The evolution of mobile apps for asthma: an updated systematic assessment of content and tools
Identifieur interne : 000064 ( Main/Exploration ); précédent : 000063; suivant : 000065The evolution of mobile apps for asthma: an updated systematic assessment of content and tools
Auteurs : Kit Huckvale ; Cecily Morrison ; Jing Ouyang ; Aseem Ghaghda ; Josip Car [Singapour]Source :
- BMC Medicine [ 1741-7015 ] ; 2015.
Abstract
Interest in mobile apps that support long-term conditions such as asthma is matched by recognition of the importance of the quality and safety of apps intended for patient use. We assessed how changes over a 2-year period affected the clinical suitability of apps providing self-management information and tools for people with asthma by updating a review first performed in 2011.
Systematic content assessment of all apps for iOS and Android examining the comprehensiveness of asthma information, consistency with the evidence base for asthma self-management and adherence to best practice principles for trustworthy content, comparing the quality of apps available in 2011 to those released since.
Between 2011 and 2013, numbers of asthma apps more than doubled from 93 to 191, despite withdrawal of 25% (n = 23/93) of existing apps. Newer apps were no more likely than those available in 2011 to include comprehensive information, such as the use of action plans, or offer guidance consistent with evidence; 13% (n = 19/147) of all apps, and 39% (n = 9/23) of those intended to manage acute asthma, recommended self-care procedures unsupported by evidence. Despite increases in the numbers of apps targeting specific skills, such as acute asthma management (n = 12 to 23) and inhaler technique (from n = 2 to 12), the proportion consistent with guidelines (17%, n = 4/23) and inhaler instructions (25%, n = 3/12), respectively, was low, and most apps provided only either basic information about asthma (50%, n = 75/147) or simple diary functions (24%, n = 36/147).
In addition to persisting questions about clinical quality and safety, dynamic aspects of app turnover and feature evolution affect the suitability of asthma apps for use in routine care. The findings underline the need for coordinated quality assurance processes that can adapt to changing clinical and information governance-related risks, ensure compliance with the evidence base and reflect local variations in clinical practice. It is unclear if substantial clinical benefits can be realized from a landscape dominated by low quality generic information apps and tools that do not adhere to accepted medical practice.
The online version of this article (doi:10.1186/s12916-015-0303-x) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12916-015-0303-x
PubMed: 25857569
PubMed Central: 4391129
Affiliations:
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Ouyang</name><affiliation><nlm:aff id="Aff1">Global eHealth Unit, Imperial College London, Reynolds Building, St Dunstan’s Road, London, W6 8RP UK</nlm:aff><wicri:noCountry code="subfield">W6 8RP UK</wicri:noCountry></affiliation></author><author><name sortKey="Ghaghda, Aseem" sort="Ghaghda, Aseem" uniqKey="Ghaghda A" first="Aseem" last="Ghaghda">Aseem Ghaghda</name><affiliation><nlm:aff id="Aff1">Global eHealth Unit, Imperial College London, Reynolds Building, St Dunstan’s Road, London, W6 8RP UK</nlm:aff><wicri:noCountry code="subfield">W6 8RP UK</wicri:noCountry></affiliation></author><author><name sortKey="Car, Josip" sort="Car, Josip" uniqKey="Car J" first="Josip" last="Car">Josip Car</name><affiliation><nlm:aff id="Aff1">Global eHealth Unit, Imperial College London, Reynolds Building, St Dunstan’s Road, London, W6 8RP UK</nlm:aff><wicri:noCountry code="subfield">W6 8RP UK</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Health Services and Outcomes Research Programme, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Health Services and Outcomes Research Programme, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25857569</idno><idno type="pmc">4391129</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391129</idno><idno type="RBID">PMC:4391129</idno><idno type="doi">10.1186/s12916-015-0303-x</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000177</idno><idno type="wicri:Area/Pmc/Curation">000177</idno><idno type="wicri:Area/Pmc/Checkpoint">000058</idno><idno type="wicri:Area/Ncbi/Merge">000619</idno><idno type="wicri:Area/Ncbi/Curation">000619</idno><idno type="wicri:Area/Ncbi/Checkpoint">000619</idno><idno type="wicri:Area/Main/Merge">000064</idno><idno type="wicri:Area/Main/Curation">000064</idno><idno type="wicri:Area/Main/Exploration">000064</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The evolution of mobile apps for asthma: an updated systematic assessment of content and tools</title><author><name sortKey="Huckvale, Kit" sort="Huckvale, Kit" uniqKey="Huckvale K" first="Kit" last="Huckvale">Kit Huckvale</name><affiliation><nlm:aff id="Aff1">Global eHealth Unit, Imperial College London, Reynolds Building, St Dunstan’s Road, London, W6 8RP UK</nlm:aff><wicri:noCountry code="subfield">W6 8RP UK</wicri:noCountry></affiliation></author><author><name sortKey="Morrison, Cecily" sort="Morrison, Cecily" uniqKey="Morrison C" first="Cecily" last="Morrison">Cecily Morrison</name><affiliation><nlm:aff id="Aff1">Global eHealth Unit, Imperial College London, Reynolds Building, St Dunstan’s Road, London, W6 8RP UK</nlm:aff><wicri:noCountry code="subfield">W6 8RP UK</wicri:noCountry></affiliation></author><author><name sortKey="Ouyang, Jing" sort="Ouyang, Jing" uniqKey="Ouyang J" first="Jing" last="Ouyang">Jing Ouyang</name><affiliation><nlm:aff id="Aff1">Global eHealth Unit, Imperial College London, Reynolds Building, St Dunstan’s Road, London, W6 8RP UK</nlm:aff><wicri:noCountry code="subfield">W6 8RP UK</wicri:noCountry></affiliation></author><author><name sortKey="Ghaghda, Aseem" sort="Ghaghda, Aseem" uniqKey="Ghaghda A" first="Aseem" last="Ghaghda">Aseem Ghaghda</name><affiliation><nlm:aff id="Aff1">Global eHealth Unit, Imperial College London, Reynolds Building, St Dunstan’s Road, London, W6 8RP UK</nlm:aff><wicri:noCountry code="subfield">W6 8RP UK</wicri:noCountry></affiliation></author><author><name sortKey="Car, Josip" sort="Car, Josip" uniqKey="Car J" first="Josip" last="Car">Josip Car</name><affiliation><nlm:aff id="Aff1">Global eHealth Unit, Imperial College London, Reynolds Building, St Dunstan’s Road, London, W6 8RP UK</nlm:aff><wicri:noCountry code="subfield">W6 8RP UK</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Health Services and Outcomes Research Programme, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Health Services and Outcomes Research Programme, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore</wicri:regionArea><wicri:noRegion>Singapore</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Medicine</title><idno type="eISSN">1741-7015</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Interest in mobile apps that support long-term conditions such as asthma is matched by recognition of the importance of the quality and safety of apps intended for patient use. We assessed how changes over a 2-year period affected the clinical suitability of apps providing self-management information and tools for people with asthma by updating a review first performed in 2011.</p></sec><sec><title>Methods</title><p>Systematic content assessment of all apps for iOS and Android examining the comprehensiveness of asthma information, consistency with the evidence base for asthma self-management and adherence to best practice principles for trustworthy content, comparing the quality of apps available in 2011 to those released since.</p></sec><sec><title>Results</title><p>Between 2011 and 2013, numbers of asthma apps more than doubled from 93 to 191, despite withdrawal of 25% (n = 23/93) of existing apps. Newer apps were no more likely than those available in 2011 to include comprehensive information, such as the use of action plans, or offer guidance consistent with evidence; 13% (n = 19/147) of all apps, and 39% (n = 9/23) of those intended to manage acute asthma, recommended self-care procedures unsupported by evidence. Despite increases in the numbers of apps targeting specific skills, such as acute asthma management (n = 12 to 23) and inhaler technique (from n = 2 to 12), the proportion consistent with guidelines (17%, n = 4/23) and inhaler instructions (25%, n = 3/12), respectively, was low, and most apps provided only either basic information about asthma (50%, n = 75/147) or simple diary functions (24%, n = 36/147).</p></sec><sec><title>Conclusions</title><p>In addition to persisting questions about clinical quality and safety, dynamic aspects of app turnover and feature evolution affect the suitability of asthma apps for use in routine care. The findings underline the need for coordinated quality assurance processes that can adapt to changing clinical and information governance-related risks, ensure compliance with the evidence base and reflect local variations in clinical practice. It is unclear if substantial clinical benefits can be realized from a landscape dominated by low quality generic information apps and tools that do not adhere to accepted medical practice.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12916-015-0303-x) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Klasnja, P" uniqKey="Klasnja P">P Klasnja</name></author><author><name sortKey="Pratt, W" uniqKey="Pratt W">W Pratt</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Fox, S" uniqKey="Fox S">S Fox</name></author><author><name sortKey="Duggan, M" uniqKey="Duggan M">M Duggan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Aitken, M" uniqKey="Aitken 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Silverman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Food, Us" uniqKey="Food U">US Food</name></author><author><name sortKey="Administration, D" uniqKey="Administration D">D Administration</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lewis, Tl" uniqKey="Lewis T">TL Lewis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Albrecht, Uv" uniqKey="Albrecht U">UV Albrecht</name></author><author><name sortKey="Von Jan, U" uniqKey="Von Jan U">U von Jan</name></author><author><name sortKey="Jungnickel, T" uniqKey="Jungnickel T">T Jungnickel</name></author><author><name sortKey="Pramann, O" uniqKey="Pramann O">O Pramann</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Marcano Belisario, Js" uniqKey="Marcano Belisario J">JS Marcano Belisario</name></author><author><name sortKey="Huckvale, K" uniqKey="Huckvale K">K Huckvale</name></author><author><name sortKey="Greenfield, G" uniqKey="Greenfield G">G Greenfield</name></author><author><name sortKey="Car, J" uniqKey="Car J">J Car</name></author><author><name sortKey="Gunn, Lh" uniqKey="Gunn L">LH Gunn</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Singapour</li></country></list><tree><noCountry><name sortKey="Ghaghda, Aseem" sort="Ghaghda, Aseem" uniqKey="Ghaghda A" first="Aseem" last="Ghaghda">Aseem Ghaghda</name><name sortKey="Huckvale, Kit" sort="Huckvale, Kit" uniqKey="Huckvale K" first="Kit" last="Huckvale">Kit Huckvale</name><name sortKey="Morrison, Cecily" sort="Morrison, Cecily" uniqKey="Morrison C" first="Cecily" last="Morrison">Cecily Morrison</name><name sortKey="Ouyang, Jing" sort="Ouyang, Jing" uniqKey="Ouyang J" first="Jing" last="Ouyang">Jing Ouyang</name></noCountry><country name="Singapour"><noRegion><name sortKey="Car, Josip" sort="Car, Josip" uniqKey="Car J" first="Josip" last="Car">Josip Car</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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