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ehealth adoption and use

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https://www.readbyqxmd.com/read/30296732/use-of-ehealth-and-mhealth-technology-by-persons-with-multiple-sclerosis
#1
Ruth Ann Marrie, Stella Leung, Tuula Tyry, Gary R Cutter, Robert Fox, Amber Salter
BACKGROUND: Health communication has evolved substantially over the last few years as the field of electronic health (eHealth) technologies has emerged. It is unknown what demographic and clinical characteristics are associated with use of eHealth technologies in MS. As these technologies are more widely adopted in health settings, it is important that health care providers understand who is using them, and to recognize potential disparities if they exist. OBJECTIVE: We aimed to examine the use of eHealth technologies among persons with multiple sclerosis (MS), including the adoption of mobile Health (mHealth) applications (apps) and telehealth, perceived benefits of using mHealth apps, and sociodemographic and clinical characteristics associated with use of these technologies...
October 2, 2018: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/30274961/how-users-experience-and-use-an-ehealth-intervention-based-on-self-regulation-mixed-methods-study
#2
Louise Poppe, Celien Van der Mispel, Geert Crombez, Ilse De Bourdeaudhuij, Helene Schroé, Maïté Verloigne
BACKGROUND: eHealth interventions show stronger effects when informed by solid behavioral change theories; for example, self-regulation models supporting people in translating vague intentions to specific actions have shown to be effective in altering health behaviors. Although these theories inform developers about which behavioral change techniques should be included, they provide limited information about how these techniques can be engagingly implemented in Web-based interventions...
October 1, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/30210802/effectiveness-of-a-web-based-ehealth-portal-for-delivery-of-care-to-home-dialysis-patients-a-single-arm-pilot-study
#3
James Kiberd, Usman Khan, Cynthia Stockman, Arun Radhakrishnan, Matthew Phillips, Bryce A Kiberd, Kenneth A West, Steven Soroka, Christopher Chan, Karthik K Tennankore
Background: Improving a patient's experience with their care through an online interface for communication (an eHealth patient portal) has been shown to be beneficial in some studies of chronic disease populations. However, little is known about the effectiveness of an eHealth portal for delivery of care to home dialysis patients. Objectives: Primary: To determine whether an eHealth portal is effective at improving a patient's experience with their home dialysis care...
2018: Canadian Journal of Kidney Health and Disease
https://www.readbyqxmd.com/read/30171519/implementation-of-ehealth-interventions-across-the-hiv-care-cascade-a-review-of-recent-research
#4
REVIEW
Christopher G Kemp, Jennifer Velloza
PURPOSE OF REVIEW: We review recent implementation science focusing on eHealth interventions to improve outcomes along the HIV care cascade. We highlight several gaps in the eHealth implementation literature and propose areas for future study. RECENT FINDINGS: We identified 17 studies conducted in North America, Europe, and sub-Saharan Africa assessing the acceptability, appropriateness, adoption, cost, feasibility, fidelity, penetration, or sustainability of eHealth interventions targeting the HIV care cascade...
September 1, 2018: Current HIV/AIDS Reports
https://www.readbyqxmd.com/read/30135052/implementing-ehealth-technology-to-address-gaps-in-early-infant-diagnosis-services-qualitative-assessment-of-kenyan-provider-experiences
#5
Catherine Wexler, Melinda Brown, Emily A Hurley, Martin Ochieng, Kathy Goggin, Brad Gautney, May Maloba, Raphael Lwembe, Samoel Khamadi, Sarah Finocchario-Kessler
BACKGROUND: Literature suggests that electronic health (eHealth) interventions can improve the efficiency and accuracy of health service delivery and improve health outcomes and are generally well received by patients; however, there are limited data on provider experiences using eHealth interventions in resource-limited settings. The HIV Infant Tracking System (HITSystem) is an eHealth intervention designed to improve early infant diagnosis (EID) outcomes among HIV-exposed infants. OBJECTIVE: We aimed to compare provider experiences with standard EID and HITSystem implementation at 6 Kenyan hospitals and 3 laboratories...
August 22, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/30067936/national-heart-foundation-of-australia-and-cardiac-society-of-australia-and-new-zealand-australian-clinical-guidelines-for-the-diagnosis-and-management-of-atrial-fibrillation-2018
#6
David Brieger, John Amerena, John R Attia, Beata Bajorek, Kim H Chan, Cia Connell, Ben Freedman, Caleb Ferguson, Tanya Hall, Haris M Haqqani, Jeroen Hendriks, Charlotte M Hespe, Joseph Hung, Jonathan M Kalman, Prashanthan Sanders, John Worthington, Tristan Yan, Nicholas A Zwar
Atrial fibrillation (AF) is increasing in prevalence and is associated with significant morbidity and mortality. The optimal diagnostic and treatment strategies for AF are continually evolving and care for patients requires confidence in integrating these new developments into practice. These clinical practice guidelines will assist Australian practitioners in the diagnosis and management of adult patients with AF. Main recommendations: These guidelines provide advice on the standardised assessment and management of patients with atrial fibrillation regarding: screening, prevention and diagnostic work-up; acute and chronic arrhythmia management with antiarrhythmic therapy and percutaneous and surgical ablative therapies; stroke prevention and optimal use of anticoagulants; and integrated multidisciplinary care...
August 2, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/30040676/recommendations-for-enhancing-the-implementation-and-utility-of-shared-digital-health-records-in-rural-australian-communities
#7
H Almond, E Cummings, P Turner
Internationally, shared digital health records are becoming an important addition to improving contemporary healthcare provision. In 2012, Australia launched its version of a shared digital health record, My Health Record, but enrolment is slow and there remain challenges in its practical implementation. Further, people living with complex and chronic conditions in rural and remote communities often experience challenges in obtaining equitable access to contemporary healthcare provision, including eHealth services...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29993757/proposal-for-an-ehealth-based-ecosystem-serving-national-healthcare
#8
Eirini C Schiza, Theodoros Kyprianou, Nicolai Petkov, Christos N Schizas
The European Union (EU)'s keen concern about citizens' health and well-being protection and advancement has been expressed at all levels. It has been understood that at present, it can only be achieved through coordinated actions at the individual member states' level based on EU directives, as well as through promoting and funding quadruple helix R&D and expanding the use of eHealth technologies. Despite the diversities and particularities among member states, common values such as universal access to good quality healthcare, equity and solidarity have been widely accepted across EU...
May 14, 2018: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/29897921/economic-evaluations-of-ehealth-technologies-a-systematic-review
#9
Chiranjeev Sanyal, Paul Stolee, Don Juzwishin, Don Husereau
BACKGROUND: Innovations in eHealth technologies have the potential to help older adults live independently, maintain their quality of life, and to reduce their health system dependency and health care expenditure. The objective of this study was to systematically review and appraise the quality of cost-effectiveness or utility studies assessing eHealth technologies in study populations involving older adults. METHODS: We systematically searched multiple databases (MEDLINE, EMBASE, CINAHL, NHS EED, and PsycINFO) for peer-reviewed studies published in English from 2000 to 2016 that examined cost-effectiveness (or utility) of eHealth technologies...
2018: PloS One
https://www.readbyqxmd.com/read/29895513/mobile-phone-cognitive-bias-modification-research-platform-for-substance-use-disorders-protocol-for-a-feasibility-study
#10
Melvyn Zhang, JiangBo Ying, Guo Song, Daniel Ss Fung, Helen Smith
BACKGROUND: Cognitive biases refer to automatic attentional and interpretational tendencies, which could be retained by cognitive bias modification interventions. Cristea et al and Jones et al have published reviews (in 2016 and 2017 respectively) on the effectiveness of such interventions. The advancement of technologies such as electronic health (eHealth) and mobile health (mHealth) has led to them being harnessed for the delivery of cognitive bias modification. To date, at least eight studies have demonstrated the feasibility of mobile technologies for the delivery of cognitive bias modification...
June 12, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29724702/electronic-health-use-in-the-european-union-and-the-effect-of-multimorbidity-cross-sectional-survey
#11
Francisco Lupiáñez-Villanueva, Dimitra Anastasiadou, Cristiano Codagnone, Roberto Nuño-Solinís, Maria Begona Garcia-Zapirain Soto
BACKGROUND: Multimorbidity is becoming increasingly common and is a leading challenge currently faced by societies with aging populations. The presence of multimorbidity requires patients to coordinate, understand, and use the information obtained from different health care professionals, while simultaneously striving to distinguish the symptoms of different diseases and self-manage their sometimes conflicting health problems. Electronic health (eHealth) tools provide a means to disseminate health information and education for both patients and health professionals and hold promise for more efficient and cost-effective care processes...
May 3, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29691208/the-use-of-digital-and-remote-communication-technologies-as-a-tool-for-multiple-sclerosis-management-narrative-review
#12
Martin Marziniak, Giampaolo Brichetto, Peter Feys, Uta Meyding-Lamadé, Karen Vernon, Sven G Meuth
Despite recent advances in multiple sclerosis (MS) care, many patients only infrequently access health care services, or are unable to access them easily, for reasons such as mobility restrictions, travel costs, consultation and treatment time constraints, and a lack of locally available MS expert services. Advances in mobile communications have led to the introduction of electronic health (eHealth) technologies, which are helping to improve both access to and the quality of health care services. As the Internet is now readily accessible through smart mobile devices, most people can take advantage of eHealth apps...
April 24, 2018: JMIR Rehabilitation and Assistive Technologies
https://www.readbyqxmd.com/read/29678051/interoperability-assets-for-patient-summary-components-a-gap-analysis
#13
Kai U Heitmann, Giorgio Cangioli, Marcello Melgara, Catherine Chronaki
The International Patient Summary (IPS) standards aim to define the specifications for a minimal and non-exhaustive Patient Summary, which is specialty-agnostic and condition-independent, but still clinically relevant. Meanwhile, health systems are developing and implementing their own variation of a patient summary while, the eHealth Digital Services Infrastructure (eHDSI) initiative is deploying patient summary services across countries in the Europe. In the spirit of co-creation, flexible governance, and continuous alignment advocated by eStandards, the Trillum-II initiative promotes adoption of the patient summary by engaging standards organizations, and interoperability practitioners in a community of practice for digital health to share best practices, tools, data, specifications, and experiences...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677947/health-professionals-expanding-ehealth-competences-for-supporting-patients-self-management
#14
Sari Kujala, Elina Rajalahti, Tarja Heponiemi, Pirjo Hilama
An increasing number of new eHealth services that support patients' self-management has changed health professionals' work and has created a need for a new eHealth competence. In this study, we evaluated the health professionals' eHealth competences and training needs in a public health organization in Finland. The target organization's goal was to increase the number of eHealth services provided to patients, and health professionals and their competences were seen as critical for the adoption of services. Data was collected through an online survey of 701 health professionals working in the target organization...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29669709/implementing-an-open-source-electronic-health-record-system-in-kenyan-health-care-facilities-case-study
#15
Naomi Muinga, Steve Magare, Jonathan Monda, Onesmus Kamau, Stuart Houston, Hamish Fraser, John Powell, Mike English, Chris Paton
BACKGROUND: The Kenyan government, working with international partners and local organizations, has developed an eHealth strategy, specified standards, and guidelines for electronic health record adoption in public hospitals and implemented two major health information technology projects: District Health Information Software Version 2, for collating national health care indicators and a rollout of the KenyaEMR and International Quality Care Health Management Information Systems, for managing 600 HIV clinics across the country...
April 18, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29599108/lessons-learned-from-a-living-lab-on-the-broad-adoption-of-ehealth-in-primary-health-care
#16
Ilse Catharina Sophia Swinkels, Martine Wilhelmina Johanna Huygens, Tim M Schoenmakers, Wendy Oude Nijeweme-D'Hollosy, Lex van Velsen, Joan Vermeulen, Marian Schoone-Harmsen, Yvonne Jfm Jansen, Onno Cp van Schayck, Roland Friele, Luc de Witte
BACKGROUND: Electronic health (eHealth) solutions are considered to relieve current and future pressure on the sustainability of primary health care systems. However, evidence of the effectiveness of eHealth in daily practice is missing. Furthermore, eHealth solutions are often not implemented structurally after a pilot phase, even if successful during this phase. Although many studies on barriers and facilitators were published in recent years, eHealth implementation still progresses only slowly...
March 29, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29587721/older-adults-readiness-to-engage-with-ehealth-patient-education-and-self-care-resources-a-cross-sectional-survey
#17
Nancy P Gordon, Mark C Hornbrook
BACKGROUND: This study examined access to digital technologies, skills and experience, and preferences for using web-based and other digital technologies to obtain health information and advice among older adults in a large health plan. A primary aim was to assess the extent to which digital divides by race/ethnicity and age group might affect the ability of a large percentage of seniors, and especially those in vulnerable groups, to engage with online health information and advice modalities (eHIA) and mobile health (mHealth) monitoring tools...
March 27, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29554380/the-development-and-codesign-of-the-pathway-intervention-a-theory-driven-ehealth-platform-for-the-self-management-of-cardiovascular-disease
#18
Deirdre M J Walsh, Kieran Moran, Veronique Cornelissen, Roselien Buys, Jomme Claes, Paolo Zampognaro, Fabio Melillo, Nicos Maglaveras, Ioanna Chouvarda, Andreas Triantafyllidis, Dimitris Filos, Catherine B Woods
Cardiovascular diseases (CVDs) are a leading cause of premature death worldwide. International guidelines recommend routine delivery of all phases of cardiac rehabilitation (CR). Uptake of traditional CR remains suboptimal, as attendance at formal hospital-based CR programs is low, with community-based CR rates and individual long-term exercise maintenance even lower. Home-based CR programs have been shown to be equally effective in clinical and health-related quality of life outcomes and yet are not readily available...
March 15, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29451059/-oncokompas-a-web-based-self-management-application-to-support-patient-activation-and-optimal-supportive-care-a-feasibility-study-among-breast-cancer-survivors
#19
Heleen C Melissant, Irma M Verdonck-de Leeuw, Birgit I Lissenberg-Witte, Inge R Konings, Pim Cuijpers, Cornelia F Van Uden-Kraan
BACKGROUND: Cancer survivors have to deal with symptoms related to cancer and its treatment. In Oncokompas, cancer survivors monitor their quality of life by completing patient reported outcome measures (PROMs), followed by personalized feedback, self-care advice, and supportive care options to stimulate patient activation. The aim of this study was to investigate feasibility and pretest-posttest differences of Oncokompas including a newly developed breast cancer (BC) module among BC survivors...
July 2018: Acta Oncologica
https://www.readbyqxmd.com/read/29426814/exploring-the-specific-needs-of-persons-with-multiple-sclerosis-for-mhealth-solutions-for-physical-activity-mixed-methods-study
#20
Guido Giunti, Jan Kool, Octavio Rivera Romero, Enrique Dorronzoro Zubiete
BACKGROUND: Multiple sclerosis (MS) is one of the world's most common neurologic disorders, with symptoms such as fatigue, cognitive problems, and issues with mobility. Evidence suggests that physical activity (PA) helps people with MS reduce fatigue and improve quality of life. The use of mobile technologies for health has grown in recent years with little involvement from relevant stakeholders. User-centered design (UCD) is a design philosophy with the goal of creating solutions specific to the needs and tasks of the intended users...
February 9, 2018: JMIR MHealth and UHealth
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