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- Title
Smartphone applications supporting self-management programme for adults with Chronic Obstructive Pulmonary Disease: A Scoping Review.
- Authors
Glynn, Lisa; Mc Cann, Margaret; Mc Cabe, Catherine
- Abstract
Introduction: Chronic Obstructive Pulmonary Disease (COPD) significantly impacts on both the quality and quantity of life for patients due to frequent exacerbations requiring hospital admissions resulting in increased morbidity and mortality. A self-management programme purpose is to increase one's knowledge, confidence, and skills to self-manage their chronic illness such as COPD. Objective: The objective of this review will therefore answer the following research question: What is the current literature pertaining to the use of a smartphone app in supporting a comprehensive self-management programme among COPD patients? A preliminary search was conducted in, Medline, Embase and CINAHL databases to ascertain index terms and keywords. Following this a rigorous search was carried out on Medline, Embase, CINAHL, Web of Science and ASSIA. The findings from this search are presented in tabular form using the PRSIMA flow diagram. Results: In this review, fifteen studies met the inclusion criteria. Across all studies participants engaged with the app and developed self-management skills and knowledge to manage their chronic illness. However, engagement with the app without third party involvement declined over time. Technical issues did not cause harm to participants but in some cases contributed to reduced engagement. Smartphone self-management apps empowered a cohort of COPD participants to engage in managing their chronic illness which proved useful in detecting exacerbations earlier resulting in reducing the need for hospitalisations over a three-to-six-month period. By reducing hospitalisations incurred a cost savings for health care and an improved quality and quantity of life for these participants. Conclusion: It is evident from the literature that smartphone self-management apps may positively influence participants self-management decisions in terms of knowledge, increase physical activity, self-efficacy that may result in reduced hospitalisation and improved quality of life. It is clear that technical issues and sustained engagement over longer periods of time remains a challenge. Author summary: This scoping review provides an overview on the current literature relating to smartphone apps in supporting a comprehensive self-management programme for adults with COPD. Continued engagement with smartphone apps over longer periods of time remain a challenge and this requires further attention to ensure continued engagement. There was some benefit shown in using smartphone apps to support a comprehensive self-management programme however, further research is required with larger sample sizes over a 12-month period in order to determine the effect of smartphone apps supporting a comprehensive self-management programme for adults with COPD.
- Subjects
MOBILE apps; MEDICAL information storage &; retrieval systems; INTELLECT; SELF-management (Psychology); SELF-efficacy; SMARTPHONES; COST effectiveness; CINAHL database; HOSPITAL care; ARTIFICIAL intelligence; DIGITAL health; HOSPITAL mortality; CONFIDENCE; EVALUATION of medical care; EMOTIONS; INTERNET; SEVERITY of illness index; DESCRIPTIVE statistics; SYSTEMATIC reviews; MEDLINE; DISEASES; OBSTRUCTIVE lung diseases; LITERATURE reviews; QUALITY of life; ABILITY; HEALTH education; HEALTH promotion; DATA analysis software; TRAINING; PHYSICAL activity; DISEASE complications; ADULTS
- Publication
PLoS Digital Health, 2024, Vol 3, Issue 6, p1
- ISSN
2767-3170
- Publication type
Article
- DOI
10.1371/journal.pdig.0000532