Use of Mobile Health Applications in Elderly Individuals with Chronic Disease

Year 2022, Volume: 7 Issue: 2, 391 - 395, 31.05.2022

Zeynep Karakuş , Zeynep Canlı Özer

Abstract

With the increase in life expectancy worldwide, there is an increase in the number of elderly individuals. The morbidity and mortality rates of chronic diseases increase with aging. The prevalence of chronic diseases such as diabetes, cancer, hypertension and chronic obstructive pulmonary disease in elderly individuals requires the application of holistic and continuous care methods. In parallel with current technological developments, the use of mobile health applications comes to the forefront in order to provide disease management in geriatric individuals with chronic diseases. In addition, data can be collected with these applications and clinical decision support systems can be established. Mobile health applications are frequently used for symptom management, prevention of complications, increasing drug information, ensuring drug compliance, increasing daily living activities and communicating with the healthcare team. When these time and cost-effective innovative approaches are developed without taking into account the needs of elderly indivuduals with vision, hearing and perception impairments, they may be at a disadvantage. In this context, nurses are expected to develop effective and sustainable mobile health applications, taking into account the age-related changes of elderly individuals with chronic diseases. Due to the limited number of studies in this field, it is recommended to increase the number of studies on mobile health applications in elderly individuals with chronic diseases.

Keywords

Nursing, chronic disease, elderly, mobile health

Kronik Hastalığa Sahip Yaşlı Bireylerde Mobil Sağlık Uygulamalarının Kullanımı

Abstract

Dünya çapında ortalama yaşam süresinin artmasıyla birlikte yaşlı bireylerin sayısında artış gözlenmektedir. Yaşlanma ile birlikte kronik hastalıkların morbidite ve mortalite oranları da artmaktadır. Yaşlı bireylerde diyabet, kanser, hipertansiyon ve kronik obstrüktif akciğer hastalığı gibi kronik hastalıkların yaygın olması holistik ve sürekli bakım yöntemlerinin uygulanmasını gerekli kılmaktadır. Günümüzdeki teknolojik gelişmelere paralel olarak, kronik hastalığa sahip yaşlı bireylerde hastalık yönetiminin sağlanabilmesi amacıyla mobil sağlık uygulamalarının kullanımı öne çıkmaktadır. Mobil sağlık uygulamaları kapsamında, mobil iletişim teknolojisi kullanılarak uzaktan hastalık yönetimi sağlanabilmektedir. Ayrıca bu uygulamalar ile veri toplanabilmekte, klinik karar destek sistemleri oluşturulabilmektedir. Mobil sağlık uygulamaları, sıklıkla semptom yönetimi, komplikasyonların önlenmesi, ilaç bilgisinin arttırılması, ilaç uyumunun sağlanması, günlük yaşam aktivitelerinin artırılması ve sağlık ekibi ile iletişim kurma amacıyla kullanılmaktadır. Zaman ve maliyet etkin bu yenilikçi yaklaşımlar, görme, işitme ve algılama kayıpları yaşayan yaşlı bireyler gözetilmeden oluşturulduğunda dezavantaj oluşturabilmektedir. Bu kapsamda hemşirelerden kronik hastalığa sahip yaşlı bireylerin yaşa bağlı değişimleri de göz önünde bulundurularak etkin ve sürdürülebilir mobil sağlık uygulamaları geliştirmeleri beklenmektedir. Bu alanda yapılan çalışmaların sınırlı olması nedeniyle kronik hastalığa sahip yaşlı bireylerde mobil sağlık uygulamalarına ilişkin yapılan çalışmaların arttırılması önerilmektedir.

Keywords

Hemşirelik, kronik hastalık, geriatri, mobil sağlık

References

• Ageing World Health Organization. [Internet]. World Health Organization; [cited 2021 18.03]. Available from: https://www.who.int/ health-topics/ageing#tab=tab_1.
• Buskens E, Vogt TC, Liefbroer AC, Reijneveld MS, Bultmann U, Henkens KC, et al. Healthy ageing: Challenges and opportunities of demographic and societal transitions. In: Dijkman B, Mikkonen I, Roodbol P, editors. Older people: Improving health and social care: Springer; 2019. p. 9-31.
• Kim H-S, Lee K-H, Kim H, Kim JH. Using mobile phones in healthcare management for the elderly. Maturitas. 2014;79(4):381-8.
• Malwade S, Abdul SS, Uddin M, Nursetyo AA, Fernandez-Luque L, Zhu X, et al. Mobile and wearable technologies in healthcare for the ageing population. Comput Methods Programs Biomed. 2018;161:233- 7.
• Zhao Y, Ni Q, Zhou R. What factors influence the mobile health service adoption? A meta-analysis and the moderating role of age. Int J Inf Manage. 2018;43:342-50.
• Quaosar GAA, Hoque MR, Bao Y. Investigating factors affecting elderly’s intention to use m-health services: an empirical study. Telemed J E Health. 2018;24(4):309-14.
• Kim BY, Lee J. Smart devices for older adults managing chronic disease: a scoping review. JMIR mHealth and uHealth. 2017;5(5):e69.
• mHealth New horizons for health through mobile technologies World Health Organization. [Internet]. World Health Organization; 2011 [cited 2021 18.03]. Available from: https://www.who.int/goe/ publications/goe_mhealth_web.pdf.
• Melia R, Francis K, Hickey E, Bogue J, Duggan J, O’Sullivan M, et al. Mobile health technology interventions for suicide prevention: Systematic review. JMIR mHealth and uHealth. 2020;8(1):e12516.
• Ardahan M. Mobil sağlık ve hemşirelik. STED. 2018;27(6):427-33.
• The top 10 causes of death World Health Organization. [Internet]. World Health Organization. 2020 [cited 2021 22.03]. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10- causes-of-death#:~:text=The%20top%20global%20causes%20 of,birth%20asphyxia%20and%20birth%20trauma%2C.
• Ölüm ve Ölüm Nedeni İstatistikleri, 2019. [Internet].Türkiye İstatistik Kurumu (TÜİK); 2020 [cited 2021 22.03]. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni- Istatistikleri-2019-33710.
• Kogan AC, Wilber K, Mosqueda L. Person-Centered Care for Older Adults with Chronic Conditions and Functional Impairment: A Systematic Literature Review. J Am Geriatr Soc. 2016;64(1):e1-e7. doi: https://doi.org/10.1111/jgs.13873.
• Modig S, Kristensson J, Troein M, Brorsson A, Midlöv P. Frail elderly patients’ experiences of information on medication. A qualitative study. BMC Geriatrics. 2012;12(1):46.
• Changizi M, Kaveh MH. Effectiveness of the mHealth technology in improvement of healthy behaviors in an elderly population—a systematic review. Mhealth. 2017;3.
• Yi JY, Kim Y, Cho Y-M, Kim H. Self-management of Chronic Conditions Using mHealth Interventions in Korea: A Systematic Review. Healthc Inform Res. 2018;24(3):187-97. Epub 07/31. doi: 10.4258/ hir.2018.24.3.187.
• Hamine S, Gerth-Guyette E, Faulx D, Green BB, Ginsburg AS. Impact of mHealth chronic disease management on treatment adherence and patient outcomes: a systematic review. J Med Internet Res. 2015;17(2):e52.
• Gandhi S, Chen S, Hong L, Sun K, Gong E, Li C, et al. Effect of mobile health interventions on the secondary prevention of cardiovascular disease: systematic review and meta-analysis. Can J Cardiol. 2017;33(2):219-31.
• Helbostad JL, Vereijken B, Becker C, Todd C, Taraldsen K, Pijnappels M, et al. Mobile health applications to promote active and healthy ageing. Sensors. 2017;17(3):622.
• Silva BM, Rodrigues JJ, de la Torre Díez I, López-Coronado M, Saleem K. Mobile-health: A review of current state in 2015. J Biomed Inform X. 2015;56:265-72.
• From Innovation to Implementation eHealth in the WHO European Region World Health Organization. [Internet]. World Health Organization; 2016 [cited 2021 18.03]. Available from: https://www. euro.who.int/__data/assets/pdf_file/0012/302331/From-Innovation-to- Implementation-eHealth-Report-EU.pdf.
• Free C, Phillips G, Watson L, Galli L, Felix L, Edwards P, et al. The effectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis. PLoS Med. 2013;10(1):e1001363.
• Cannon C, editor Telehealth, mobile applications, and wearable devices are expanding cancer care beyond walls. Semin Oncol Nurs. 2018;34(2):118-125.
• Latif S, Rana R, Qadir J, Ali A, Imran MA, Younis MS. Mobile health in the developing world: Review of literature and lessons from a case study. IEEE Access. 2017;5:11540-56.
• Lu K, Marino NE, Russell D, Singareddy A, Zhang D, Hardi A, et al. Use of Short Message Service and Smartphone Applications in the Management of Surgical Patients: A Systematic Review. Telemed J E Health. 2018;24(6):406-14.
• Kruse CS, Mileski M, Moreno J. Mobile health solutions for the aging population: a systematic narrative analysis. J Telemed Telecare 2017;23(4):439-51.
• Sieverdes JC, Price M, Ruggiero KJ, Baliga PK, Chavin KD, Brunner- Jackson B, et al. Design and approach of the Living Organ Video Educated Donors (LOVED) program to promote living kidney donation in African Americans. Contemp Clin Trials. 2017;61:55-62.
• Lee J-A, Evangelista LS, Moore AA, Juth V, Guo Y, Gago-Masague S, et al. Feasibility study of a mobile health intervention for older adults on oral anticoagulation therapy. Gerontol. Geriatr. Med. 2016;2:2333721416672970.
• Aikens JE, Zivin K, Trivedi R, Piette JD. Diabetes self-management support using mHealth and enhanced informal caregiving. Journal of diabetes and its complications. 2014;28(2):171-6. Epub 2014/01/01. doi: 10.1016/j.jdiacomp.2013.11.008.
• Kao H-Y, Wei C-W, Yu M-C, Liang T-Y, Wu W-H, Wu YJ. Integrating a mobile health applications for self-management to enhance Telecare system. Telemat. Inform. 2018;35(4):815-25.
• Lu C, Hu Y, Xie J, Fu Q, Leigh I, Governor S, et al. The use of mobile health applications to improve patient experience: cross-sectional study in Chinese public hospitals. JMIR mHealth and uHealth. 2018;6(5):e126.
• Guo Y, Chen Y, Lane DA, Liu L, Wang Y, Lip GY. Mobile health technology for atrial fibrillation management integrating decision support, education, and patient involvement: mAF App Trial. Am J Med 2017;130(12):1388-96. e6.
• Brath H, Morak J, Kästenbauer T, Modre‐Osprian R, Strohner‐ Kästenbauer H, Schwarz M, et al. Mobile health (mHealth) based medication adherence measurement–a pilot trial using electronic blisters in diabetes patients. Br J Clin Pharmacol. 2013;76:47-55.
• Kalınkara V, Başıbüyük GÖ, Ay F. Yaşlıların Geronteknolojik Ürünleri Kabule Yönelik Tutumları. YSAD. 2016;9(2):1-19.
• Baig MM, GholamHosseini H, Connolly MJ. Mobile healthcare applications: system design review, critical issues and challenges. Australasian physical & engineering sciences in medicine. 2015;38(1):23- 38.
• Gilbert BJ, Goodman E, Chadda A, Hatfield D, Forman DE, Panch T. The role of mobile health in elderly populations. Curr Geriatr Rep 2015;4(4):347-52.
• Making Your Website Senior-Friendly National Library of Medicine. [Internet]. National Library of Medicine; [cited 2021 22.03]. Available from: https://nnlm.gov/mar/guides/making-your-website-senior-friendly.
• Rowland SP, Fitzgerald JE, Holme T, Powell J, McGregor A. What is the clinical value of mHealth for patients? NPJ Digit Med. 2020;3(1):4.
• Dorje T, Zhao G, Tso K, Wang J, Chen Y, Tsokey L, et al. Smartphone and social media-based cardiac rehabilitation and secondary prevention in China (SMART-CR/SP): a parallel-group, single-blind, randomised controlled trial. Lancet Digit Health. 2019;1(7):e363-e74.
• Egbring M, Far E, Roos M, Dietrich M, Brauchbar M, Kullak-Ublick GA, et al. A mobile app to stabilize daily functional activity of breast cancer patients in collaboration with the physician: a randomized controlled clinical trial. J Med Internet Res. 2016;18(9):e238.
• Guo Y, Lane DA, Wang L, Zhang H, Wang H, Zhang W, et al. Mobile health technology to improve care for patients with atrial fibrillation. J Am Coll Cardiol. 2020;75(13):1523-34.
• Sun C, Sun L, Xi S, Zhang H, Wang H, Feng Y, et al. Mobile phone– based telemedicine practice in older chinese patients with type 2 diabetes mellitus: randomized controlled trial. JMIR mHealth and uHealth. 2019;7(1):e10664.