TY  - JOUR
AU  - Niyomyart, Atsadaporn
AU  - Ruksakulpiwat, Suebsarn
AU  - Benjasirisan, Chitchanok
AU  - Phianhasin, Lalipat
AU  - Nigussie, Kabtamu
AU  - Thorngthip, Sutthinee
AU  - Shamita, Gazi
AU  - Thampakkul, Jai
AU  - Begashaw, Lidya
PY  - 2024
DA  - 2024/8/22
TI  - Current Status of Barriers to mHealth Access Among Patients With Stroke and Steps Toward the Digital Health Era: Systematic Review
JO  - JMIR Mhealth Uhealth
SP  - e54511
VL  - 12
KW  - digital health
KW  - mHealth
KW  - barrier
KW  - stroke
KW  - systematic review
KW  - mobile phones
AB  - Background: Mobile health (mHealth) offers significant benefits for patients with stroke, facilitating remote monitoring and personalized health care solutions beyond traditional settings. However, there is a dearth of comprehensive data, particularly qualitative insights, on the barriers to mHealth access. Understanding these barriers is crucial for devising strategies to enhance mHealth use among patients with stroke. Objective: This study aims to examine the recent literature focusing on barriers to mHealth access among patients with stroke. Methods: A systematic search of PubMed, MEDLINE, Web of Science, and CINAHL Plus Full Text was conducted for literature published between 2017 and 2023. Abstracts and full texts were independently screened based on predetermined inclusion and exclusion criteria. Data synthesis was performed using the convergent integrated analysis framework recommended by the Joanna Briggs Institute. Results: A total of 12 studies met the inclusion criteria. The majority were qualitative studies (about 42%), followed by mixed methods (25%), pilot studies (about 17%), nonrandomized controlled trials (about 8%), and observational studies (about 8%). Participants included patients with stroke, caregivers, and various health care professionals. The most common mHealth practices were home-based telerehabilitation (30%) and poststroke mHealth and telecare services (20%). Identified barriers were categorized into two primary themes: (1) at the patient level and (2) at the health provider-patient-device interaction level. The first theme includes 2 subthemes: health-related issues and patient acceptability. The second theme encompassed 3 subthemes: infrastructure challenges (including software, networking, and hardware), support system deficiencies, and time constraints. Conclusions: This systematic review underscores significant barriers to mHealth adoption among patients with stroke. Addressing these barriers in future research is imperative to ensure that mHealth solutions effectively meet patients’ needs. 
SN  - 2291-5222
UR  - https://mhealth.jmir.org/2024/1/e54511
UR  - https://doi.org/10.2196/54511
DO  - 10.2196/54511
ID  - info:doi/10.2196/54511
ER  -