WhatsApp Messenger as an Adjunctive Tool for Telemedicine: An Overview

Vincenzo Giordano, Hilton Koch, Alexandre Godoy-Santos, William Dias Belangero, Robinson Esteves Santos Pires, Pedro Labronici, Vincenzo Giordano, Hilton Koch, Alexandre Godoy-Santos, William Dias Belangero, Robinson Esteves Santos Pires, Pedro Labronici

Abstract

Background: The advent of telemedicine has allowed physicians to deliver medical treatment to patients from a distance. Mobile apps such as WhatsApp Messenger, an instant messaging service, came as a novel concept in all fields of social life, including medicine. The use of instant messaging services has been shown to improve communication within medical teams by providing means for quick teleconsultation, information sharing, and starting treatment as soon as possible.

Objective: The aim of this study was to perform a comprehensive systematic review of present literature on the use of the WhatsApp Messenger app as an adjunctive health care tool for medical doctors.

Methods: Searches were performed in PubMed, EMBASE, and the Cochrane Library using the term "whatsapp*" in articles published before January 2016. A bibliography of all relevant original articles that used the WhatsApp Messenger app was created. The level of evidence of each study was determined according to the Oxford Levels of Evidence ranking system produced by the Oxford Centre for Evidence-Based Medicine. The impact and the indications of WhatsApp Messenger are discussed in order to understand the extent to which this app currently functions as an adjunctive tool for telemedicine.

Results: The database search identified a total of 30 studies in which the term "whatsapp*" was used. Each article's list of references was evaluated item-by-item. After literature reviews, letters to the editor, and low-quality studies were excluded, a total of 10 studies were found to be eligible for inclusion. Of these studies, 9 had been published in the English language and 1 had been published in Spanish. Five were published by medical doctors.

Conclusions: The pooled data presents compelling evidence that the WhatsApp Messenger app is a promising system, whether used as a communication tool between health care professionals, as a means of communication between health care professionals and the general public, or as a learning tool for providing health care information to professionals or to the general population. However, high-quality and properly evaluated research is needed, as are improvements in descriptions of the methodology and the study processes. These improvements will allow WhatsApp Messenger to be categorically defined as an effective telemedicine tool in many different fields of health care.

Keywords: mobile application; smartphone; telemedicine; whatsapp.

Conflict of interest statement

Conflicts of Interest: None declared.

©Vincenzo Giordano, Hilton Koch, Alexandre Godoy-Santos, William Dias Belangero, Robinson Esteves Santos Pires, Pedro Labronici. Originally published in the Interactive Journal of Medical Research (http://www.i-jmr.org/), 21.07.2017.

Figures

Figure 1
Figure 1
Study selection flowchart.

References

    1. Shah T, Bhatt C. Telemedicine-the new era of healthcare. CSI Communications. 2013;36(10):16–7.
    1. Sood S, Mbarika V, Jugoo S, Dookhy R, Doarn C, Prakash N, Merrell R. What is telemedicine? a collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed J E Health. 2007 Oct;13(5):573–90. doi: 10.1089/tmj.2006.0073.
    1. Craig J, Patterson V. Introduction to the practice of telemedicine. J Telemed Telecare. 2005;11(1):3–9. doi: 10.1177/1357633X0501100102.
    1. Dhiliwal S, Salins N. Smartphone applications in palliative homecare. Indian J Palliat Care. 2015;21(1):88–91. doi: 10.4103/0973-1075.150199.
    1. Montag C, Błaszkiewicz K, Sariyska R, Lachmann B, Andone I, Trendafilov B, Eibes M, Markowetz A. Smartphone usage in the 21st century: who is active on WhatsApp? BMC Res Notes. 2015 Aug 04;8:331. doi: 10.1186/s13104-015-1280-z.
    1. Franko O, Tirrell T. Smartphone app use among medical providers in ACGME training programs. J Med Syst. 2012 Oct;36(5):3135–9. doi: 10.1007/s10916-011-9798-7.
    1. Bradshaw T. FT. WhatsApp users get the message .
    1. WhatsApp. WhatsApp status
    1. Graziano F, Maugeri R, Iacopino D. Telemedicine versus WhatsApp: from tradition to evolution. Neuroreport. 2015 Jul 08;26(10):602–3. doi: 10.1097/WNR.0000000000000393.
    1. Thota R, Divatia J. WhatsApp: what an App! Indian J Crit Care Med. 2015 Jun;19(6):363–5. doi: 10.4103/0972-5229.158288.
    1. Choudhari P. Study on effectiveness of communication amongst members at department of orthopaedics surgery unit 3 using smartphone and mobile WhatsApp. Int Surg J. 2014;1(1):9–12. doi: 10.5455/2349-2902.isj20140504.
    1. Giordano V, Koch H, Mendes C, Bergamin A, Souza FS, Amaral NP. WhatsApp messenger is useful and reproducible in the assessment of tibial plateau fractures: inter- and intra-observer agreement study. Int J Med Inform. 2015 Feb;84(2):141–8. doi: 10.1016/j.ijmedinf.2014.11.002.
    1. Suliman M. Sending photos through WhatsApp: a faster method for teleconsultation. J Local Global Health Sci. 2014;2:1–3. doi: 10.5339/jlghs.2014.2.
    1. OCEBM Levels of Evidence Working Group CEBM. 2011. Sep 02, The Oxford 2011 levels of evidence
    1. Abanmy N, Al-Quait NA, Alami A, Al-Juhani M, Al-Aqeel S. The utilization of Arabic online drug information among adults in Saudi Arabia. Saudi Pharm J. 2012 Oct;20(4):317–21. doi: 10.1016/j.jsps.2012.07.001.
    1. Khanna V, Sambandam S, Gul A, Mounasamy V. “WhatsApp”ening in orthopedic care: a concise report from a 300-bedded tertiary care teaching center. Eur J Orthop Surg Traumatol. 2015 Jul;25(5):821–6. doi: 10.1007/s00590-015-1600-y.
    1. Zotti F, Dalessandri D, Salgarello S, Piancino M, Bonetti S, Visconti L, Paganelli C. Usefulness of an app in improving oral hygiene compliance in adolescent orthodontic patients. Angle Orthod. 2016 Jan;86(1):101–7. doi: 10.2319/010915-19.1.
    1. Willemse J. Undergraduate nurses reflections on Whatsapp use in improving primary health care education. Curationis. 2015;38(2):7. doi: 10.4102/curationis.v38i2.1512.
    1. Vásquez-Silva L, Ticse R, Alfaro-Carballido L, Guerra-Castañon F. [Access, use and preferences of information and communication technologies by physicians in a general hospital in Peru] Rev Peru Med Exp Salud Publica. 2015;32(2):289–93.
    1. Muntaner-Mas A, Vidal-Conti J, Borràs PA, Ortega F, Palou P. Effects of a Whatsapp-delivered physical activity intervention to enhance health-related physical fitness components and cardiovascular disease risk factors in older adults. J Sports Med Phys Fitness. 2017;57(1-2):90–102. doi: 10.23736/S0022-4707.16.05918-1.
    1. Cheung Y, Chan C, Lai C, Chan W, Wang M, Li H, Chan S, Lam T. Using WhatsApp and facebook online social groups for smoking relapse prevention for recent quitters: a pilot pragmatic cluster randomized controlled trial. J Med Internet Res. 2015 Oct 22;17(10):e238. doi: 10.2196/jmir.4829.
    1. Dorwal P, Sachdev R, Gautam D, Jain D, Sharma P, Tiwari A, Raina V. Role of WhatsApp messenger in the laboratory management system: a boon to communication. J Med Syst. 2016 Jan;40(1):14. doi: 10.1007/s10916-015-0384-2.
    1. Franko O. Smartphone apps for orthopaedic surgeons. Clin Orthop Relat Res. 2012 Dec 20;469:2048. doi: 10.1007/s11999-012-2754-0.
    1. Wani S, Rabah S, Alfadil S, Dewanjee N, Najmi Y. Efficacy of communication amongst staff members at plastic and reconstructive surgery section using smartphone and mobile WhatsApp. Indian J Plast Surg. 2013 Dec 12;46(3):502–5. doi: 10.4103/0970-0358.121990.
    1. Astarcioglu M, Sen T, Kilit C, Durmus H, Gozubuyuk G, Kalcik M, Karakoyun S, Yesin M, Zencirkiran AH, Amasyali B. Time-to-reperfusion in STEMI undergoing interhospital transfer using smartphone and WhatsApp messenger. Am J Emerg Med. 2015 Oct;33(10):1382–4. doi: 10.1016/j.ajem.2015.07.029.
    1. Spink A, Yang Y, Jansen J, Nykanen P, Lorence D, Ozmutlu S, Ozmutlu H. A study of medical and health queries to web search engines. Health Info Libr J. 2004 Mar;21(1):44–51. doi: 10.1111/j.1471-1842.2004.00481.x. doi: 10.1111/j.1471-1842.2004.00481.x.
    1. Aslam S, Emmanuel P. Formulating a researchable question: a critical step for facilitating good clinical research. Indian J Sex Transm Dis. 2010 Jan;31(1):47–50. doi: 10.4103/0253-7184.69003.
    1. Gerard P, Kapadia N, Acharya J, Chang P, Lefkovitz Zvi. Cybersecurity in radiology: access of public hot spots and public Wi-Fi and prevention of cybercrimes and HIPAA violations. AJR Am J Roentgenol. 2013 Dec;201(6):1186–9. doi: 10.2214/AJR.12.9651.
    1. Merrell R, Doarn C. Ethics in telemedicine research. Telemed J E Health. 2009 Mar;15(2):123–4. doi: 10.1089/tmj.2009.9992.
    1. Fleming D, Edison K, Pak H. Telehealth ethics. Telemed J E Health. 2009 Oct;15(8):797–803. doi: 10.1089/tmj.2009.0035.
    1. Maher CA, Lewis LK, Ferrar K, Marshall S, De BI, Vandelanotte C. Are health behavior change interventions that use online social networks effective? a systematic review. J Med Internet Res. 2014 Feb 14;16(2):e40. doi: 10.2196/jmir.2952.
    1. Chretien K, Kind T. Social media and clinical care: ethical, professional, and social implications. Circulation. 2013 Apr 02;127(13):1413–21. doi: 10.1161/CIRCULATIONAHA.112.128017.
    1. Mars M, Scott RE. WhatsApp in clinical practice: a literature review. Stud Health Technol Inform. 2016;231:82–90.
    1. Hossain IT, Mughal U, Atalla B, Franka M, Siddiqui S, Muntasir M. Instant messaging - one solution to doctor-student communication? Med Educ Online. 2015;20:30593.
    1. Clark PA, Capuzzi K, Harrison J. Telemedicine: medical, legal and ethical perspectives. Med Sci Monit. 2010 Dec;16(12):RA261–72.
    1. Liberati A, Altman D, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis J, Clarke M, Devereaux P, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009 Jul 21;339:b2700.

Source: PubMed

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