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Are COPD self-management mobile applications effective? A systematic review and meta-analysis
G Shaw1, M E Whelan2, L C Armitage3
1Exeter College, University of Oxford, Oxford, UK.
NPJ Primary Care Respiratory Medicine
|April 3, 2020
Summary
Mobile health apps for chronic obstructive pulmonary disease (COPD) self-management show inconsistent results. While promising for COPD care, current evidence does not significantly improve physical function or quality of life compared to usual care.
Area of Science:
- Pulmonary Medicine
- Digital Health
- Health Services Research
Background:
- Chronic obstructive pulmonary disease (COPD) poses a significant and growing burden on patients and healthcare systems.
- Mobile health (mHealth) applications offer a potential avenue for enhancing self-management strategies in COPD patients.
- Evidence regarding the efficacy of these digital tools in improving COPD outcomes remains to be synthesized.
Purpose of the Study:
- To systematically review and synthesize the available evidence on the effectiveness of mobile health applications for COPD self-management.
- To compare the outcomes of mHealth interventions against usual care in COPD patients.
- To identify key outcomes such as exacerbations, physical function, and quality of life.
Main Methods:
- A systematic review of randomized controlled trials (RCTs) was performed.
- Literature searches identified 1709 citations, with 13 eligible trials included in the final analysis.
- Meta-analyses were conducted where outcome data permitted pooling.
Main Results:
- The included studies reported on various outcomes including exacerbations, quality of life (QoL), physical function, dyspnea, physical activity, and self-efficacy.
- The evidence for the effectiveness of mHealth apps in COPD was found to be inconsistent across the reviewed studies.
- Pooled effect sizes for physical function and QoL did not demonstrate statistically significant improvements.
Conclusions:
- Current evidence on the effectiveness of mHealth applications for COPD self-management is inconsistent.
- Significant improvements in physical function and quality of life were not consistently observed.
- A standardized outcome-reporting framework for digital health interventions in COPD is recommended to improve future research consistency.
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