The burden of chronic obstructive pulmonary disease (COPD) to patients and health services is steadily increasing. Self-management supported by mobile device applications could improve outcomes for people with COPD. Our aim was to synthesize evidence on the effectiveness of mobile health applications compared with usual care. A systematic review was conducted to identify randomized controlled trials. Outcomes of interest included exacerbations, physical function, and Quality of Life (QoL). Where possible, outcome data were pooled for meta-analyses. Of 1709 citations returned, 13 were eligible trials. Number of exacerbations, quality of life, physical function, dyspnea, physical activity, and self-efficacy were reported. Evidence for effectiveness was inconsistent between studies, and the pooled effect size for physical function and QoL was not significant. There was notable variation in outcome measures used across trials. Developing a standardized outcome-reporting framework for digital health interventions in COPD self-management may help standardize future research.

中文翻译：

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慢性阻塞性肺病自我管理移动应用程序有效吗？系统评价和荟萃分析。

慢性阻塞性肺疾病（COPD）给患者和卫生服务带来的负担正在稳步增加。移动设备应用程序支持的自我管理可以改善慢性阻塞性肺病患者的治疗结果。我们的目标是综合证明移动医疗应用程序与常规护理相比的有效性的证据。进行了系统评价以确定随机对照试验。感兴趣的结果包括病情加重、身体功能和生活质量 (QoL)。在可能的情况下，汇总结果数据进行荟萃分析。在返回的 1709 条引用中，有 13 条属于合格试验。报告了病情加重次数、生活质量、身体机能、呼吸困难、体力活动和自我效能。研究之间的有效性证据不一致，身体功能和生活质量的汇总效应大小并不显着。各试验中使用的结果测量存在显着差异。为慢性阻塞性肺病自我管理的数字健康干预措施开发标准化结果报告框架可能有助于标准化未来的研究。