Mobile Phone Apps for Preventing Cancer Through Educational and Behavioral Interventions: State of the Art and Remaining Challenges

Overview

Journal JMIR Mhealth Uhealth

Specialties Biomedical Engineering
Medical Informatics

Date 2016 Jun 1

PMID 27242162

Citations 20

Authors

Steven Coughlin

Herpreet Thind

Benyuan Liu

Nicole Champagne

Molly Jacobs

Rachael I Massey

Affiliations

Soon will be listed here.

Abstract

Background: Rapid developments in technology have encouraged the use of mobile phones in smoking cessation, promoting healthy diet, nutrition, and physical activity, sun safety, and cancer screening. Although many apps relating to the prevention of cancer and other chronic diseases are available from major mobile phone platforms, relatively few have been tested in research studies to determine their efficacy.

Objective: In this paper, we discuss issues related to the development and testing of new apps for preventing cancer through smoking cessation, sun safety, and other healthy behaviors, including key methodologic issues and outstanding challenges.

Methods: An exploratory literature review was conducted using bibliographic searches in PubMed and CINAHL with relevant search terms (eg, smartphones, smoking cessation, cancer prevention, cancer screening, and carcinogens) to identify papers published in English through October 2015.

Results: Only 4 randomized controlled trials of the use of mobile phone apps for smoking cessation and 2 trials of apps for sun safety were identified, indicating that it is premature to conduct a systematic search and meta-analysis of the published literature on this topic.

Conclusions: Future studies should utilize randomized controlled trial research designs, larger sample sizes, and longer study periods to better establish the cancer prevention and control capabilities of mobile phone apps. In developing new and refined apps for cancer prevention and control, both health literacy and eHealth literacy should be taken into account. There is a need for culturally appropriate, tailored health messages to increase knowledge and awareness of health behaviors such as smoking cessation, cancer screening, and sun safety. Mobile phone apps are likely to be a useful and low-cost intervention for preventing cancer through behavioral changes.

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References

Oldenburg B, Taylor C, ONeil A, Cocker F, Cameron L . Using new technologies to improve the prevention and management of chronic conditions in populations. Annu Rev Public Health. 2015; 36:483-505. DOI: 10.1146/annurev-publhealth-031914-122848. View

Friedman D, Hoffman-Goetz L . Assessment of cultural sensitivity of cancer information in ethnic print media. J Health Commun. 2006; 11(4):425-47. DOI: 10.1080/10810730600671920. View

Bender J, Yue R, To M, Deacken L, Jadad A . 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. J Med Internet Res. 2013; 15(12):e287. PMC: 3875901. DOI: 10.2196/jmir.2661. View

Yost K, Webster K, Baker D, Choi S, Bode R, Hahn E . Bilingual health literacy assessment using the Talking Touchscreen/la Pantalla Parlanchina: Development and pilot testing. Patient Educ Couns. 2009; 75(3):295-301. PMC: 2692378. DOI: 10.1016/j.pec.2009.02.020. View

Coughlin S, Whitehead M, Sheats J, Mastromonico J, Hardy D, Smith S . Smartphone Applications for Promoting Healthy Diet and Nutrition: A Literature Review. Jacobs J Food Nutr. 2016; 2(3):021. PMC: 4725321. View

Barton A . The regulation of mobile health applications. BMC Med. 2012; 10:46. PMC: 3364852. DOI: 10.1186/1741-7015-10-46. View

Parker R, Baker D, Williams M, Nurss J . The test of functional health literacy in adults: a new instrument for measuring patients' literacy skills. J Gen Intern Med. 1995; 10(10):537-41. DOI: 10.1007/BF02640361. View

Baskerville N, Struik L, Hammond D, Guindon G, Norman C, Whittaker R . Effect of a mobile phone intervention on quitting smoking in a young adult population of smokers: randomized controlled trial study protocol. JMIR Res Protoc. 2015; 4(1):e10. PMC: 4319093. DOI: 10.2196/resprot.3823. View

Buller D, Borland R, Bettinghaus E, Shane J, Zimmerman D . Randomized trial of a smartphone mobile application compared to text messaging to support smoking cessation. Telemed J E Health. 2013; 20(3):206-14. PMC: 3934597. DOI: 10.1089/tmj.2013.0169. View

10.

Baker D, Williams M, Parker R, Gazmararian J, Nurss J . Development of a brief test to measure functional health literacy. Patient Educ Couns. 2003; 38(1):33-42. DOI: 10.1016/s0738-3991(98)00116-5. View

11.

Stellefson M, Hanik B, Chaney B, Chaney D, Tennant B, Chavarria E . eHealth literacy among college students: a systematic review with implications for eHealth education. J Med Internet Res. 2011; 13(4):e102. PMC: 3278088. DOI: 10.2196/jmir.1703. View

12.

Dutta-Bergman M . Primary sources of health information: comparisons in the domain of health attitudes, health cognitions, and health behaviors. Health Commun. 2004; 16(3):273-88. DOI: 10.1207/S15327027HC1603_1. View

13.

Bricker J, Mull K, Kientz J, Vilardaga R, Mercer L, Akioka K . Randomized, controlled pilot trial of a smartphone app for smoking cessation using acceptance and commitment therapy. Drug Alcohol Depend. 2014; 143:87-94. PMC: 4201179. DOI: 10.1016/j.drugalcdep.2014.07.006. View

14.

Panayi N, Mars M, Burd R . The promise of digital (mobile) health in cancer prevention and treatment. Future Oncol. 2013; 9(5):613-7. DOI: 10.2217/fon.13.42. View

15.

Chan C, Kaufman D . A framework for characterizing eHealth literacy demands and barriers. J Med Internet Res. 2011; 13(4):e94. PMC: 3222196. DOI: 10.2196/jmir.1750. View

16.

Yun E, Park H . Consumers' disease information-seeking behaviour on the Internet in Korea. J Clin Nurs. 2010; 19(19-20):2860-8. DOI: 10.1111/j.1365-2702.2009.03187.x. View

17.

Cortez N, Cohen I, Kesselheim A . FDA regulation of mobile health technologies. N Engl J Med. 2014; 371(4):372-9. DOI: 10.1056/NEJMhle1403384. View

18.

Mobasheri M, Johnston M, King D, Leff D, Thiruchelvam P, Darzi A . Smartphone breast applications - what's the evidence?. Breast. 2014; 23(5):683-9. DOI: 10.1016/j.breast.2014.07.006. View

19.

Monkman H, Griffith J, Kushniruk A . Evidence-based Heuristics for Evaluating Demands on eHealth Literacy and Usability in a Mobile Consumer Health Application. Stud Health Technol Inform. 2015; 216:358-62. View

20.

Coughlin S, Whitehead M, Sheats J, Mastromonico J, Smith S . A Review of Smartphone Applications for Promoting Physical Activity. Jacobs J Community Med. 2016; 2(1). PMC: 4811195. View