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Medicine 2.0

Rowena Briones
BACKGROUND: The rise of technology has changed how people take control of their health, enabling individuals to choose to live healthier lives and make better treatment decisions. With this said, the Internet has emerged as the channel used by individuals for actively seeking or passively receiving health information. OBJECTIVE: To explore how young adults assess the quality of health information, and how they construct meaning of online health information in general...
2015: Medicine 2.0
Carolyn Petersen, Samantha A Adams, Paul R DeMuro
Mobile health (mHealth) facilitates linking patient-generated data with electronic health records with clinical decision support systems. mHealth can transform health care, but to realize this potential it is important to identify the relevant stakeholders and how they might be affected. Such stakeholders include primary stakeholders, such as patients, families and caregivers, clinicians, health care facilities, researchers, payors and purchasers, employer, and miscellaneous secondary stakeholders, such as vendors, suppliers, distributors, and consultants, policy makers and legislators...
2015: Medicine 2.0
Silje C Wangberg, Tove Sørensen, Hege K Andreassen
BACKGROUND: Internet is used for a variety of health related purposes. Use differs and has differential effects on health according to socioeconomic status. OBJECTIVE: We investigated to what extent the Norwegian population use the Internet to support exercise and diet, what kind of services they use, and whether there are social disparities in use. We expected to find differences according to educational attainment. METHODS: In November 2013 we surveyed a stratified sample of 2196 persons drawn from a Web panel of about 50,000 Norwegians over 15 years of age...
2015: Medicine 2.0
Christophe Boudry
BACKGROUND: The World Wide Web has changed research habits, and these changes were further expanded when "Web 2.0" became popular in 2005. Bibliometrics is a helpful tool used for describing patterns of publication, for interpreting progression over time, and the geographical distribution of research in a given field. Few studies employing bibliometrics, however, have been carried out on the correlative nature of scientific literature and Web 2.0. OBJECTIVE: The aim of this bibliometric analysis was to provide an overview of Web 2...
2015: Medicine 2.0
Madlen Scheibe, Julius Reichelt, Maike Bellmann, Wilhelm Kirch
BACKGROUND: Mobile apps for people with diabetes offer great potential to support therapy management, increase therapy adherence, and reduce the probability of the occurrence of accompanying and secondary diseases. However, they are rarely used by elderly patients due to a lack of acceptance. OBJECTIVE: We investigated the question "Which factors influence the acceptance of diabetes apps among patients aged 50 or older?" Particular emphasis was placed on the current use of mobile devices/apps, acceptance-promoting/-inhibiting factors, features of a helpful diabetes app, and contact persons for technical questions...
2015: Medicine 2.0
Gül Seçkin
BACKGROUND: Health information technology, which is sometimes referred to as informaticization of medicine, is changing the extent to which patients become competent producers of their own health by enabling them access to health information anytime and anywhere. OBJECTIVE: This research provides preliminary information on users' perceptions of the extent to which use of the Internet for health information impacts medical encounters. We specifically explored the following questions: (1) To what extent perceptions of positive or negative changes in medical encounters are associated with sociodemographic background of online health information seekers, and how often the Internet information is discussed with providers? (2) To what extent is there an association between perceived changes in medical encounters and frequency of referring to the Internet during medical encounters? (3) To what extent is there an association between sociodemographic background of online health information users and frequency of discussing of the Internet information with providers? METHODS: The data for this study was derived from a national sampling of online health and medical information users who participated in the Study of Health and Medical Information in Cyberspace-Survey of User Perceptions (N=710)...
July 2014: Medicine 2.0
Emily J Ashurst, Ray B Jones, Charles Abraham, Martin Jenner, Kate Boddy, Rachel Ej Besser, Suzanne Hammersley, Jonathan Pinkney
BACKGROUND: Traditionally, some teenagers and young adults with diabetes have not engaged well at diabetes appointments, giving rise to concerns about long-term health risks. We considered that apps might help this group of patients to improve preparation for, and therefore engagement at their appointments. Although there are already many apps for young people with type 1 diabetes (YPD), we thought that by supporting YPD themselves to develop apps, the resulting products would have greater "authenticity" and relevance...
2014: Medicine 2.0
Barbara Veder, Stan Pope, Michèle Mani, Kelly Beaudoin, Janice Ritchie
BACKGROUND: Access to technologically mediated information and services under the umbrella of mental and physical health has become increasingly available to clients via Internet modalities, according to a recent study. In May 2010, video counseling was added to the counseling services offered through the Employee and Family Assistance Program at Shepell·fgi as a pilot project with a full operational launch in September 2011. OBJECTIVE: The objective of this study was to conduct a retrospective post launch examination of the video counseling service through an analysis of the reported clinical outcomes of video and in-person counseling modalities...
January 2014: Medicine 2.0
Lynn-Sayers McHattie, Grant Cumming, Tara French
Until recently, the Western biomedical paradigm has been effective in delivering health care, however this model is not positioned to tackle complex societal challenges or solve the current problems facing health care and delivery. The future of medicine requires a shift to a patient-centric model and in so doing the Internet has a significant role to play. The disciplines of Health Web Science and Medicine 2.0 are pivotal to this approach. This viewpoint paper argues that these disciplines, together with the field of design, can tackle these challenges...
January 2014: Medicine 2.0
Nicholas Genes, Michael Chary, Kevin Chason
BACKGROUND: Twitter is a social network where users read, send, and share snippets of text ("tweets"). Tweets can be disseminated through multiple means; on desktop computers, laptops, and mobile devices, over ethernet, Wi-Fi or cellular networks. This redundancy positions Twitter as a useful tool for disseminating information to the public during emergencies or disasters. Previous research on dissemination of information using Twitter has mostly investigated the characteristics of tweets that are most effective in raising consumer awareness about a new product or event...
January 2014: Medicine 2.0
Ray Jones
BACKGROUND: Many speak of the digital divide, but variation in the opportunity of patients to use the Internet for health (patient eHealth readiness) is not a binary difference, rather a distribution influenced by personal capability, provision of services, support, and cost. Digital divisions in health have been addressed by various initiatives, but there was no comprehensive validated measure to know if they are effective that could be used in randomized controlled trials (RCTs) covering both non-Internet-users and the range of Internet-users...
July 2013: Medicine 2.0
Olivier A Blanson Henkemans, Elise M L Dusseldorp, Jolanda F E M Keijsers, Judith M Kessens, Mark A Neerincx, Wilma Otten
BACKGROUND: eHealth services can contribute to individuals' self-management, that is, performing lifestyle-related activities and decision making, to maintain a good health, or to mitigate the effect of an (chronic) illness on their health. But how effective are these services? Conducting a randomized controlled trial (RCT) is the golden standard to answer such a question, but takes extensive time and effort. The eHealth Analysis and Steering Instrument (eASI) offers a quick, but not dirty alternative...
July 2013: Medicine 2.0
Jochen Meyer, Andreas Hein
BACKGROUND: Cardiovascular diseases (CVD) are one of the major causes of death worldwide. Personal behavior such as physical activity considerably influences the risk of incurring a CVD. In the last years numerous products such as pedometers have become available on the mass market that allow monitoring relevant behaviors and vital parameters. These devices are sufficiently precise, affordable, and easy to use. While today they are mostly lifestyle oriented they also have considerable potential for health and prevention...
July 2013: Medicine 2.0
Peter Schulz, Keyvan Sagheb, Harald Affeldt, Hannah Klumpp, Kathy Taylor, Christian Walter, Bilal Al-Nawas
BACKGROUND: E-Learning programs and their corresponding devices are increasingly employed to educate dental students during their clinical training. OBJECTIVE: Recent progress made in the development of e-learning software as well as in hardware (computers, tablet PCs, smartphones) caused us to more closely investigate into the habits of dental students in dealing with these learning techniques. METHODS: Dental students during their clinical training attended a survey compiled in cooperation with biostatisticians...
July 2013: Medicine 2.0
Paolo Fraccaro, Valeria Pupella, Roberta Gazzarata, Chiara Dentone, Giovanni Cenderello, Pasqualina De Leo, Federica Bozzano, Giorgetta Casalino Finocchio, Andrea De Maria, Daniela Fenoglio, Gilberto Filaci, Michele Guerra, Antonio Di Biagio, Eugenio Mantia, Giancarlo Orofino, Giuseppe Ferrea, Claudio Viscoli, Mauro Giacomini
BACKGROUND: In recent years, Highly-Active Anti-Retroviral Therapies (HAARTs) have modified the Human Immunodeficiency Virus (HIV) life-cycle and the disease is now considered chronic. Consequently, a longitudinal and complex follow-up is now required for HIV positive patients during their lifetime. Moreover, patients often encounter various complications due to comorbidities, related to the immunodeficiency state and HAARTs' side effects. Thus, HIV positive patients are involved in multicenter clinical trials (MCTs) to improve treatments and discover a preventive vaccine...
July 2013: Medicine 2.0
Amrita, Dhrubes Biswas
BACKGROUND: Affordability, acceptability, accommodation, availability, and accessibility are the five most important dimensions of access to health services. Seventy two percent of the Indian population lives in semi-urban and rural areas. The strong mismatched ratio of hospitals to patients, rising costs of health care, rapidly changing demographics, increasing population, and heightened demands in pricing for technological health care usage in emerging economies necessitate a unique health delivery solution model using social media...
July 2013: Medicine 2.0
Mark Merolli, Kathleen Gray, Fernando Martin-Sanchez
BACKGROUND: While there is an abundance of evidence-based practice (EBP) recommendations guiding management of various chronic diseases, evidence suggesting best practice for using social media to improve health outcomes is inadequate. The variety of social media platforms, multiple potential uses, inconsistent definitions, and paucity of rigorous studies, make it difficult to measure health outcomes reliably in chronic disease management. Most published investigations report on an earlier generation of online tools, which are not as user-centered, participatory, engaging, or collaborative, and thus may work differently for health self-management...
July 2013: Medicine 2.0
Shirley Ann Williams, Melissa Terras, Claire Warwick
BACKGROUND: Since their inception, Twitter and related microblogging systems have provided a rich source of information for researchers and have attracted interest in their affordances and use. Since 2009 PubMed has included 123 journal articles on medicine and Twitter, but no overview exists as to how the field uses Twitter in research. OBJECTIVE: This paper aims to identify published work relating to Twitter within the fields indexed by PubMed, and then to classify it...
July 2013: Medicine 2.0
Nasriah Zakaria, Amr Jamal, Shekhar Bisht, Cristina Koppel
BACKGROUND: Public universities in Saudi Arabia today are making substantial investments in e-learning as part of their educational system, especially in the implementation of learning management systems (LMS). To our knowledge, this is the first study conducted in Saudi Arabia exploring medical students' experience with an LMS, particularly as part of a medical informatics course. OBJECTIVE: This study investigates students' use of various features of the LMS embedded in a recently implemented medical informatics course...
July 2013: Medicine 2.0
Isabella Scandurra, Marie Sjölinder
BACKGROUND: There is an increasing social isolation among the elderly today. This will be an even larger issue in the future with growing numbers of elderly and less resources, for example, in terms of economy and staff. Loneliness and social isolation can, however, be addressed in several ways using different interactive eHealth services. OBJECTIVE: This case study investigated novel eHealth services for the elderly, and their usage of a social interactive device designed especially for them...
July 2013: Medicine 2.0
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