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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
Bach Xuan Tran, Melvyn Wb Zhang, Huong Thi Le, Hinh Duc Nguyen, Long Hoang Nguyen, Quyen Le Thi Nguyen, Tho Dinh Tran, Carl A Latkin, Roger Cm Ho
BACKGROUND: The smartphone used in Vietnam has become increasingly popular in recent years, with adolescents and youths being one of the groups with the heaviest use. Health-related applications on mobile phones or mobile-health (mHealth) applications appear to be a feasible approach for disease and health management, especially for self-management. However, there has been a scarcity of research on the mobile phone usage for health care among youths and adolescents. OBJECTIVE: This study aims to identify the patterns of usage of smartphone applications and the preferences for functionalities of smartphone-based health-related applications among Vietnamese youths...
July 31, 2018: JMIR MHealth and UHealth
Anders Klingberg, Lee Alan Wallis, Marie Hasselberg, Po-Yin Yen, Sara Caroline Fritzell
BACKGROUND: The referral process in acute care remains challenging in many areas including burn care. Mobile phone apps designed explicitly for medical referrals and consultations could streamline the referral process by using structured templates and integrating features specific to different specialties. However, as these apps are competing with commercial chat services, usability becomes a crucial factor for successful uptake. OBJECTIVE: The aim of this study was to assess the usability of a mobile phone app for remote consultations and referrals of burn injuries...
October 19, 2018: JMIR MHealth and UHealth
Nazli Bashi, Farhad Fatehi, Mina Fallah, Darren Walters, Mohanraj Karunanithi
BACKGROUND: Despite the plethora of evidence on mHealth interventions for patient education, there is a lack of information regarding their structures and delivery strategies. OBJECTIVE: This review aimed to investigate the structures and strategies of patient education programs delivered through smartphone apps for people with diverse conditions and illnesses. We also examined the aim of educational interventions in terms of health promotion, disease prevention, and illness management...
October 19, 2018: JMIR MHealth and UHealth
Benjamin Marent, Flis Henwood, Mary Darking
BACKGROUND: Despite advances in testing and treatment, HIV incidence rates within European countries are at best stable or else increasing. mHealth technology has been advocated to increase quality and cost-effectiveness of health services while dealing with growing patient numbers. However, studies suggested that mHealth apps are rarely adopted and often considered to be of low quality by users. Only a few studies (conducted in the United States) have involved people living with HIV (PLWH) in the design of mHealth...
October 19, 2018: JMIR MHealth and UHealth
Pao-Hwa Lin, Steven Grambow, Stephen Intille, John A Gallis, Tony Lazenka, Hayden Bosworth, Corrine L Voils, Gary G Bennett, Bryan Batch, Jenifer Allen, Leonor Corsino, Crystal Tyson, Laura Svetkey
BACKGROUND: Understanding how engagement in mobile health (mHealth) weight loss interventions relates to weight change may help develop effective intervention strategies. OBJECTIVE: This study aims to examine the (1) patterns of participant engagement overall and with key intervention components within each intervention arm in the Cell Phone Intervention For You (CITY) trial; (2) associations of engagement with weight change; and (3) participant characteristics related to engagement...
October 18, 2018: JMIR MHealth and UHealth
Onur Dur, Colleen Rhoades, Man Suen Ng, Ragwa Elsayed, Reinier van Mourik, Maulik D Majmudar
BACKGROUND: Wearable and connected health devices along with the recent advances in mobile and cloud computing provide a continuous, convenient-to-patient, and scalable way to collect personal health data remotely. The Wavelet Health platform and the Wavelet wristband have been developed to capture multiple physiological signals and to derive biometrics from these signals, including resting heart rate (HR), heart rate variability (HRV), and respiration rate (RR). OBJECTIVE: This study aimed to evaluate the accuracy of the biometric estimates and signal quality of the wristband...
October 16, 2018: JMIR MHealth and UHealth
Charlene C Quinn, Krystal K Swasey, Jamila M Torain, Michelle D Shardell, Michael L Terrin, Erik A Barr, Ann L Gruber-Baldini
BACKGROUND: Type 2 diabetes (T2D) is a major chronic condition requiring management through lifestyle changes and recommended health service visits. Mobile health (mHealth) is a promising tool to encourage self-management, but few studies have investigated the impact of mHealth on health care utilization. OBJECTIVE: The objective of this analysis was to determine the change in 2-year health service utilization and whether utilization explained a 1.9% absolute decrease in glycated hemoglobin (HbA1c ) over 1-year in the Mobile Diabetes Intervention Study (MDIS)...
October 15, 2018: JMIR MHealth and UHealth
Amy D Nguyen, Lauren J Frensham, Michael Xc Wong, Sylvain Mm Meslin, Paige Martin, Annie Ys Lau, Melissa T Baysari, Richard O Day
BACKGROUND: Gout is a form of chronic arthritis caused by elevated serum uric acid (SUA) and culminates in painful gout attacks. Although effective uric acid-lowering therapies exist, adherence is low. This is partly due to the lack of support for patients to self-manage their disease. Mobile health apps have been used in the self-management of chronic conditions. However, not all are developed with patients, limiting their effectiveness. OBJECTIVE: The objective of our study was to collect feedback from gout patients to design an effective gout self-management app...
October 15, 2018: JMIR MHealth and UHealth
Robin L Whitney, Deborah H Ward, Maria T Marois, Christopher H Schmid, Ida Sim, Richard L Kravitz
BACKGROUND: N-of-1 (individual comparison) trials are a promising approach for comparing the effectiveness of 2 or more treatments for individual patients; yet, few studies have qualitatively examined how patients use and make sense of their own patient-generated health data (PGHD) in the context of N-of-1 trials. OBJECTIVE: The objective of our study was to explore chronic pain patients' perceptions about the PGHD they compiled while comparing 2 chronic pain treatments and tracking their symptoms using a smartphone N-of-1 app in collaboration with their clinicians...
October 11, 2018: JMIR MHealth and UHealth
Ann K Eno, Alvin G Thomas, Jessica M Ruck, Sarah E Van Pilsum Rasmussen, Samantha E Halpern, Madeleine M Waldram, Abimereki D Muzaale, Tanjala S Purnell, Allan B Massie, Jacqueline M Garonzik Wang, Krista L Lentine, Dorry L Segev, Macey L Henderson
BACKGROUND: In 2013, the Organ Procurement and Transplantation Network began requiring transplant centers in the United States to collect and report postdonation living kidney donor follow-up data at 6 months, 1 year, and 2 years. Despite this requirement, <50% of transplant centers have been able to collect and report the required data. Previous work identified a number of barriers to living kidney donor follow-up, including logistical and administrative barriers for transplant centers and cost and functional barriers for donors...
October 9, 2018: JMIR MHealth and UHealth
Elsbeth de Korte, Noortje Wiezer, Maartje Bakhuys Roozeboom, Peter Vink, Wessel Kraaij
BACKGROUND: Employees remain at risk of developing physical and mental health problems. To improve the lifestyle, health, and productivity many workplace interventions have been developed. However, not all of these interventions are effective. Mobile and wireless technology to support health behavior change (mobile health [mHealth] apps) is a promising, but relatively new domain for the occupational setting. Research on mHealth apps for the mental and physical health of employees is scarce...
October 3, 2018: JMIR MHealth and UHealth
Ricky Leung, Huibin Guo, Xuan Pan
BACKGROUND: The use of telemedicine and mHealth has increased rapidly in the People's Republic of China. While telemedicine and mHealth have great potential, wide adoption of this technology depends on how patients, health care providers, and other stakeholders in the Chinese health sector perceive and accept the technology. OBJECTIVE: To explore this issue, we aimed to examine a social media platform with a dedicated focus on health information technology and informatics in China...
September 25, 2018: JMIR MHealth and UHealth
Tera L Fazzino, Corby K Martin, Kelsie Forbush
BACKGROUND: Heavy drinking is prevalent among young adults and may contribute to obesity. However, measurement tools for assessing caloric intake from alcohol are limited and rely on self-report, which is prone to bias. OBJECTIVE: The purpose of our study was to conduct feasibility testing of the Remote Food Photography Method and the SmartIntake app to assess alcohol use in young adults. Aims consisted of (1) quantifying the ability of SmartIntake to capture drinking behavior, (2) assessing app usability with the Computer System Usability Questionnaire (CSUQ), (3) conducting a qualitative interview, and (4) comparing preference, usage, and alcohol use estimates (calories, grams per drinking episode) between SmartIntake and online diet recalls that participants completed for a parent study...
September 24, 2018: JMIR MHealth and UHealth
Arlene E Chung, Ashley C Griffin, Dasha Selezneva, David Gotz
BACKGROUND: Hands-free voice-activated assistants and their associated devices have recently gained popularity with the release of commercial products, including Amazon Alexa and Google Assistant. Voice-activated assistants have many potential use cases in healthcare including education, health tracking and monitoring, and assistance with locating health providers. However, little is known about the types of health and fitness apps available for voice-activated assistants as it is an emerging market...
September 24, 2018: JMIR MHealth and UHealth
Giuseppe Piegari, Valentina Iovane, Vincenzo Carletti, Rosario Fico, Alessandro Costagliola, Davide De Biase, Francesco Prisco, Orlando Paciello
BACKGROUND: Google Glass is a head-mounted device designed in the shape of a pair of eyeglasses equipped with a 5.0-megapixel integrated camera and capable of taking pictures with simple voice commands. OBJECTIVE: The objective of our study was to determine whether Google Glass is fit for veterinary forensic pathology purposes. METHODS: A total of 44 forensic necropsies of 2 different species (22 dogs and 22 cats) were performed by 2 pathologists; each pathologist conducted 11 necropsies of each species and, for each photographic acquisition, the images were taken with a Google Glass device and a Nikon D3200 digital single-lens reflex (DSLR) camera...
September 21, 2018: JMIR MHealth and UHealth
Yiyu Zhang, Xia Li, Shuoming Luo, Chaoyuan Liu, Fang Liu, Zhiguang Zhou
BACKGROUND: With the popularity of mobile phones, mobile apps have great potential for the management of diabetes, but the effectiveness of current diabetes apps for type 1 diabetes mellitus (T1DM) is poor. No study has explored the reasons for this deficiency from the users' perspective. OBJECTIVE: The aims of this study were to explore the perspectives and needs of T1DM patients and diabetes experts concerning a diabetes app and to design a new T1DM management mobile app...
September 21, 2018: JMIR MHealth and UHealth
Kwang Yul Jung, Taerim Kim, Jaegon Jung, JeanHyoung Lee, Jong Soo Choi, Kang Mira, Dong Kyung Chang, Won Chul Cha
BACKGROUND: Improved medical practice efficiency has been demonstrated by physicians using mobile device (mobile phones, tablets) electronic medical record (EMR) systems. However, the quantitative effects of these systems have not been adequately measured. OBJECTIVE: This study aimed to determine the effectiveness of near-field communication (NFC) integrated with a mobile EMR system regarding physician turnaround time in a hospital emergency department (ED). METHODS: A simulation study was performed in a hospital ED...
September 21, 2018: JMIR MHealth and UHealth
Dallas Swendeman, Warren Scott Comulada, Maryann Koussa, Carol M Worthman, Deborah Estrin, Mary Jane Rotheram-Borus, Nithya Ramanathan
BACKGROUND: Multiple strategies can be used when self-monitoring diet, physical activity, and perceived stress, but no gold standards are available. Although self-monitoring is a core element of self-management and behavior change, the success of mHealth behavioral tools depends on their validity and reliability, which lack evidence. African American and Latina mothers in the United States are high-priority populations for apps that can be used for self-monitoring of diet, physical activity, and stress because the body mass index (BMI) of mothers typically increases for several years after childbirth and the risks of obesity and its' sequelae diseases are elevated among minority populations...
September 21, 2018: JMIR MHealth and UHealth
Marc Mitchell, Lauren White, Erica Lau, Tricia Leahey, Marc A Adams, Guy Faulkner
BACKGROUND: The Carrot Rewards app was developed as part of an innovative public-private partnership to reward Canadians with loyalty points, exchangeable for retail goods, travel rewards, and groceries for engaging in healthy behaviors such as walking. OBJECTIVE: This study examined whether a multicomponent intervention including goal setting, graded tasks, biofeedback, and very small incentives tied to daily step goal achievement (assessed by built-in smartphone accelerometers) could increase physical activity in two Canadian provinces, British Columbia (BC) and Newfoundland and Labrador (NL)...
September 20, 2018: JMIR MHealth and UHealth
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