1.Cost-Effectiveness of Mobile Application Use in Managing Type 2 Diabetes Mellitus: A Systematic Review
Mohd Nazrin Jamhari ; Noor Adilla Md Anuar Hussain ; Aliff Faisal Ahmad Kamar ; Shahrul Azhar Md Hanif ; Fateen Nadhira Ismail ; Norfazilah Ahmad ; Mohd &lsquo ; Ammar Ihsan Ahmad Zamzuri ; Muhammad Fikri Azmi ; Norayuni Ismail ; Mohd Rohaizat Hassan ; Mohd Rohaizat Hassan
International Journal of Public Health Research 2026;16(1):2468-2481
Cost-Effectiveness of Mobile Application Use in Managing Type 2 Diabetes Mellitus: A Systematic Review
Introduction
Type 2 diabetes mellitus (T2DM) is a debilitating condition that imposes a significant economic burden on its management. This study aims to systematically review the published evidence on the cost-effectiveness of mobile health (mHealth) application interventions for T2DM.
Methods
A search strategy was conducted using electronic bibliographic databases, including PubMed, Web of Science and Scopus for published studies. The inclusion criteria included original articles that reporting cost-effectiveness evaluation studies on mHealth application interventions directed at patients diagnosed or at risk of T2DM, English-language articles and published in the year 2016 to 2020.
Results
A total of 6 eligible studies were selected. The cost savings per person for treating T2DM ranged from USD 1,346 to USD 3,781 per year. The major contributor to cost savings was reduced complication management resulting from good glycaemic control. The direct impacts of the intervention include reduced hospitalisation and fewer unplanned clinic visits, while diabetes- related mortality was indirectly reduced usingmHealth.
Conclusions
The mHealth intervention was cost-effective in managing patients with T2DM. Implementation can be extended to other disease management areas to not only reduce total healthcare expenditure but also improve patients’ quality of life.
2.A Review on Ergonomics Factors Determining Working in Harmony with Exoskeletons
Isa Halim ; Muhammad Nadzirul Izzat Mahadzir ; Zulkeflee Abdullah ; Muhammad Zaimi Zainal Abidin ; Mohd Nazrin Muhammad ; Adi Saptari
Malaysian Journal of Medicine and Health Sciences 2023;19(No.6):311-327
Exoskeletons are wearable devices that can enhance human strength and are used in various fields, such as healthcare and the manufacturing industry. However, poorly designed exoskeletons can strain the muscles and cause injuries to users. The objectives of this review paper are to review the ergonomics factors that contribute to a harmonious
user-exoskeleton interaction and to explore the current trends, challenges, and future directions for developing ergonomically designed exoskeletons. In this review, 102 relevant papers published from 2015 to 2023 were retrieved
from Web of Science, Scopus, and Google Scholar. These papers were considered in the analysis for gathering relevant information on the topic. The authors identified six ergonomics factors, namely kinematic compatibility, contact
pressure, postural control, metabolic cost, cognitive workload, as well as task demands and workplace conditions,
that can influence the interaction between users and exoskeletons. By understanding and addressing these ergonomics factors during the design and development process, exoskeleton designers can enhance the user experience and
adoption of the devices in daily living activities and industrial applications.


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