## 3 Results
### Characteristics of the Included Studies
\begin{table}
\begin{tabular}{p{113.8 pt} p{113.8 pt} p{113.8 pt} p{113.8 pt} p{113.8 pt}} \hline \hline
**Authors** & **Year** & **Type of Intervention/Tool** & **Type of Paper** & **Outcome** \\ \hline [PERSON] et al. [34] & 2021 & Health and fitness mobile apps & Secondary analysis of observational studies & Factors influencing the utilization of health and fitness mobile applications by individuals with asthma. \\  & & & & The application can facilitate comprehension of real-time experiences of adolescent asthma patients, enhance adherence to treatment, customize therapies, and improve communication between patients and providers. \\ [PERSON] et al. [36] & 2022 & Digital Health Interventions & Scoping review & & The application can facilitate comprehension of real-time experiences of adolescent asthma patients, enhance adherence to treatment, customize therapies, and improve communication between patients and providers. \\  & & & & DHHs are predominantly utilized for treatment, with a primary emphasis on depression, and are typically disseminated through web-based platforms. \\  & & & & Nonetheless, their integration into routine care is restricted. \\  & & & & The manuscript presents a project aimed at creating and evaluating mixed reality instruments for administering cognitive and behavioral therapies to young individuals with asthma. The outcomes of the project are currently unavailable. \\ \hline \hline \end{tabular}
\end{table} 
Table 2: _Cont._with practical features for managing asthma. These findings could potentially influence the design of technologies intended to assist individuals with chronic illnesses more broadly. mHealth Strategies: Factors Influencing the Use of Health and Fitness Applications by Individuals with Asthma  
Fitness applications can exert a significant influence on psychological health by offering several key advantages [38]. They provide motivation and support, assisting users in setting objectives, tracking progress, and receiving feedback and encouragement for their physical activity. This can result in an enhancement in self-esteem and a sense of achievement. Fitness applications also foster engagement and enjoyment by aiding users in selecting the most effective and enjoyable forms of physical activity tailored to their needs, thereby promoting increased engagement and a more positive relationship with exercise. Moreover, the convenience and accessibility of fitness applications facilitate the incorporation of regular physical activity into users' lives, which can ameliorate mood and alleviate symptoms of stress, anxiety, and depression. However, it is crucial to note that while fitness applications can contribute to psychological well-being, they do not serve as a substitute for professional mental health care [38]. In this context, [PERSON] and colleagues [34] conducted a study to assess the usage of general health and fitness applications among individuals with asthma and to identify the factors that influence their usage. The majority of the participants reported having good overall health. However, the incidence of anxiety and depression was found to be 34.3% and 11.9%, respectively. Approximately 41.1% of the participants reported using health and fitness mobile applications. The research revealed that individuals who were single and those with more than 10 years of education were more predisposed to use these applications. Furthermore, participants with higher digital literacy scores were more likely to use the applications. Interestingly, participants exhibiting symptoms of depression were less likely to use health and fitness applications. The study underscores the importance of understanding the barriers and motivators for application usage among patients with lower education levels, lower digital literacy, or depressive symptoms. This understanding is crucial for devising tailored interventions that ensure sustained and equitable use of these technologies.