Table 1.
Study characteristics.
| Reference (year), country | Study design and study duration | Sample size; disease | Intervention group (IG) or control group (CG) | Outcomes of interesta | Resultsb |
| Holmen et al (2014), Norway [21] | 3-arm randomized controlled trial (RCT), multicenter, 12 months | N=151; Diabetes mellitus (DM) type 2 | IG 1: app to increase self-management ; IG 2: IG 1 + five health counseling sessions by a diabetes nurse; CG: usual care | Glycated hemoglobin (HbA1c), Weight, Health-related quality of life (HRQoL; 36-item short form survey, SF-36), Lifestyle change (dietary and physical activity) | No statistical differences between groups (NS) in outcomes of interest |
| Johnston et al (2016), Sweden [32] | 2-arm RCT, multicenter, 6 months | N=174; Myocardial infarction | IG: app to register information about drug adherence, exercise, weight, smoking, blood pressure, low-density lipoprotein cholesterol, and blood glucose; CG: simplified app with drug adherence e-diary | Cardiovascular risk (body mass index, physical activity), QoL (EuroQoL-5D) | NS in outcomes of interest |
| Karhula et al (2015), Finland [26] | 2-arm RCT, 12 months | N=519; Heart disease patients (ischemic and/or heart failure) or DM type 2 | IG: app with health coaching and self-monitoring of health parameters; CG: usual care | HRQoL (SF-36), HbA1c (in DM patients), Body weight, Waist circumference | Diabetics: Change in waist circumference, P=.01; IG: −2.03, 95% CI (−2.76 to −1.29), CG: − 0.29, 95% CI (−1.47 to 0.9); NS in other outcomes of interest; Heart patients: NS in all outcomes of interest |
| Orsama et al (2013), Finland [27] | 2-arm RCT, 10 months | N=53; DM type 2 | IG: app for monitoring and remote reporting of diabetes health-related parameters; CG: usual care | HbA1c, Body weight | Change in HbA1c, P=.02, IG: −0.4, 95% CI (−0.67 to −0.14), CG: 0.004, 95% CI (−0.35 to 0.36)-Change in body weight, P=.02, IG: −2.1 kg, 95% CI (−3.6 to −0.6), CG: 0.4 kg, 95% CI (−1.1 to 1.9) |
| Quinn et al (2008), Maryland, United States [28] | 2-arm RCT, multicenter, 3 months | N=30; DM type 2 | IG: app with monitoring of health parameters; CG: not mentioned | HbA1c | Change in HbA1c, P=.04, IG: −2.03%, CG: −0.68% |
| Quinn et al (2011), Maryland, United States [22] | 4-arm cluster RCT, 12 months | N=163; DM type 2 | IG 1: app allowing patients to enter diabetes self-care data. Web portal that augmented the app. Health providers had access to analyzed patient data; IG 2: as IG 1, but in the Web portal, health providers had access to unanalyzed patient data; IG 3: as IG 2, but the health providers had only access to patient data if the patients chose to share it; CG: usual care | HbA1c | Change in HbA1c, P=.001, 95% CI change in IG: −2.3 to −1.5, CG: −1.1 to −0.3 |
| Waki et al (2014), Japan [29] | 2-arm RCT, 3 months | N=54; DM type 2 | IG: app aiming to increase self-management; CG: usual care, continue their self-care regimen | HbA1c, Body mass index (BMI) | Change in HbA1c, P=.015, IG: −0.4%, CG: 0.1%; NS in other outcomes of interest |
| Wayne et al (2015), Canada [30] | 2-arm RCT, multicenter, 6 months | N=131; DM type 2 | IG: app monitoring health parameters; CG: usual care and health coaching | HbA1c, Body weight, BMI, Waist circumference, QoL (SF-12) | NS in outcomes of interest. |
| Zhou et al (2016), China [31] | 2-arm RCT, 3 months | N=100; DM type 1 and type 2 | IG: app monitoring health parameters; CG: usual care | HbA1c, Body weight, BMI, Waist circumference | Change in HbA1c, P<.01, IG: −1.95%, CG: −0.79%; NS in other outcomes of interest. |
aOutcome in italics indicate primary outcome in the study.
bResults are reported as difference between groups (P value) and as mean change in each group in accordance what is used by the authors.