databáze: | OpenAIRE |
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