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The cost-effectiveness of mobile health (Mhealth) interventions for older adults: Systematic review
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
Lund University, SWE.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0003-4312-2246
Blekinge Institute of Technology, Faculty of Engineering, Department of Industrial Economics.ORCID iD: 0000-0002-0302-6244
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2020 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 17, no 15, p. 1-13, article id 5290Article, review/survey (Refereed) Published
Abstract [en]

The objective of this study was to critically assess and review empirical evidence on the cost-effectiveness of Mobile Health (mHealth) interventions for older adults. We systematically searched databases such as Pubmed, Scopus, and Cumulative Index to Nursing and Allied Literature (CINAHL) for peer-reviewed economic evaluations published in English from 2007 to 2018. We extracted data on methods and empirical evidence (costs, effects, incremental cost-effectiveness ratio) and assessed if this evidence supported the reported findings in terms of cost-effectiveness. The consolidated health economic evaluation reporting standards (CHEERS) checklist was used to assess the reporting quality of the included studies. Eleven studies were identified and categorized into two groups: complex smartphone communication and simple text-based communication. Substantial heterogeneity among the studies in terms of methodological approaches and types of intervention was observed. The cost-effectiveness of complex smartphone communication interventions cannot be judged due to lack of information. Limited evidence of cost-effectiveness was found for interventions related to simple text-based communications. Comprehensive economic evaluation studies are warranted to assess the cost-effectiveness of mHealth interventions designed for older adults. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.
Place, publisher, year, edition, pages
MDPI AG , 2020. Vol. 17, no 15, p. 1-13, article id 5290
Keywords [en]
Aged, Cost-benefit analysis, Economic evaluation, Gerontechnology, Telemedicine, database, elderly care, elderly population, health care, information system, literature review, mobile communication, mobile phone, technology adoption, chronic obstructive lung disease, cost benefit analysis, cost effectiveness analysis, cost minimization analysis, cost utility analysis, diabetes mellitus, follow up, heart disease, human, intervention study, malignant neoplasm, Parkinson disease, peer review, practice guideline, quality adjusted life year, Review, systematic review, text messaging, Unified Parkinson Disease Rating Scale, Willingness To Pay, Scopus
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:bth-20285DOI: 10.3390/ijerph17155290ISI: 000567271000001Scopus ID: 2-s2.0-85088283747OAI: oai:DiVA.org:bth-20285DiVA, id: diva2:1458106
Funder
EU, Horizon 2020, 643399
Note

Open access

Available from: 2020-08-14 Created: 2020-08-14 Last updated: 2024-10-08Bibliographically approved
In thesis
1. Cost-effectiveness analysis of an mHealth application (SMART4MD) and analysis of the effect of dialysis treatments on labor market outcomes: Health technology assessment of two treatment methods
Open this publication in new window or tab >>Cost-effectiveness analysis of an mHealth application (SMART4MD) and analysis of the effect of dialysis treatments on labor market outcomes: Health technology assessment of two treatment methods
2020 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Health Technology Assessment is an important factor for decision making in the healthcare sector in Sweden. It helps to curtail the rising costs associated with the healthcare sector and aids in the efficient allocation of scarce public health resources. This thesis investigates the cost-effectiveness and the effectiveness in general of two health technologies, addressing the following research objectives: i) assessing the cost-effectiveness of mobile health (mHealth) interventions designed for older adults diagnosed with mild cognitive impairment, and ii) assessing the effectiveness of peritoneal dialysis (PD) treatment on labor market outcomes in comparison with institutional hemodialysis (IHD) treatment in Swedish settings.

Study I and Study II are related to the first research objective. In Study I, we summarized and critically assessed the current evidence on the cost-effectiveness of mHealth interventions focusing on older adults; we found some evidence supporting the cost-effectiveness of these interventions. In Study II, we conducted a within-trial cost-effectiveness analysis of the software application Support, Monitoring and Reminder Technology for Mild Dementia (SMART4MD) from a healthcare perspective for a period of six months. A total of 345 Swedish dyads (MCI patient and informal caregiver) participated in this study. For a short time period of six months, we found that SMART4MD is not cost-effective for MCI patients (statistically insignificant); however, a trend was observed that indicated that it might be cost-effective for informal caregivers, although results remained statistically insignificant (p > 0.05).

Study III is related to the second research objective. In Study III, we investigated the effect of PD on labor market outcomes (employment rate, work income, and disability pension) in comparison to IHD. We found that PD is associated with a treatment advantage over IHD in terms of increased employment, work income, and reduced disability pension in the Swedish population after controlling for non-random selection for the treatment.
Place, publisher, year, edition, pages
Karlskrona: Blekinge Tekniska Högskola, 2020. p. 35 (kappa)
Series
Blekinge Institute of Technology Licentiate Dissertation Series, ISSN 1650-2140 ; 7
Keywords
Aged, Cost-benefit analysis, Gerontechnology, Telemedicine, Elderly, Mobile application, mHealth, Mobile health
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:bth-20587 (URN)978-91-7295-412-0 (ISBN)
Available from: 2020-10-29 Created: 2020-10-28 Last updated: 2021-02-08Bibliographically approved
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Ghani, ZartashiaSanmartin Berglund, JohanAndersson, MartinAnderberg, Peter

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