دورية أكاديمية

Methodological challenges in systematic reviews of mHealth interventions: Survey and consensus-based recommendations.

التفاصيل البيبلوغرافية
العنوان: Methodological challenges in systematic reviews of mHealth interventions: Survey and consensus-based recommendations.
المؤلفون: Lopez-Alcalde J; Institute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, Zurich, Switzerland; Faculty of Medicine, Universidad Francisco de Vitoria (UFV), Madrid, Spain; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Unidad de bioestadística clínica, Hospital Universitario Ramón y Cajal, (CIBERESP), Madrid, Spain. Electronic address: jesus.lopez@usz.ch., Susan Wieland L; Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore, MD, United States., Barth J; Institute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, Zurich, Switzerland., Grainger R; Department of Medicine, University of Otago Wellington, New Zealand., Baxter N; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia., Heron N; Centre for Public Health, Queen's University Belfast, Northern Ireland, School of Medicine, Keele University, Staffordshire, England, United Kingdom., Triantafyllidis A; Information Technologies Institute, Centre for Research and Technology Hellas, Thessaloniki, Greece., Carrion C; eHealth Lab Research Group, Universitat Oberta de Catalunya (UOC), Spain., Trecca EMC; Department of Otorhinolaryngology and Maxillofacial Surgery, IRCCS Hospital Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy; Department of Otorhinolaryngology, University Hospital of Foggia, Foggia, Italy., Holl F; DigiHealth Institute, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany; Institute for Medical Information Processing, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany., Maria Wägner A; Endocrinology and Nutrition Department, Complejo Hospitalario Universitario Insular Materno-Infantil, Instituto de Investigaciones Biomédicas y Sanitarias, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain., Edney S; Saw Swee Hock School of Public Health, National University of Singapore, Singapore., Yan Y; Institute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, Zurich, Switzerland., Campos-Asensio C; Biblioteca Médica, Hospital Universitario de Getafe, Madrid, Spain., Villanueva G; Cochrane Response, Cochrane, London, UK., Ramsey RR; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States., Witt CM; Institute for Complementary and Integrative Medicine, University Hospital Zurich and University of Zurich, Zurich, Switzerland; Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore, MD, United States; Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin Berlin, Berlin, Germany.
المصدر: International journal of medical informatics [Int J Med Inform] 2024 Apr; Vol. 184, pp. 105345. Date of Electronic Publication: 2024 Jan 29.
نوع المنشور: Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Science Ireland Ltd Country of Publication: Ireland NLM ID: 9711057 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1872-8243 (Electronic) Linking ISSN: 13865056 NLM ISO Abbreviation: Int J Med Inform Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Shannon, Co. Clare, Ireland : Elsevier Science Ireland Ltd., c1997-
مواضيع طبية MeSH: Research Design* , Telemedicine*, Humans ; Consensus ; Systematic Reviews as Topic ; Surveys and Questionnaires
مستخلص: Objective: Mobile Health (mHealth) refers to using mobile devices to support health. This study aimed to identify specific methodological challenges in systematic reviews (SRs) of mHealth interventions and to develop guidance for addressing selected challenges.
Study Design and Setting: Two-phase participatory research project. First, we sent an online survey to corresponding authors of SRs of mHealth interventions. On a five-category scale, survey respondents rated how challenging they found 24 methodological aspects in SRs of mHealth interventions compared to non-mHealth intervention SRs. Second, a subset of survey respondents participated in an online workshop to discuss recommendations to address the most challenging methodological aspects identified in the survey. Finally, consensus-based recommendations were developed based on the workshop discussion and subsequent interaction via email with the workshop participants and two external mHealth SR authors.
Results: We contacted 953 corresponding authors of mHealth intervention SRs, of whom 50 (5 %) completed the survey. All the respondents identified at least one methodological aspect as more or much more challenging in mHealth intervention SRs than in non-mHealth SRs. A median of 11 (IQR 7.25-15) out of 24 aspects (46 %) were rated as more or much more challenging. Those most frequently reported were: defining intervention intensity and components (85 %), extracting mHealth intervention details (71 %), dealing with dynamic research with evolving interventions (70 %), assessing intervention integrity (69 %), defining the intervention (66 %) and maintaining an updated review (65 %). Eleven survey respondents participated in the workshop (five had authored more than three mHealth SRs). Eighteen consensus-based recommendations were developed to address issues related to mHealth intervention integrity and to keep mHealth SRs up to date.
Conclusion: mHealth SRs present specific methodological challenges compared to non-mHealth interventions, particularly related to intervention integrity and keeping SRs current. Our recommendations for addressing these challenges can improve mHealth SRs.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
References: JMIR Mhealth Uhealth. 2018 Jan 17;6(1):e23. (PMID: 29343463)
Syst Rev. 2023 Sep 2;12(1):156. (PMID: 37660117)
Patient Educ Couns. 2010 Dec;81 Suppl:S77-86. (PMID: 20843621)
Campbell Syst Rev. 2020 Nov 19;16(4):e1125. (PMID: 37016607)
J Clin Epidemiol. 2017 Nov;91:23-30. (PMID: 28912002)
BMC Med Res Methodol. 2016 Feb 09;16:15. (PMID: 26857112)
JMIR Mhealth Uhealth. 2015 Mar 11;3(1):e27. (PMID: 25760773)
JMIR Mhealth Uhealth. 2019 Jan 25;7(1):e11130. (PMID: 30681967)
J Med Internet Res. 2011 Dec 31;13(4):e126. (PMID: 22209829)
J Med Libr Assoc. 2008 Oct;96(4):356-61. (PMID: 18974813)
BMC Med Res Methodol. 2022 Jun 2;22(1):161. (PMID: 35655144)
Int J Med Inform. 2019 Dec;132:103984. (PMID: 31605884)
JBI Evid Synth. 2020 Oct;18(10):2119-2126. (PMID: 33038124)
NPJ Digit Med. 2020 Jan 13;3:4. (PMID: 31970289)
J Am Med Inform Assoc. 2018 Aug 1;25(8):1089-1098. (PMID: 29788283)
Trials. 2021 May 29;22(1):372. (PMID: 34051830)
J Clin Epidemiol. 2022 Nov;151:65-74. (PMID: 35926822)
JMIR Mhealth Uhealth. 2021 Nov 19;9(11):e22890. (PMID: 34806995)
Int J Technol Assess Health Care. 2020 Oct 27;37:e16. (PMID: 33107420)
J Clin Epidemiol. 2021 Feb;130:13-22. (PMID: 33068715)
JMIR Mhealth Uhealth. 2016 Jun 14;4(2):e74. (PMID: 27302310)
BMJ. 2016 Mar 17;352:i1174. (PMID: 26988021)
معلومات مُعتمدة: R24 AT001293 United States AT NCCIH NIH HHS
فهرسة مساهمة: Keywords: Digital health; Meta-analysis; Survey; Systematic reviews; eHealth
تواريخ الأحداث: Date Created: 20240203 Date Completed: 20240305 Latest Revision: 20240622
رمز التحديث: 20240622
مُعرف محوري في PubMed: PMC11192046
DOI: 10.1016/j.ijmedinf.2024.105345
PMID: 38309237
قاعدة البيانات: MEDLINE
الوصف
تدمد:1872-8243
DOI:10.1016/j.ijmedinf.2024.105345