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JMIR MHealth and UHealth

Nadine Muller, Peter Martin Ferdinand Emmrich, Elsa Niritiana Rajemison, Jan-Walter De Neve, Till Bärnighausen, Samuel Knauss, Julius Valentin Emmrich
BACKGROUND: Mobile savings and payment systems have been widely adopted to store money and to pay for a variety of services, including healthcare. However, the possible implications of these technologies on financing and payment for maternal healthcare services - which commonly require large one-time out-of-pocket payments - have not yet been systematically assessed in low-resource settings. OBJECTIVE: This study aims to determine the structural, contextual, and experiential characteristics of a mobile-phone-based savings and payment platform, the Mobile Health Wallet (MHW), for skilled healthcare during pregnancy among women in Madagascar...
October 22, 2018: JMIR MHealth and UHealth
Vibhu Agarwal, Matthew Smuck, Christy Tomkins-Lane, Nigam Shah
BACKGROUND: Clinical assessments for physical function do not objectively quantify routine daily activities. Wearable activity monitors enable objective measurement of daily activities, but it is unclear how these map to clinically measured physical function measures. OBJECTIVE: The objective of our study was to derive a representation of physical function from daily measurements of free-living activity obtained via a wearable activity monitor. We also evaluated our derived measure against objectively measured function using an ordinal classification setup...
October 1, 2018: JMIR MHealth and UHealth
Geronimo Jimenez, Elaine Lum, Josip Car
BACKGROUND: The availability of smartphone health apps empowers people to engage in self-care. There are currently over 300,000 health apps available on the market targeting a variety of user needs from weight loss to management of chronic conditions, with diabetes being the most commonly targeted condition. To date, health apps largely fall outside government regulation, and there are no official guidelines to help clinicians and patients in app selection. Patients commonly resort to the internet for suggestions on which diabetes app to use...
September 29, 2018: JMIR MHealth and UHealth
Mark Deady, David Johnston, David Milne, Nick Glozier, Dorian Peters, Rafael Calvo, Samuel Harvey
BACKGROUND: The workplace represents a unique setting for mental health interventions. Due to range of job-related factors, employees in male-dominated industries are at an elevated risk. However, these at-risk groups are often overlooked. HeadGear is a smartphone app-based intervention designed to reduce depressive symptoms and increase well-being in these populations. OBJECTIVE: This paper presents the development and pilot testing of the app's usability, acceptability, feasibility, and preliminary effectiveness...
December 4, 2018: JMIR MHealth and UHealth
Niranjan Bidargaddi, Daniel Almirall, Susan Murphy, Inbal Nahum-Shani, Michael Kovalcik, Timothy Pituch, Haitham Maaieh, Victor Strecher
BACKGROUND: Mobile health (mHealth) apps provide an opportunity for easy, just-in-time access to health promotion and self-management support. However, poor user engagement with these apps remains a significant unresolved challenge. OBJECTIVE: This study aimed to assess the effect of sending versus not sending a push notification containing a contextually tailored health message on proximal engagement, measured here as self-monitoring via the app. Secondary aims were to examine whether this effect varies by the number of weeks enrolled in the program or by weekday versus weekend...
November 29, 2018: JMIR MHealth and UHealth
Yushi Mo, Wenjie Gong, Joyce Wang, Xiaoqi Sheng, Dong R Xu
BACKGROUND: Antenatal care smartphone apps are increasingly used by pregnant women, but studies on their use and impact are scarce. OBJECTIVE: This study investigates the use of antenatal care apps in pregnant women and explores the association between the use of these apps and antenatal depression. METHODS: This study used a convenient sample of pregnant women recruited from Hunan Provincial Maternal and Child Health Hospital in November 2015...
November 29, 2018: JMIR MHealth and UHealth
Elke Hacker, Caitlin Horsham, Dimitrios Vagenas, Lee Jones, John Lowe, Monika Janda
BACKGROUND: Skin cancer is the most prevalent and most preventable cancer in Australia. Despite Australia's long-running public health campaigns, young Australian adults continue to report high levels of ultraviolet radiation (UVR) exposure and frequent sunburns. Young people are now increasingly turning away from traditional media, such as newspapers and TV, favoring Web-based streaming, which is challenging the health care sector to develop new ways to reach this group with targeted, personalized health promotion messages...
November 28, 2018: JMIR MHealth and UHealth
Thao-Ly Tam Phan, Nadia Barnini, Sherlly Xie, Angelica Martinez, Lauren Falini, Atiera Abatemarco, Maura Waldron, Jane M Benton, Steve Frankenberry, Cassandra Coleman, Linhda Nguyen, Cindy Bo, George A Datto, Lloyd N Werk
BACKGROUND: Fitness trackers can engage users through automated self-monitoring of physical activity. Studies evaluating the utility of fitness trackers are limited among adolescents, who are often difficult to engage in weight management treatment and are heavy technology users. OBJECTIVE: We conducted a pilot randomized trial to describe the impact of providing adolescents and caregivers with fitness trackers as an adjunct to treatment in a tertiary care weight management clinic on adolescent fitness tracker satisfaction, fitness tracker utilization patterns, and physical activity levels...
November 27, 2018: JMIR MHealth and UHealth
Wai Leung Ambrose Lo, Di Lei, Le Li, Dong Feng Huang, Kin-Fai Tong
BACKGROUND: Chronic musculoskeletal neck and back pain are disabling conditions among adults. Use of technology has been suggested as an alternative way to increase adherence to exercise therapy, which may improve clinical outcomes. OBJECTIVE: The aim was to investigate the self-perceived benefits of an artificial intelligence (AI)-embedded mobile app to self-manage chronic neck and back pain. METHODS: A total of 161 participants responded to the invitation...
November 26, 2018: JMIR MHealth and UHealth
Faustine Régnier, Manon Dugré, Nicolas Darcel, Camille Adamiec
BACKGROUND: Health behaviors among low-income groups have become a major issue in the context of increasing social inequalities. The low-income population is less likely to be receptive to nutritional recommendations, but providing cooking advice could be more effective. In this domain, taking advantage of digital devices can be a bonus with its own challenges. OBJECTIVE: The aim of this study was to develop and deploy NutCracker, a social network-based cooking app for low-income population, including cooking tips and nutritional advices, aiming at creating small online communities...
November 23, 2018: JMIR MHealth and UHealth
Becky Inkster, Shubhankar Sarda, Vinod Subramanian
BACKGROUND: A World Health Organization 2017 report stated that major depression affects almost 5% of the human population. Major depression is associated with impaired psychosocial functioning and reduced quality of life. Challenges such as shortage of mental health personnel, long waiting times, perceived stigma, and lower government spends pose barriers to the alleviation of mental health problems. Face-to-face psychotherapy alone provides only point-in-time support and cannot scale quickly enough to address this growing global public health challenge...
November 23, 2018: JMIR MHealth and UHealth
Junsang Yoo, Ji Yeong Soh, Wan Hyoung Lee, Dong Kyung Chang, Se Uk Lee, Won Chul Cha
BACKGROUND: Patient engagement is important. However, it can be difficult in emergency departments (EDs). OBJECTIVE: The aim of this study was to evaluate the satisfaction of ED patients using a patient-friendly health information technology (HIT) device, the "Talking Pole," and to assess the factors relevant to their satisfaction. METHODS: This study was conducted in May 2017 at the ED of a tertiary hospital. The "Talking Pole" is a smartphone-based device attached to a intravenous infusion pole with sensors...
November 22, 2018: JMIR MHealth and UHealth
Junsang Yoo, Kwang Yul Jung, Taerim Kim, Taerim Lee, Sung Yeon Hwang, Hee Yoon, Tae Gun Shin, Min Seob Sim, Ik Joon Jo, Hansol Paeng, Jong Soo Choi, Won Chul Cha
BACKGROUND: The task of monitoring and managing the entire emergency department (ED) is becoming more important due to increasing pressure on the ED. Recently, dashboards have received the spotlight as health information technology to support these tasks. OBJECTIVE: This study aimed to describe the development of a real-time autonomous dashboard for the ED and to evaluate perspectives of clinical staff on its usability. METHODS: We developed a dashboard based on three principles-"anytime, anywhere, at a glance;" "minimal interruption to workflow;" and "protect patient privacy"-and 3 design features-"geographical layout," "patient-level alert," and "real-time summary data...
November 22, 2018: JMIR MHealth and UHealth
Antonio Martinez-Millana, Elena Jarones, Carlos Fernandez-Llatas, Gunnar Hartvigsen, Vicente Traver
BACKGROUND: Research in type 1 diabetes management has increased exponentially since the irruption of mobile health apps for its remote and self-management. Despite this fact, the features affect in the disease management and patient empowerment are adopted by app makers and provided to the general population remain unexplored. OBJECTIVE: To study the gap between literature and available apps for type 1 diabetes self-management and patient empowerment and to discover the features that an ideal app should provide to people with diabetes...
November 21, 2018: JMIR MHealth and UHealth
Il-Young Jang, Hae Reong Kim, Eunju Lee, Hee-Won Jung, Hyelim Park, Seon-Hee Cheon, Young Soo Lee, Yu Rang Park
BACKGROUND: Community-dwelling older adults living in rural areas are in a less favorable environment for health care compared with urban older adults. We believe that intermittent coaching through wearable devices can help optimize health care for older adults in medically limited environments. OBJECTIVE: We aimed to evaluate whether a wearable device and mobile-based intermittent coaching or self-management could increase physical activity and health outcomes of small groups of older adults in rural areas...
November 21, 2018: JMIR MHealth and UHealth
Cath Chapman, Katrina Elizabeth Champion, Louise Birrell, Hannah Deen, Mary-Ellen Brierley, Lexine A Stapinski, Frances Kay-Lambkin, Nicola C Newton, Maree Teesson
BACKGROUND: Amid considerable community concern about the prevalence and harms associated with the use of crystal methamphetamine ("ice"), the increased use of smartphones to access health information and a growing number of available smartphone apps related to crystal methamphetamine, no previous reviews have examined the content and quality of these apps. OBJECTIVE: This study aims to systematically review existing apps in the iTunes and Google Play Stores to determine the existence, composition, and quality of educational smartphone apps about methamphetamines, including ice...
November 21, 2018: JMIR MHealth and UHealth
Susan M Schembre, Yue Liao, Sydney G O'Connor, Melanie D Hingle, Shu-En Shen, Katarina G Hamoy, Jimi Huh, Genevieve F Dunton, Rick Weiss, Cynthia A Thomson, Carol J Boushey
BACKGROUND: New methods for assessing diet in research are being developed to address the limitations of traditional dietary assessment methods. Mobile device-assisted ecological momentary diet assessment (mEMDA) is a new dietary assessment method that has not yet been optimized and has the potential to minimize recall biases and participant burden while maximizing ecological validity. There have been limited efforts to characterize the use of mEMDA in behavioral research settings. OBJECTIVE: The aims of this study were to summarize mEMDA protocols used in research to date, to characterize key aspects of these assessment approaches, and to discuss the advantages and disadvantages of mEMDA compared with the traditional dietary assessment methods as well as implications for future mEMDA research...
November 20, 2018: JMIR MHealth and UHealth
Amanda J Meyer, Diana Babirye, Mari Armstrong-Hough, David Mark, Irene Ayakaka, Achilles Katamba, Jessica E Haberer, J Lucian Davis
BACKGROUND: Previous studies have reported the inconsistent effectiveness of text messaging (short message service, SMS) for improving health outcomes, but few have examined to what degree the quality, or "fidelity," of implementation may explain study results. OBJECTIVE: The aim of this study was to determine the fidelity of a one-time text messaging (SMS) intervention to promote the uptake of tuberculosis evaluation services among household contacts of index patients with tuberculosis...
November 20, 2018: JMIR MHealth and UHealth
Mauricio Soto, Javiera Martinez-Gutierrez, McKenzie Momany, Daniel Capurro, Francis Ciampi Spode, Emilia Cea, Tania Mergudich, Klaus Puschel
BACKGROUND: In Chile and Latin America, cervical cancer disproportionately affects women of low socioeconomic status. Mobile technology (mobile health, mHealth) may be able to address this disparity by targeting women in underserved populations. However, there is a lack of information regarding barriers to the implementation of mHealth interventions in underserved populations. OBJECTIVE: The objective of this study was to investigate the use of cell phones and text messaging (short message service, SMS) in Latina women from disadvantaged communities to design an mHealth intervention for improving cervical cancer screening rates...
November 20, 2018: JMIR MHealth and UHealth
Urs-Vito Albrecht, Gerd Hasenfuß, Ute von Jan
BACKGROUND: In the app stores of mobile platforms, consumers are confronted with an enormous number of mobile apps. Over the past few years, considerable research has been undertaken into to identifying, characterizing, and evaluating apps, be it in health-related or other contexts. However, many of these projects are restricted to specific areas of application and offer little flexibility in adapting the applied criteria. OBJECTIVE: This paper presents an adaptable method for selecting and characterizing mobile apps listed in a mobile App Store (the Apple App Store)...
November 20, 2018: JMIR MHealth and UHealth
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