Atrial fibrillation self-management: a mobile telephone app scoping review and content analysis.
Anticoagulation
Atrial fibrillation
Behaviour change
Medication adherence
Self-management
mHealth
Journal
European journal of cardiovascular nursing
ISSN: 1873-1953
Titre abrégé: Eur J Cardiovasc Nurs
Pays: England
ID NLM: 101128793
Informations de publication
Date de publication:
22 05 2021
22 05 2021
Historique:
received:
19
05
2020
accepted:
26
10
2020
pubmed:
24
2
2021
medline:
31
3
2022
entrez:
23
2
2021
Statut:
ppublish
Résumé
Atrial 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. Atrial fibrillation, a chronic disease, requires monitoring, medication, and lifestyle measures. A self-management approach supported by mobile health (mHealth) may empower AF self-care. To 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 synthesize (i) characteristics, (ii) functions, (iii) privacy/security, (iv) incorporated behaviour change techniques (BCTs), and (v) quality and usability. We 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 BCTs using the App Behaviour Change Scale, and app quality/usability using the Mobile App Rating Scale. From 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 BCTs, 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. The 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 BCTs to support AF self-management.
Identifiants
pubmed: 33620473
pii: 6031440
doi: 10.1093/eurjcn/zvaa014
pmc: PMC8210674
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
305-314Subventions
Organisme : British Heart Foundation
ID : FS/16/14/32023
Pays : United Kingdom
Organisme : Chief Scientist Office
ID : HIPS/18/39
Pays : United Kingdom
Organisme : British Heart Foundation
ID : RE/18/5/34216
Pays : United Kingdom
Informations de copyright
Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2020. For permissions, please email: journals.permissions@oup.com.
Références
JMIR Mhealth Uhealth. 2018 Mar 16;6(3):e62
pubmed: 29549075
J Chiropr Med. 2016 Jun;15(2):155-63
pubmed: 27330520
Eur Heart J. 2016 Oct 7;37(38):2893-2962
pubmed: 27567408
JMIR Cardio. 2018 Feb 09;2(1):e3
pubmed: 31758783
JMIR Mhealth Uhealth. 2020 Jul 21;8(7):e18495
pubmed: 32706727
NPJ Prim Care Respir Med. 2017 Oct 9;27(1):57
pubmed: 28993623
Stroke. 1991 Aug;22(8):983-8
pubmed: 1866765
J Med Internet Res. 2019 Jun 18;21(6):e12505
pubmed: 31215517
JMIR Mhealth Uhealth. 2019 Jan 25;7(1):e11130
pubmed: 30681967
JMIR Mhealth Uhealth. 2017 Mar 01;5(3):e4
pubmed: 28249834
Eur Heart J. 2018 Apr 21;39(16):1330-1393
pubmed: 29562325
Int J Med Inform. 2019 Dec;132:103984
pubmed: 31605884
Evid Based Ment Health. 2018 Aug;21(3):116-119
pubmed: 29871870
J Med Internet Res. 2016 May 16;18(5):e97
pubmed: 27185295
JMIR Mhealth Uhealth. 2019 May 28;7(5):e13645
pubmed: 31140434
JMIR Mhealth Uhealth. 2018 Nov 14;6(11):e187
pubmed: 30429116
Diabetol Metab Syndr. 2019 Oct 16;11:84
pubmed: 31636719
Headache. 2018 Jul;58(7):1014-1027
pubmed: 29974470
J Am Soc Hypertens. 2015 Feb;9(2):130-6
pubmed: 25660364
Am J Cardiol. 2010 Feb 15;105(4):502-10
pubmed: 20152245
J Am Heart Assoc. 2017 Apr 28;6(5):
pubmed: 28455344
JMIR Mhealth Uhealth. 2019 Aug 26;7(8):e13494
pubmed: 31452522
JMIR Mhealth Uhealth. 2019 Jan 31;7(1):e11919
pubmed: 30702435
J Caring Sci. 2019 Jun 01;8(2):83-88
pubmed: 31249817
Europace. 2018 Feb 1;20(2):225-233
pubmed: 29040548
JMIR Mhealth Uhealth. 2018 Mar 28;6(3):e74
pubmed: 29592848
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
Int J Behav Nutr Phys Act. 2016 Mar 10;13:35
pubmed: 26964880
BMC Med. 2015 Sep 07;13:214
pubmed: 26404673
J Atr Fibrillation. 2016 Feb 29;8(5):1279
pubmed: 27909470
Eur Heart J. 2017 Sep 14;38(35):2643-2645
pubmed: 28934841
J Med Internet Res. 2015 Feb 24;17(2):e52
pubmed: 25803266
Lancet. 2015 Jul 11;386(9989):154-62
pubmed: 25960110
Internet Interv. 2018 Dec 20;15:110-115
pubmed: 30792962
Am J Prev Med. 2016 May;50(5):e143-e146
pubmed: 26597504
Digit Health. 2015 Jul 17;1:2055207615595335
pubmed: 29942544
JAMA. 2001 May 9;285(18):2370-5
pubmed: 11343485
Heart. 2007 May;93(5):606-12
pubmed: 17277353
J Med Internet Res. 2015 Aug 17;17(8):e198
pubmed: 26283290
JMIR Mhealth Uhealth. 2017 Oct 23;5(10):e162
pubmed: 29061558
BMJ. 2009 Jul 21;339:b2535
pubmed: 19622551
Patient Educ Couns. 2020 Feb;103(2):336-342
pubmed: 31451361
J Hum Nutr Diet. 2017 Jun;30(3):326-338
pubmed: 27747955
Nat Rev Cardiol. 2015 Jun;12(6):350-60
pubmed: 25801714
JMIR Mhealth Uhealth. 2015 Mar 11;3(1):e27
pubmed: 25760773
JMIR Mhealth Uhealth. 2019 Jun 03;7(6):e13257
pubmed: 31162124
J Allergy Clin Immunol Pract. 2019 Nov - Dec;7(8):2583-2591
pubmed: 30954644
Nicotine Tob Res. 2016 May;18(5):1025-31
pubmed: 26045249