Mhealth terhadap Manajemen Diri dan Motivasi Pengobatan pada Pasien Hipertensi

This research aims at hypertension management, which is very important to improve public health and reduce suffering from chronic diseases with the support of mobile health technology (mHealth). The research method used is a literature review through electronic databases and websites, namely Scopus, PubMed, Science Direct, and ProQuest. The research results show that from 11 research articles, there is primary education based on health care technology or mHealth in the form of voice calls, web-based, and applications that can provide access, assessment, assistance, awareness, ability, and activation where mechanisms are felt regarding the use of mHealth services in supporting their hypertension self-management. In conclusion, patients can monitor their health status and self-management progress in real time thanks to mHealth services, which in turn encourages more self-management as well as mHealth services also provide patients with access to health education and reminders to help with their Blood Pressure (BP) self-management.  Keywords: Hypertension, Self Management, Mhealth, Motivation, Public Health Service

Efektivitas Mobile Health dan Supportive Education untuk Meningkatkan Kepatuhan Manajemen Perawatan Diri Pasien Hipertensi

This study aims to evaluate the effectiveness of mobile health interventions and supportive education in increasing self-care management compliance in hypertensive patients. The research method used is a literature review through databases, namely Scopus, Science Direct, Web of Science and Sage Journal. The results of 10 research articles report that interventions using mobile technology (m-health) and supportive educational interventions are very effective in increasing medication adherence in hypertensive patients. Conclusion, Interventions using mobile technology (m-health), combined with supportive educational interventions can be applied to increase self-care management compliance in hypertensive patients.   Keywords: Supportive Education, Hypertension, Compliance, Mobile Healt

Penggunaan Teknologi Kesehatan dalam Mendukung Manajemen Kesehatan Anak setelah Menjalani Perawatan

This study aims to discover how health technology-based applications support managing children's health, whether carried out by the patients themselves or their parents. The method used is a systematic review by searching articles through online databases, including PubMed, Science Direct, Ebsco, Sage Publication, Cochrane Library-Cochrane Reviews, Embase, CINAHL, and Clinical Key Nursing. The results showed that using health technology-based applications affected increasing self-confidence, controlling disease conditions, competency and knowledge levels, parental self-efficacy in caring for children, increasing medication adherence, and improving children's quality of life. Apart from that, the effectiveness of time and materials also has a positive impact on the use of health technology. In conclusion, health technology-based applications provide a positive influence or effect that supports parents (caregivers) in managing their children's health well. Increasing parents' self-confidence, self-efficacy, knowledge, and competence in caring for children will accelerate parents' transition to caring for children at home.   Keywords: Mobile Application, Home Care, Child Health Management, Health Technolog

Barriers to and Facilitators of Using eHealth to Support Gestational Diabetes Mellitus Self-management:Systematic Literature Review of Perceptions of Health Care Professionals and Women With Gestational Diabetes Mellitus

BACKGROUND: Gestational diabetes mellitus (GDM) is one of the most common medical complications during pregnancy. eHealth technologies are proving to be successful in supporting the self-management of medical conditions. Digital technologies have the potential to improve GDM self-management. OBJECTIVE: The primary objective of this systematic literature review was to identify the views of health professionals (HPs) and women with GDM regarding the use of eHealth for GDM self-management. The secondary objective was to investigate the usability and user satisfaction levels when using these technologies. METHODS: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) approach, the search included primary papers in English on the evaluation of technology to support self-management of GDM from January 2008 to September 2021 using MEDLINE, CINAHL, Embase, ACM, and IEEE databases. The lists of references from previous systematic literature reviews, which were related to technology and GDM, were also examined for primary studies. Papers with qualitative, quantitative, and mixed methodologies were included and evaluated. The selected papers were assessed for quality using the Cochrane Collaboration tool, National Institute for Health and Care Excellence clinical guidelines, Critical Appraisal Skills Programme Qualitative Checklist, and McGill University Mixed Methods Appraisal Tool. NVivo (QSR International) was used to extract qualitative data, which were subjected to thematic analysis. Narrative synthesis was used to analyze the quantitative data. RESULTS: A total of 26 papers were included in the review. Of these, 19% (5/26) of studies used quantitative research methodologies, 19% (5/26) used qualitative methods, and 62% (16/26) used mixed methods. In all, 4 themes were identified from the qualitative data: the benefits of using technology, engagement with people via technology, the usability of technology, and discouragement factors for the use of technology. The thematic analysis revealed a vast scope of challenges and facilitators in the use of GDM self-management systems. The challenges included usability aspects of the system, technical problems, data privacy, lack of emotional support, the accuracy of reported data, and adoption of the system by HPs. Convenience, improved GDM self-management, peer support, increased motivation, increased independence, and consistent monitoring were facilitators to use these technologies. Quantitative data showed that there is potential for improving the usability of the GDM self-management systems. It also showed that convenience, usefulness, increasing motivation for GDM self-management, helping with GDM self-management, and being monitored by HPs were facilitators to use the GDM self-management systems. CONCLUSIONS: This novel systematic literature review shows that HPs and women with GDM encountered some challenges in using GDM self-management systems. The usability of GDM systems was the primary challenge derived from qualitative and quantitative results, with convenience, consistent monitoring, and optimization of GDM self-management emerging as important facilitators

Impact of technology-based interventions for children and young people with type 1 diabetes on key diabetes self-management behaviours and prerequisites: A systematic review

Background The role of technology in the self-management of type 1 diabetes mellitus (T1DM) among children and young people is not well understood. Interventions should aim to improve key diabetes self-management behaviours (self-management of blood glucose, insulin administration, physical activity and dietary behaviours) and prerequisites (psychological outcomes and HbA1c) highlighted in the UK guidelines of the National Institute for Health and Care Excellence (NICE) for management of T1DM. The purpose was to identify evidence to assess the effectiveness of technological tools in promoting aspects of these guidelines amongst children and young people. Methods A systematic review of English language articles was conducted using the following databases: Web of Science, PubMed, Scopus, NUSearch, SAGE Journals, SpringerLink, Google Scholar, Science Direct, Sport Discus, Embase, Psychinfo and Cochrane Trials. Search terms included paediatric, type one diabetes, technology, intervention and various synonyms. Included studies examined interventions which supplemented usual care with a health care strategy primarily delivered through a technology-based medium (e.g. mobile phone, website, activity monitor) with the aim of engaging children and young people with T1DM directly in their diabetes healthcare. Studies did not need to include a comparator condition and could be randomised, non-randomised or cohort studies but not single-case studies. Results Of 30 included studies (21 RCTs), the majority measured self-monitoring of blood glucose monitoring (SMBG) frequency, clinical indicators of diabetes self-management (e.g. HbA1c) and/or psychological or cognitive outcomes. The most positive findings were associated with technology-based health interventions targeting SMBG as a behavioural outcome, with some benefits found for clinical and/or psychological diabetes self-management outcomes. Technological interventions were well accepted by children and young people. For the majority of included outcomes, clinical relevance was deemed to be little or none. Conclusions More research is required to assess which elements of interventions are most likely to produce beneficial behavioural outcomes. To produce clinically relevant outcomes, interventions may need to be delivered for at least 1 year and should consider targeting individuals with poorly managed diabetes. It is not possible to determine the impact of technology-based interventions on insulin administration, dietary habits and/or physical activity behaviour due to lack of evidence

Mobile Applications for Diabetes Self-Management: Status and Potential

Background:Advancements in smartphone technology coupled with the proliferation of data connectivity has resulted in increased interest and unprecedented growth in mobile applications for diabetes self-management. The objective of this article is to determine, in a systematic review, whether diabetes applications have been helping patients with type 1 or type 2 diabetes self-manage their condition and to identify issues necessary for large-scale adoption of such interventions.Methods:The review covers commercial applications available on the Apple App Store (as a representative of commercially available applications) and articles published in relevant databases covering a period from January 1995 to August 2012. The review included all applications supporting any diabetes self-management task where the patient is the primary actor.Results:Available applications support self-management tasks such as physical exercise, insulin dosage or medication, blood glucose testing, and diet. Other support tasks considered include decision support, notification/alert, tagging of input data, and integration with social media. The review points to the potential for mobile applications to have a positive impact on diabetes self-management. Analysis indicates that application usage is associated with improved attitudes favorable to diabetes self-management. Limitations of the applications include lack of personalized feedback; usability issues, particularly the ease of data entry; and integration with patients and electronic health records.Conclusions:Research into the adoption and use of user-centered and sociotechnical design principles is needed to improve usability, perceived usefulness, and, ultimately, adoption of the technology. Proliferation and efficacy of interventions involving mobile applications will benefit from a holistic approach that takes into account patients\u27 expectations and providers\u27 needs

Exploring Innovative Approaches to Self-Management in Colorectal Cancer for Enhancing Quality of Life and Patient Outcomes - A Scoping Review

Introduction: Colorectal cancer is a leading global malignancy, and its diagnosis can significantly impact patients\u27 quality of life. Therefore, exploring innovative approaches to self-management is crucial to empower patients and improve their outcomes. Objectives: This study aims to conduct a scoping review of innovative approaches to self-management in colorectal cancer for enhancing quality of life and patient outcomes. Methods: Literature was selected using the PC (Population, Concept) approach. The literature search was conducted following the PRISMA method. Databases such as PubMed, ProQuest, Cochrane Library, Science Direct, and Google Scholar were used to find relevant articles. Full-text articles published in English in the last ten years were evaluated. Eleven articles met the inclusion criteria.  Results: 11 articles met the inclusion criteria. Innovative approaches to colorectal cancer self-management, such as personalized psycho-educational programs, the use of technology, and structured counseling, show the potential to improve patient\u27s quality of life. Conclusions: Innovative approaches to self-management of colorectal cancer have great potential to improve patient quality of life and treatment outcomes. However, further research is needed to understand the effectiveness of this intervention in the long term. Considering the patient\u27s specific context and needs, these interventions must be integrated into clinical practice

Information Technology Helps Self-Management among Chronic Kidney Disease (CKD) Patients

Background: Self-management becomes an important part of Chronic Kidney Disease (CKD) therapy to achieve maximum therapeutic results. Methods to improve self-management in CKD patients have developed, one of them is through the use of Information Technology (IT). The development of IT today makes everyone to access a lot of things. Therefore, the development of technology enables clients to improve self-management. This systematic review aims to know the effectiveness of IT using in Selfmanagement among CKD patients. Methods: Literatures are obtained through several databases including Science Direct, Scopus, and PUBMED. This search is restricted from 2011 until 2017. Results: Based on a study of 10 selected journals, obtained some types of information technology that is used to improve selfmanagement in CKD patients. The technologies include mobile phone applications, SMS, teleconferencing and web-based. Conclusion: IT is effective to improve self-management in CKD patients

Skills Included in Self-Management Interventions to Help People with Chronic Kidney Disease

Slowing the progression of chronic kidney disease (CKD) is a major goal of medical therapy and requires significant and complex self-management behaviors from patients. Similar to other chronic conditions, patients must have the knowledge, confidence, and skills to self-manage the disease in daily living. The core self-management skills of problem-solving, decision making, resource utilization, patient-provider partnerships, action planning, and self-tailoring will help patient perform key behaviors associated with slowed progression. These key behaviors include the avoidance of nonsteroidal anti-inflammatory drugs (NSAIDS), diet modifications, glycemic control, regular exercise, systolic blood pressure control, tobacco avoidance, and adherence to angiotensin-converting enzyme inhibitor (ACE-I) or angiotensin receptor blocker (ARB) medications. The purpose of this literature review was to review the components of tested CKD self-management interventions to identify the self-management skills that were included in the published studies and how the interventions were delivered. A search for literature was performed using multiple databases. Articles were selected for review if they were written in English, included adults 18 years of age who had Stage 1-4 CKD, and tested a self-management intervention using a quasiexperimental or experimental design. A total of eight research articles met the inclusion criteria. Action planning, problem-solving and enhancing patient-provider partnerships were included in some interventions; there was no evidence of decision-making, resource utilization, or self-tailoring. All of the interventions were delivered using face-to-face educational programs and none used information technology. Data from this review provides important information for designing future interventions that will improve CKD self-management programs. In addition, findings suggest additional methods are needed when delivering interventions so programs are readily available to underserved areas

Do mobile phone applications improve glycemic control (HbA1c) in the self-management of diabetes? A systematic review, meta-analysis, and GRADE of 14 randomized trials

OBJECTIVE To investigate the effect of mobile phone applications (apps) on glycemic control (HbA1c) in the self-management of diabetes. RESEARCH DESIGN AND METHODS Relevant studies that were published between 1 January 1996 and 1 June 2015 were searched from five databases: Medline, CINAHL, Cochrane Library, Web of Science, and Embase. Randomized controlled trials that evaluated diabetes apps were included. We conducted a systematic review with meta-analysis and GRADE (Grading of Recommendations Assessment, Development and Evaluation) of the evidence. RESULTS Participants from 14 studies (n = 1,360) were included and quality assessed. Although there may have been clinical diversity, all type 2 diabetes studies reported a reduction in HbA1c. The mean reduction in participants using an app compared with control was 0.49% (95% Cl 0.30, 0.68; I2 = 10%), with a moderate GRADE of evidence. Subgroup analyses indicated that younger patients were more likely to benefit from the use of diabetes apps, and the effect size was enhanced with health care professional feedback. There was inadequate data to describe the effectiveness of apps for type 1 diabetes. CONCLUSIONS Apps may be an effective component to help control HbA1c and could be considered as an adjuvant intervention to the standard self-management for patients with type 2 diabetes. Given the reported clinical effect, access, and nominal cost of this technology, it is likely to be effective at the population level. The functionality and use of this technology need to be standardized, but policy and guidance are anticipated to improve diabetes self-management care