Cited by 346Mobile Health and mHealth ApplicationsDigital Mental Health InterventionsMobile Learning in Education

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A Lot of Action, But Not in the Right Direction: Systematic Review and Content Analysis of Smartphone Applications for the Prevention, Detection, and Management of Cancer

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Bender, Jacqueline Lorene, Yue, Rossini Ying Kwan, To, Matthew Jason, Deacken, Laetitia, Jadad, Alejandro R·2013·Journal of Medical Internet Research

DOI 10.2196/jmir.2661PMC PMC3875901

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Abstract

BACKGROUND: Mobile phones have become nearly ubiquitous, offering a promising means to deliver health interventions. However, little is known about smartphone applications (apps) for cancer. OBJECTIVE: The purpose of this study was to characterize the purpose and content of cancer-focused smartphone apps available for use by the general public and the evidence on their utility or effectiveness. METHODS: We conducted a systematic review of the official application stores for the four major smartphone platforms: iPhone, Android, Nokia, and BlackBerry. Apps were included in the review if they were focused on cancer and available for use by the general public. This was complemented by a systematic review of literature from MEDLINE, Embase, and the Cochrane Library to identify evaluations of cancer-related smartphone apps. RESULTS: A total of 295 apps from the smartphone app stores met the inclusion criteria. The majority of apps targeted breast cancer (46.8%, 138/295) or cancer in general (28.5%, 84/295). The reported app purpose was predominantly to raise awareness about cancer (32.2%, 95/295) or to provide educational information about cancer (26.4%, 78/295), followed by apps to support fundraising efforts (12.9%, 38/295), assist in early detection (11.5%, 34/295), promote a charitable organization (10.2%, 30/295), support disease management (3.7%, 11/295), cancer prevention (2.0%, 6/295), or social support (1.0%, 3/295). The majority of the apps did not describe their organizational affiliation (64.1%, 189/295). Apps affiliated with non-profit organizations were more likely to be free of cost (χ(2) 1=16.3, P<.001) and have a fundraising or awareness purpose (χ(2) 2=13.3, P=.001). The review of the health literature yielded 594 articles, none of which reported an evaluation of a cancer-focused smartphone application. CONCLUSIONS: There are hundreds of cancer-focused apps with the potential to enhance efforts to promote behavior change, to monitor a host of symptoms and physiological indicators of disease, and to provide real-time supportive interventions, conveniently and at low cost. However, there is a lack of evidence on their utility, effectiveness, and safety. Future efforts should focus on improving and consolidating the evidence base into a whitelist for public consumption.

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Authors: Bender, J. L., Yue, R. Y. K., To, M. J., Deacken, L., & Jadad, A. R.
Affiliations: University Health Network (CA)
Corresponding author: Bender, Jacqueline Lorene
ORCID: Bender, Jacqueline Lorene
To, Matthew Jason
Jadad, Alejandro R
Venue: Journal of Medical Internet Research
Publisher: JMIR Publications Inc.
Published: 2013-12-23
Volume: 15
Issue: 12
Pages: e287
ISSN: 1438-8871 (ISSN-L)
DOI: 10.2196/jmir.2661
PMC: PMC3875901
OpenAlex: W2164995937
Cited by: 346
References: 24
Citations by year: 2026: 8 · 2025: 13 · 2024: 14 · 2023: 20 · 2022: 29 · 2021: 35 · 2020: 34 · 2019: 41 · 2018: 42 · 2017: 33 · 2016: 33 · 2015: 31 · 2014: 13
FWCI: 3.09
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Journal of Medical Internet Research (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
Keywords: cancer, mobile application, mobile health, cancer prevention, early cancer detection, cancer management, breast cancer, app store analysis, app evaluation, nonprofit organizations, cancer awareness, health behavior change, app security and privacy
MeSH terms: Female, Health Promotion, Humans, Male, Neoplasms, Telemedicine, Risk Reduction Behavior, Cell Phone, Mobile Applications

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A Lot of Action, But Not in the Right Direction: Systematic Review and Content Analysis of Smartphone Applications for the Prevention, Detection, and Management of Cancer

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