Effectiveness of Mobile Health Application Use to Improve Health Behavior Changes: A Systematic Review of Randomized Controlled Trials

한명희,이은주 대한의료정보학회 2018 Healthcare Informatics Research Vol.24 No.3

Objectives: The purpose of this study was to examine the effectiveness of mobile health applications in changing healthrelated behaviors and clinical health outcomes. Methods: A systematic review was conducted in this study. We conducted a comprehensive bibliographic search of articles on health behavior changes related to the use of mobile health applications in peer-reviewed journals published between January 1, 2000 and May 31, 2017. We used databases including CHINAHL, Ovid-Medline, EMBASE, and PubMed. The risk of bias assessment of the retrieved articles was examined using the Scottish Intercollegiate Guidelines Network. Results: A total of 20 articles met the inclusion criteria. Sixteen among 20 studies reported that applications have a positive impact on the targeted health behaviors or clinical health outcomes. In addition, most of the studies, which examined the satisfaction of participants, showed health app users have a statistically significant higher satisfaction. Conclusions: Despite the high risk of bias, such as selection, performance, and detection, this systematic review found that the use of mobile health applications has a positive impact on health-related behaviors and clinical health outcomes. Application users were more satisfied with using mobile health applications to manage their health in comparison to users of conventional care.

P168 Survey on needs for skin health care mobile application

( Jeong Soo Kim ),( Seul Ki Lee ),( Ha Ryeong Ryu ),( Chul Hyun Yoon ),( Jin Ok Baek ),( Jong Rok Lee ),( Joo Young Roh ) 대한피부과학회 2016 대한피부과학회 학술발표대회집 Vol.68 No.2

<div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div><div style="display:none">fiogf49gjkf0d</div> Background: Along with the trend of wellness, dermatology and skin care associated field is the most representative growing industry. Recently, there is a variety of health-care device and mobile phone applications were developed. However, application of health-care service is limited and the lack of reliability is a problem as well. Objectives: We considered the people’s needs of skin-health care mobile application and checked their intentional use of the application. Methods: 87 who were diagnosed as atopic dermatitis, allergic contact dermatitis and acne (26:29:32) in the dermatologic clinic were enrolled in the questionnaire survey,including items such as skin health care awareness and recognition, skin care type, and the intention of using skin health care mobile services. Results: 88% of respondent answered that they usually obtain information on skin problem through internet, while only 8% used mobile application. 62% answered that they have interest in the usage of new mobile application. The most common question people have was the cause of skin problem which accounted for 64.4%. Respondents assume the food/dietary habit as the main cause of skin problem (31%). They considered moist and elasticity of skin as top priority for good skin(48.3%). Conclusion: We could gathered data of skin health care mobile service with regards to consumers needs through this survey.Mobile health application might be supportive tool for the patients and dermatologist to prevent and educational purpose.

Effects of a mobile healthcare service provided by public health centers on practicing of health behaviors and health risk factors

Kim, Tae-Yon,Lee, Yun-Su,Yu, Eun-Jung,Kim, Min-Su,Yang, Sun-Young,Hur, Yang-Im,Kang, Jae-Heon The Korean Nutrition Society 2019 Nutrition Research and Practice Vol.13 No.6

BACKGROUND/OBJECTIVES: This study evaluated whether a mobile health (mHealth) application can instigate healthy behavioral changes and improvements in metabolic disorders in individuals with metabolic abnormalities. SUBJECTS/METHODS: Participants were divided into an mHealth intervention group (IG), which used a mobile app for 24 weeks, and a conventional IG. All mobile apps featured activity monitors, with blood pressure and glucose monitors, and body-composition measuring devices. The two groups were compared after 24 weeks in terms of health-behavior practice rate and changes in the proportion of people with health risks, and health behaviors performed by the IG that contributed to reductions in more than one health risk factor were analyzed using multiple logistic regression. RESULTS: Preference for low-sodium diet, reading nutritional facts, having breakfast, and performing moderate physical activity significantly increased in the mHealth IG. Furthermore, the mHealth IG showed a significant increase of eight items in the mini-dietary assessment; particularly, the items "I eat at least two types of vegetables of various colors at every meal" and "I consume dairies, such as milk, yogurt, and cheese, every day." The proportion of people with health risks, with the exception of fasting glucose, significantly decreased in the mHealth IG, while only the proportion of people with at-risk triglycerides and waist circumference of females significantly decreased in the control group. Finally, compared to those who did not show improvements of health risks, those who showed improvements of health risks in the mHealth IG had an odds ratio of 1.61 for moderate to vigorous physical activity, 1.65 for "I do not add more salt or soy sauce in my food," and 1.77 for "I remove fat in my meat before eating." CONCLUSIONS: The findings suggest that the additional use of a community-based mHealth service through a mobile application is effective for improving health behaviors and lowering metabolic risks in Koreans.

Effects of a mobile healthcare service provided by public health centers on practicing of health behaviors and health risk factors

Tae-Yon Kim,Yun-Su Lee,Eun-Jung Yu,Min-Su Kim,Sun-Young Yang,Yang Im Hur,Jae-Heon Kang 한국영양학회 2019 Nutrition Research and Practice Vol.13 No.6

BACKGROUND/OBJECTIVES: This study evaluated whether a mobile health (mHealth) application can instigate healthy behavioral changes and improvements in metabolic disorders in individuals with metabolic abnormalities. SUBJECTS/METHODS: Participants were divided into an mHealth intervention group (IG), which used a mobile app for 24 weeks, and a conventional IG. All mobile apps featured activity monitors, with blood pressure and glucose monitors, and body-composition measuring devices. The two groups were compared after 24 weeks in terms of health-behavior practice rate and changes in the proportion of people with health risks, and health behaviors performed by the IG that contributed to reductions in more than one health risk factor were analyzed using multiple logistic regression. RESULTS: Preference for low-sodium diet, reading nutritional facts, having breakfast, and performing moderate physical activity significantly increased in the mHealth IG. Furthermore, the mHealth IG showed a significant increase of eight items in the mini-dietary assessment; particularly, the items “I eat at least two types of vegetables of various colors at every meal” and “I consume dairies, such as milk, yogurt, and cheese, every day.” The proportion of people with health risks, with the exception of fasting glucose, significantly decreased in the mHealth IG, while only the proportion of people with at-risk triglycerides and waist circumference of females significantly decreased in the control group. Finally, compared to those who did not show improvements of health risks, those who showed improvements of health risks in the mHealth IG had an odds ratio of 1.61 for moderate to vigorous physical activity, 1.65 for “I do not add more salt or soy sauce in my food,” and 1.77 for “I remove fat in my meat before eating.” CONCLUSIONS: The findings suggest that the additional use of a community-based mHealth service through a mobile application is effective for improving health behaviors and lowering metabolic risks in Koreans.

정신건강에 대한 위험인식과 모바일 앱 이용의도: e헬스리터러시와 정신과 상담 태도의 영향력

강승미,안순태 한국정신건강사회복지학회 2019 정신보건과 사회사업 Vol.47 No.3

본 연구는 정신건강에 대한 위험 인식이 정신건강서비스 모바일 앱 이용의도에 미치는 영향관계를 살펴보았다. 온라인으로 진행된 조사에는 총 227명의 성인 남녀가 참여하였다. 연구결과, 정신건강에 대한 위험 인식이 높을수록 e헬스리터러시가 높아지고, 이는 정신건강서비스 모바일 앱 이용의도에 정적인 영향을 미치는 매개효과가 검증되었다. 또한 정신건강서비스모바일 앱 이용의도에 대한 e헬스리터러시의 효과는 정신과 상담 태도와 상호작용함이 확인되었다. 즉, e헬스리터러시의 영향력은 정신과 상담 태도가 낮은 집단에서 크게 나타났다. 연구결과는 정신건강에 대한 위험 인식이 e헬스리터러시를 거쳐 정신건강서비스 모바일 앱 이용의도에 미치는 효과와 함께, 정신과 상담 태도의 조절적 역할을 보여주고 있다. 이를 통해정신건강서비스 모바일 앱 이용 증대 및 한국인의 정신건강 증진을 위해 e헬스리터러시를 높이기 위한 방안을 마련해야 할 필요성이 밝혀졌다. This study aims to explore the effects of perceived threat toward mental health on the intention for using a mobile mental health application. A total of 228 men and women participated in the online survey. Results confirmed the mediating role of e-Health literacy between perceived threat toward mental health and the level of intention to use a mobile mental health application. That is, a higher perceived threat led to higher levels of e-Health literacy, which resulted in higher levels of intention for using a mobile mental health application. Furthermore, the moderating role of attitudes toward mental health service was found. The effect of e-Health literacy was stronger for those with negative attitudes to mental health service than those with positive attitudes to mental health service. This study highlights on the important role of e-Health literacy for promoting the use of mobile mental health application and mental health.

초등학생의 휴대폰 과다사용, 학교적응, 정신건강과의 상관관계 연구

이재연,권혜진,김윤정 한국자료분석학회 2014 Journal of the Korean Data Analysis Society Vol.16 No.2

The purpose of this study is to identify the pattern of mobile phone usage among elementary students, as well as the relationship in mobile phone overuse, school adaptation and mental health. Data were collected using self-administered questionnaires between November 12 and November 20, 2012. Participants of this study were 380 elementary students who are in grade five and six. The collected data’s demographic and descriptive statistics were processed using SPSS Statistics (version 20.0 for Windows). Furthermore, regression analysis was used to observe the variables affecting mobile phone addiction. The findings are as follows: There were significant differences in mobile phone overuse according to school grade, school achievement, type of mobile phone. School adaptation differed significantly depending on gender, parents economic activity, school achievement, type of mobile phone. There were significant differences in mental health depending on parents economic activity, school achievement, type of mobile phone. Mobile phone overuse was negatively correlated with school adaptation and positively correlated with mental health. School adaptation was negatively correlated with mental health. 24.6% of the variance in mobile phone overuse was explained by mobile phone type, school life adaptation, anxiety and depression. The results of this study maybe useful in understanding the mobile phone overuse of elementary students and developing more specific programs to prevent and mediate mobile phone addiction. 본 연구는 초등학생들의 휴대폰 이용실태를 파악하고 휴대폰 과다사용, 학교적응, 정신건강과의 관계를 파악하여, 휴대폰 과다사용의 영향요인을 분석하고자 시도된 서술적 상관관계 연구이다. 자료 수집은 2012년 11월 12일부터 11월 20일까지였으며, 연구대상은 C군에 소재하는 2개 초등학교의 5, 6학년 학생 중 휴대폰(스마트폰 포함)을 소지하고 있고, 학부모의 연구 참여 동의서에 서명한 380명이며, 구조화된 설문지를 이용하였다. 자료분석은 SPSS 20.0 프로그램을 이용하여 서술적 통계와 상관관계 분석 및 회귀분석을 실시하였다. 연구결과 학년, 휴대폰 종류, 그리고 학업성적이 휴대폰 과다사용에 유의한 차이를 보였다. 그리고 학교적응은 성별, 휴대폰 종류, 부모님의 경제활동, 학업성적, 정신건강은 부모님의 경제활동, 학업성적, 휴대폰 종류에 따라 유의한 차이를 보였다. 휴대폰 과다사용과 학교적응은 부적 상관관계를, 정신건강과는 순 상관관계를 보였다. 휴대폰 종류, 학교생활 적응, 불안과 우울이 초등학생의 휴대폰 과다사용을 유의하게 설명하는 변인으로 확인되었으며, 설명력은 24.6%로 나타났다. 본 연구 결과는 휴대폰 과다사용을 예방하고 중재할 수 있는 프로그램 개발의 기초자료로 사용될 수 있을 것이다.

모바일 헬스: 유헬스의 새로운 돌파구

신수용,이재호 에스케이텔레콤 (주) 2013 Telecommunications Review Vol.23 No.3

유헬스(ubiquitous health, u-health)는 국내에서 산업화의 가능성이 아주 크고, 환자 및 의료진의 편의성을 비약적으로 향상시킬 것이라는 기대로, 많은 투자와 함께 다양한 시범사업이 진행되었다. 그러나 관련 법규를 비롯한 다른 장애요인들을 극복하지 못하여 유헬스 서비스가 확산되지 못하고 관련 시장이 성장하지 못하고 있다. 본 논문에서는 u-health의 새로운 돌파구로서 스마트폰을 이용한 모바일 헬스(mobile Health, mHealth) 개념을 정의하고, 이와 관련된 국내외 동향, 적용분야 등을 소개하였다. 특히 mHealth와 연결된 u-health 기기들, mHealth의 허브로서 모바일 개인건강기록(mobile Personal Health Record)를 알아보고, mHealth를 적극적으로 추진 중인 국내 병원 사례를 소개하였다. 이를 통해 스마트폰을 활용한 mHealth가 u-health 서비스와 산업을 부흥시킬 새로운 돌파구가 될 수 있음을 보여주고자 하였다.

Health and Social Media: Perfect Storm of Information

Luis Fernández-Luque,Teresa Bau 대한의료정보학회 2015 Healthcare Informatics Research Vol.21 No.2

Objectives: The use of Internet in the health domain is becoming a major worldwide trend. Millions of citizens are searching online health information and also publishing content about their health. Patients are engaging with other patients in online communities using different types of social media. The boundaries between mobile health, social media, wearable, games, and big data are becoming blurrier due the integration of all those technologies. In this paper we provide an overview of the major research challenges with the area of health social media. Methods: We use several study cases to exemplify the current trends and highlight future research challenges. Results: Internet is exploding and is being used for health purposes by a great deal of the population. Social networks have a powerful influence in health decisions. Given the lack of knowledge on the use of health social media, there is a need for complex multidisciplinary research to help us understand how to use social networks in favour of public health. A bigger understanding of social media will give health authorities new tools to help decision-making at global, national, local, and corporate level. Conclusions: There is an unprecedented amount of data that can be used in public health due the potential combination of data acquired from mobile phones, Electronic Health Records, social media, and other sources. To identify meaningful information from those data sources it is not trial. Moreover, new analytics tools will need to be developed to analyse those sources of data in a way that it can benefit healthcare professionals and authorities.

개인의 건강신념이 모바일 헬스케어 앱 이용의도에 미치는 영향

왕진섭(Jin-Seob Wang),송재민(Jaemin Song),양성병(Sung-Byung Yang),윤상혁(Sang-Hyeak Yoon) 한국IT서비스학회 2023 한국IT서비스학회지 Vol.22 No.1

Smart healthcare, combining ICT (Information and Communications Technologies) and medical technologies, has been rapidly emerging. Accordingly, its market has also increased as interest in disease prevention, management, and diagnosis grows due to the COVID-19 pandemic. In particular, using mobile devices to support medical activities, mobile healthcare has been attracting attention as a leading service in the smart healthcare market. However, the intention to use mobile healthcare apps may vary depending on individual beliefs and attitudes. Many studies on the intention to use mobile healthcare apps have used the TAM (Technology Acceptance Model), but there is a lack of studies that have been verified from the perspective of users' health beliefs. This study aims to identify the factors that affect the intention to use mobile healthcare apps based on the HBM (Health Belief Model). Furthermore, it investigates how this influencing mechanism fluctuates based on the user’s mHealth literacy, the ability to find and understand health information through mobile. This study contributes to the empirical examination of the intention to use mobile healthcare apps through the HBM. It also offers insights for app providers and public health officials to increase the use of mobile healthcare apps.

개인 건강 정보 무선 전송을 통한 원격 건강 지원 시스템

도형호,이성기,김일곤 대한의료정보학회 2007 Healthcare Informatics Research Vol.13 No.4

Objective: The current personal health devices are used as standalone machines or transmit the personal health information only to local PCs. The objective of this research is to build a system which can transmit personal health information from personal health devices to the healthcare server systems. Methods: In this research, we used infrared (IrDA) and Bluetooth for wireless communication from the personal health devices to a PDA. And, we utilized SMS (Simple Message Service) and world wide web systems to deliver the data from the PDA to other mobile phones or to the board in the web server. Results : We developed the system that wirelessly communicates personal health information from the personal health devices to a PDA. The system also delivers both glucose and blood pressure data from the PDA to other mobile phones by SMS (Simple Message Service) or automatically register to the board in the web server. Conclusion: We showed convenient and easy way of collecting personal health information. Our system will contribute improving personal healthcare environment and personal health device business. (Journal of Korean Society of Medical Informatics 13-4, 403-416, 2007)