Mobile-assisted health in the elderly with chronic illness. Integrative review
Keywords:
geriatric assessment, mobile applications, mobile health, telemedicineAbstract
Introduction: mobile-assisted health is a novel concept. It is based on the use of wireless communication devices, as supports in clinical practice and public health management, especially in the care of chronic patients.
Objective: to analyze the available evidence on mobile applications used as means of assessment, care, and rehabilitation in chronically ill older adults.
Methods: an integrative review of the literature on the topic was carried out, published between January 2018 and May 2023 in the Virtual Health Library, PubMed, EBSCOhost, and SciELO databases. The data were analyzed following the methodology of the critical reading skills program.
Results: in total, 22 studies were collected from three continents: 36.36% from Europe, 27.27% from Asia, 22.73% from Latin America, and 13.64% from North America. Of them, 50% focused on clinical assessment and monitoring, 22.73% addressed care, and 22.73% addressed the physical or cognitive rehabilitation of chronically ill older adults; In all of them, mobile applications were used, both prototypes in development and interactive.
Conclusions: there is a wide range of mobile devices and applications to evaluate, care for and rehabilitate older adults. Those focused on cognitive stimulation to preserve mental abilities and delay the deterioration associated with aging, and those aimed at nutritional evaluations, stand out. These very effective resources complement daily medical practice and contribute to significantly optimizing healthcare.
Downloads
References
Barton AJ. The regulation of mobile health applications. BMC Med [Internet]. 2012 [citado 31 Mar 2023];10(1):46.Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3364852/pdf/1741-7015-10-46.pdf
Alonso-Arévalo J, Mirón-Canelo JA. Aplicaciones móviles en salud: potencial, normativa de seguridad y regulación. Rev. cuba. inf. cienc. salud [Internet]. Sep 2017 [citado 31 Mar 2023];28(3):[aprox. 8 p.]. Disponible en: http://scielo.sld.cu/pdf/ics/v28n3/rci05317.pdf
Lui JHL, Marcus DK, Barry CT. Evidence-based apps? A review of mental health mobile applications in a psychotherapy context. Prof Psychol Res Pr [Internet]. 2017 [citado 31 Mar 2023];48(3):199-210. Disponible en: https://s3.wp.wsu.edu/uploads/sites/1012/2018/10/Evidence-based-apps-A-review-of-mental-health-mobile-applications-in-a-psychotherapy-context.pdf
World Health Organization. Proyecto de estrategia mundial sobre salud digital 2020-2025 [Internet]. Geneva: WHO; 2019 [citado el 31 Mar 2023] Disponible en: https://www.who.int/docs/default-source/documents/200067-lb-full-draft-digital-health-strategy-with-annex-cf-6jan20-cf-rev-10-1-clean-sp.pdf?sfvrsn=4b848c08_2
AppBrain [Internet]. Zürich: AppBrain; [actualizado Jul 2024; citado 15 Jul 2024]. Statistics. Top categories. Most popular Google Play categories (Jul 2024) [aprox. 4 pantallas]. Disponible en: https://www.appbrain.com/stats/android-market-app-categories
Ramey L, Osborne C, Kasitinon D, Juengst S. Apps and mobile health technology in rehabilitation: The good, the bad, and the unknown. Phys Med Rehabil Clin N Am [Internet]. May 2019 [citado 3 Abr 2023];30(2):485-97. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1047965118308659?via%3Dihub
Alòs F, Puig-Ribera A. Uso de wearables y aplicaciones móviles (mHealth) para cambiar los estilos de vida desde la práctica clínica en atención primaria: una revisión narrativa. Aten Prim Práct [Internet]. Dic 2021 [citado 3 Abr 2023];3:100122. Disponible en: https://www.sciencedirect.com/science/article/pii/S2605073021000432
Torous J, Nicholas J, Larsen ME, Firth J, Christensen H. Clinical review of user engagement with mental health smartphone apps: evidence, theory and improvements. Evid Based Ment Health [Internet]. Ago 2018 [citado 4 Abr 2023];21(3):116-9. Disponible en: https://mentalhealth.bmj.com/content/ebmental/21/3/116.full.pdf
Haase J, Farris KB, Dorsch MP. Mobile applications to improve medication adherence. Telemed J E Health [Internet]. Feb 2017 [citado 4 Abr 2023];23(2):75-9. Disponible en: https://www.liebertpub.com/doi/pdf/10.1089/tmj.2015.0227?download=true
Chan S, Li L, Torous J, Gratzer D, Yellowlees PM. Review of use of asynchronous technologies incorporated in mental health care. Curr Psychiatry Rep [Internet]. 2018 [citado 4 Abr 2023];20(10):85. Disponible en: https://www.proquest.com/openview/16048401f1d932391b9254bbd538de5a/1?pq-origsite=gscholar&cbl=4402920
Bakker D, Kazantzis N, Rickwood D, Rickard N. Mental health smartphone apps: review and evidence-based recommendations for future developments. JMIR Ment Health [Internet]. Mar 2016 [citado 6 Abr 2023];3(1):e7. Disponible en: https://mental.jmir.org/2016/1/e7/PDF
Cook VE, Ellis AK, Hildebrand KJ. Mobile health applications in clinical practice: pearls, pitfalls, and key considerations. Ann Allergy, Asthma Immunol [Internet]. Ago 2016 [citado 6 Abr 2023];117(2):143-9. Disponible en: https://www.academia.edu/download/80362301/PIIS108112061600048X.pdf
Tala A, Vázquez E, Rojas E, Marín R. Apps y medicina: una visión global y la situación chilena. Rev. méd. Chile [Internet]. Feb 2022 [citado 6 Abr 2023];150(2):206-15. Disponible en: https://www.scielo.cl/pdf/rmc/v150n2/0717-6163-rmc-150-02-0206.pdf
Organización Mundial de la Salud [Internet]. Envejecimiento y Salud; Datos y cifras. 2021. [citado el 06 de abril de 2023]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/ageing-and-health
Organización Mundial de la Salud, Centro de prensa. Enfermedades no transmisibles [Internet]. 2023 [citado 29 Sep 2023]; Nota descriptiva s/n [aprox. 5 p.] Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/noncommunicable-diseases
World Health Organization. Global action plan on the public health response to dementia 2017–2025 [Interne]. Geneva: WHO; 2017 [citado 18 Jun 2023]. Disponible en: https://iris.who.int/bitstream/handle/10665/259615/9789241513487-eng.pdf?sequence=1
Sánchez-Pérez H, Ramírez-Rosillo FJ, Carrillo-Esper R. Polifarmacia en el adulto mayor. Consideraciones en el perioperatorio. Rev. mex. .anestesiol. [Internet]. Mar 2022 [citado 18 Jun 2023];45(1):40-7. Disponible en: https://www.medigraphic.com/pdfs/rma/cma-2022/cma221i.pdf
López-Lago-Ortiz L, Muñoz-González B, Rivero-Jiménez B, Conde-Caballero D, Mariano-Juárez L. Sexo, género y humanización de las tecnologías de cuidados para personas mayores. Cult. cuid. [Internet]. 2021 [citado 18 Jun 2023];25(61):186-204. Disponible en: https://rua.ua.es/dspace/bitstream/10045/120114/1/CultCuid61_12.pdf
Acosta-Espinoza JL, León-Yacelga ARL, Sanafria-Michilena WG. Las aplicaciones móviles y su impacto en la sociedad. Universidad y Sociedad [Internet]. Abr 2022 [citado 18 Jun 2023];14(2):237-43. Disponible en: http://scielo.sld.cu/pdf/rus/v14n2/2218-3620-rus-14-02-237.pdf
Cidoncha-Moreno MA, Moro-Casuso I, Ruiz-Pereda V, Gárate-Echenique L, Ortiz-De Elguea FJ, Abad-García R. Satisfacción de las enfermeras de Osakidetza con las aplicaciones móviles para el cuidado enfermero. Metas Enferm [Internet]. Jun 2018 [citado 18 Jun 2023];21(5):56-62. Disponible en: https://www.enfermeria21.com/revistas/metas/articulo/81245/
Dal Sasso-Mendes K, De Campos-Pereira-Silveira RC, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm, Florianópolis [Internet]. Dic 2008 [citado 11 Abr 2023];17(4):758-64. Disponible: https://www.redalyc.org/pdf/714/71411240017.pdf
Da Costa-Santos CM, De Matos-Pimenta CA, Cuce-Nobre MR. The PICO strategy for the research question construction and evidence search. Rev Latino-am Enfermagem [Internet]. Jun 2007 [citado 18 Jun 2023];15(3):508-11. Disponible en: https://www.scielo.br/j/rlae/a/CfKNnz8mvSqVjZ37Z77pFsy/?format=pdf&lang=pt
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev [Internet]. 2016 [citado 18 Jun 2023];5(1):210. Disponible en: https://systematicreviewsjournal.biomedcentral.com/counter/pdf/10.1186/s13643-016-0384-4.pdf
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, et al. Extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med [Internet]. 2018 [citado 11 Abr 2023];169(7):467-73. Disponible en: https://www.acpjournals.org/doi/full/10.7326/M18-0850
Cabello-López JB. Plantilla para ayudarte a entender una revisión sistemática. En: CASPe. Guías CASPe de lectura crítica de la literatura médica. Cuaderno I [Internet]. Alicante: CASPe; 2005. p. 13-7 [citado 13 Abr 2023]. Disponible en: https://redcaspe.org/plantilla_revision.pdf
Aromataris E, Munn Z. JBI Manual for evidence synthesis [Internet]. Adelaida: JBI; 2020 [citado 19 Mar 2023]. Disponible en: https://jbi-global-wiki.refined.site/download/attachments/355599504/JBIMES_2021April.pdf?download=true
Cabello-López JB. Lectura crítica de la evidencia clínica. 2da ed. Barcelona: Elsevier; 2021.
Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020 version). En: Aromataris E, Munn Z. JBI Manual for evidence synthesis [Internet]. Adelaida: JBI; 2020 [citado 19 Mar 2023]. Disponible en: https://jbi-global-wiki.refined.site/download/attachments/355599504/JBIMES_2021April.pdf?download=true
Dickman-Portz J, Vehovec A, Dolansky MA, Levin JB, Bull S, Boxer R. The development and acceptability of a mobile application for tracking symptoms of heart failure among older adults. Telemed J E Health [Internet]. Feb 2018 [citado 18 Jun 2023];24(2):161-65. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5806073/pdf/tmj.2017.0036.pdf
Silva S, Felgueiras R, Oliveira IC. Geriatric Helper: An mHealth Application to support comprehensive geriatric assessment. Sensors (Basel) [Internet]. Abr 2018 [citado 18 Jun 2023];18(4):1285. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5948578/pdf/sensors-18-01285.pdf
Philips B, Smits C, Govaerts PJ, Doorn I, Vanpoucke F. Empowering senior cochlear implant users at home via a tablet computer application. Am J Audiol [Internet]. Nov 2018 [citado 18 Jun 2023]:27(3 Supl):417-30. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018449/
Münch M, Weibel R, Sofios A, Huang H, Infanger D, Portegijs E, et al. MOBIlity assessment with modern TEChnology in older patients' real-life by the General Practitioner: the MOBITEC-GP study protocol. BMC Public Health [Internet]. 2019 [citado 18 Jun 2023];19:1703. Disponible en: https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-019-8069-2.pdf
Zhong R. Pei-Luen PR. A Mobile phone-based gait assessment app for the elderly: development and evaluation. JMIR Mhealth Uhealth [Internet]. May 2020 [citado 18 Jun 2023];8(5):e14453. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284482/
Damschroder LJ, Buis LR, McCant FA, Kim HM, Evans R, Oddone EZ, et al. Effect of adding telephone-based brief coaching to an mHealth app (Stay Strong) for promoting physical activity among veterans: a randomized controlled trial. J Med Internet Res [Internet]. Ago 2020 [citado 4 Jun 2023];22(8):e19216. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7435619/
Alasfour M, Almarwani M. The effect of innovative smartphone application on adherence to a home-based exercise program for female older adults with knee osteoarthritis in Saudi Arabia: a randomized controlled trial. Disabil Rehabil [Internet]. Jun 2022 [citado 18 Jun 2023];4(11):2420-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33103499/
Álvarez EA, Garrido M, Ponce DP, Pizarro G, Córdova AA, Vera F, et al. A software to prevent delirium in hospitalised older adults: development and feasibility assessment. Age Ageing [Internet]. Mar 2020 [citado 6 Jun 2023];49(2):239-45. Disponible en: https://academic.oup.com/ageing/article-pdf/49/2/239/32677988/afz166.pdf
Gatsios D, Antonini A, Gentile G, Marcante A, Pellicano C, Macchiusi L, et al. Feasibility and utility of mHealth for the remote monitoring of Parkinson disease: ansillary study of the PD-manager randomized controlled trial. JMIR Mhealth Uhealth [Internet]. Jun 2020 [citado 18 Jun 2023];8(6):e16414. Disponible en: https://mhealth.jmir.org/2020/6/e16414/PDF
Göransson C, Wengström Y, Hälleberg-Nyman M, Langius-Eklöf A, Ziegert K, Blomberg K. An app for supporting older people receiving home care – usage, aspects of health and health literacy: a quasi- experimental study. BMC Med Inform Decis Mak [Internet]. 2020 [citado 18 Jun 2023];20:226. Disponible en: https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-020-01246-3.pdf
Kim H, Lee SH, Cho NB, You H, Choi T, Kim J. User-dependent usability and feasibility of a swallowing training mHealth app for older adults: mixed methods pilot study. JMIR Mhealth Uhealth [Internet]. Jul 2020 [citado 18 Jun 2023];8(7):e19585. Disponible en: https://mhealth.jmir.org/2020/7/e19585/PDF
Kringle EA, Setiawan MA, Golias K, Parmanto B, Skidmore ER. Feasibility of an iterative rehabilitation intervention for stroke delivered remotely using mobile health technology. Disabil Rehabil Assist Technol [Internet]. Nov 2020 [citado 18 Jun 2023];15(8):908-16. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6920604/pdf/nihms-1533967.pdf
Snoek JA, Prescott EI, Van der Velde AE, Eijsvogels TMH, Mikkelsen N, Prins LF, et al. Effectiveness of home-based mobile guided cardiac rehabilitation as alternative strategy for nonparticipation in clinic-based cardiac rehabilitation among elderly patients in Europe: a randomized clinical trial. JAMA Cardiol [Internet]. Abr 2021 [citado 18 Jun 2023];6(4):463-8. Disponible en: https://jamanetwork.com/journals/jamacardiology/fullarticle/2772381
Caldichoury-Obando N, Belón-Hercilla V, Rivera-Fernández C, Shelach-Bellido S, Ramos-Henderson M, Camargo L, et al. Entrenamiento cognitivo con aplicativo móvil en adultos mayores sanos (estudio piloto). Acta Psiquiátr Psicol Am Lat [Internet]. 2020 [citado 18 Jun 2023];66(4):220-6. Disponible en: https://www.researchgate.net/profile/Norman-Lopez/publication/349160389_Entrenamiento_cognitivo_con_aplicativo_movil_en_adultos_mayores_sanos_estudio_piloto/links/6026a0eb92851c4ed56a872b/Entrenamiento-cognitivo-con-aplicativo-movil-en-adultos-mayores-sanos-estudio-piloto.pdf
Ureña R, Chiclana F, González-Álvarez A, Herrera-Viedma E, Moral-Muñoz JA. m-SFT: A novel mobile health system to assess the elderly physical condition. Sensors (Basel) [Internet]. Mar 2020 [citado 18 Jun 2023];20(5):1462. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085561/pdf/sensors-20-01462.pdf
Aure CF, Kluge A, Moen A. Older adults’ Engagement in technology-mediated self-monitoring of diet: a mixed-method study. Journal of Nursing Scholarsh [Internet]. Ene 2021 [citado 18 Jun 2023];53(1):25-34. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7839486/pdf/JNU-53-25.pdf
Tan LF, Chan YH, Tay A, Jayasundram J, Low NA, Merchant RA. Practicality and reliability of self vs administered Rapid Geriatric Assessment Mobile app. J Nutr Health Aging [Internet]. 2021 [citado 18 Jun 2023];25(9):1064-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432277/pdf/12603_2021_Article_1672.pdf
Bautista-Mier HA, Rodríguez-Gutiérrez AF, Torres-Espinosa C, López-Ramírez JH. Uso y percepción del personal de salud sobre una aplicación móvil para la valoración geriátrica integral. MedUNAB [Internet]. Nov 2021 [citado 18 Jun 2023];24(2):169-75. Disponible en: https://revistas.unab.edu.co/index.php/medunab/article/download/4041/3452/15291
Hernández X. Implementación de la prueba PeekAcuity como herramienta en gerontología comunitaria en el municipio de Otzolotepec, Estado de México. Dilemas contemp. educ. política valores [Internet]. 2021 [citado 18 Jun 2023];8(1):[aprox. 7 p.]. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2007-78902021000300024&lng=es&nrm=iso&tlng=es
Möller O, Fänge M, Kristensson J, Smedberg D, Falkvall F, Hansson E. Modern technology against falls – A description of the MoTFall Project. Health Informatics J [Internet]. Jun 2021 [citado 22 Jun 2023];27(2):14604582211011514. Disponible en: https://journals.sagepub.com/doi/10.1177/14604582211011514?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
Ching-Wong AK, Yuet-Wong FK, Sum-Chow KK, Man-Wong S, Bayuo J, Ying-Ho AK. Effect of a mobile health application with nurse support on quality of life among community-dwelling older adults in Hong Kong: a randomized clinical trial. JAMA Netw Open [Internet]. Nov 2022 [citado 18 Jun 2023];5(11):e2241137. Disponible en: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2798222
Trujillo-Aspilcueta H, Gómez-Guizado GL, De la Cruz-Egoavil LY. Metodología de desarrollo de Zucar, una aplicación para dispositivo móvil en pacientes diabéticos tipo 2. Bol Inst Nac Salud [Internet]. 2022 [citado 18 Jun 2023];28(2):30-4. Disponible en: https://boletin.ins.gob.pe/wp-content/uploads/2022/V28N2/a03v28.pdf
Villavicencio-Cedeño JA, Flores-Marín M. Efectos de la utilización de la aplicación móvil VILLAHEALTH en el comportamiento y desempeño del personal de enfermería. Rev Cubana Enfermer [Internet]. Jun 2018 [citado 18 Jun 2023];34(2):309-20. Disponible en: http://scielo.sld.cu/pdf/enf/v34n2/1561-2961-enf-34-02-e1570.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Gerardo Saucedo Pahua, Lucero Fuentes Ocampo, María de Jesús Jiménez González
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Those authors who have publications with this journal accept the following terms of the License CC Attribution-NonCommercial 4.0 International (CC BY-NC 4.0):
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
