Telehealth and mobile health interventions in adults with inflammatory bowel disease: A mixed-methods systematic review

Suja P. Davis, Megan Suzanne Hardin Ross, Reuben Adatorwovor, Holly Wei

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Inflammatory bowel disease (IBD) is a chronic illness that is comprised of two major disorders: Crohn's disease and ulcerative colitis. Adults with IBD have adopted telehealth and mobile health (mHealth) interventions to improve their self-management skills and symptom-monitoring. This systematic review aimed to evaluate the efficacy of telehealth and mHealth interventions and explore the benefits and challenges of these interventions in patients with IBD. This review used a convergent segregated approach to synthesize and integrate research findings, a methodology recommended by the Joanna Briggs Institute for mixed-methods systematic reviews. Databases searched included PubMed, CINAHL, Embase, Cochrane Controlled Trials Registry, and ClinicalTrials.gov. The search followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, which yielded sixteen quantitative and two qualitative articles. A narrative synthesis was performed to present the findings of quantitative and qualitative studies. Evidence from quantitative and qualitative studies was then integrated for a combined presentation. The results of quantitative analysis supported the efficacy of telehealth and mHealth interventions to improve patients' quality of life, medication adherence, disease activity, medication monitoring, disease-related knowledge and cost savings. While some participants in qualitative studies reported certain challenges of telehealth and mHealth interventions, most of the participants conferred the benefits of the interventions, including improved disease-related knowledge, communication between patients and providers, sense of reassurance, and appointment options. The evidence from quantitative and qualitative synthesis partially supported each other.

Original languageEnglish
Pages (from-to)155-172
Number of pages18
JournalResearch in Nursing and Health
Volume44
Issue number1
DOIs
StatePublished - Feb 2021

Bibliographical note

Funding Information:
The authors thank Jamie Conklin, research librarian at UNC-CH for her help with the database search. No financial support has been received for this work.

Publisher Copyright:
© 2020 Wiley Periodicals LLC

ASJC Scopus subject areas

  • Nursing (all)

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