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Review

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

1
Department of Health, Blekinge Institute of Technology, SE-371 79 Karlskrona, Sweden
2
Health Economics Unit, Department of Clinical Sciences, Lund University, SE-221 00 Lund, Sweden
3
Department of Industrial Economics, Blekinge Institute of Technology, SE-371 79 Karlskrona, Sweden
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(15), 5290; https://doi.org/10.3390/ijerph17155290
Submission received: 3 July 2020 / Revised: 19 July 2020 / Accepted: 20 July 2020 / Published: 22 July 2020
(This article belongs to the Special Issue Applied Health Technology)

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.
Keywords: aged; cost-benefit analysis; economic evaluation; gerontechnology; telemedicine aged; cost-benefit analysis; economic evaluation; gerontechnology; telemedicine

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MDPI and ACS Style

Ghani, Z.; Jarl, J.; Sanmartin Berglund, J.; Andersson, M.; Anderberg, P. The Cost-Effectiveness of Mobile Health (mHealth) Interventions for Older Adults: Systematic Review. Int. J. Environ. Res. Public Health 2020, 17, 5290. https://doi.org/10.3390/ijerph17155290

AMA Style

Ghani Z, Jarl J, Sanmartin Berglund J, Andersson M, Anderberg P. The Cost-Effectiveness of Mobile Health (mHealth) Interventions for Older Adults: Systematic Review. International Journal of Environmental Research and Public Health. 2020; 17(15):5290. https://doi.org/10.3390/ijerph17155290

Chicago/Turabian Style

Ghani, Zartashia, Johan Jarl, Johan Sanmartin Berglund, Martin Andersson, and Peter Anderberg. 2020. "The Cost-Effectiveness of Mobile Health (mHealth) Interventions for Older Adults: Systematic Review" International Journal of Environmental Research and Public Health 17, no. 15: 5290. https://doi.org/10.3390/ijerph17155290

APA Style

Ghani, Z., Jarl, J., Sanmartin Berglund, J., Andersson, M., & Anderberg, P. (2020). The Cost-Effectiveness of Mobile Health (mHealth) Interventions for Older Adults: Systematic Review. International Journal of Environmental Research and Public Health, 17(15), 5290. https://doi.org/10.3390/ijerph17155290

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