Abstract:
BACKGROUND:Although many smartphone apps and wearables have been designed to improve physical activity, their rapidly evolving nature and complexity present challenges for evaluating their impact. Traditional methodologies, such as randomized controlled trials (RCTs), can be slow. To keep pace with rapid technological development, evaluations of mobile health technologies must be efficient. Rapid alternative research designs have been proposed, and efficient in-app data collection methods, including in-device sensors and device-generated logs, are available. Along with effectiveness, it is important to measure engagement (ie, users' interaction and usage behavior) and acceptability (ie, users' subjective perceptions and experiences) to help explain how and why apps and wearables work. OBJECTIVES:This study aimed to (1) explore the extent to which evaluations of physical activity apps and wearables: employ rapid research designs; assess engagement, acceptability, as well as effectiveness; use efficient data collection methods; and (2) describe which dimensions of engagement and acceptability are assessed. METHOD:An interdisciplinary scoping review using 8 databases from health and computing sciences. Included studies measured physical activity, and evaluated physical activity apps or wearables that provided sensor-based feedback. Results were analyzed using descriptive numerical summaries, chi-square testing, and qualitative thematic analysis. RESULTS:A total of 1829 abstracts were screened, and 858 articles read in full. Of 111 included studies, 61 (55.0%) were published between 2015 and 2017. Most (55.0%, 61/111) were RCTs, and only 2 studies (1.8%) used rapid research designs: 1 single-case design and 1 multiphase optimization strategy. Other research designs included 23 (22.5%) repeated measures designs, 11 (9.9%) nonrandomized group designs, 10 (9.0%) case studies, and 4 (3.6%) observational studies. Less than one-third of the studies (32.0%, 35/111) investigated effectiveness, engagement, and acceptability together. To measure physical activity, most studies (90.1%, 101/111) employed sensors (either in-device [67.6%, 75/111] or external [23.4%, 26/111]). RCTs were more likely to employ external sensors (accelerometers: P=.005). Studies that assessed engagement (52.3%, 58/111) mostly used device-generated logs (91%, 53/58) to measure the frequency, depth, and length of engagement. Studies that assessed acceptability (57.7%, 64/111) most often used questionnaires (64%, 42/64) and/or qualitative methods (53%, 34/64) to explore appreciation, perceived effectiveness and usefulness, satisfaction, intention to continue use, and social acceptability. Some studies (14.4%, 16/111) assessed dimensions more closely related to usability (ie, burden of sensor wear and use, interface complexity, and perceived technical performance). CONCLUSIONS:The rapid increase of research into the impact of physical activity apps and wearables means that evaluation guidelines are urgently needed to promote efficiency through the use of rapid research designs, in-device sensors and user-logs to assess effectiveness, engagement, and acceptability. Screening articles was time-consuming because reporting across health and computing sciences lacked standardization. Reporting guidelines are therefore needed to facilitate the synthesis of evidence across disciplines.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
McCallum C,Rooksby J,Gray CMdoi
10.2196/mhealth.9054subject
Has Abstractpub_date
2018-03-23 00:00:00pages
e58issue
3issn
2291-5222pii
v6i3e58journal_volume
6pub_type
杂志文章,评审abstract:BACKGROUND:For the classification of facial paresis, various systems of description and evaluation in the form of clinician-graded or software-based scoring systems are available. They serve the purpose of scientific and clinical assessment of the spontaneous course of the disease or monitoring therapeutic intervention...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19346
更新日期:2021-01-26 00:00:00
abstract:BACKGROUND:As a result of demographic changes, physicians are required to deliver needed services with limited resources. Research suggests that tablet PCs with access to patient data may streamline clinical workflow. A recent study found tablets with mobile electronic medical records (EMRs) can facilitate data retriev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5464
更新日期:2016-06-06 00:00:00
abstract:BACKGROUND:In the app stores of mobile platforms, consumers are confronted with an enormous number of mobile apps. Over the past few years, considerable research has been undertaken into to identifying, characterizing, and evaluating apps, be it in health-related or other contexts. However, many of these projects are r...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11753
更新日期:2018-11-20 00:00:00
abstract:BACKGROUND:Within the new digital health landscape, the rise of health apps creates novel prospects for health promotion. The market is saturated with apps that aim to increase physical activity (PA). Despite the wide distribution and popularity of PA apps, there are limited data on their effectiveness, user experience...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.9069
更新日期:2018-03-21 00:00:00
abstract:BACKGROUND:Lung cancer patients experience various symptoms during treatment. Although pulmonary rehabilitation is an effective way to improve these symptoms, a medical environment of limited availability makes it difficult to provide seamless and adequate rehabilitation for lung cancer patients. OBJECTIVE:This study ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12645
更新日期:2019-06-21 00:00:00
abstract:BACKGROUND:Up to 70% of lung cancer survivors are affected by chronic obstructive pulmonary disease (COPD), a common, debilitating, comorbid disease. Lung cancer and COPD are both characterized by symptoms such as breathlessness, fatigue, and psychological distress. These distressing chronic symptoms are exacerbated by...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.9831
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:Evidence has shown that breast cancer self-management support from mobile health (mHealth) apps can improve the quality of life of survivors. Although many breast cancer self-management support apps exist, few papers have documented the procedure for the development of a user-friendly app from the patient's ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15780
更新日期:2020-04-30 00:00:00
abstract::[This corrects the article DOI: 10.2196/23194.]. ...
journal_title:JMIR mHealth and uHealth
pub_type: 已发布勘误
doi:10.2196/26239
更新日期:2020-12-04 00:00:00
abstract:BACKGROUND:Symptom drawings are widely used as a qualitative and quantitative method of assessing pain symptoms for both clinical and research purposes. As electronic drawings offer many advantages over classical pen-and-paper drawings, the last years have seen a shift toward tablet-based acquisition of symptom drawing...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8409
更新日期:2018-05-30 00:00:00
abstract:BACKGROUND:The prevalence of type 2 diabetes (T2D) is greater in South Asian populations and health outcomes are poorer compared with other ethnic groups. British South Asians are up to six times more likely to have T2D than the general population, to develop the condition at a younger age, and to experience diabetes-r...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15789
更新日期:2020-04-20 00:00:00
abstract:BACKGROUND:Digital health usability assessments can help explain how well mobile health (mHealth) apps targeting young people with sexual and reproductive health (SRH) information performed and whether the intended purpose was achieved. However, few digital health assessments have been conducted to evaluate young peopl...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19109
更新日期:2021-01-15 00:00:00
abstract:BACKGROUND:Research suggests that variability in attention and working memory scores, as seen across time points, may be a sensitive indicator of impairment compared with a singular score at one point in time. Given that fluctuation in cognitive performance is a meaningful metric of real-world function and trajectory, ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/14328
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:Breastfeeding is proven to have lasting health benefits for both mothers and infants; however, 6-month exclusive breastfeeding rate remains below 20% in Thailand. Although the number of research literature and commercial apps for breastfeeding women is significantly growing, they are country-specific and res...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8337
更新日期:2018-01-26 00:00:00
abstract:BACKGROUND:Cancer is highly prevalent worldwide and can cause high levels of distress in patients, which is often neglected in medical care. Smartphone apps are readily available and therefore seem promising to deliver distress-reducing interventions such as mindfulness and relaxation programs. OBJECTIVE:This study ai...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11271
更新日期:2018-12-06 00:00:00
abstract:BACKGROUND:The Syria crisis has forced more than 4 million people to leave their homeland. As a result, in 2016, an overwhelming number of refugees reached Germany. In response to this, it was of utmost importance to set up refugee camps and to provide humanitarian aid, but a health surveillance system was also impleme...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13516
更新日期:2019-08-19 00:00:00
abstract:BACKGROUND:Early identification of child emotional and behavioral concerns is essential for the prevention of mental health problems; however, few suitable child-reported screening measures are available. Digital tools offer an exciting opportunity for obtaining clinical information from the child's perspective. OBJEC...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9456
更新日期:2018-04-19 00:00:00
abstract:BACKGROUND:Globally, the uptake of health screening is suboptimal, especially in men and those of younger age. In view of the increasing internet access and mobile phone ownership, ScreenMen, a mobile Web app, was developed to improve health screening uptake in men. OBJECTIVE:This study aimed to evaluate the utility a...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10216
更新日期:2019-04-15 00:00:00
abstract:BACKGROUND:The preparation for colonoscopy is elaborate and complex. In the context of colorectal cancer screening, up to 11% of patients do not keep their colonoscopy appointments and up to 33% of those attending their appointments have inadequately cleansed bowels that can delay cancer diagnosis and treatment. A smar...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12242
更新日期:2019-07-02 00:00:00
abstract:BACKGROUND:The public health system in Bangladesh has been struggling to provide coverage and utilization of basic maternal health care services in pursuit of achieving maternal and child mortality-related goals. Interestingly, the rapid popularization of mobile technology in the country is transforming the landscape o...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10645
更新日期:2019-02-28 00:00:00
abstract:BACKGROUND:Privacy has always been a concern, especially in the health domain. The proliferation of mobile health (mHealth) apps has led to a large amount of sensitive data being generated. Some authors have performed privacy assessments of mHealth apps. They have evaluated diverse privacy components; however, differen...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/18868
更新日期:2020-07-02 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) has huge potential to deliver preventative health services. However, there is paucity of literature on theoretical constructs, technical, practical, and regulatory considerations that enable delivery of such services. OBJECTIVES:The objective of this study was to outline the key cons...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5996
更新日期:2016-11-15 00:00:00
abstract:BACKGROUND:There are many apps developed for patients with spondyloarthritis in the market, but their purpose and quality are not objectively evaluated. OBJECTIVE:The objective of this study was to identify and evaluate existing publicly available, high-quality apps that use validated measurement instruments for monit...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/14753
更新日期:2019-10-28 00:00:00
abstract:BACKGROUND:A voice assistant (VA) is inanimate audio-interfaced software augmented with artificial intelligence, capable of 2-way dialogue, and increasingly used to access health care advice. Postpartum depression (PPD) is a common perinatal mood disorder with an annual estimated cost of $14.2 billion. Only a small per...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/24045
更新日期:2021-01-11 00:00:00
abstract:BACKGROUND:Antiretroviral (ART) adherence among people living with HIV (PLWH) continues to be a challenge despite advances in HIV prevention and treatment. Mobile health (mHealth) interventions are increasingly deployed as tools for ART adherence. However, little is known about the uptake and attitudes toward commercia...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12900
更新日期:2019-07-03 00:00:00
abstract:BACKGROUND:The remarkable growth of cell phone ownership in low- and middle-income countries has generated significant interest in using cell phones for conducting surveys through computer-assisted telephone interviews, live interviewer-administered surveys, or automated surveys (ie, interactive voice response). OBJEC...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17891
更新日期:2020-07-14 00:00:00
abstract:BACKGROUND:Gameful designs (gamification), using design pieces and concepts typically found in the world of games, is a promising approach to increase users' engagement with, and adherence to, electronic health and mobile health (mHealth) tools. Even though both identifying and addressing users' requirements and needs ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11579
更新日期:2018-12-14 00:00:00
abstract:BACKGROUND:Building an equitable health system is a cornerstone of the World Health Organization (WHO) health system building block framework. Public participation in any such reform process facilitates successful implementation. South Africa has embarked on a major reform in health policy that aims at redressing inequ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3533
更新日期:2014-10-28 00:00:00
abstract:BACKGROUND:Despite the existence of adequate technological infrastructure and clearer policies, there are situations where users, mainly physicians, resist mobile health (mHealth) solutions. This is of particular concern, bearing in mind that several studies, both in developed and developing countries, showed that clin...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13555
更新日期:2019-05-03 00:00:00
abstract:BACKGROUND:A lifesaving treatment for myocardial infarction is the placement of a stent in a closed or obstructed coronary artery. The largest modifiable risk factor after receiving a stent is medication adherence to Dual AntiPlatelet Therapy, a combination of P2Y12 inhibitors and aspirin. OBJECTIVE:This study aimed t...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15900
更新日期:2020-06-24 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) technologies provide many potential benefits to the delivery of health care. Medical decision support tools have shown particular promise in improving quality of care and provider workflow. Frontline health workers such as Community Health Workers (CHWs) have been shown to be effectiv...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.2459
更新日期:2013-04-04 00:00:00