A systematic review on using virtual assistance‐based education and lifestyle interventions to prevent non-communicable diseases


  • Soumi Ray Department of Commerce and Management, Banasthali Vidyapith, Rajasthan 304022, India
  • Ankita Pareek Department of Commerce and Management, Banasthali Vidyapith, Rajasthan 304022, India


a systematic review, digital therapeutics, information and communication technologies, health, non-communicable diseases, self-management, virtual health


Non-communicable diseases (NCDs) are chronic lifestyle disorders endangering a significant amount of the population and causing augmented morbidity and mortality. Virtual assistants (VA) empower these patients with the web, smart tracking equipment, and mobile-based interactivities. The availability of cheaper smartphones, internet, and fitness devices in the market of developed and developing nations is a boon. Technology aided in the effective utility of knowledge-sharing, awareness, and service proviso for NCD patients, thus optimizing the outcome. This manuscript reviewed published health intervention studies to prevent NCDs with VA‐based education and lifestyle modulation programs. It encompasses a systematic literature review, retrieving published VA articles from Pubmed, Embase, Google Scholar, Scopus databases, and government websites from January 2015 to January 2022. There were 21 articles meeting the inclusion criteria. Descriptive analysis was used. The international perception was provided in 62% of papers, while 38% provided the national review in India. Almost 38% of the studies found that VA using the various modes was highly effective for NCD patients. Another 38% implied that the method could be effective but with the refinement of tools, guidelines, and incorporation of suitable models. It was also highlighted (14%) the need for a pragmatic approach with in-depth studies to come to a definite conclusion. The findings accentuate that VA‐based education and lifestyle interventions to prevent NCDs in this healthcare turmoil; were cost-effective in the long run and held high promise in terms of efficacy, accessibility, and acceptability with the proper implementation and regulations.


Bassi, A., John, O., Praveen, D., Maulik, P. K., Panda, R., & Jha, V. (2018). Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review. JMIR mHealth and uHealth, 6(10), e11440. https://doi.org/10.2196/11440

Bhavnani, S. P., Narula, J., & Sengupta, P. P. (2016). Mobile technology and the digitization of healthcare. European Heart Journal, 37(18), 1428-1438. https://doi.org/10.1093/eurheartj/ehv770

Brandt, C. J., Christensen, J. R., Lauridsen, J. T., Nielsen, J. B., Søndergaard, J., & Sortsø, C. (2020). Evaluation of the Clinical and Economic Effects of a Primary Care Anchored, Collaborative, Electronic Health Lifestyle Coaching Program in Denmark: Protocol for a Two-Year Randomized Controlled Trial. JMIR Research Protocols, 9(6), e19172. https://doi.org/10.2196/19172

Breda, J., Jewell, J. M., & Sedlakova, D. (2018). NCDs lifestyle factors siloes in digital marketing and legislative context. European Journal of Public Health, 28(suppl_4). https://doi.org/10.1093/eurpub/cky212.064

Cavalin, C., & Lescoat, A. (2017). From (re-) framing NCDs to shaping public health policies on NCDs and communicable diseases. The Lancet, 390(10105), 1830-1831. https://doi.org/10.1016/s0140-6736(17)32419-4

Cowling, K., & Magraw, D. (2019). Addressing NCDs: Protecting Health From Trade and Investment Law: Comment on "Addressing NCDs: Challenges From Industry Market Promotion and Interferences". International Journal of Health Policy and Management, 8(8), 508-510. https://doi.org/10.15171/ijhpm.2019.41

Delobelle, P. (2019). Big Tobacco, Alcohol, and Food and NCDs in LMICs: An Inconvenient Truth and Call to Action Comment on "Addressing NCDs: Challenges from Industry Market Promotion and Interferences". International Journal of Health Policy and Management, 8(12), 727-731. https://doi.org/10.15171/ijhpm.2019.74

Ganapathy, K., Nukala, L., Premanand, S., Tamilmaran, P., Aggarwal, P., Saksena, S., & BrindhaDevi, S. P. (2020). Telemedicine in Camp Mode While Screening for Non-communicable Diseases: A Preliminary Report from India. Telemedicine and E-Health, 26(1), 42-50. https://doi.org/10.1089/tmj.2018.0300

Gautam, R. (2018). NCDs in Nepal: Burgeoning Burden amid Low Priority and the Ways Forward. Health Prospect, 11, iv-v. https://doi.org/10.3126/hprospect.v11i0.7420

Genay-Diliautas, S., & Malgouires, C. (2018). NCDs, time to deliver the role of the WHO Global Coordination Mechanisme on NCDs. Médecine Et Santé Tropicales, 28(4), 368-370. https://doi.org/10.1684/mst.2018.0836

Gohari, S. H., Gozali, E., & Kalhori, S. R. N. (2019). Virtual reality applications for chronic conditions management: A review. Medical journal of the Islamic Republic of Iran, 33, 67. DOI: 10.34171/mjiri.33.67

Granja, C., Janssen, W., & Johansen, M. A. (2018). Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature. Journal of Medical Internet Research, 20(5), e10235. https://doi.org/10.2196/10235

Gudi, N., Yadav, U. N., John, O., & Webster, R. (2021). Challenges and opportunities in employing digital health to address self-management needs of people with NCDS in India. BMJ innovations, 9(1), 19-22. http://dx.doi.org/10.1136/bmjinnov-2020-000620

Haas, K., Hayoz, S., & Maurer-Wiesner, S. (2019). Effectiveness and Feasibility of a Remote Lifestyle Intervention by Dietitians for Overweight and Obese Adults: Pilot Study. JMIR mHealth and uHealth, 7(4), e12289. https://doi.org/10.2196/12289

Herrick, C. (2019). NCDs: Names, sums, and parts. Medicine Anthropology Theory, 6(1), 95-104. https://doi.org/10.17157/mat.6.1.686

Hossain, M. M., Tasnim, S., Sharma, R., Sultana, A., Shaik, A. F., Faizah, F., ... & Bhattacharya, S. (2019). Digital interventions for people living with non-communicable diseases in India: A systematic review of intervention studies and recommendations for future research and development. Digital health, 5, https://doi.org/10.1177/205520761989

Islam, S. M. S., Tabassum, R., Liu, Y., Chen, S., Redfern, J., Kim, S. Y., ... & Chow, C. K. (2019). The role of social media in preventing and managing non-communicable diseases in low-and-middle-income countries: Hope or hype?. Health Policy and Technology, 8(1), 96-101. https://doi.org/10.1016/j.hlpt.2019.01.001

John, O., Gummidi, B., & Jha, V. (2020). Continuum of care for non-communicable diseases during COVID-19 pandemic in rural India: A mixed methods study. Journal of Family Medicine and Primary Care, 9(12), 6012. https://doi.org/10.4103/jfmpc.jfmpc_1805_20

Karachaliou, F., Simatos, G., & Simatou, A. (2020). The Challenges in the Development of Diabetes Prevention and Care Models in Low-Income Settings. Frontiers In Endocrinology, 11, 518. https://doi.org/10.3389/fendo.2020.00518

Kataria, S., & Ravindran, V. (2018). Digital health: a new dimension in rheumatology patient care. Rheumatology International, 38(11), 1949-1957. https://doi.org/10.1007/s00296-018-4037-x

Khan, A. I., Gill, A., Cott, C., Hans, P. K., & Gray, C. S. (2018). mHealth tools for the self-management of patients with multimorbidity in primary care settings: pilot study to explore user experience. JMIR mHealth and uHealth, 6(8), e8593. https://doi.org/10.2196/mhealth.8593

Komkova, A., Brandt, C. J., Pedersen, D. H., Emneus, M., & Sortsø, C. (2019). Electronic Health Lifestyle Coaching Among Diabetes Patients in a Real-Life Municipality Setting: Observational Study. JMIR Diabetes, 4(1), e12140. https://doi.org/10.2196/12140

Kundu, M. K., Hazra, S., Pal, D., & Bhattacharya, M. (2018). A review on Non-communicable Diseases (NCDs) Burden, its socio-economic impact, and the strategies for prevention and control of NCDs in India. Indian Journal of Public Health, 62(4), 302. https://doi.org/10.4103/ijph.ijph_324_16

Lee, G. C. Y., Wong, S. S. L., & Puah, C. H. (2021). Take the Initiative, Stop Being Passive to NCDs: A PCA-Weighted Composite Indicator towards Prevalence of NCDs in Malaysia. Business and Economic Research, 11(3), 35-42. https://doi.org/10.5296/ber.v11i3.18647

Li, B. (2019). Diet-related NCDs in China: more needs to be done. The Lancet Public Health, 4(12), e606. https://doi.org/10.1016/s2468-2667(19)30218-x

Limaye, T., Kumaran, K., Joglekar, C., Bhat, D., Kulkarni, R., Nanivadekar, A., & Yajnik, C. (2017). Efficacy of a virtual assistance-based lifestyle intervention in reducing risk factors for Type 2 diabetes in young employees in the information technology industry in India: LIMIT, a randomized controlled trial. Diabetic Medicine, 34(4), 563-568. https://doi.org/10.1111/dme.13258

Majumdar, A., Kar, S. S., Palanivel, C., & Misra, P. (2015). mHealth in the prevention and control of non-communicable diseases in India: current possibilities and the way forward. Journal of clinical and diagnostic research: JCDR, 9(2), LE06. https://doi.org/10.7860/jcdr/2015/11555.5573

Ministry Of Health & Family Welfare (MoHFW). (2022). E-Health & Telemedicine. Department of Health & Family Welfare. Retrieved from https://main.mohfw.gov.in/about-us/about-the-ministry

Mishra, S. R., Lygidakis, C., Neupane, D., Gyawali, B., Uwizihiwe, J. P., Virani, S. S., ... & Miranda, J. J. (2019). Combating non-communicable diseases: potentials and challenges for community health workers in a digital age, a narrative review of the literature. Health policy and planning, 34(1), 55-66. https://doi.org/10.1093/heapol/czy099

Monaco, A., Palmer, K., Faber, N. H. R., Kohler, I., Silva, M., Vatland, A., ... & Donde, S. (2021). Digital Health Tools for Managing Noncommunicable Diseases During and After the COVID-19 Pandemic: Perspectives of Patients and Caregivers. Journal of Medical Internet Research, 23(1), e25652. DOI: 10.2196/25652

Pal, R., & Bhadada, S. K. (2020). COVID-19 and non-communicable diseases. Postgraduate Medical Journal, 96(1137), 429-430. https://doi.org/10.1136/postgradmedj-2020-137742

Pundora, D. (2022). 40 Benefits of Hiring a Virtual Administrative Assistant. Retrieved from https://www.wishup.co/blog/virtual-administrative-assistant/

Smith, R., Menon, J., Rajeev, J. G., Feinberg, L., Kumar, R. K., & Banerjee, A. (2015). Potential for the use of mHealth in the management of cardiovascular disease in Kerala: a qualitative study. BMJ open, 5(11), e009367. https://doi.org/10.1136/bmjopen-2015-009367

Wang, Y., Xue, H., Huang, Y., Huang, L., & Zhang, D. (2017). A Systematic Review of Application and Effectiveness of mHealth Interventions for Obesity and Diabetes Treatment and Self-Management. Advances In Nutrition: An International Review Journal, 8(3), 449-462. https://doi.org/10.3945/an.116.014100

World Health Organization (WHO). (2012). Scaling Up Action against Noncommunicable Diseases: How Much Will It Cost?. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/44706/9789241502313_eng.pdf;jsessionid=AFFACE7B42A3F7B7A5B42CBB9210D1DD?sequence=1

World Health Organization (WHO). (2021). Non-communicable diseases. Retrieved from https://www.who.int/health-topics/noncommunicable-diseases#tab=tab_1




How to Cite

Ray, S., & Pareek, A. (2023). A systematic review on using virtual assistance‐based education and lifestyle interventions to prevent non-communicable diseases. Journal of Current Science and Technology, 13(1), 118–135. Retrieved from https://ph04.tci-thaijo.org/index.php/JCST/article/view/210



Research Article