Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Apr 27, 2018
Open Peer Review Period: Apr 27, 2018 - Jun 22, 2018
Date Accepted: Apr 26, 2019
(closed for review but you can still tweet)
Context-aware systems for chronic disease patients: A scoping review
ABSTRACT
Background:
Context-aware systems, also known as context-sensitive systems, are computing applications designed to capture, interpret, and use contextual information and provide adaptive services according to the current context of use. Context-aware systems have the potential to support patients with chronic conditions, yet little is known about how such systems have been utilized to facilitate patient work.
Objective:
To characterize the different tasks and contexts in which context-aware systems for patient work were used, as well as to assess any existing evidence about the impact of such systems on health-related process or outcome measures.
Methods:
Six databases (Medline, Embase, CINAHL, ACM Digital, Web of Science and Scopus) were scanned using a predefined search strategy. Studies were included in the review if they: focused on patients with chronic conditions; involved the use of a context-aware system to support patients’ health-related activities; and reported the evaluation of the systems by the users. Studies were screened by independent reviewers, and a narrative synthesis of included studies was conducted.
Results:
The database search retrieved 1478 citations; 6 papers were included, all published from 2009 onwards. The majority of the papers were quasi-experimental and involved pilot and usability testing with a small number of users; there were no randomized controlled trials (RCTs) to evaluate the efficacy of a context-aware system. In the included studies, context was captured using sensors or self-reports, sometimes involving both. Most studies used a combination of sensor technology and mobile applications to deliver personalized feedback. Three studies examined the impact of interventions on health-related measures, showing positive results.
Conclusions:
The use of context-aware systems to support patient work is an emerging area of research. RCTs are needed to evaluate the effectiveness of effectiveness of context-aware systems in improving patient work, self-management practices, and health outcomes in chronic disease patients. Clinical Trial: N/A
Citation
Per the author's request the PDF is not available.
Copyright
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