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A Systematic Review and Meta-analysis of Mobile Health Applications and Telemonitoring in Atopic Dermatitis
Ivan Cherrez-Ojeda1,2, Karla Robles-Velasco3,4, María F Osorio3,4
1Universidad Espíritu Santo, 0901952, Samborondón, Guayas, Ecuador. ccherrezo@uees.edu.ec.
Dermatology and Therapy
|June 22, 2024
Summary
Information and communication technologies (ICT) like mobile health apps significantly improve atopic dermatitis (AD) self-management and quality of life. However, these digital tools do not appear to impact AD severity scores.
Area of Science:
- Dermatology
- Digital Health
- Health Informatics
Background:
- Atopic dermatitis (AD) affects a significant portion of the population, impacting quality of life.
- Effective AD management remains a challenge despite existing therapies.
- Information and communication technologies (ICT) are emerging as potential tools for AD management.
Purpose of the Study:
- To assess the impact of ICT, specifically teledermatology, mobile health (mHealth) apps, and electronic devices, on AD self-management.
- To conduct a meta-analysis of clinical trials evaluating the effectiveness of these digital health interventions in AD.
Main Methods:
- A systematic literature search was performed across PubMed, Web of Science, Scopus, and Embase.
- Included peer-reviewed clinical trials published in English until May 2023.
- Meta-analysis was conducted on data from 12 selected trials involving 2424 participants.
Main Results:
- Meta-analysis of 1038 individuals showed a significant improvement in Patient Oriented Eczema Measure (POEM) scores (MD: -1.57, P ≤ 0.001).
- Meta-analysis of 495 individuals indicated a significant improvement in Dermatology Life Quality Index (DLQI) scores (MD: -0.59, P ≤ 0.001).
- SCORing Atopic Dermatitis (SCORAD) showed no significant impact on AD severity (MD: -0.12, P = 0.91), despite observed heterogeneity in some analyses.
Conclusions:
- Mobile health (mHealth) applications and telemonitoring significantly enhance patients' quality of life (DLQI) and self-management capabilities (POEM).
- These digital interventions do not demonstrate a significant effect on the clinical severity of atopic dermatitis (SCORAD).
- ICT offers a promising avenue for improving patient-reported outcomes in atopic dermatitis management.
