The Impact of Mobile Health Intervention on Self-management of Chronic kidney Disease Patients

Background: Chronic kidney disease (CKD) is the progressive and irreversible destruction of the kidneys. Slowing disease progression and reducing adverse safety outcomes requires significant personal involvement of CKD patients to integrate complex recommendations. recently the applying of mobile health (mHealth) interventions to improve self-management of patients with chronic diseases has increased significantly. Objectives: The aim of this study was a systematic review of previous studies on the impact of mHealth interventions (including telephone and mobile phone) on clinical outcomes, process of care and quality of life for CKD patients. Materials/Patients and Methods: A comprehensive search of PubMed, Scopus, and the Cochrane Central Register of Controlled Trials was performed in summer 2016. Inclusion criteria were defined based on type of study and impact of mHealth intervention in relation to improving self-management outcomes in CKD patients. Studies must have used a randomized controlled trial (RCT) design to evaluate the effects of a mHealth intervention on CKD patients. Results: By applying the inclusion and exclusion criteria, the 8712 article has been retrieved, of which eight trials fulfilled the inclusion criteria. 16 cases, was evaluated the impact of the mHealth on clinical outcomes, that in 8 cases (50%) positive clinical outcomes have been showed, in 6 cases (37.5%) statistically significant differences were observed between the intervention and control groups with regard to clinical outcomes, and 2 cases (12.5%) were reported combined impact (positive or no impact). Only one case evaluated the process of care that impact is positive. Also one case assessed the impact of mHealth on quality of life. According to this study, statistically significant differences were observed between the intervention and control groups with regard to improvement in patient satisfaction and sleep, but improvement in other aspects of quality of life not observed in the intervention group. Conclusion: The implication of mHealth interventions to improve self-management in CKD patients is effective and useful.