The impact of mobile health on the multiple sclerosis patient’s quality of life by controlling comorbidity: a systematic review

Background and aims: Multiple sclerosis is one of the most common neurological disorders,which is associated with symptoms such as fatigue, mental problems, movement limitation. Comorbidityis highly prevalent in MS throughout the disease course. Comorbid conditions, includingdepression, anxiety, hypertension, diabetes and other chronic diseases adversely affectthe quality of life. In this field, Telemedicine and mobile health can have effective interventionby allows long distance patient and clinician contact, care, advice, reminders, education, intervention,monitoring and remote admissions. Unfortunately, Little attention has been paid to thiseffectiveness. Therefore, this study investigates the impact of mobile health one the multiple sclerosispatient’s quality of life by controlling comorbidity.Method: in this systematic review, keywords: Multiple sclerosis[MeSH], health related qualityof life[MeSH], Depression[MeSH], Telemedicine[MeSH], Comorbidity[MeSH], were searchedin PubMed, Google scholar, science direct, Cochrane databases and articles published between۲۰۰۰- ۲۰۲۲ that included the mentioned keywords in title or full text, were extracted. The searchwas done by۲PhD students and in case of conflict, resolved by consensus. In case of similar results,duplicate articles were removed and more comprehensive and original articles with highercitations were selected.in this study, appropriate articles related to multiple sclerosis patient’s quality of life, the effect ofmobile health on quality of life and the effect of mobile health on comorbidities met the inclusioncriteria and were reviewed and also articles in none English languages were not included. Due tothe heterogeneity of the articles and also the lack of quantitative data and systematic reviews, meta-analysis was not performed. The quality assessment of articles was done by the CASP checklist.this review is written based on PRISMA criteria.Results: In this systematic review, ۳۷۹articles were extracted and after screening, ۲۶۲articleswere removed, and۱۱۷articles met the inclusion criteria, and after reviewing the full text, most ofthem referred to depression in MS patients, and finally۱۳articles were selected, which in total Andin short, they included two concepts, MS patient’s quality of life and the impact of mobile healthon quality of life and comorbidities such as depression, anxiety, etc. reviewing the articles showedthat psychiatric comorbidity and depression happened more than others comorbidities and use ofmobile health can play a positive role in the prevention and control of these comorbidities andimproving the MS patient’s quality of life.Conclusion: Studies shown that the use of mobile health can improving the quality of life by reducesthe rate of depression and other comorbidities through the meditation, yoga, diets،Therapysessions and patient’s remote monitoring along with drug therapy. According to the results of thisstudy, we suggest that in the field of improving the quality of life in the MS patient communitymore efforts and researches should be done according to the limitations of these patients for moreeffective intervention of mobile health technology.

کلیدواژه ها:

Multiple sclerosis ، health related quality of life ، Depression ، Telemedicine ، Comorbidity