Male infertility, what Mobile Health Applications “know”: quality analysis and adherence to European Association of Urology Guidelines
https://doi.org/10.4081/aiua.2022.4.470
Accepted: September 24, 2022
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Introduction: Male infertility (MI) is one of the most important worrying topics for the fertile age population. Nowadays, several mobile health applications (MHAs) have been developed to help and assist patients suffering from male infertility (MI), but their quality and adherence to the guidelines is not solved issue yet.
Materials and methods: On 2nd July 2022, an observational cross-sectional descriptive study of all MHAs on male infertility was conducted: a search on both the iTunes App Store and Google Play Store was performed. Our group reviewed all MHAs, evaluating the quality, using Mobile Application Rating Scale (MARS), and the adherence to European Association of Urology guidelines, with a special tool created for this manuscript.
Results: In the final analysis we included 10 MHAs: 20% (n = 2) from the iTunes App Store and 80% (n = 8) from the Google Play Store. Across the sample, 80% (n = 8) of the apps provided general information on MI, 60% (n = 6) focused on diagnosis and 50% (n = 5) focused on treatment options, respectively. According to MARS tool, the mean score was 2.18 (0.78), 3.78 (0.36), 3.0 (0.53), 3.19 (0.45), 2.18 (0.54) for Engagement, Functionality, Aesthetic, Information and Subjective quality, respectively. According to EAU Adherence Score, the highest score was reported by “Infertilità” with 12/15 points while the lowest score was reported by “Fertility Diet Guide”, 0/15 points.
Conclusions: Nowadays, MHAs present in the market are not a reliable source of information on MI. An ideal MHAs should be based on scientific evidence, user friendly, respecting privacy and security laws, making patients feel capable and confident to change personal behavior or attitudes.
Mirone V, Creta M, Capece M, Celentano G, Califano G, Collà Ruvolo C, et al. Telementoring for communication between residents and faculty physicians: Results from a survey on attitudes and perceptions in an Academic Tertiary Urology Referral Department in Italy. Arch Ital Urol Androl Organo Uff Soc Ital Ecogr Urol E Nefrol. 21 dicembre 2021;93(4):450–4.
Vaggers S, Puri P, Wagenlehner F, Somani BK. A Content Analysis of Mobile Phone Applications for the Diagnosis, Treatment, and Prevention of Urinary Tract Infections, and Their Compliance with European Association of Urology Guidelines on Urological Infections. Eur Urol Focus. gennaio 2021;7(1):198–204.
Morra S, Collà Ruvolo C, Napolitano L, La Rocca R, Celentano G, Califano G, et al. YouTubeTM as a source of information on bladder pain syndrome: A contemporary analysis. Neurourol Urodyn. gennaio 2022;41(1):237–45.
Capece M, Di Giovanni A, Cirigliano L, Napolitano L, La Rocca R, Creta M, et al. YouTube as a source of information on penile prosthesis. Andrologia. febbraio 2022;54(1):e14246.
Creta M, Sagnelli C, Celentano G, Napolitano L, La Rocca R, Capece M, et al. SARS-CoV-2 infection affects the lower urinary tract and male genital system: A systematic review. J Med Virol. maggio 2021;93(5):3133–42.
Turco C, Collà Ruvolo C, Cilio S, Celentano G, Califano G, Creta M, et al. Looking for cystoscopy on YouTube: Are videos a reliable information tool for internet users? Arch Ital Urol Androl Organo Uff Soc Ital Ecogr Urol E Nefrol. 29 marzo 2022;94(1):57–61.
Melchionna A, Collà Ruvolo C, Capece M, La Rocca R, Celentano G, Califano G, et al. Testicular pain and youtubeTM: are uploaded videos a reliable source to get information? Int J Impot Res. 8 febbraio 2022;
mHealth: new horizons for health through mobile technologies: second global survey on eHealth [Internet]. [citato 5 settembre 2022]. Disponibile su: https://apps.who.int/iris/handle/10665/44607
Davalbhakta S, Advani S, Kumar S, Agarwal V, Bhoyar S, Fedirko E, et al. A Systematic Review of Smartphone Applications Available for Corona Virus Disease 2019 (COVID19) and the Assessment of their Quality Using the Mobile Application Rating Scale (MARS). J Med Syst. 10 agosto 2020;44(9):164.
Napolitano L, Fusco GM, Cirillo L, Abate M, Mirone C, Barone B, et al. Erectile dysfunction and mobile phone applications: Quality, content and adherence to European Association guidelines on male sexual dysfunction. Arch Ital Urol Androl Organo Uff Soc Ital Ecogr Urol E Nefrol. 30 giugno 2022;94(2):211–6.
Hull MG, Glazener CM, Kelly NJ, Conway DI, Foster PA, Hinton RA, et al. Population study of causes, treatment, and outcome of infertility. Br Med J Clin Res Ed. 14 dicembre 1985;291(6510):1693–7.
Salonia A, Bettocchi C, Boeri L, Capogrosso P, Carvalho J, Cilesiz NC, et al. European Association of Urology Guidelines on Sexual and Reproductive Health-2021 Update: Male Sexual Dysfunction. Eur Urol. settembre 2021;80(3):333–57.
GBD 2017 Population and Fertility Collaborators. Population and fertility by age and sex for 195 countries and territories, 1950-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Lond Engl. 10 novembre 2018;392(10159):1995–2051.
Di Bello F, Creta M, Napolitano L, Califano G, Passaro F, Morra S, et al. Male Sexual Dysfunction and Infertility in Spinal Cord Injury Patients: State-of-the-Art and Future Perspectives. J Pers Med. 26 maggio 2022;12(6):873.
The influence of varicocele on parameters of fertility in a large group of men presenting to infertility clinics. World Health Organization. Fertil Steril. giugno 1992;57(6):1289–93.
Napolitano L, Barone B, Morra S, Celentano G, La Rocca R, Capece M, et al. Hypogonadism in Patients with Prader Willi Syndrome: A Narrative Review. Int J Mol Sci. 17 febbraio 2021;22(4):1993.
Foresta C, Garolla A, Bartoloni L, Bettella A, Ferlin A. Genetic abnormalities among severely oligospermic men who are candidates for intracytoplasmic sperm injection. J Clin Endocrinol Metab. gennaio 2005;90(1):152–6.
Rastrelli G, Lotti F, Reisman Y, Sforza A, Maggi M, Corona G. Metabolically healthy and unhealthy obesity in erectile dysfunction and male infertility. Expert Rev Endocrinol Metab. settembre 2019;14(5):321–34.
Creta M, Arcaniolo D, Celentano G, Napolitano L, La Rocca R, Capece M, et al. Toxicity of Antioxidant Supplements in Patients with Male Factor Infertility: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Antioxid Basel Switz. 30 dicembre 2021;11(1):89.
Bisht S, Faiq M, Tolahunase M, Dada R. Oxidative stress and male infertility. Nat Rev Urol. agosto 2017;14(8):470–85.
Reifsnyder JE, Ramasamy R, Husseini J, Schlegel PN. Role of optimizing testosterone before microdissection testicular sperm extraction in men with nonobstructive azoospermia. J Urol. agosto 2012;188(2):532–6.
Fusco F, Verze P, Capece M, Napolitano L. Suppression of Spermatogenesis by Exogenous Testosterone. Curr Pharm Des. 2021;27(24):2750–3.
Practice Committee of the American Society for Reproductive Medicine in collaboration with the Society for Male Reproduction and Urology. Electronic address: asrm@asrm.org. The management of obstructive azoospermia: a committee opinion. Fertil Steril. maggio 2019;111(5):873–80.
Amor-García MÁ, Collado-Borrell R, Escudero-Vilaplana V, Melgarejo-Ortuño A, Herranz-Alonso A, Arranz Arija JÁ, et al. Assessing Apps for Patients with Genitourinary Tumors Using the Mobile Application Rating Scale (MARS): Systematic Search in App Stores and Content Analysis. JMIR MHealth UHealth. 23 luglio 2020;8(7):e17609.
Stec MA, Arbour MW, Hines HF. Client-Centered Mobile Health Care Applications: Using the Mobile Application Rating Scale Instrument for Evidence-Based Evaluation. J Midwifery Womens Health. maggio 2019;64(3):324–9.
Stoyanov SR, Hides L, Kavanagh DJ, Zelenko O, Tjondronegoro D, Mani M. Mobile app rating scale: a new tool for assessing the quality of health mobile apps. JMIR MHealth UHealth. 11 marzo 2015;3(1):e27.
Trecca EMC, Lonigro A, Gelardi M, Kim B, Cassano M. Mobile Applications in Otolaryngology: A Systematic Review of the Literature, Apple App Store and the Google Play Store. Ann Otol Rhinol Laryngol. gennaio 2021;130(1):78–91.
O’Connor SR, Kee F, Thompson DR, Cupples ME, Donnelly M, Heron N. A review of the quality and content of mobile apps to support lifestyle modifications following a transient ischaemic attack or «minor» stroke. Digit Health. dicembre 2021;7:20552076211065270.
Dantas LO, Carvalho C, Santos BL de J, Ferreira CHJ, Bø K, Driusso P. Mobile health technologies for the management of urinary incontinence: A systematic review of online stores in Brazil. Braz J Phys Ther. agosto 2021;25(4):387–95.
Vega M, Mckay ER, Halani PK. Evaluation of mobile applications for patients with fecal incontinence using a modified APPLICATIONS scoring system. Int Urogynecology J. settembre 2021;32(9):2529–36.
Kruglova K, Gelgoot EN, Chan P, Lo K, Rosberger Z, Bélanger E, et al. Risky Business: Increasing Fertility Knowledge of Men in the General Public Using the Mobile Health Application Infotility XY. Am J Mens Health. ottobre 2021;15(5):15579883211049028.
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