The Impact of Mobile Health Interventions on Chronic Disease Outcomes in Developing Countries: A Systematic Review

Beratarrechea, Andrea; Lee, Allison G.; Willner, Jonathan; Jahangir, Eiman; Ciapponi, Agustín; Rubinstein, Adolfo

doi:10.1089/tmj.2012.0328

Cited by 362 publications

(307 citation statements)

References 30 publications

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“…47-49 A recent systematic review 50 showed that mobile phone-based technology in LMICs positively affects the chronic disease management and their clinical outcomes.…”

Section: New and Promising Strategy For Primary Stroke Preventionmentioning

confidence: 99%

“…Importantly, easily accessible and cost-effective risk-estimation systems are well suited to the developing world and other regions where access to medical facilities is limited, 37 including elderly populations where smartphones are being increasingly used. [47][48][49] A recent systematic review 50 showed that mobile phone-based technology in LMICs positively affects the chronic disease management and their clinical outcomes.…”

Section: New and Promising Strategy For Primary Stroke Preventionmentioning

confidence: 99%

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New Strategy to Reduce the Global Burden of Stroke

Feigin

Krishnamurthi

Bhattacharjee

et al. 2015

Stroke

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The socioeconomic and health effect of stroke and other noncommunicable disorders (NCDs) that share many of the same risk factors with stroke, such as heart attack, dementia, and diabetes mellitus, is huge and increasing. [1][2][3][4] Collectively, NCDs account for 34.5 million deaths (66% of deaths from all causes) 3 and 1344 million disability-adjusted life years lost worldwide in 2010. 2 The burden of NCDs is likely to burgeon given the aging of the world's population and the epidemiological transition currently observed in many low-to middle-income countries (LMICs). 5,6 In addition, there is low awareness in the population about these NCDs and their risk factors, 7-10 particularly in LMICs.11 These factors, coupled with underuse of strategies for primary prevention of stroke/NCDs on an individual level and the lack of accurate data on the prevalence and effect of risk factors in different countries and populations have been implicated in the ever-increasing worldwide burden of the NCDs. [12][13][14][15] Of particular concern is a significant increase in the number of young adults (aged <65 years) affected by stroke, 16 and the increasing epidemic of overweight/obesity 17 and diabetes mellitus worldwide. 18 If these trends continue, the burden of stroke and other major NCDs will increase even faster. The increasing burden of stroke and other major NCDs provide strong support for the notion that the currently used primary prevention strategies for stroke and other major NCDs (business as usual) are not sufficiently effective. The most pertinent solution to this problem is the implementation of new, effective, widely available, and cost-effective prevention and treatment strategies to reduce the incidence and severity distribution of stroke and other major NCDs. Issues With Population-Wide Prevention StrategiesThe recent INTERSTROKE case-control study, conducted in 22 countries worldwide, provided evidence that, collectively, 10 risk factors accounted for 88.1% (99% confidence interval, 82.3%-92.2%) of the population-attributable risk for all stroke. 19 Because many (but not all) of these risk factors are modifiable, the INTERSTROKE data suggest that interventions that reduce blood pressure, promote physical activity, smoking cessation, and a healthy diet, could substantially reduce the burden of stroke. Although a combination of population-wide and individual high-risk prevention strategies were initially advocated >30 years ago, 20 and have since been repeatedly recommended as the most promising strategies to reduce stroke and NCDs burden, there is still no country in the world where both these prevention strategies have been implemented in full. There are major hurdles to implementing population-wide primary prevention strategies, including the need for policy and legislative changes that are often not supported by major industries (such as salt reduction in processed food, reduction of exposure to cigarette smoking, alcohol, and fast food). In addition, there are significant costs associated with the imple...

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“…47-49 A recent systematic review 50 showed that mobile phone-based technology in LMICs positively affects the chronic disease management and their clinical outcomes.…”

Section: New and Promising Strategy For Primary Stroke Preventionmentioning

confidence: 99%

Section: New and Promising Strategy For Primary Stroke Preventionmentioning

confidence: 99%

New Strategy to Reduce the Global Burden of Stroke

Feigin

Krishnamurthi

Bhattacharjee

et al. 2015

Stroke

View full text Add to dashboard Cite

show abstract

“…We used the methods described below in all four overviews of health system arrangements and implementation strategies in low-income countries (Ciapponi 2014;Pantoja 2014;Wiysonge 2014).…”

Section: E T H O D Smentioning

confidence: 99%

Governance arrangements for health systems in low-income countries: an overview of systematic reviews

Herrera¹,

Ciapponi²,

Bastías³

et al. 2014

Cochrane Database of Systematic Reviews

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“…Numerous mHealth technologies were introduced (cf. [10,11]) in an attempt to improve the livelihood of civilians in resource-poor settings whether at a local, regional and/or national level [12,13]. Given the geographic dispersion of healthcare services in developing countries, the interaction of many healthcare providers and the need to balance the complex sequence of events required to care for each patient requires substantial application of mobile technologies [14].…”

Section: Mobile Health (Mhealth) In Developing Countriesmentioning

confidence: 99%

Starting with small health data opportunities for Mhealth in Africa

Heavin¹,

Connor²

2016

Int. J. DNE

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The need to obtain data to understand effective and available child mortality-reducing control measures in rural areas of developing countries is great. Evidence shows that this challenge can potentially be overcome with the increased availability of Information and Communication Technology (ICT) to support the data/information/ knowledge needs of healthcare delivery services in low resource settings. Recognising the benefits of ICT and the need for improvements in the Nigerian health sector, this paper outlines the plans for the technical feasibility assessment of the IMPACT (usIng Mobile Phones for Assessing, Classifying and Treating sick children) smartphone application to capture, store and analyse of child health assessment data. IMPACT is a secure, scalable, user friendly mobile health (mHealth) innovation that is being developed to support 'small data' capabilities within the context of healthcare in the community in Enugu State, Nigeria, Africa. Notwithstanding the heightened focus on 'big data' in health, this research is interested in investigating the opportunities associated with doing 'small healthcare data' well, with the long term view of building to the big data scenario for healthcare in the community in Enugu. This paper outlines the plan for the IMPACT project considering the implications for health data, knowledge management in healthcare and the big data opportunities to support disease surveillance, healthcare delivery and resourcing and healthcare practitioner education.

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The Impact of Mobile Health Interventions on Chronic Disease Outcomes in Developing Countries: A Systematic Review

Cited by 362 publications

References 30 publications

New Strategy to Reduce the Global Burden of Stroke

New Strategy to Reduce the Global Burden of Stroke

Governance arrangements for health systems in low-income countries: an overview of systematic reviews

Starting with small health data opportunities for Mhealth in Africa

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