There is potential for mHealth tools to better facilitate adherence to chronic disease management , but the evidence supporting its current effectiveness is mixed .
BACKGROUND Adherence to chronic disease management is critical to achieving improved health outcomes , quality of life , and cost-effective health care .
As the burden of chronic diseases continues to grow globally , so does the impact of non-adherence .
Mobile technologies are increasingly being used in health care and public health practice ( mHealth ) for patient communication , monitoring , and education , and to facilitate adherence to chronic diseases management .
OBJECTIVE We conducted a systematic review of the literature to evaluate the effectiveness of mHealth in supporting the adherence of patients to chronic diseases management ( " mAdherence " ) , and the usability , feasibility , and acceptability of mAdherence tools and platforms in chronic disease management among patients and health care providers .
The in vivo adherence intervention for at risk adolescents with asthma: report of a randomized pilot trial.
OBJECTIVE Low-income and minority adolescents are at high risk for poor asthma outcomes , due in part to adherence . We tested acceptability , feasibility , and effect sizes of an adherence intervention for low socioeconomic status ( SES ) minority youth with moderate- and severe-persistent asthma . Design and Methods Single-site r and omized pilot trial : intervention ( n = 12 ; asthma education , motivational interviewing , problem-solving skills training , 1 month cell-phone with tailored text messaging ) versus control ( n = 14 ; asthma education ; cell-phone without tailored messaging ) . Calculated effect-sizes of relative change from baseline ( 1 and 3 months ) . RESULTS Intervention was judged acceptable and feasible by participants . Participants ( 12 - 18 years , mean = 15.1 , SD = 1.67 ) were 76.9 % African-American , 80.7 % public/no insurance . At 1 and 3 months , asthma symptoms ( Cohen 's d 's = 0.40 , 0.96 ) and HRQOL ( PedsQL ™ ; Cohen 's d 's = 0.23 , 1.25 ) had clinical ly meaningful medium to large effect sizes . CONCLUSIONS This intervention appears promising for at-risk youth with moderate- and severe-persistent asthma
There is potential for mHealth tools to better facilitate adherence to chronic disease management , but the evidence supporting its current effectiveness is mixed .
BACKGROUND Adherence to chronic disease management is critical to achieving improved health outcomes , quality of life , and cost-effective health care .
As the burden of chronic diseases continues to grow globally , so does the impact of non-adherence .
Mobile technologies are increasingly being used in health care and public health practice ( mHealth ) for patient communication , monitoring , and education , and to facilitate adherence to chronic diseases management .
OBJECTIVE We conducted a systematic review of the literature to evaluate the effectiveness of mHealth in supporting the adherence of patients to chronic diseases management ( " mAdherence " ) , and the usability , feasibility , and acceptability of mAdherence tools and platforms in chronic disease management among patients and health care providers .