BackgroundMobile health (mHealth) has the potential to improve access and uptake of health services globally. Non-communicable diseases like hearing loss have seen increasing use of mHealth approaches to improve access, scalability, penetration, quality, and convenience of health services. This scoping review describes published research in mHealth supported hearing healthcare services across the continuum of care.
MethodsA search on Scopus, MEDLINE (PubMed), and Web of Science for articles published up to 2 July 2021 was conducted. Articles in which mHealth was used across a continuum of care where the primary focus was hearing healthcare were included. A narrative synthesis was conducted.
Results146 articles meeting the inclusion criteria were included in data extraction. High-income countries contributed 56% of articles, upper-middle countries 32%, lower-middle countries 8%, and low-income countries 4%. Articles identified included promotion (2%), screening (39%), diagnosis (35%), treatment (10%), and support (14%) for hearing loss. mHealth applications in high-income countries were more represented in diagnosis (62% vs 38%), treatment (67% vs 33%) and support (82% vs 18%) compared to low-and middle-income countries (LMICs) except for screening (64% vs 36%). Few studies focussed on hearing health promotion across all income brackets.
ConclusionmHealth supported hearing healthcare services are available across a continuum of care and various world regions, although more prevalent in high-income countries. Although great potential is demonstrated, implementation evaluations are important to further validate its widespread use and potential to make services for hearing loss more accessible in LMICs.