Background: M-Health is the use of mobile digital technology to support health and well-being by extending education, communication, health interventions, and research beyond the reach of traditional clinical care. Research has developed and tested M-Health, demonstrating its effectiveness in enhancing the self-efficacy of cancer patients. However, there has been no synthesis on the effectiveness of M-Health in enhancing self-efficacy in patients with chronic kidney disease. Purpose: The purpose of this systematic review and meta-analysis is to determine the effectiveness of M-Health on self-efficacy, self-management, and self-care in chronic kidney disease patients undergoing maintenance hemodialysis. Methods: The study method is a systematic review and meta-analysis reported according to PRISMA guidelines. We conducted this systematic review across six databases. We included randomized controlled trials, quasi-experimental studies, and cohort studies evaluating self-efficacy, self-management, and self-care in patients with chronic kidney disease. We performed the critical appraisal using the Joanna Briggs Institute Critical Appraisal Checklist. Review Manager version 4.5 synthesized the data. Results: In this study, a database search was conducted to obtain 1,115 articles. Then, 46 duplicates were identified, and 1,109 articles were excluded for not meeting the inclusion criteria, leaving 6 articles for review. After reviewing the six articles, M-Health was found to be effective for self-efficacy and self-management, but not for self-care, due to the study's short duration. Conclusion: The conclusion of this study is that M-Health intervention can improve self-efficacy and self-management in patients with chronic kidney disease. However, the effectiveness of self-care results is reduced due to the relatively short observation time. Therefore, it is essential to take into account the duration of the intervention to achieve more optimal outcomes.
Hardhanti et al. (Wed,) studied this question.