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Lisa M Quintiliani, Devin M Mann, Marissa Puputti, Emily Quinn, Deborah J Bowen
BACKGROUND: Health behavior and weight management interventions for cancer survivors have the potential to prevent future cancer recurrence and improve long-term health; however, their translation can be limited if the intervention is complex and involves high participant burden. Mobile health (mHealth) offers a delivery modality to integrate interventions into daily life routines. OBJECTIVE: The objective of this study was to evaluate the effects of a one-group trial with a pre-post evaluation design on engagement (use and acceptability), physiological (weight), behavioral (diet and physical activity), and other secondary outcomes...
January 2016: JMIR Cancer
Christine M Eisenhauer, Patricia A Hageman, Sheri Rowland, Betsy J Becker, Susan A Barnason, Carol H Pullen
OBJECTIVE: To examine rural men's use and perceptions of mobile and wireless devices to self-monitor eating and physical activity (mHealth). DESIGN AND SAMPLE: Men in this 3-week pilot study used FitBit One(®) to log daily food intake and monitor activity. A companion application (app) allowed activity monitoring of fellow participants. Health-related text messages were received 1-3 times daily. A purposive sample of 12 rural men (ages 40-67) was recruited by community leaders...
October 18, 2016: Public Health Nursing
Artur Direito, Eliana Carraça, Jonathan Rawstorn, Robyn Whittaker, Ralph Maddison
BACKGROUND: mHealth programs offer potential for practical and cost-effective delivery of interventions capable of reaching many individuals. PURPOSE: To (1) compare the effectiveness of mHealth interventions to promote physical activity (PA) and reduce sedentary behavior (SB) in free-living young people and adults with a comparator exposed to usual care/minimal intervention; (2) determine whether, and to what extent, such interventions affect PA and SB levels and (3) use the taxonomy of behavior change techniques (BCTs) to describe intervention characteristics...
October 18, 2016: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
Mattias Georgsson, Nancy Staggers
Chronic diseases, including diabetes, constitute a substantial disease burden around the world. Mobile self-management systems now play a significant and increasingly important role in patients' disease management. Yet, patients' perceptions of these systems after longer-term use are largely unexplored. A random sample of 10 diabetes patients was assessed immediately after they exited a larger, 6-month randomized controlled trial on the use of a mHealth system called Care4Life. This descriptive, exploratory study assessed patients' perceptions and experiences of mHealth using a questionnaire and semistructured interview whose development was guided by the Technology Acceptance Model...
September 29, 2016: Computers, Informatics, Nursing: CIN
Syed Anas Imtiaz, James Mardell, Siavash Saremi-Yarahmadi, Esther Rodriguez-Villegas
Continuous patient monitoring systems acquire enormous amounts of data that is either manually analysed by doctors or automatically processed using intelligent algorithms. Sections of data acquired over long period of time can be corrupted with artefacts due to patient movement, sensor placement and interference from other sources. Owing to the large volume of data these artefacts need to be automatically identified so that the analysis systems and doctors are aware of them while making medical diagnosis. Three important factors are explored that must be considered and quantified for the design and evaluation of automatic artefact identification algorithms: signal quality, interpretation quality and computational complexity...
September 2016: Healthcare Technology Letters
Andre Matthias Müller, Stephanie Alley, Stephanie Schoeppe, Corneel Vandelanotte
BACKGROUND: Promoting physical activity and healthy eating is important to combat the unprecedented rise in NCDs in many developing countries. Using modern information-and communication technologies to deliver physical activity and diet interventions is particularly promising considering the increased proliferation of such technologies in many developing countries. The objective of this systematic review is to investigate the effectiveness of e-& mHealth interventions to promote physical activity and healthy diets in developing countries...
October 10, 2016: International Journal of Behavioral Nutrition and Physical Activity
Przemysław Kardas, Krzysztof Lewandowski, Stefano Bromuri
Patient acceptance is one of the major barriers toward widespread use of mHealth systems. The aim of this study was to assess system operability and whole trial feasibility, including patients' experience with their use of COMMODITY12 mHealth system under. Secondary study aims included assessment of several metabolic parameters as well as patient adherence to the treatment. This was a prospective parallel-arm randomized controlled trial in outpatients diagnosed with DM2, being treated in the primary care settings in Lodz region, Poland, with 6 weeks period of follow-up...
December 2016: Journal of Medical Systems
Jessica L Baldwin, Hardeep Singh, Dean F Sittig, Traber Davis Giardina
Widespread use of health information technology (IT) could potentially increase patients' access to their health information and facilitate future goals of advancing patient-centered care. Despite having increased access to their health data, patients do not always understand this information or its implications, and digital health data can be difficult to navigate when displayed in a small-format, complex interface. In this paper, we discuss two forms of patient-facing health IT tools-patient portals and applications (apps)-and highlight how, despite several limitations of each, combining high-yield features of mobile health (mHealth) apps with portals could increase patient engagement and self-management and be more effective than either of them alone...
October 3, 2016: Healthcare
Carolyn Steele Gray, Stewart Mercer, Ted Palen, Brian McKinstry, Anne Hendry
Information technology (IT) in healthcare, also referred to as eHealth technologies, may offer a promising solution to the provision of better care and support for people who have multiple conditions and complex care needs, and their caregivers. eHealth technologies can include electronic medical records, telemonitoring systems and web-based portals, and mobile health (mHealth) technologies that enable information sharing between providers, patients, clients and their families. IT often acts as an enabler of improved care delivery, rather than being an intervention per se...
2016: Healthcare Quarterly
Elizabeth Park, Tiny Masupe, Joseph Joseph, Ari Ho-Foster, Afton Chavez, Swetha Jammalamadugu, Andrew Marek, Ruth Arumala, Dineo Ketshogileng, Ryan Littman-Quinn, Carrie Kovarik
BACKGROUND: Since the UN Human Rights Council's recognition on the subject in 2011, the right to access the Internet and information is now considered one of the most basic human rights of global citizens [1,2]. Despite this, an information gap between developed and resource-limited countries remains, and there is scant research on actual information needs of workers themselves. The Republic of Botswana represents a fertile ground to address existing gaps in research, policy, and practice, due to its demonstrated gap in access to information and specialists among rural health care workers (HCWs), burgeoning mHealth capacity, and a timely offer from Orange Telecommunications to access Wikipedia for free on mobile platforms for Botswana subscribers...
November 2016: International Journal of Medical Informatics
Lisa Stroux, Boris Martinez, Enma Coyote Ixen, Nora King, Rachel Hall-Clifford, Peter Rohloff, Gari D Clifford
Limited funding for medical technology, low levels of education and poor infrastructure for delivering and maintaining technology severely limit medical decision support in low- and middle-income countries. Perinatal and maternal mortality is of particular concern with millions dying every year from potentially treatable conditions. Guatemala has one of the worst maternal mortality ratios, the highest incidence of intra-uterine growth restriction (IUGR), and one of the lowest gross national incomes per capita within Latin America...
October 4, 2016: Journal of Medical Engineering & Technology
Mary R Janevic, Amparo C Aruquipa Yujra, Nicolle Marinec, Juvenal Aguilar, James E Aikens, Rosa Tarrazona, John D Piette
BACKGROUND: Innovative, scalable solutions are needed to address the vast unmet need for mental health care in low- and middle-income countries (LMICs). METHODS: We conducted a feasibility study of a 14-week automated telephonic interactive voice response (IVR) depression self-care service among Bolivian primary care patients with at least moderately severe depressive symptoms. We analyzed IVR call completion rates, the reliability and validity of IVR-collected data, and participant satisfaction...
2016: International Journal of Mental Health Systems
Irena Gorski, Joshua T Bram, Staci Sutermaster, Molly Eckman, Khanjan Mehta
While mHealth holds great potential for addressing global health disparities, a majority of the initiatives never proceed beyond the pilot stage. One fundamental concern is that mHealth projects are seldom designed from the customer's perspective to address their specific problems and/or create appreciable value. A customer-centric view, where direct tangible benefits of interventions are identified and communicated effectively, can drive customer engagement and advance projects toward self-sustaining business models...
August 12, 2016: Journal of Medical Engineering & Technology
Marie-Louise Mares, David H Gustafson, Joseph E Glass, Andrew Quanbeck, Helene McDowell, Fiona McTavish, Amy K Atwood, Lisa A Marsch, Chantelle Thomas, Dhavan Shah, Randall Brown, Andrew Isham, Mary Jane Nealon, Victoria Ward
BACKGROUND: Millions of Americans need but don't receive treatment for substance use, and evidence suggests that addiction-focused interventions on smart phones could support their recovery. There is little research on implementation of addiction-related interventions in primary care, particularly in Federally Qualified Health Centers (FQHCs) that provide primary care to underserved populations. We used mixed methods to examine three FQHCs' implementation of Seva, a smart-phone app that offers patients online support/discussion, health-tracking, and tools for coping with cravings, and offers clinicians information about patients' health tracking and relapses...
September 29, 2016: BMC Medical Informatics and Decision Making
Shu Chen, Enying Gong, Dhruv S Kazi, Ann B Gates, Kamilu Musa Karaye, Nicolas Girerd, Rong Bai, Khalid F AlHabib, Chaoyun Li, Kelly Sun, Louisa Hong, Hua Fu, Weixia Peng, Xianxia Liu, Lei Chen, J-D Schwalm, Lijing L Yan
Coronary heart disease (CHD) is a major disease burden globally and in China, but secondary prevention among CHD patients remains insufficient. Mobile health (mHealth) technology holds promise for improving secondary prevention but few previous studies included both provider-facing and patient-directed measures. We conducted a physician needs assessment survey (n = 59), physician interviews (n = 6), one focus group and a short cellphone message validation survey (n = 14) in Shanghai and Hainan, China...
August 12, 2016: Journal of Medical Engineering & Technology
Phillip Sundin, Jonathan Callan, Khanjan Mehta
Telemedicine is an increasingly common approach to improve healthcare access in developing countries with fledgling healthcare systems. Despite the strong financial, logistical and clinical support from non-governmental organisations (NGOs), government ministries and private actors alike, the majority of telemedicine projects do not survive beyond the initial pilot phase and achieve their full potential. Based on a review of 35 entrepreneurial telemedicine and mHealth ventures, and 17 reports that analyse their operations and challenges, this article provides a narrative review of recurring failure modes, i...
August 9, 2016: Journal of Medical Engineering & Technology
Rebecca Gunter, Sara Fernandes-Taylor, Andrea Mahnke, Lola Awoyinka, Chad Schroeder, Jason Wiseman, Sarah Sullivan, Kyla Bennett, Caprice Greenberg, K Craig Kent
BACKGROUND: Surgical patients are increasingly using mobile health (mHealth) platforms to monitor recovery and communicate with their providers in the postdischarge period. Despite widespread enthusiasm for mHealth, few studies evaluate the usability or user experience of these platforms. OBJECTIVE: Our objectives were to (1) develop a novel image-based smartphone app for postdischarge surgical wound monitoring, and (2) rigorously user test it with a representative population of vascular and general surgery patients...
2016: JMIR MHealth and UHealth
Elena Huerta-Ramos, Maria Soledad Escobar-Villegas, Katya Rubinstein, Zsolt Szabolcs Unoka, Eva Grasa, Margarita Hospedales, Erika Jääskeläinen, Elena Rubio-Abadal, Asaf Caspi, István Bitter, Jesus Berdun, Jussi Seppälä, Susana Ochoa, Kata Fazekas, Iluminada Corripio, Judith Usall
BACKGROUND: Despite the theoretical potential of mHealth solutions in the treatment of patients with schizophrenia, there remains a lack of technological tools in clinical practice. OBJECTIVE: The aim of this study was to measure the receptivity of patients, informal carers, and clinicians to a European integral intervention model focused on patients with persistent positive symptoms: Mobile Therapeutic Attention for Patients with Treatment-Resistant Schizophrenia (m-RESIST)...
2016: JMIR MHealth and UHealth
Yoonhee P Ha, Martha A Tesfalul, Ryan Littman-Quinn, Cynthia Antwi, Rebecca S Green, Tumelo O Mapila, Scarlett L Bellamy, Ronald T Ncube, Kenneth Mugisha, Ari R Ho-Foster, Anthony A Luberti, John H Holmes, Andrew P Steenhoff, Carrie L Kovarik
Tuberculosis (TB) contact tracing is typically conducted in resource-limited settings with paper forms, but this approach may be limited by inefficiencies in data collection, storage, and retrieval and poor data quality. In Botswana, we developed, piloted, and evaluated a mobile health (mHealth) approach to TB contact tracing that replaced the paper form-based approach for a period of six months. For both approaches, we compared the time required to complete TB contact tracing and the quality of data collected...
October 2016: Journal of Health Communication
Emily M Rosenberger, Annette J DeVito Dabbs, Andrea F DiMartini, Douglas P Landsittel, Joseph M Pilewski, Mary Amanda Dew
Mobile health (mHealth) interventions may help transplant recipients follow their complex medical regimen. Pocket Personal Assistant for Tracking Health (Pocket PATH) is one such intervention, tailored for lung transplant recipients. A randomized controlled trial showed Pocket PATH's superiority to usual care for promoting the self-management behaviors of adherence, self-monitoring and communication with clinicians during post-transplant year 1. Its long-term impact was unknown. Here, we examine associations between Pocket PATH exposure during year 1 and longer-term clinical outcomes-mortality and bronchiolitis obliterans syndrome (BOS)-among 182 recipients who survived the original trial...
September 24, 2016: American Journal of Transplantation
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