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Smartphone as a Disease Screening Tool: A Systematic Review

期刊

SENSORS
卷 22, 期 10, 页码 -

出版社

MDPI
DOI: 10.3390/s22103787

关键词

technology; smartphone applications; disease screening; mobile solutions; technology acceptance; chronic disease

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Disease screening is crucial for early detection and effective prevention or treatment. Due to the COVID-19 pandemic, hospital visits for screening have been restricted, leading to the disruption of cancer, diabetes, and cardiovascular disease screening. Smartphone applications have the potential to serve as low-cost and high-quality disease-screening and monitoring devices. This study evaluated the use and acceptability of smartphone applications for disease screening in the medical and healthcare sectors, and classified different screening approaches and analyzed technology acceptance. The findings highlight the importance of smartphone solutions in providing equitable healthcare access.
Disease screening identifies a disease in an individual/community early to effectively prevent or treat the condition. COVID-19 has restricted hospital visits for screening and other healthcare services resulting in the disruption of screening for cancer, diabetes, and cardiovascular diseases. Smartphone technologies, coupled with built-in sensors and wireless technologies, enable the smartphone to function as a disease-screening and monitoring device with negligible additional costs and potentially higher quality results. Thus, we sought to evaluate the use of smartphone applications for disease screening and the acceptability of this technology in the medical and healthcare sectors. We followed a systematic review process using four databases, including Medline Complete, Web of Science, Embase, and Proquest. We included articles published in English examining smartphone application utilisation in disease screening. Further, we presented and discussed the primary outcomes of the research articles and their statistically significant value. The initial search yielded 1046 studies for the initial title and abstract screening. Of the 105 articles eligible for full-text screening, we selected nine studies and discussed them in detail under four main categories: an overview of the literature reviewed, participant characteristics, disease screening, and technology acceptance. According to our objective, we further evaluated the disease-screening approaches and classified them as clinically administered screening (33%, n = 3), health-worker-administered screening (33%, n = 3), and home-based screening (33%, n = 3). Finally, we analysed the technology acceptance among the users and healthcare practitioners. We observed a significant statistical relationship between smartphone applications and standard clinical screening. We also reviewed user acceptance of these smartphone applications. Hence, we set out critical considerations to provide equitable healthcare solutions without barriers when designing, developing, and deploying smartphone solutions. The findings may increase research opportunities for the evaluation of smartphone solutions as valid and reliable screening solutions.

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