Review of mobile applications for the detection and management of atrial fibrillationKey Findings
Background: Free mobile applications (apps) that use photoplethysmography (PPG) waveforms may extend atrial fibrillation (AF) detection to underserved populations, but they have not been rigorously evaluated. Objective: The purpose of this study was to systematically review and evaluate the quality,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-04-01
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| Series: | Heart Rhythm O2 |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666501820300076 |
| _version_ | 1819096914849693696 |
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| author | Meghan Reading Turchioe, PhD, MPH, RN Victoria Jimenez, BS Samuel Isaac, BS Munther Alshalabi, MD, MS David Slotwiner, MD, FACC, FHRS Ruth Masterson Creber, PhD, MSc, RN |
| author_facet | Meghan Reading Turchioe, PhD, MPH, RN Victoria Jimenez, BS Samuel Isaac, BS Munther Alshalabi, MD, MS David Slotwiner, MD, FACC, FHRS Ruth Masterson Creber, PhD, MSc, RN |
| author_sort | Meghan Reading Turchioe, PhD, MPH, RN |
| collection | DOAJ |
| description | Background: Free mobile applications (apps) that use photoplethysmography (PPG) waveforms may extend atrial fibrillation (AF) detection to underserved populations, but they have not been rigorously evaluated. Objective: The purpose of this study was to systematically review and evaluate the quality, functionality, and adherence to self-management behaviors of existing mobile apps for AF. Methods: We systematically searched 3 app stores for apps that were free, available in English, and intended for use by patients to detect and manage AF. A minimum of 2 reviewers evaluated (1) app quality, using the Mobile Application Rating Scale (MARS); (2) functionality using published criteria; and (3) features that support 4 self-management behaviors (including PPG waveform monitoring) identified using evidence-based guidelines. Interrater reliability between the reviewers was calculated. Results: Of 12 included apps, 5 (42%) scored above average for quality (MARS score ≥3.0). App quality was highest for their ease of use, navigation, layout, and visual appeal (eg, functionality and aesthetics) and lowest for their behavioral change support and subjective impressions of quality. The most common app functionalities were capturing and graphically displaying user-entered data (n = 9 [75%]). Nearly all apps (n = 11 [92%]) supported PPG waveform monitoring, but only 2 (17%) supported all 4 self-management behaviors. Interrater reliability was high (0.75–0.83). Conclusion: The reviewed apps had wide variability in quality, functionality, and adherence to self-management behaviors. Given the accessibility of these apps to underserved populations and the tremendous potential they hold for improving AF detection and management, high priority should be given to improving app quality and functionality. |
| first_indexed | 2024-12-22T00:06:46Z |
| format | Article |
| id | doaj.art-6b32594313a14d4298bf68241f50702f |
| institution | Directory Open Access Journal |
| issn | 2666-5018 |
| language | English |
| last_indexed | 2024-12-22T00:06:46Z |
| publishDate | 2020-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heart Rhythm O2 |
| spelling | doaj.art-6b32594313a14d4298bf68241f50702f2022-12-21T18:45:33ZengElsevierHeart Rhythm O22666-50182020-04-01113543Review of mobile applications for the detection and management of atrial fibrillationKey FindingsMeghan Reading Turchioe, PhD, MPH, RN0Victoria Jimenez, BS1Samuel Isaac, BS2Munther Alshalabi, MD, MS3David Slotwiner, MD, FACC, FHRS4Ruth Masterson Creber, PhD, MSc, RN5Address reprint requests and correspondence: Dr Meghan Reading Turchioe, Department of Population Health Sciences, Division of Health Informatics, Weill Cornell Medicine, 425 East 61st Street, Suite 301, New York, NY 10065.; Department of Population Health Sciences, Division of Health Informatics, Weill Cornell Medicine, New York, New YorkDepartment of Population Health Sciences, Division of Health Informatics, Weill Cornell Medicine, New York, New YorkDepartment of Population Health Sciences, Division of Health Informatics, Weill Cornell Medicine, New York, New YorkDepartment of Population Health Sciences, Division of Health Informatics, Weill Cornell Medicine, New York, New YorkDepartment of Population Health Sciences, Division of Health Informatics, Weill Cornell Medicine, New York, New YorkDepartment of Population Health Sciences, Division of Health Informatics, Weill Cornell Medicine, New York, New YorkBackground: Free mobile applications (apps) that use photoplethysmography (PPG) waveforms may extend atrial fibrillation (AF) detection to underserved populations, but they have not been rigorously evaluated. Objective: The purpose of this study was to systematically review and evaluate the quality, functionality, and adherence to self-management behaviors of existing mobile apps for AF. Methods: We systematically searched 3 app stores for apps that were free, available in English, and intended for use by patients to detect and manage AF. A minimum of 2 reviewers evaluated (1) app quality, using the Mobile Application Rating Scale (MARS); (2) functionality using published criteria; and (3) features that support 4 self-management behaviors (including PPG waveform monitoring) identified using evidence-based guidelines. Interrater reliability between the reviewers was calculated. Results: Of 12 included apps, 5 (42%) scored above average for quality (MARS score ≥3.0). App quality was highest for their ease of use, navigation, layout, and visual appeal (eg, functionality and aesthetics) and lowest for their behavioral change support and subjective impressions of quality. The most common app functionalities were capturing and graphically displaying user-entered data (n = 9 [75%]). Nearly all apps (n = 11 [92%]) supported PPG waveform monitoring, but only 2 (17%) supported all 4 self-management behaviors. Interrater reliability was high (0.75–0.83). Conclusion: The reviewed apps had wide variability in quality, functionality, and adherence to self-management behaviors. Given the accessibility of these apps to underserved populations and the tremendous potential they hold for improving AF detection and management, high priority should be given to improving app quality and functionality.http://www.sciencedirect.com/science/article/pii/S2666501820300076Ambulatory electrocardiographic monitoringArrhythmiaAtrial fibrillationMobile applicationSelf-management |
| spellingShingle | Meghan Reading Turchioe, PhD, MPH, RN Victoria Jimenez, BS Samuel Isaac, BS Munther Alshalabi, MD, MS David Slotwiner, MD, FACC, FHRS Ruth Masterson Creber, PhD, MSc, RN Review of mobile applications for the detection and management of atrial fibrillationKey Findings Heart Rhythm O2 Ambulatory electrocardiographic monitoring Arrhythmia Atrial fibrillation Mobile application Self-management |
| title | Review of mobile applications for the detection and management of atrial fibrillationKey Findings |
| title_full | Review of mobile applications for the detection and management of atrial fibrillationKey Findings |
| title_fullStr | Review of mobile applications for the detection and management of atrial fibrillationKey Findings |
| title_full_unstemmed | Review of mobile applications for the detection and management of atrial fibrillationKey Findings |
| title_short | Review of mobile applications for the detection and management of atrial fibrillationKey Findings |
| title_sort | review of mobile applications for the detection and management of atrial fibrillationkey findings |
| topic | Ambulatory electrocardiographic monitoring Arrhythmia Atrial fibrillation Mobile application Self-management |
| url | http://www.sciencedirect.com/science/article/pii/S2666501820300076 |
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