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Erschienen in: BMC Public Health 1/2016

Open Access 01.12.2016 | Research article

Exploratory study of the implications of research on the use of smart connected devices for prevention: a scoping review

verfasst von: Audrey Petit, Linda Cambon

Erschienen in: BMC Public Health | Ausgabe 1/2016

Abstract

Background

Smart devices and mobile applications are now an integral part of all aspects of everyday life. They are particularly numerous in the field of health, contributing to the movement called ehealth. What is the potential role of these devices as prevention supports? The purpose of this article is to provide an exploratory analysis of the use, efficacy and contribution to conventional prevention strategies.

Methods

To address this issue, we conducted a scoping-review on the basis of 105 publications from the fields of medicine and human sciences.

Results

Three dimensions of the use of smart devices in the field of health were identified: 1/a quantification tool allowing the users to measure their activities; 2/a tool of self-positioning in the community; 3/an interface between the medical world and the population, modifying the hierarchy of knowledge. However, few published studies have investigated the determinants of the efficacy of these devices and their impact on individual behaviours and professional health practices.

Conclusion

Based on the hypothesis of possible integration of these devices in prevention policies, it would be interesting to investigate two research issues: how and under what psycho-socio-environmental conditions can smart devices contribute to the adoption of positive health behaviours? To what degree does the use of smart devices modify the health care professional-patient relationship? Finding answers to these questions could help to define the real place of these devices in prevention strategies by determining their complementarity with respect to other prevention strategies, and the conditions of their efficacy on behaviours and inequalities.

Background

Smart devices and/or communicating mobile devices [1, 2] are internet-connected devices that provide the user with information and an interaction with the environment, specifically linked to a system of identification, sensing and transmission of data (outside temperature, heart rate, etc.) to an application present on an interface (for example, a smartphone) [3]. A considerable number of these devices and applications, for both the general public and various business sectors, have been released onto the market over recent years [4] and are now an integral part of all aspects of everyday life. For example, in 2013, there were about 9 billion smart devices in the world, i.e. 1.25 smart devices per person [5].
A large proportion of these innovations concern the field of health. These devices, ranging from internet-connected tablet containers to connected wristbands or heart rate monitors and medical alert necklaces for the elderly, are an integral part of the “ehealth” movement [68] that was initiated at the end of the 1990s. This movement is defined as the use of emerging mobile communications in public health [5, 912] designed to change health behaviours and health care. It has been defined as an ally of medicine and biomedical research [13]. About 100,000 applications are now available in the health sector, 70 % of which are related to the well-being segment, concerning almost 5 million people in France [14]. The development of these devices in the health care sector, governed in France by Article L.6316 of the French public health code, is also intensive and diversified: rating scale for chemotherapy sessions and associated adverse effects, textual interpretation of arterial blood gases, management of diabetic patients by a web-based telemonitoring platform [15], teleradiology-based management of neuroradiology emergencies [16], telemedicine applied to muscle rehabilitation [17], telemonitoring in patients with heart failure [18], etc.
Consequently, in the field of health, also marked by increasing life expectancy, an increasing number of chronic diseases and the growth of outpatient management [19, 20], these devices will inevitably occupy an increasingly important place alongside conventional curative and preventive health policies and management. However, few data are available, especially in the field of prevention. What is the real value of these devices as a support for prevention behaviours [21, 22]? What questions are currently raised in the literature concerning their use, their efficacy or their contribution to conventional strategies. This article is designed to address these various issues based on a review of the literature.

Method

In order to address these issues, we conducted a scoping review [23], which can be defined as “exploratory projects that systematically map the literature available on a topic, identifying key concepts, theories, sources of evidence and gaps in the research. They are often preliminary to full syntheses, undertaken when feasibility is a concern - either because the potentially relevant literature is thought to be especially vast and diverse.... or there is a suspicion that not enough literature exists” [24]. We applied the PRISMA guidelines [25] (relevant items: eligibility criteria, information sources, search, study selection).
We performed a literature search using the following key words: prevention OR education AND e-health OR m-health OR health education AND coaching OR prevention on the Web of Science database. This database was selected because it is a multidisciplinary database that includes the best scientific journals, including in the field of human sciences. We searched for all original and methodological articles indexed between 2000 and 1st December 2015, in English or in French, and selected relevant articles on the basis of their abstracts according to the following criteria: articles concerning the use of smart devices and/or health applications, articles in the field of prevention (in the health system and in other settings), articles concerning modalities of use and/or impact on users, articles on general public interventions. Articles on the curative use of smart devices were excluded. The articles identified were selected by double reading using Covidence software [26]. Certain articles not meeting our selection criteria and not initially selected, but cited in selected articles and likely to be interesting to assess the scope of the subject, were then identified and were added to the selection (doctorate theses, dissertations, didactic articles, methodological articles, scientific articles including human sciences but not in the field of prevention).
We then analysed the selected articles, on the basis of the complete text, according to two questions: What are the objectives of using smart devices in prevention? What questions are raised by the use of smart devices in relation to the conventional prevention strategy? Finally, several other articles, listed in the references of the selected articles, were also progressively included in the analysis, especially human science articles or articles on ehealth, but not concerning the field of prevention.

Results

Of the 388 articles selected by the search algorithm, 44 were selected on the basis of the inclusion criteria. Excluded articles were mainly excluded because they concerned information technology techniques or curative use (especially telemedicine). Another 61 articles were added to this first selection. A total of 105 publications were finally included in the analysis (see Table 2 in the Appendix) (Fig. 1).
The articles were analysed and classified according to two questions. In the first question concerning the purpose of using a smart device, three dimensions were identified: for the purposes of quantification, for the purposes of socialization, for modification of the doctor-patient relationship. This classification is presented in Table 1 below.
Table 1
List of articles by field of analysis
 
Purposes of smart device use
Modification of prevention strategies
(87 references)
Quantified-self
Socialisation
Doctor-patient relationship
(24 references)
(10 references)
(52 references)
(23 references)
Article No.
1; 2; 7; 8
5
  
10
 
13; 14; 15; 16; 17; 18; 19
14
27; 28; 29;
 
20; 22; 28
 
30; 31; 32; 33; 34; 35; 36; 37; 38; 39
32; 35; 37; 39;
  
44
40; 41; 42; 43; 46
45; 46; 47; 48; 49;
46
  
50; 52; 53; 54; 55; 56; 57; 58; 59
52; 53
  
60; 61; 62; 63; 64; 65; 66; 67; 68; 69
 
  
70; 71; 72; 73; 74; 75; 76; 77; 78; 79
72
88; 89
 
80; 81; 82; 83; 84; 85; 86; 87
88; 89
90; 91; 92
  
90; 91; 92; 93; 94; 95; 96; 97; 98; 99
100; 101; 102; 103; 104; 105

Purposes of smart device use

Three dimensions of the use of smart devices in prevention were identified.

Quantified self devices: objective monitoring of health and health behaviours

The first dimension considered in the literature concerns quantification of health-related activities or constants [27, 28], corresponding to the socio-technological “quantified self” movement, also called self-quantifying, self-surveillance, or self-tracking, developed in the United States at the initiative of two Wired magazine journalists, Gary Wolf and Kevin Kelly. This movement has grown considerably over the last 10 years, with the publication of a number of books devoted to its philosophy, quantified self guides [7, 29, 30] and the creation of a quantified self collective [30]. This movement promotes self-knowledge based on figures provided by connected body sensors on scales, blood pressure monitors or pedometers that send information to a smartphone (m.health [31]). One of the aims of this movement is to quantify all activities or all subjects [32] by means of algorithms [33], even subjective variables such as pain or mood [28].
More specifically, especially in the field of prevention, these devices are designed to collect, measure and compare various biological, physical, behavioural and environmental parameters concerning lifestyle activities such as sleeping, eating and physical exercise, in order to improve well-being and maintain or improve the subject’s state of health [34], but also to measure the subject’s consumptions (for example smoking, alcohol, calories) or activities (work time, leisure activities, physical exercise, etc.). Some of these data (e.g.: blood pressure, pulse) were conventionally recorded and analysed in the specific setting of the doctor-patient relationship in the context of a specific risk [35]. The quantified self therefore modifies the frontiers between the fields of well-being, health and health care, which now constitute a continuum between normal and pathological rather than a break-point [10, 36] The objective for users is to collect data in order to acquire knowledge about themselves and their health in the form of graphic representations reflecting the time-course of selected variables [28]. Self-quantification induces a perception of the body that is modelled in an essentially technical relationship determined by quantitative data.
Self-quantification is therefore a way for individuals to objectively visualize their behaviours [37], as part of a strategy of self-knowledge and self-construction [38], although these strategies are not always maintained in the long term [32, 35, 39].

Smart devices as a means of socialization: a source of social valorization

The second dimension studied in the literature concerns sharing of the data collected and analysed by users of smart devices. Users of these technologies generally belong to internet-connected communities with a double objective of valorization of their efforts and encouraging reassurance according to various configurations. These devices are therefore part of the social interaction economy [40] that highlights the fact that behavioural dynamics are linked to the dynamics of social relationships, whose existence depends on the effects of influence exerted within social groups.
As an example, Lab Orange researchers [32] have defined three types of modalities of use of these measurements. The first consists of surveillance, corresponding to measurement of a risk, in which the concept of threshold plays a central role and is usually defined by external, often medical, norms. This is the case, for example, of body mass index (BMI). This modality does not focus on action, but on self-surveillance. Consequently, the results of this self-surveillance can sometimes be a source of anxiety and may therefore not lead to data sharing. According to this modality, advice is then generally shared on social networks according to a logic of mutual aid and support. The second modality concerns what is known as routinization or regularity, which is designed to replace a bad habit by a more favourable health behaviour, for example smoking cessation or adoption of lifestyle and dietary measures. In contrast with the first modality, this modality comprises an action or a change in which the central element is regularity driven by motivation. In this case, publication of the individual’s measurements on social networks is designed to arouse encouragement, but the subject may also prefer to avoid other peoples’ opinions. Finally, the third modality refers to performance and the various measurements become self-determined objectives. The objective of this modality is to enhance motivation and improve performance. Social networking allows both sharing of experiences as well as competition and the norms derived from the challenge.
In all three cases, these sharing practices constitute tools of technological mediatization and social mediation [37] allowing renewed forms of self-exposure [41] or self-narration [42]. However, networking does not appear to constitute “a standardization of private activities. Although they are driven by the promoters of these tools and the supporters of the quantified self, discussions between users are rare and alignments of practices between the various users does not appear to constitute a dominant expectation” [32]. Moreover, these measuring practices tend to decline with time [32, 35], as more than one-third of users stop using their smart device in less than 6 months [5] due to a phenomenon described by the law of attrition [39]. Sharing of measurements recorded by smart devices corresponds to a socialization practice, in which the measurement provides an opportunity to communicate according to new codes [43, 44].

Smart devices in the health care relationship: a mediator of participative medicine

The third dimension identified by this review concerns the medical setting and involves transformations of health care practices related to the emergence and the potential place of these devices in preventive medicine practices [28, 45].
The literature on this aspect emphasizes the empowerment potential [46, 47] of patients with respect to health care professionals resulting from the use of these devices, allowing them to become active partners of their own health [48]. The use of smart devices in the preventive or curative health care relationship introduces a form of “media medicine” [49] or apomediation [46] meaning remote mediation between the patient and his/her body detached from the doctor, which results in a new doctor/patient relationship articulated around scientific and lay knowledge [19] leading to the emergence of new health care models [28, 50]. The patient becomes patient-expert and the doctor accompanies the patient in his/her life trajectory [14], by replacing a repair strategy by a lifelong support strategy [51] of an empowered and networking patient [5254], corresponding to an ascending approach to medicine, which could result in a knowledge competition between health care professionals and their patients [55]. This competition is increasing in parallel with the growth of a large on-line community [13, 28, 5661] and information sharing, concerning both disease and healthy lifestyles, which redefine the hierarchy of knowledge [19]. In France, for example, more than one half of the population and 61 % of subjects with a chronic disease search the internet for health-related information [50]. Patient communities describe diseases in terms of personal experience [52, 62] by means of peer training, information sharing and networking to more effectively manage their health [52, 53]. These patient networks can constitute a new partner in the health care ecosystem [28]. In contrast, few studies have investigated how patients use this information in a context in which the quality of on-line information is not always reliable [57, 63]. Furthermore, sharing of personal information, previously exclusively confided to doctors, raises ethical issues concerning their use and their confidentiality [64, 65]. Studies examining health care professionals’ perception and integration of these devices in preventive medicine practices also highlight the obstacles to their use [6671] and the need to train both users [72, 73] and health care professionals [7480] or even the creation of new medical specialties at the interface between information technology and medicine [81, 82]. Finally, these technologies can also impact on relationships between professionals themselves [82] and consequently on the distribution of tasks concerning the patient and his/her care pathway [8284], leading to more mutualization and less autonomy of professionals.
The use of these devices in the preventive or curative health care relationship is accompanied by new alliances and conflicts between health care professionals and a different sharing of decisions between patients and professionals [52, 55, 8587]. These changing relations impact on both the nature of the therapeutic alliance, redefining the balance of knowledge between the patient and the health care professional, and the modalities of elaboration of the therapeutic alliance, redefining sharing of skills of the various professionals participating in the patient’s care pathway.
These three modalities of use suggest that these devices could possibly contribute to new prevention models.

Smart devices as a support for behaviour change: marker of a new prevention model

In the light of this review of the literature, these three dimensions of the use of smart devices raise the question of their possible effects on health-related behaviour. The underlying hypothesis is that objective demonstration of behaviours (quantified self) may contribute to transformation of the subject’s relationship to his/her body and health by adoption and consequently normalization of certain behaviours [88] that could be targeted in prevention policies. Other authors have emphasized the effect of these devices but on the basis of other factors. These devices would therefore contribute to behaviour change [72] and the emergence of a new representation of the body and health by promoting empowerment, which cannot be achieved by the biomedicine model [89]. Empowerment is “an individual’s capacity to take decisions when faced with a specific situation or problem, either alone or by group participation, in order to adapt to this situation and take control of their personal life” [14]. In other words, by means of objective measurement of their health and behaviour, individuals would be more able to make more favourable adaptive choices. Several studies [9092] have corroborated this hypothesis in the clinical practice setting, by showing that the “patient’s implication in management of his or her treatment has beneficial effects […]. It improves treatment adherence in many diseases and doctors are currently trying to develop tools that can enhance this implication” [52]. The efficacy of ehealth, in the broad sense of the term, has therefore been demonstrated in many fields such as overweight and obesity [93, 94], HIV [9597], cancer [98100] and diabetes [92, 101]. Nevertheless, few studies have demonstrated the efficacy and use of these smart devices with respect to conventional strategies. The question of their universal accessibility and consequently the social inequalities that can be induced by the use of these devices [102, 103], also needs to be investigated, as there is a risk that the digital divide [53, 104] may further accentuate the health divide between users with access to this technology and those without access to this technology [46].
The use of these devices as a support for health behaviour changes, and therefore as a specific prevention tool, needs to be further investigated both in terms of the way in which these devices act (empowerment versus normalization), and their efficacy and contribution to the problems of social and regional health inequalities.

Discussion

Although not as comprehensive as a systematic review of the literature, this scoping review provides a fairly precise overview of the research issues present in the literature concerning the use of smart devices in prevention strategies, either outside of the medical field (health and well-being) or in the context of clinical prevention practices (health and prevention of diseases or their complications). We have limited our research to the field of prevention and we have excluded the very abundant literature on curative aspects and have also included publications derived from the fields of human and social sciences. We consequently observed that a large number of articles were excluded and many articles not meeting our inclusion criteria also had to be added (n = 61). These screening failures could be explained by two hypotheses. Firstly, our search algorithm was too broad: in particular, the word “coaching” refers to support, essentially therapeutic support, but not necessarily associated with a smart device or an application. The use of this search term selected a large number of irrelevant articles. The second hypothesis concerns the salience of this innovative subject, especially in the so-called grey literature (not referenced in scientific databases) and in fields not related to health.
Three main dimensions were identified. Each dimension situates the smart device in the context of a specific objective and a specific use. The first dimension positions the device as a tool for quantification of activity, allowing users to measure their activities, assess their progress and project themselves towards a target. It consequently constitutes a self-construction tool providing an objective measure of self-control, assuming that the self can be defined by these variables. The second dimension concerns self-positioning in the community. As a vector of collective socialization, the device provides an opportunity to seek advice and encouragements. The third dimension is that of a mediator between an environment considered up until now to be a source of knowledge, the medical environment, and the population. This mediation breaks down the barriers of knowledge, redefining the relationship between patients and health care professionals and between professionals concerning curative or preventive management, which is consequently transformed in terms of its scientific basis and its methods. In view of these elements, smart devices can be considered to be tools that could be integrated into the conventional prevention arsenal, and therefore subject to the same fundamental questions: what is the final objective (empowerment versus normalization)? And what is the impact on social and regional health inequalities [105]?
In reality, these findings highlight a blind spot in the literature: explanation of the mechanisms of efficacy of these devices and their impact on health practices and professional practices, as few studies have investigated the mechanisms mobilized by the use of these devices in favour of health behaviours. In fact, beyond the question of the quality and reliability of the data and algorithms integrated into these devices, their objectives and the scope of their use in prevention need to be precisely defined: What are the psychosocial mechanisms underlying the use of these devices for the purposes of health? What are the objectives of these devices: to monitor, improve performance, accompany behaviour changes, develop empowerment, etc.? In what types of populations are they relevant (age, gender, socioeconomic category, medical history)? In what way do they compensate or complete conventional strategies? What socio-environmental factors potentiate or limit the effects of these devices on behaviour change? The data derived from the literature also fail to provide any details on the absolute efficacy or the efficacy according to social gradient of these devices in the field of prevention nor the conditions of this efficacy.
Finally, very few data are available in the literature to explain the transformations of practices induced by the use of smart devices in the health care relationship and the impact of this transformation on the health system and its capacity to provide an egalitarian response to the population’s needs, as it is unclear from this scoping review whether these changes apply to all fields of prevention and health care and all types of patients. How do health care professionals adapt to these new practices? More broadly, how is the health system preparing for this transformation and what changes will be required in the training of health care professionals?

Conclusion

To conclude, this scoping review identified three different dimensions concerning the use of smart devices in prevention. Based on the hypothesis of integration of these devices into prevention policies, this review emphasizes the importance of investigating two questions that have been poorly studied to date, although they represent a real research challenge in this field: how and under what psycho-socio-environmental conditions can ehealth smart devices contribute to the adoption of positive health behaviour? To what degree and how does the use of smart devices positively or negatively modify the doctor-patient relationship?
Finding answers to these questions could help to define and confirm the real place of these devices in prevention strategies by clearly demonstrating their added value and complementarity with respect to other prevention strategies, and by defining the conditions of their efficacy on behaviours, especially by taking into account the question of social and regional inequalities of access to health care.

Acknowledgements

There are no acknowledgements.

Funding

No funding.

Availability of data and materials

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

AP made substantial contributions to conception and design, acquisition of data, analysis and interpretation of data; drafting and critical review of the manuscript for important intellectual content; she agrees to be accountable for all aspects of the work by ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. LC made substantial contributions to conception and design, acquisition of data, analysis and interpretation of data; drafting and critical review of the manuscript for important intellectual content; she agrees to be accountable for all aspects of the work by ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved and to give final approval of the version to be published. Both authors read and approved the final manuscript.
Not applicable.
Not applicable.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://​creativecommons.​org/​publicdomain/​zero/​1.​0/​) applies to the data made available in this article, unless otherwise stated.
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Appendix

Table 2
List of articles selected
No.
Year
Author
Language
Type
Selection
Criteria
1
2013
Benferhat
French
Doctorate thesis
Addition
Smart devices
In the health system
Quantified-self
2
2012
Swan
English
Original article
Database
Health applications Non-health setting
Quantified-self
3
2014
Lendrevie
French
Book
Addition
Health applications
Non-health setting
4
2014
Bellanger-Trely
French
Vade Mecum
Addition
Smart devices
Health applications
In the health system and other settings
5
2015
IREPS Bretagne
French
Grey literature
Addition
Smart devices
Health applications
Modalities of use
In the health system and other settings
6
2011
Dupagne
French
Original article
Database
Health applications
In the health system
7
2014
Robin
French
Book
Addition
Health applications
Modalities of use
In the health system
8
2012
Wiederhold
English
Original article
Database
Smart devices
Modalities of use
In the health system
9
2014
CATEL
French
Guidelines
Addition
Health applications
In the health system
10
2015
CNOM
French
Guidelines
Addition
Health applications
Modalities of use
In the health system
11
2001
Eysenbach
English
Original article
Database
Health applications
Modalities of use
In the health system
12
2011
Garel
French
Book
Addition
Health applications
Modalities of use
In the health system
13
2008
Eysenbach
English
Original article
Database
Health applications
Impact on users
In the health system
14
2014
Salmon
French
Original article
Database
Impact on users Prevention strategies
In the health system and other settings
15
2013
Benhamou
French
Original article
Database
Health applications
Impact on users
In the health system
16
2008
Hazebroucq
French
Original article
Database
Health applications
Impact on users
In the health system
17
2008
Avraam
English
Original article
Database
Health applications
Impact on users
In the health system
18
2012
Bignolas
French
Original article
Addition
Health applications
Impact on users
In the health system
19
2014
Dubey
French
Original article
Database
Health applications
Impact on users
In the health system
20
2006
Giustini
English
Original article
Database
Health applications
Impact on users
In the health system
21
2014
Merloz
French
Original article
Database
Health applications
In the health system
22
2014
Vial
French
Original article
Addition
Health applications
Impact on users
In the health system
23
2010
Levac
English
Methodological article
Database
--
24
2010
IRSC
French
Grey literature
Addition
--
25
2008
Mother
English
Methodological article
Addition
--
26
2014
Babineau
English
Methodological article
Addition
--
27
2014
Beauchet
English
Original article
Database
Smart devices
Modalities of use
In the health system
28
2009
Swan
English
Original article
Database
Smart devices
Health applications
Modalities of use
Impact on users
In the health system and other settings
29
2008
Cotteret
French
Book
Addition
Smart devices
Modalities of use
30
2012
Gadenne
French
Book
Addition
Smart devices
Modalities of use Non-health setting
31
2015
Ahmadvand
English
Original article
Database
Smart devices
Modalities of use
In the health system and other settings
32
2013
Pharabond
French
Original article
Database
Smart devices
Modalities of use
Non-health setting
33
1990
Laguna
English
Original article
Addition
Smart devices
Modalities of use
In the health system
34
2008
Reiter
English
Original article
Database
Smart devices
Modalities of use
Non-health setting
35
2014
CNIL
French
Grey literature
Addition
Smart devices
Modalities of use
Non-health setting
36
1966
Canguilhem
French
Book
Addition
Modalities of use
37
2013
Arruabarrena
French
Original article
Addition
Smart devices
Modalities of use
Non-health setting
38
2012
Mondoux
French
Original article
Addition
Health applications Modalities of use
39
2005
Eysenbach
English
 
Database
Modalities of use
Non-health setting
40
1993
Manski
English
Original article
Addition
Modalities of use
41
2010
Granjon
French
Original article
Addition
Modalities of use
42
2006
Cardon
French
Original article
Addition
Modalities of use
43
2009
Aguiton
English
Original article
Addition
Modalities of use
44
2014
Caldwell
English
Original article
Database
Modalities of use
45
2013
Delmotte
French
Original article
Addition
Health applications Impact on users
In the health system
46
2011
Casilli
French
Original article
Addition
Modalities of use Prevention strategies
47
2008
Van Uden-Kraan
English
Original article
Addition
Impact on users
In the health system and other settings
48
1999
Charles
English
Original article
Addition
Impact on users
In the health system
49
2015
Vallancien
French
Book
Addition
Impact on users
In the health system
50
2015
Wernette
French
Original article
Addition
Impact on users
51
2014
Caniart
French
Original article
Addition
Health applications
In the health system and other settings
52
2010
Jouet
French
Review
Addition
Impact on users Prevention strategies
53
2015
Brouard
French
Original article
Database
Impact on users Prevention strategies
54
2008
Frost
English
Original article
Addition
Impact on users
In the health system and other settings
55
2011
Laubie
French
Original article
Database
Impact on users
In the health system and other settings
56
2009
Akrich
French
Original article
Addition
Impact on users
Non-health settings
57
2008
Mayoh
English
Original article
Database
Impact on users
In the health system and other settings
58
2015
Valdez
English
Original article
Addition
Impact on users
In the health system and other settings
59
2015
Magnezi
English
Original article
Addition
Impact on users
In the health system and other settings
60
2014
Magnezi
English
Original article
Addition
Impact on users
In the health system and other settings
61
2013
Medina
English
Original article
Addition
Impact on users
In the health system and other settings
62
2014
Delory-Momberger
French
Original article
Addition
Impact on users
In the health system and other settings
63
2008
Mitchell
English
Original article
Database
Impact on users
In the health system
64
2014
Béranger
French
Original article
Database
Impact on users
In the health system
65
2009
Lucas
French
Original article
Database
Impact on users
In the health system
66
2012
Gagnon
English
Methodological article
Database
Impact on users
In the health system
67
2012
Gund
English
Original article
Database
Impact on users
In the health system
68
2008
Ward
English
Methodological article
Database
Impact on users
In the health system
69
2012
Dünnebeil
English
Original article
Database
Impact on users
In the health system
70
2009
Eley
English
Original article
Database
Impact on users
In the health system
71
2005
Richards
English
Original article
Database
Impact on users
In the health system
72
2010
Sandrin-Berthon
French
Book
Addition
Prevention strategies
Impact on users
In the health system
73
2005
Eymard
French
Original article
Addition
Impact on users
In the health system
74
2002
Gros
French
Rapport
Addition
Impact on users
In the health system
75
2013
Dattakumar
English
Original article
Addition
Impact on users
In the health system
76
2013
Lapao
English
Original article
Addition
Impact on users
In the health system
77
2012
Bygholm
English
Original article
Addition
Impact on users
In the health system
78
2011
Stellefson
English
Methodological article
Addition
Impact on users
In the health system
79
2009
Clark
English
Original article
Addition
Impact on users
In the health system
80
2008
Zvarova
English
Original article
Addition
Impact on users
In the health system
81
2003
Moulin
French
Original article
Addition
Impact on users
In the health system
82
2013
Mathieu-Fritz
French
Original article
Addition
Impact on users
In the health system
83
2011
Esterle
French
Original article
Addition
Impact on users
In the health system
84
1992
Strauss
French
Book
Addition
Impact on users
85
2012
Andrieu
French
Book
Addition
Impact on users
In the health system
86
2009
Silber
French
Original article
Addition
Impact on users
In the health system and other settings
87
2009
Silber
French
Original article
Addition
Impact on users
In the health system
88
2014
Martin
French
Dissertation
Addition
Health applications Impact on users
Prevention strategies
Non-health setting
89
2015
Thornquist
English
Original article
Database
Health applications Impact on users Prevention strategies
Non-health setting
90
2014
Shull
English
Methodological article
Database
Health applications Impact on users
Prevention strategies
In the health system and other settings
91
2015
Van den Bulck
English
Original article
Database
Health applications Impact on users
Prevention strategies
Non-health setting
92
2015
Goyal
English
Original article
Database
Health applications Impact on users
Prevention strategies
Non-health setting
93
2015
Hutchesson
English
Methodological article
Database
Health applications Prevention strategies
In the health system
94
2013
Tate
English
Original article
Database
Health applications Prevention strategies
In the health system
95
2014
Odeny
English
Original article
Database
Health applications Prevention strategies
In the health system
96
2015
Muessig
English
Original article
Addition
Health applications Prevention strategies
In the health system
97
2012
Noar
English
Original article
Database
Health applications Prevention strategies
In the health system
98
2013
Sanchez
English
Methodological article
Database
Health applications Prevention strategies
In the health system
99
2013
Elliot
English
Original article
Database
Health applications Prevention strategies
In the health system
100
2015
Davis
English
Original article
Database
Health applications Prevention strategies
In the health system
101
2012
Pacaud
English
Original article
Addition
Health applications Prevention strategies
In the health system
102
2014
Steinberg
English
Original article
Database
Health applications Prevention strategies
In the health system
103
2009
Atkinson
English
Original article
Addition
Health applications Prevention strategies
In the health system
104
2011
Granjon
French
Original article
Addition
Prevention strategies
In the health system and other settings
105
2015
Zhang
English
Original article
Addition
Prevention strategies
In the health system
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Metadaten
Titel
Exploratory study of the implications of research on the use of smart connected devices for prevention: a scoping review
verfasst von
Audrey Petit
Linda Cambon
Publikationsdatum
01.12.2016
Verlag
BioMed Central
Erschienen in
BMC Public Health / Ausgabe 1/2016
Elektronische ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3225-4

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