Florent Bienfait1, Marie Petit1, Romain Pardenaud1,2, Clément Guineberteau3, Aude Pignon1. 1. CHU d'Angers, Unité Laroque Médecine Soins Palliatifs, Angers, France. 2. CHU d'Angers, Equipe Mobile d'Accompagnement, et de Soins de Support et Palliatifs, Angers, France. 3. Faculté de Santé d'Angers, Département de Médecine Générale, Universite d'Angers, Angers, France.
Abstract
BACKGROUND: The major growth of mobile technologies in the recent years has led to the development of medical-monitoring applications, particularly on smartphones. AIM: The aim of this study was to review the use of m-health in the monitoring of patients with chronic pathologies in order to consider what could be adapted for palliative care patients at home. DESIGN: A systematic review of the English and French literature was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. DATE SOURCES: The review screened the following databases: PUBMED, SCOPUS, COCHRANE, SCIENCE DIRECT, SUDOC, and EM-Premium, screening studies published between 2008 and 2018. The selection of articles was done by the main investigator. All studies concerning the use of m-Health apps for patients with chronic diseases were included. RESULTS: From the 337 selected publications, 8 systematic reviews and 14 original studies were included. The main uses of m-Health apps were biological and clinical monitoring (particularly concerning the symptoms) in 75% of the applications, disease self-management in 64% of the applications, and therapeutic patient education in 50% of the applications, with remote monitoring. CONCLUSIONS: The development of an m-Health application could become a complementary monitoring tool during palliative care. However, it seems important to question the impact of technique in the professional-patient relationship and avoid the pitfalls of standardizing palliative care and reducing the patient to a "sick" health technician. A future step would then be to define which health-care professional would be in charge of this "m-monitoring."
BACKGROUND: The major growth of mobile technologies in the recent years has led to the development of medical-monitoring applications, particularly on smartphones. AIM: The aim of this study was to review the use of m-health in the monitoring of patients with chronic pathologies in order to consider what could be adapted for palliative care patients at home. DESIGN: A systematic review of the English and French literature was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. DATE SOURCES: The review screened the following databases: PUBMED, SCOPUS, COCHRANE, SCIENCE DIRECT, SUDOC, and EM-Premium, screening studies published between 2008 and 2018. The selection of articles was done by the main investigator. All studies concerning the use of m-Health apps for patients with chronic diseases were included. RESULTS: From the 337 selected publications, 8 systematic reviews and 14 original studies were included. The main uses of m-Health apps were biological and clinical monitoring (particularly concerning the symptoms) in 75% of the applications, disease self-management in 64% of the applications, and therapeutic patient education in 50% of the applications, with remote monitoring. CONCLUSIONS: The development of an m-Health application could become a complementary monitoring tool during palliative care. However, it seems important to question the impact of technique in the professional-patient relationship and avoid the pitfalls of standardizing palliative care and reducing the patient to a "sick" health technician. A future step would then be to define which health-care professional would be in charge of this "m-monitoring."
Authors: Amara Callistus Nwosu; Tamsin McGlinchey; Justin Sanders; Sarah Stanley; Jennifer Palfrey; Patrick Lubbers; Laura Chapman; Anne Finucane; Stephen Mason Journal: JMIR Aging Date: 2022-03-21