The Cost-Effectiveness of Mobile Health (mHealth) Interventions for Older Adults: Systematic Review
Open accessAbstract
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 of 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.
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mHealth approaches can reduce healthcare costs when compared to traditional methods.
“It is obvious that mHealth approaches can reduce healthcare costs when compared to traditional methods [88].”
From Current evidence on the use of mHealth approaches in Sub-Saharan Africa: A scoping review (2023) · cites this paper as [88]
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- Authors
- Ghani, Z., Jarl, J., Sanmartin Berglund, J., Andersson, M., & Anderberg, P.
- Affiliations
- Blekinge Institute of Technology (SE)
- Lund University (SE)
- Department of Health, Blekinge Institute of Technology, SE-371 79 Karlskrona, Sweden
- Corresponding author
- Ghani, Zartashia
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-07-22
- Volume
- 17
- Issue
- 15
- Pages
- 5290
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7432315
- OpenAlex
- W3044822023
- Cited by
- 53
- References
- 29
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 8 · 2023: 10 · 2022: 11 · 2021: 13
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Diva portal (Dalarna University Library) (acceptedVersion, other-oa)
- University Library of Skövde (University of Skövde) (acceptedVersion, other-oa)
- RePEc: Research Papers in Economics (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (acceptedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- European Commission Horizon 2020 Research and Innovation programme (643399)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- mobile health, mobile health intervention, older adults, cost-effectiveness, economic evaluation, smartphone communication, text messaging, health communication, reporting quality
- MeSH terms
- Smartphone, Cost-Benefit Analysis, Databases, Factual, Telemedicine, Text Messaging
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