Keywords

Apps, mHealth, Mobile phone, Neoplasms, Self-management, Systematic review, Telemedicine

 

Authors

  1. Magalhaes, Bruno PhD, MPH, RN
  2. Fernandes, Carla PhD, MSc, RN
  3. Santos, Celia PhD, RN
  4. Martinez-Galiano, Juan Miguel PhD, RN

Abstract

Background: The recent mobile technology advancements, such as the development of applications (apps) for mobile phones and tablets, can assist in the development of low-cost platforms to monitor therapeutic adherence or complications, providing easily accessible information or guidelines in self-care focused on the care recipient.

 

Objective: The aim of this study was to gather scientific evidence about the efficacy of the use of mobile apps during chemotherapy treatments.

 

Methods: A systematic review of quantitative studies was performed. All articles published until May 31, 2019 were identified in databases MEDLINE, CINAHL Psychology and Behavioral Sciences Collection, and Cochrane Library.

 

Results: A total of 10 quantitative studies were included. A set of metrics was identified that essentially analyze issues related to the devices' functionalities. The metrics associated with engagement and related to behavioral dimensions, associated with the use of/adherence to the mobile app, are predominant. The clinical metrics represent 25 of a total of 53 identified metrics. Beneficial and statistically significant results were identified related to fatigue, self-efficacy, and improvements in reports of complications.

 

Conclusion: Based on the available research, mobile apps are likely to be a useful and acceptable tool to monitor interventions and complications. In addition, mobile apps can help in the self-management of treatment-related complications. Importantly, these apps need to bridge the academic context and clinical practice, by evaluating the impact of the use of mobile apps in patients.

 

Implications for Practice: The concept of prescribing apps is being addressed to ensure that apps work and have fair privacy and data security policies that address safety requirements.