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The Cost-Effectiveness of Mobile Health (mHealth) Interventions for Older Adults: Systematic Review

Authors
  • Ghani, Zartashia1
  • Jarl, Johan
  • Sanmartin Berglund, Johan1
  • Andersson, Martin
  • Anderberg, Peter1
  • 1 (P.A.)
Type
Published Article
Journal
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Publication Date
Jul 22, 2020
Volume
17
Issue
15
Identifiers
DOI: 10.3390/ijerph17155290
PMID: 32708016
PMCID: PMC7432315
Source
PubMed Central
Keywords
License
Green

Abstract

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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