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JMIR MHealth and UHealth

Janneke Francisca Maria Scheerman, Pepijn van Empelen, Cor van Loveren, Berno van Meijel
BACKGROUND: The insertion of fixed orthodontic appliances increases the risk of dental caries, particularly in adolescents. Caries can be prevented through good oral health behavior. To support adolescents with fixed orthodontic appliances and for promoting oral health behavior, we developed a theory- and evidence-based mHealth program, the WhiteTeeth app. OBJECTIVE: The objective of our paper was to describe the systematic development and content of the WhiteTeeth app...
August 17, 2018: JMIR MHealth and UHealth
Xiaowei Xu, Ju Wang, Li Hou, Zhen Guo, Jiao Li
BACKGROUND: Dietary management is important for personal health. However, it is challenging to record quantified food information in an efficient, accurate, and sustainable manner, particularly for the consumption of Chinese food. OBJECTIVE: The objective of this study was to develop a dietary management system to record information on consumption of Chinese food, which can help in assessing individuals' dietary intake and maintaining healthy eating behaviors. We proposed to use plates embedded with radio-frequency identification chips to carry Chinese foods and collect food consumption data...
August 14, 2018: JMIR MHealth and UHealth
Robert Goodspeed, Xiang Yan, Jean Hardy, V G Vinod Vydiswaran, Veronica J Berrocal, Philippa Clarke, Daniel M Romero, Iris N Gomez-Lopez, Tiffany Veinot
BACKGROUND: Mobile devices are increasingly used to collect location-based information from individuals about their physical activities, dietary intake, environmental exposures, and mental well-being. Such research, which typically uses wearable devices or mobile phones to track location, benefits from the growing availability of fine-grained data regarding human mobility. However, little is known about the comparative geospatial accuracy of such devices. OBJECTIVE: In this study, we compared the data quality of location information collected from two mobile devices that determine location in different ways-a global positioning system (GPS) watch and a mobile phone with Google's Location History feature enabled...
August 13, 2018: JMIR MHealth and UHealth
Darius A Rohani, Maria Faurholt-Jepsen, Lars Vedel Kessing, Jakob E Bardram
BACKGROUND: Several studies have recently reported on the correlation between objective behavioral features collected via mobile and wearable devices and depressive mood symptoms in patients with affective disorders (unipolar and bipolar disorders). However, individual studies have reported on different and sometimes contradicting results, and no quantitative systematic review of the correlation between objective behavioral features and depressive mood symptoms has been published. OBJECTIVE: The objectives of this systematic review were to (1) provide an overview of the correlations between objective behavioral features and depressive mood symptoms reported in the literature and (2) investigate the strength and statistical significance of these correlations across studies...
August 13, 2018: JMIR MHealth and UHealth
Sara Rönnby, Oscar Lundberg, Kristina Fagher, Jenny Jacobsson, Bo Tillander, Håkan Gauffin, Per-Olof Hansson, Örjan Dahlström, Toomas Timpka
BACKGROUND: International middle- and long-distance running competitions attract millions of spectators in association with city races, world championships, and Olympic Games. It is therefore a major concern that ill health and pain, as a result of sports overuse, lead to numerous hours of lost training and decreased performance in competitive runners. Despite its potential for sustenance of performance, approval of mHealth self-report monitoring (mHSM) in this group of athletes has not been investigated...
August 13, 2018: JMIR MHealth and UHealth
Lynne M Feehan, Jasmina Geldman, Eric C Sayre, Chance Park, Allison M Ezzat, Ju Young Yoo, Clayon B Hamilton, Linda C Li
BACKGROUND: Although designed as a consumer product to help motivate individuals to be physically active, Fitbit activity trackers are becoming increasingly popular as measurement tools in physical activity and health promotion research and are also commonly used to inform health care decisions. OBJECTIVE: The objective of this review was to systematically evaluate and report measurement accuracy for Fitbit activity trackers in controlled and free-living settings...
August 9, 2018: JMIR MHealth and UHealth
Lisa M Daly, Dell Horey, Philippa F Middleton, Frances M Boyle, Vicki Flenady
BACKGROUND: Perinatal morbidity and mortality are significant public health issues with an enduring impact on the health and well-being of women and their families. Millions of pregnant women now download and use mobile applications to access, store, and share health information. However, little is known about the consequences. An investigation of their impact on perinatal health outcomes is particularly topical. OBJECTIVE: To determine the effects of mobile app interventions during pregnancy on influencing healthy maternal behavior and improving perinatal health outcomes...
August 9, 2018: JMIR MHealth and UHealth
Niklas Grassl, Juliane Nees, Katharina Schramm, Julia Spratte, Christof Sohn, Timm C Schott, Sarah Schott
BACKGROUND: The demand for fetal monitoring and constant reassurance is high in pregnant women. Consequently, pregnant women use various health apps and are more likely to visit emergency departments due to subjective but nonurgent complaints. However, electronic health (eHealth) and mobile health (mHealth) solutions are rarely used to prevent nonurgent emergency consultations. To implement modern care solutions, a better understanding of the attitudes, fears, and hopes of health care professionals toward eHealth and mHealth is needed...
August 8, 2018: JMIR MHealth and UHealth
Jihye Choi, Youngtae Cho, Hyekyung Woo
BACKGROUND: mHealth, which encompasses mobile health technologies and interventions, is rapidly evolving in various medical specialties, and its impact is evident in oncology. In particular, mHealth has established itself as a prominent part of dermatology for cancer screening. Intensified research to seek its use and effectiveness in each phase of the skin cancer continuum is needed in this fast-growing field of teledermatology. OBJECTIVE: The purpose of this review was to describe current trends in research addressing the integration of mHealth and its contributions across the skin cancer continuum...
August 2, 2018: JMIR MHealth and UHealth
Kate Winskell, Gaëlle Sabben, Victor Akelo, Ken Ondeng'e, Christopher Obong'o, Rob Stephenson, David Warhol, Victor Mudhune
BACKGROUND: There is a pressing need to ensure that youth in high HIV prevalence settings are prepared for a safer sexual debut. Smartphone ownership is increasing dramatically in low-income and middle-income countries. Smartphone games that are appropriately grounded in behavioral theory and evidence-based practice have the potential to become valuable tools in youth HIV prevention efforts in Sub-Saharan Africa. OBJECTIVE: To pilot-test a theory-based, empirically grounded smartphone game for young Kenyans designed to increase age and condom use at first sex, aiming to establish directionality of effects on behavior change...
August 1, 2018: JMIR MHealth and UHealth
Mark Dworkin, Apurba Chakraborty, Sangyoon Lee, Colleen Monahan, Lisa Hightow-Weidman, Robert Garofalo, Dima Qato, Antonio Jimenez
BACKGROUND: Avatars and embodied agents are a promising innovation for human health intervention because they may serve as a relational agent that might augment user engagement in a behavioral change intervention and motivate behavioral change such as antiretroviral adherence and retention in care. OBJECTIVE: This study aimed to develop a theory-driven talking avatar-like embodied agent mobile phone intervention guided by the information-motivation-behavioral skills model to promote HIV medication adherence and retention in care in young African American men who have sex with men (MSM)...
July 31, 2018: JMIR MHealth and UHealth
Patrick Ware, Heather J Ross, Joseph A Cafazzo, Audrey Laporte, Kayleigh Gordon, Emily Seto
BACKGROUND: Telemonitoring has shown promise for alleviating the burden of heart failure on individuals and health systems. However, real-world implementation of sustained programs is rare. OBJECTIVE: The objective of this study was to evaluate the implementation of a mobile phone-based telemonitoring program, which has been implemented as part of standard care in a specialty heart function clinic by answering two research questions: (1) To what extent was the telemonitoring program successfully implemented? (2) What were the barriers and facilitators to implementing the telemonitoring program? METHODS: We conducted a longitudinal single case study...
July 31, 2018: JMIR MHealth and UHealth
Annemarijn Sm Steijlen, Kaspar Mb Jansen, Armagan Albayrak, Derk O Verschure, Diederik F Van Wijk
BACKGROUND: Cardiovascular diseases (CVD) are the leading cause of morbidity and mortality worldwide. Early diagnosis is of pivotal importance for patients with cardiac arrhythmias and ischemia to minimize the consequences like strokes and myocardial infarctions. The chance of capturing signals of arrhythmias or ischemia is substantially high when a 12-lead electrocardiogram (ECG) can be recorded at the moment when a patient experiences the symptoms. However, until now, available diagnostic systems (Holter monitors and other wearable ECG sensors) have not enabled patients to record a reliable 12-lead ECG at home...
July 30, 2018: JMIR MHealth and UHealth
Molli R Grossman, Deanah Kim Zak, Elizabeth M Zelinski
BACKGROUND: Informal caregivers of older adults provide critical support for their loved ones but are subject to negative health outcomes because of burden and stress. Interventions to provide information and resources as well as social and emotional support reduce burden. Mobile apps featuring access to information, assistance with scheduling, and other features can automate support functions inexpensively and conveniently and reach a greater proportion of caregivers than otherwise possible...
July 30, 2018: JMIR MHealth and UHealth
Richard S Larson
The rapid growth of mobile health (mHealth) apps has resulted in confusion among health care providers and the public about which products rely on evidence-based medicine. Only a small subset of mHealth apps are regulated by the US Food and Drug Administration. The system similar to that used to accredit and certify laboratory testing under the Clinical Laboratory Improvement Amendment offers a potential model for ensuring basic standards of quality and safety for mHealth apps. With these products expanding into the realm of diagnosis and treatment, physicians and consumers are in a strong position to demand oversight that delivers safe and high-quality mHealth apps...
July 30, 2018: JMIR MHealth and UHealth
Adam C Powell, Preeti Singh, John Torous
BACKGROUND: In 2017, the Supreme Court of India ruled that privacy is a fundamental right of every citizen. Although mobile phone apps have the potential to help people with noncommunicable diseases, such as diabetes and mental illness, they often contain complex privacy policies, which consumers may not understand. This complexity may impede the ability of consumers to make decisions regarding privacy, a critical issue due to the stigma of mental illness. OBJECTIVE: Our objective is to determine whether mental health apps have more complex privacy policies than diabetes apps...
July 30, 2018: JMIR MHealth and UHealth
Amnesty LeFevre, Maria A Cabrera-Escobar, Diwakar Mohan, Jaran Eriksen, Debbie Rogers, Annie Neo Parsons, Iman Barre, Youngji Jo, Alain Labrique, Jesse Coleman
BACKGROUND: Limited evidence exists on the value for money of mHealth information programs in low resource settings. OBJECTIVE: This study sought to model the incremental cost-effectiveness of gradually scaling up text messaging services to pregnant women throughout Gauteng province, South Africa from 2012 to 2017. METHODS: Data collection occurred as part of a retrospective study in 6 health centers in Gauteng province. Stage-based short message service (SMS) text messages on maternal health were sent to pregnant women twice per week during pregnancy and continued until the infant's first birthday...
July 27, 2018: JMIR MHealth and UHealth
Jing Wang, Chin-Fun Chu, Chengdong Li, Laura Hayes, Linda Siminerio
BACKGROUND: Diabetes educators are integral to a clinical team in providing diabetes self-management education and support; however, current mobile and Web-based self-management tools are not integrated into clinical diabetes care to support diabetes educators' education efforts. OBJECTIVE: The objective of our study was to seek diabetes educators' insights regarding the development of an interface within the Chronicle Diabetes system, a nationally used electronic health record (EHR) system for diabetes education documentation with behavioral goal-setting functions, to transfer mobile phone- and wearable tracker-collected self-monitoring information from patients to diabetes educators to facilitate behavioral goal monitoring...
July 26, 2018: JMIR MHealth and UHealth
Tourkiah Alessa, Sarah Abdi, Mark S Hawley, Luc de Witte
BACKGROUND: Hypertension is a chronic disease that is considered to be a public health problem and requires efforts by patients to manage themselves. The global growth in the use of mobile phones and tablets has been accompanied by the increased use of health apps. Many of these apps support the self-management of hypertension and, therefore, they have the potential benefits of lowering blood pressure. Despite this, there is currently a lack of evidence for their effectiveness, usability, and patient satisfaction with their use...
July 23, 2018: JMIR MHealth and UHealth
Cassandra Wright, Paul M Dietze, Paul A Agius, Emmanuel Kuntsche, Michael Livingston, Oliver C Black, Robin Room, Margaret Hellard, Megan Sc Lim
BACKGROUND: Real-time ecological momentary interventions have shown promising effects in domains other than alcohol use; however, only few studies regarding ecological momentary interventions for alcohol use have been conducted thus far. The increasing popularity of smartphones offers new avenues for intervention and innovation in data collection. OBJECTIVE: We aimed to test the efficacy of an ecological momentary intervention, comprising mobile Web-based ecological momentary assessments (EMAs) and text messaging (short message service, SMS) brief interventions, delivered during drinking events using participants' mobile phones...
July 20, 2018: JMIR MHealth and UHealth
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