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Mobile clinical apps

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https://www.readbyqxmd.com/read/29789276/novel-method-to-efficiently-create-an-mhealth-app-implementation-of-a-real-time-electrocardiogram-r-peak-detector
#1
Vadim Gliner, Joachim Behar, Yael Yaniv
BACKGROUND: In parallel to the introduction of mobile communication devices with high computational power and internet connectivity, high-quality and low-cost health sensors have also become available. However, although the technology does exist, no clinical mobile system has been developed to monitor the R peaks from electrocardiogram recordings in real time with low false positive and low false negative detection. Implementation of a robust electrocardiogram R peak detector for various arrhythmogenic events has been hampered by the lack of an efficient design that will conserve battery power without reducing algorithm complexity or ease of implementation...
May 22, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29789017/leveraging-routine-clinical-materials-and-mobile-technology-to-assess-cbt-fidelity-the-innovative-methods-to-assess-psychotherapy-practices-imapp-study
#2
Shannon Wiltsey Stirman, Luana Marques, Torrey A Creed, Cassidy A Gutner, Robert DeRubeis, Paul G Barnett, Eric Kuhn, Michael Suvak, Jason Owen, Dawne Vogt, Booil Jo, Sonja Schoenwald, Clara Johnson, Kera Mallard, Matthew Beristianos, Heidi La Bash
BACKGROUND: Identifying scalable strategies for assessing fidelity is a key challenge in implementation science. However, for psychosocial interventions, the existing, reliable ways to test treatment fidelity quality are often labor intensive, and less burdensome strategies may not reflect actual clinical practice. Cognitive behavioral therapies (CBTs) provide clinicians with a set of effective core elements to help treat a multitude of disorders, which, evidence suggests, need to be delivered with fidelity to maximize potential client impact...
May 22, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29784635/acceptability-of-an-mhealth-app-intervention-for-persons-with-type-2-diabetes-and-its-associations-with-initial-self-management-randomized-controlled-trial
#3
Astrid Torbjørnsen, Milada Cvancarova Småstuen, Anne Karen Jenum, Eirik Årsand, Lis Ribu
BACKGROUND: Mobile health interventions are increasingly used in health care. The level of acceptability may indicate whether and how such digital solutions will be used. OBJECTIVE: This study aimed to explore associations between the level of acceptability of a mobile diabetes app and initial ability of self-management for patients with type 2 diabetes. METHODS: Participants with type 2 diabetes were recruited from primary health care settings to a 3-armed randomized controlled trial in the Norwegian study in the RENEWING HEALTH project...
May 21, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29784634/evaluation-of-app-based-serious-gaming-as-a-training-method-in-teaching-chest-tube-insertion-to-medical-students-randomized-controlled-trial
#4
Patrick Haubruck, Felix Nickel, Julian Ober, Tilman Walker, Christian Bergdolt, Mirco Friedrich, Beat Peter Müller-Stich, Franziska Forchheim, Christian Fischer, Gerhard Schmidmaier, Michael C Tanner
BACKGROUND: The insertion of a chest tube should be as quick and accurate as possible to maximize the benefit and minimize possible complications for the patient. Therefore, comprehensive training and assessment before an emergency situation are essential for proficiency in chest tube insertion. Serious games have become more prevalent in surgical training because they enable students to study and train a procedure independently, and errors made have no effect on patients. However, up-to-date evidence regarding the effect of serious games on performance in procedures in emergency medicine remains scarce...
May 21, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29777560/the-effect-of-mobile-messaging-apps-on-cardiac-patient-knowledge-of-cad-risk-factors-and-adherence-to-a-healthy-lifestyle
#5
Yea Hung Tang, Mei Chan Chong, Yan Piaw Chua, Ping Lei Chui, Li Yoong Tang, Norsiah Rahmat
AIMS: This study aimed to determine the effect mobile messaging apps on coronary artery disease patient knowledge of and adherence to a healthy lifestyle. BACKGROUND: Due to the increasing incidence of coronary artery disease in recent years, interventions targeting coronary artery disease risk factors are urgent public priorities. The use of mobile technology in healthcare services and medical education is relatively new with promising future prospects. DESIGN: This study used a quasi-experimental design that included pre- and post-test for intervention and control groups...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29773529/development-of-a-just-in-time-adaptive-mhealth-intervention-for-insomnia-usability-study
#6
I Wayan Pulantara, Bambang Parmanto, Anne Germain
BACKGROUND: Healthy sleep is a fundamental component of physical and brain health. Insomnia, however, is a prevalent sleep disorder that compromises functioning, productivity, and health. Therefore, developing efficient treatment delivery methods for insomnia can have significant societal and personal health impacts. Cognitive behavioral therapy for insomnia (CBTI) is the recommended first-line treatment of insomnia but access is currently limited for patients, since treatment must occur in specialty sleep clinics, which suffer from an insufficient number of trained clinicians...
May 17, 2018: JMIR Human Factors
https://www.readbyqxmd.com/read/29770246/development-of-the-imb-model-and-an-evidence-based-diabetes-self-management-mobile-application
#7
Eunjoo Jeon, Hyeoun-Ae Park
Objectives: This study developed a diabetes self-management mobile application based on the information-motivation-behavioral skills (IMB) model, evidence extracted from clinical practice guidelines, and requirements identified through focus group interviews (FGIs) with diabetes patients. Methods: We developed a diabetes self-management (DSM) app in accordance with the following four stages of the system development life cycle. The functional and knowledge requirements of the users were extracted through FGIs with 19 diabetes patients...
April 2018: Healthcare Informatics Research
https://www.readbyqxmd.com/read/29768407/the-health-e-babies-app-for-antenatal-education-feasibility-for-socially-disadvantaged-women
#8
Julia A Dalton, Dianne Rodger, Michael Wilmore, Sal Humphreys, Andrew Skuse, Claire T Roberts, Vicki L Clifton
BACKGROUND: The use of mobile technology such as phone applications (apps) has been proposed as an efficient means of providing health and clinical information in a variety of healthcare settings. We developed the Health-e Babies app as an Android smart phone application for pregnant women attending a tertiary hospital in a low socio-economic community, with the objective of providing health information about early pregnancy that would increase maternal confidence and reduce anxiety. Based on our earlier research, this form of health communication was viewed as a preferred source of information for women of reproductive age...
2018: PloS One
https://www.readbyqxmd.com/read/29763990/mobile-applications-for-women-s-health-and-midwifery-care-a-pocket-reference-for-the-21st-century
#9
Megan W Arbour, Melissa A Stec
Midwives and other women's health care providers are charged with providing high-quality care to women based on the most current available evidence. Quick, reliable, and accurate access to evidence-based information is essential. Numerous smartphone and mobile device applications (apps) are available to assist clinicians in providing care for women. This article discusses clinical reference apps, including those for evidence-based care guidelines, women's health care, pharmacologic reference, laboratory and diagnostic guides, as well as apps for information storage and management, electronic health records, and client education...
May 15, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29761281/characteristics-quality-and-contribution-to-signal-detection-of-spontaneous-reports-of-adverse-drug-reactions-via-the-web-radr-mobile-application-a-descriptive-cross-sectional-study
#10
Ingrid Oosterhuis, Henric Taavola, Philip M Tregunno, Petar Mas, Sara Gama, Victoria Newbould, Ola Caster, Linda Härmark
INTRODUCTION: Spontaneous reporting of suspected adverse drug reactions is key for efficient post-marketing safety surveillance. To increase usability and accessibility of reporting tools, the Web-Recognising Adverse Drug Reactions (WEB-RADR) consortium developed a smartphone application (app) based on a simplified reporting form. OBJECTIVE: The objective of this study was to evaluate the characteristics, quality and contribution to signals of reports submitted via the WEB-RADR app...
May 14, 2018: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/29759959/health-care-professionals-attitudes-toward-and-experiences-of-using-a-culture-sensitive-smartphone-app-for-women-with-gestational-diabetes-mellitus-qualitative-study
#11
Lisa Garnweidner-Holme, Therese Hoel Andersen, Mari Wastvedt Sando, Josef Noll, Mirjam Lukasse
BACKGROUND: The increasing prevalence of gestational diabetes mellitus (GDM) among women of different ethnic backgrounds provides new challenges for health care professionals, who often find it difficult to provide information about the management of this disease to such individuals. Mobile health (mHealth) may act as a useful tool for blood sugar control and care process enhancement. However, little is known about health care professionals' experiences and attitudes toward the use of mHealth for women with GDM...
May 14, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29756308/improving-adolescents-periodontal-health-evaluation-of-a-mobile-oral-health-app-associated-with-conventional-educational-methods-a-cluster-randomized-trial
#12
Gisele Marchetti, Fabian Calixto Fraiz, Willian Muniz do Nascimento, Geisla Mary Silva Soares, Luciana Reichert da Silva Assunção
BACKGROUND: Adolescence is a decisive period in the construction of new conduits. OBJECTIVE: The influence of an App associated with conventional educational methods in adolescents' oral health. STUDY DESIGN: Randomized controlled trial including 291 participants (mean age = 16.1 years) in baseline. The study consisted of four phases. Interventions were evaluated through the knowledge score (KS) and oral indexes (OHI-S/GBI). KS was obtained through five affirmations about periodontal diseases applied in different moments (pre-test, post-test, and follow-up test)...
May 13, 2018: International Journal of Paediatric Dentistry
https://www.readbyqxmd.com/read/29753356/measurement-equivalence-of-patient-reported-outcome-measure-response-scale-types-collected-using-bring-your-own-device-compared-to-paper-and-a-provisioned-device-results-of-a-randomized-equivalence-trial
#13
Bill Byrom, Helen Doll, Willie Muehlhausen, Emuella Flood, Cater Cassedy, Bryan McDowell, Jeremy Sohn, Kyle Hogan, Ryan Belmont, Barbara Skerritt, Marie McCarthy
OBJECTIVES: The aim of this study was to assess the measurement equivalence of individual response scale types by using a patient reported outcome measure (PROM) collected on paper and migrated into electronic format for use on the subject's own mobile device (BYOD) and on a provisioned device (site device). METHODS: Subjects suffering from chronic health conditions causing daily pain or discomfort were invited to participate in this single-site, single visit, three-way crossover study...
May 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29748165/using-mobile-health-gamification-to-facilitate-cognitive-behavioral-therapy-skills-practice-in-child-anxiety-treatment-open-clinical-trial
#14
Gede Pramana, Bambang Parmanto, James Lomas, Oliver Lindhiem, Philip C Kendall, Jennifer Silk
BACKGROUND: Cognitive behavioral therapy is an efficacious treatment for child anxiety disorders. Although efficacious, many children (40%-50%) do not show a significant reduction in symptoms or full recovery from primary anxiety diagnoses. One possibility is that they are unwilling to learn and practice cognitive behavioral therapy skills beyond therapy sessions. This can occur for a variety of reasons, including a lack of motivation, forgetfulness, and a lack of cognitive behavioral therapy skills understanding...
May 10, 2018: JMIR Serious Games
https://www.readbyqxmd.com/read/29748160/engagement-strategies-for-self-monitoring-symptoms-of-bipolar-disorder-with-mobile-and-wearable-technology-protocol-for-a-randomized-controlled-trial
#15
Amy Cochran, Livia Belman-Wells, Melvin McInnis
BACKGROUND: Monitoring signs and symptoms in bipolar disorder (BP) is typically based on regular assessments from patient-clinician interactions. Mobile and wearable technology promises to make monitoring symptoms in BP easier, but little is known about how best to engage individuals with BP in monitoring symptoms. OBJECTIVE: The objective of this study was to provide the rationale and protocol for a randomized controlled trial that investigates engagement strategies for monitoring symptoms of BP, including the strategies of using activity trackers compared with self-reports and reviewing recorded symptoms weekly with an interviewer...
May 10, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29740786/rapid-evidence-review-of-mobile-applications-for-self-management-of-diabetes
#16
Stephanie Veazie, Kara Winchell, Jennifer Gilbert, Robin Paynter, Ilya Ivlev, Karen B Eden, Kerri Nussbaum, Nicole Weiskopf, Jeanne-Marie Guise, Mark Helfand
BACKGROUND: Patients with diabetes lack information on which commercially available applications (apps) improve diabetes-related outcomes. We conducted a rapid evidence review to examine features, clinical efficacy, and usability of apps for self-management of type 1 and type 2 diabetes in adults. METHODS: Ovid/Medline and the Cochrane Database of Systematic Reviews were searched for systematic reviews and technology assessments. Reference lists of relevant systematic reviews were examined for primary studies...
May 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29740330/heart-failure-and-frailty-in-the-community-living-elderly-population-what-the-ufo-study-will-tell-us
#17
Erik Fung, Elsie Hui, Xiaobo Yang, Leong T Lui, King F Cheng, Qi Li, Yiting Fan, Daljit S Sahota, Bosco H M Ma, Jenny S W Lee, Alex P W Lee, Jean Woo
Heart failure and frailty are clinical syndromes that present with overlapping phenotypic characteristics. Importantly, their co-presence is associated with increased mortality and morbidity. While mechanical and electrical device therapies for heart failure are vital for select patients with advanced stage disease, the majority of patients and especially those with undiagnosed heart failure would benefit from early disease detection and prompt initiation of guideline-directed medical therapies. In this article, we review the problematic interactions between heart failure and frailty, introduce a focused cardiac screening program for community-living elderly initiated by a mobile communication device app leading to the Undiagnosed heart Failure in frail Older individuals (UFO) study, and discuss how the knowledge of pre-frailty and frailty status could be exploited for the detection of previously undiagnosed heart failure or advanced cardiac disease...
2018: Frontiers in Physiology
https://www.readbyqxmd.com/read/29739184/moving-anesthesiology-educational-resources-to-the-point-of-care-experience-with-a-pediatric-anesthesia-mobile-app
#18
Katherine S Monroe, Michael A Evans, Shivani G Mukkamala, Julie L Williamson, Craig S Jabaley, Edward R Mariano, Vikas N O'Reilly-Shah
Background: Educators in all disciplines recognize the need to update tools for the modern learner. Mobile applications (apps) may be useful, but real-time data is needed to demonstrate the patterns of utilization and engagement amongst learners. Methods: We examined the use of an anesthesia app by two groups of learners (residents and anesthesiologist assistant students [AAs]) during a pediatric anesthesiology rotation. The app calculates age and weight-based information for clinical decision support and contains didactic materials for self-directed learning...
May 9, 2018: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/29735478/development-and-validation-of-a-multidisciplinary-mobile-care-system-for-patients-with-advanced-gastrointestinal-cancer-interventional-observation-study
#19
Ji Yeong Soh, Won Chul Cha, Dong Kyung Chang, Ji Hye Hwang, Kihyung Kim, Miyong Rha, Hee Kwon
BACKGROUND: Mobile health apps have emerged as supportive tools in the management of advanced cancers. However, only a few apps have self-monitoring features, and they are not standardized and validated. OBJECTIVE: This study aimed to develop and validate a multidisciplinary mobile care system with self-monitoring features that can be useful for patients with advanced gastrointestinal cancer. METHODS: The development of the multidisciplinary mobile health management system was divided into 3 steps...
May 7, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29725198/development-and-preliminary-feasibility-study-of-a-brief-behavioral-activation-mobile-application-behavioral-apptivation-to-be-used-in-conjunction-with-ongoing-therapy
#20
Jennifer Dahne, Jacob Kustanowitz, C W Lejuez
Depressive symptoms are the most frequently treated psychiatric condition in the United States. Brief behavioral activation treatment for depression (BATD) is a popular, evidence-based psychotherapy with strong research support for the treatment of depression. In this paper, we describe the development and initial pilot feasibility testing of a BATD mobile application (Behavioral Apptivation) to be used by patients and therapists in conjunction with BATD therapy. We present information regarding the app development process as well as results from a small open-label feasibility trial of the app utilized in conjunction with individual BATD...
February 2018: Cognitive and Behavioral Practice
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