A systematic review of eHealth and mHealth interventions for lymphedema patients

Lymphedema is a chronic inflammatory disease that causes chronic swelling in the affected area, necessitating daily treatment. Millions of people worldwide are affected. The investigation of strategies to improve the overall health of patients, such as through the utilisation of electronic health (e...

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Main Authors: Andrea Mangion, Bruno Ivasic, Neil Piller
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2024-12-01
Series:Clinical eHealth
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Online Access:http://www.sciencedirect.com/science/article/pii/S2588914124000108
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author Andrea Mangion
Bruno Ivasic
Neil Piller
author_facet Andrea Mangion
Bruno Ivasic
Neil Piller
author_sort Andrea Mangion
collection DOAJ
description Lymphedema is a chronic inflammatory disease that causes chronic swelling in the affected area, necessitating daily treatment. Millions of people worldwide are affected. The investigation of strategies to improve the overall health of patients, such as through the utilisation of electronic health (eHealth), is justified considering the ongoing burden of daily self-care. This research aimed to (a) identify current published research in eHealth and mobile health (mHealth) interventions for patients living with lymphedema; (b) assess feasibility and efficacy of the interventions; and (c) understand whether intervention adherence was affected by using eHealth. A systematic review was undertaken. Seven databases including MEDLINE, Scopus, Web of Science, CINAHL, the Cochrane Library, PsycINFO and IEEE Xplore were searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used. 1857 studies were identified through the database search with 9 meeting the inclusion criteria for a total of 1031 participants. There were 3 types of eHealth, including instructive online content, telehealth, and digital gaming. The efficacy of various eHealth and mHealth modalities was demonstrated in areas such as lymphedema outcomes, self-care, psychosocial outcomes, and disease comprehension. Reports of feasibility demonstrated that eHealth modalities were generally well accepted or preferred over conventional methods. 7 studies reported or discussed adherence and provided insight into the relationship between the design of the eHealth tool and the completion of the intervention. Several distinct categories of eHealth and mHealth interventions were shown to improve disease comprehension, psychosocial and lymphedema outcomes. Findings from this systematic review may have an impact on the design of future studies in this domain, including consideration of early user acceptance testing when developing eHealth tools. With the ongoing progress in eHealth technology, further investigation into eHealth is warranted given the encouraging results observed in a limited number of studies.
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spelling doaj-art-bde6af5b2a5d4775af6dd2cb2775f5fe2025-08-20T02:55:12ZengKeAi Communications Co., Ltd.Clinical eHealth2588-91412024-12-01712013210.1016/j.ceh.2024.08.002A systematic review of eHealth and mHealth interventions for lymphedema patientsAndrea Mangion0Bruno Ivasic1Neil Piller2Corresponding author.; Lymphoedema Clinical Research Unit at Flinders University, Adelaide, AustraliaLymphoedema Clinical Research Unit at Flinders University, Adelaide, AustraliaLymphoedema Clinical Research Unit at Flinders University, Adelaide, AustraliaLymphedema is a chronic inflammatory disease that causes chronic swelling in the affected area, necessitating daily treatment. Millions of people worldwide are affected. The investigation of strategies to improve the overall health of patients, such as through the utilisation of electronic health (eHealth), is justified considering the ongoing burden of daily self-care. This research aimed to (a) identify current published research in eHealth and mobile health (mHealth) interventions for patients living with lymphedema; (b) assess feasibility and efficacy of the interventions; and (c) understand whether intervention adherence was affected by using eHealth. A systematic review was undertaken. Seven databases including MEDLINE, Scopus, Web of Science, CINAHL, the Cochrane Library, PsycINFO and IEEE Xplore were searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were used. 1857 studies were identified through the database search with 9 meeting the inclusion criteria for a total of 1031 participants. There were 3 types of eHealth, including instructive online content, telehealth, and digital gaming. The efficacy of various eHealth and mHealth modalities was demonstrated in areas such as lymphedema outcomes, self-care, psychosocial outcomes, and disease comprehension. Reports of feasibility demonstrated that eHealth modalities were generally well accepted or preferred over conventional methods. 7 studies reported or discussed adherence and provided insight into the relationship between the design of the eHealth tool and the completion of the intervention. Several distinct categories of eHealth and mHealth interventions were shown to improve disease comprehension, psychosocial and lymphedema outcomes. Findings from this systematic review may have an impact on the design of future studies in this domain, including consideration of early user acceptance testing when developing eHealth tools. With the ongoing progress in eHealth technology, further investigation into eHealth is warranted given the encouraging results observed in a limited number of studies.http://www.sciencedirect.com/science/article/pii/S2588914124000108LymphedemaeHealthmHealthSystematic reviewTelehealth
spellingShingle Andrea Mangion
Bruno Ivasic
Neil Piller
A systematic review of eHealth and mHealth interventions for lymphedema patients
Clinical eHealth
Lymphedema
eHealth
mHealth
Systematic review
Telehealth
title A systematic review of eHealth and mHealth interventions for lymphedema patients
title_full A systematic review of eHealth and mHealth interventions for lymphedema patients
title_fullStr A systematic review of eHealth and mHealth interventions for lymphedema patients
title_full_unstemmed A systematic review of eHealth and mHealth interventions for lymphedema patients
title_short A systematic review of eHealth and mHealth interventions for lymphedema patients
title_sort systematic review of ehealth and mhealth interventions for lymphedema patients
topic Lymphedema
eHealth
mHealth
Systematic review
Telehealth
url http://www.sciencedirect.com/science/article/pii/S2588914124000108
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