Atrial fibrillation self-management: a mobile telephone app scoping review and content analysis

Autor: Sahar Khonsari, Stacey Stewart, Ronan E. O'Carroll, Brian McKinstry, Fiona E. Strachan, Nicholas L. Mills, Janet Hanley, Robyn Gallagher, Coral L Hanson, Sheona McHale, Siobhan O'Connor, Lis Neubeck, Alice Pearsons, Terence J. Quinn, Mengying Zhang
Rok vydání: 2020
Předmět:
Atrial fibrillation
mHealth
Medication adherence
Self-management
Anticoagulation
Behaviour change
020205 medical informatics
Privacy policy
Best practice
Psychological intervention
02 engineering and technology
Anticoagulation
03 medical and health sciences
0302 clinical medicine
Rating scale
Atrial Fibrillation
mental disorders
Self-management
0202 electrical engineering
electronic engineering
information engineering
Humans
Medicine
030212 general & internal medicine
Medication adherence
Review Articles
mHealth
Advanced and Specialized Nursing
business.industry
Self-Management
Behaviour change
Usability
medicine.disease
Atrial fibrillation
Mobile Applications
Telemedicine
Centre for Cardiovascular Health
Clinical trial
Medical–Surgical Nursing
Medical emergency
Cardiology and Cardiovascular Medicine
business
Cell Phone
Zdroj: Pearsons, A, Hanson, C L, Gallagher, R, O’Carroll, R E, Khonsari, S, Hanley, J, Strachan, F, Mills, N L, Quinn, T J, McKinstry, B, McHale, S, Stewart, S, Zhang, M, O'Connor, S & Neubeck, L 2020, ' Atrial fibrillation self-management: a mobile telephone app scoping review and content analysis ', European journal of cardiovascular nursing . https://doi.org/10.1093/eurjcn/zvaa014
Eur J Cardiovasc Nurs
Pearsons, A, Hanson, C L, Gallagher, R, O’Carroll, R E, Khonsari, S, Hanley, J, Strachan, F E, Mills, N L, Quinn, T J, McKinstry, B, McHale, S, Stewart, S, Zhang, M, O'Connor, S & Neubeck, L 2021, ' Atrial fibrillation self-management: a mobile telephone app scoping review and content analysis ', European Journal of Cardiovascular Nursing, vol. 20, no. 4, pp. 305-314 . https://doi.org/10.1093/eurjcn/zvaa014
ISSN: 1873-1953
1474-5151
DOI: 10.1093/eurjcn/zvaa014
Popis: BackgroundAtrial fibrillation (AF) affects over 1.4 million people in the UK, resulting in a five-fold increased stroke risk and a three to four times greater risk of severe, disabling stroke. AF, a chronic disease, requires monitoring, medication and lifestyle measures. A self-management approach supported by mobile health (mHealth) may empower AF self-care. AimsTo assess the need to develop new mHealth self-management interventions for those with AF. This review aimed to identify commercially available AF self-management apps, analyse and synthesise a) characteristics b) functions c) privacy/security d) incorporated behaviour change techniques, and e) quality and usability. MethodsWe searched app stores for “atrial fibrillation” and “anticoagulation”, and included apps focused on AF self-management in the review. We examined app functions, privacy statements against best practice recommendations, the inclusion of behaviour change techniques using the App Behaviour Change Scale, and app quality/usability using the Mobile App Rating Scale.ResultsFrom an initial search of 555 apps, five apps were included in the review. Common functions were educational content, medication trackers and communication with healthcare professionals. Apps contained limited behaviour change techniques, lacked intuitive functions and were difficult to use. Privacy policies were difficult to read. App quality rated from poor to acceptable and no app had been evaluated in a clinical trial. ConclusionThe review reports a lack of commercially available AF self-management apps of sufficient standard for use in healthcare settings. This highlights the need for clinically validated mHealth interventions incorporating evidence-based behaviour change techniques to support AF self-management.
Databáze: OpenAIRE
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