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https://www.readbyqxmd.com/read/29350505/bridging-the-digital-divide-mobile-access-to-personal-health-records-among-patients-with-diabetes
#1
Ilana Graetz, Jie Huang, Richard J Brand, John Hsu, Cyrus K Yamin, Mary E Reed
OBJECTIVES: Some patients lack regular computer access and experience a digital divide that causes them to miss internet-based health innovations. The diffusion of smartphones has increased internet access across the socioeconomic spectrum, and increasing the channels through which patients can access their personal health records (PHRs) could help bridge the divide in PHR use. We examined PHR use through a computer-based Web browser or mobile device. STUDY DESIGN: Cross-sectional historical cohort analysis...
January 2018: American Journal of Managed Care
https://www.readbyqxmd.com/read/29345109/effectiveness-of-smartphone-technologies-on-glycaemic-control-in-patients-with-type-2-diabetes-systematic-review-with-meta-analysis-of-17-trials
#2
REVIEW
I X Y Wu, J C Y Kee, D E Threapleton, R Ma, V C K Lam, E K P Lee, S Y S Wong, V C H Chung
Patient education and behavioural interventions for self-management of type 2 diabetes mellitus (T2DM) are effective but place demands on manpower resources. This systematic review aimed to investigate the effectiveness of smartphone technologies (STs) for improving glycaemic control among T2DM patients. CENTRAL, MEDLINE, Embase, CINAHL and ScienceDirect were searched through December 2016. Randomized controlled trials comparing STs with usual diabetes care among T2DM patients and reporting change in glycated haemoglobin (HbA1c) level were included...
January 17, 2018: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/29329023/women-s-experiences-with-using-a-smartphone-app-the-pregnant-app-to-manage-gestational-diabetes-mellitus-in-a-randomised-controlled-trial
#3
Jeanette B Skar, Lisa M Garnweidner-Holme, Mirjam Lukasse, Laura Terragni
OBJECTIVE: The purpose of this study was to explore the experiences of women with gestational diabetes mellitus (GDM) with controlling their blood glucose values and receiving health and nutrition information using a smartphone app (the Pregnant+ app). DESIGN AND PARTICIPANTS: The study utilised the interpretative phenomenological analysis method. Semi-structured interviews were conducted with 17 participants among those participating to the randomised controlled trial...
December 27, 2017: Midwifery
https://www.readbyqxmd.com/read/29325664/results-of-the-clinician-apps-survey-how-clinicians-working-with-patients-with-diabetes-and-obesity-use-mobile-health-apps
#4
Justine Karduck, Karen Chapman-Novakofski
OBJECTIVE: To develop and administer a questionnaire to determine what factors may be associated with app use (including frequency of use, reasons to recommend to clients/patients, perceived effectiveness on health, health aspects used, features, and types of apps) by clinicians working in diabetes and weight management patient care settings. METHODS: The Clinician Apps Survey was developed and contained 3 question domains (smartphone apps use, behavior theory in counseling sessions, and demographics) to explore frequency, types, preferred features, benefits/barriers of using apps, counseling techniques used, and clinician demographics...
January 2018: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/29316905/app-technology-to-increase-physical-activity-among-patients-with-diabetes-type-2-the-diacert-study-a-randomized-controlled-trial
#5
Stephanie E Bonn, Christina Alexandrou, Kristin Hjörleifsdottir Steiner, Klara Wiklander, Claes-Göran Östenson, Marie Löf, Ylva Trolle Lagerros
BACKGROUND: Physical activity can decrease the risk of complications related to diabetes type 2. Feasible and scalable strategies to implement support for a healthy lifestyle for patients in primary care are needed. The aim of the DiaCert-study is to evaluate a digital healthcare platform and the effect of a 12-week long smartphone-app physical activity intervention aiming at increasing physical activity (primary outcome) and improve levels of HbA1c (glycated hemoglobin), blood lipids, blood pressure, body composition, as well as other lifestyle factors and overall health in patients with diabetes type 2...
January 10, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29316338/efficacy-of-automatic-bolus-calculator-with-automatic-speech-recognition-in-patients-with-type-1-diabetes-a-randomized-crossover-trial
#6
Piotr Foltynski, Piotr Ladyzynski, Ewa Pankowska, Karolina Mazurczak
BACKGROUND: Patients using an insulin pump as part of their diabetes treatment need to calculate insulin bolus to compensate for a meal. Some patients do not modify their meal boluses according to the changing amount and composition of food products in a meal. The lack of correct meal boluses leads to unstable, and therefore harmful blood glucose levels. The aim of the current study was to test the system supporting bolus determination based on the voice description of a meal. METHODS: The developed bolus calculator consists of the smartphone application and three remote servers for automatic speech recognition, text analysis, and insulin dosage calculation...
January 8, 2018: Journal of Diabetes
https://www.readbyqxmd.com/read/29261476/user-experience-of-an-innovative-mobile-health-program-to-assist-in-insulin-dose-adjustment-outcomes-of-a-proof-of-concept-trial
#7
Hang Ding, Farhad Fatehi, Anthony W Russell, Mohan Karunanithi, Anish Menon, Dominique Bird, Leonard C Gray
BACKGROUND: Many patients with diabetes require insulin therapy to achieve optimal glycemic control. Initiation and titration of insulin often require an insulin dose adjustment (IDA) program, involving frequent exchange of blood glucose levels (BGLs) and insulin prescription advice between the patient and healthcare team. This process is time consuming with logistical barriers. OBJECTIVE: To develop an innovative mobile health (m-Health) mobile-based IDA program (mIDA) and evaluate the user adherence and experience through a proof-of-concept trial...
December 20, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29259912/smartphones-tele-ophthalmology-and-vision-2020
#8
REVIEW
Mehrdad Mohammadpour, Zahra Heidari, Masoud Mirghorbani, Hassan Hashemi
Telemedicine is an emerging field in recent medical achievements with rapid development. The "smartphone" availability has increased in both developed and developing countries even among people in rural and remotes areas. Tele-based services can be used for screening ophthalmic diseases and also monitoring patients with known diseases. Electronic ophthalmologic records of the patients including captured images by smartphones from anterior and posterior segments of the eye will be evaluated by ophthalmologists, and if patients require further evaluations, they will be referred to experts in the relevant field...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/29247547/psychosocial-impacts-of-hybrid-closed-loop-systems-in-the-management-of-diabetes-a-review
#9
C Farrington
There is a pressing need for new treatment regimens that enable improved glycaemic control and reduced diabetes self-management burdens. Closed-loop, or artificial pancreas, systems represent one of the most promising avenues in this regard. Closed-loop systems connect wearable continuous glucose monitor (CGM) sensors to smartphone- or tablet-mounted algorithms that process and model CGM data to deliver precise and frequently updated doses of fast-acting insulin (and glucagon in dual-hormone systems) to users via wearable pumps...
December 16, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29233806/mobile-health-technology-mdiab-for-the-prevention-of-type-2-diabetes-protocol-for-a-randomized-controlled-trial
#10
Shruti Muralidharan, Viswanathan Mohan, Ranjit Mohan Anjana, Sidhant Jena, Nikhil Tandon, Steven Allender, Harish Ranjani
BACKGROUND: The prevalence of type 2 diabetes is increasing in epidemic proportions in low- and middle-income countries. There is an urgent need for novel methods to tackle the increasing incidence of diabetes. The ubiquity of mobile phone use and access to Internet makes mobile health (mHealth) technology a viable tool to prevent and manage diabetes. OBJECTIVE: The objective of this randomized controlled trial is to implement and evaluate the feasibility, cost-effectiveness, and sustainability of a reality television-based lifestyle intervention program...
December 12, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29230195/content-analysis-of-mobile-health-applications-on-diabetes-mellitus
#11
Syarafina Izahar, Qi Ying Lean, Mohammed Abdul Hameed, Muthu Kumar Murugiah, Rahul P Patel, Yaser Mohammed Al-Worafi, Tin Wui Wong, Long Chiau Ming
Diabetes self-management offers an opportunity to patients to be actively involved in managing their conditions and modifying lifestyle behaviors to attain positive health outcomes. With the unprecedented growth of mobile technology, smartphone plays a role in supporting diabetes self-management. Nonetheless, selecting appropriate mobile applications (apps) is challenging for patients. Thus, this study aimed to evaluate and compare the contents and features of mobile medical apps for diabetes self-management...
2017: Frontiers in Endocrinology
https://www.readbyqxmd.com/read/29228854/the-design-and-development-of-myt1dhero-a-mobile-app-for-adolescents-with-type-1-diabetes-and-their-parents
#12
Bree E Holtz, Katharine M Murray, Denise D Hershey, Joshua Richman, Julie K Dunneback, Arpita Vyas, Michael A Wood
Introduction Type 1 diabetes impacts approximately 1.25 m Americans, many of them young children. As a child grows, there is a transition towards independence and they must learn to manage their diabetes independently. The objective of this study was to design, develop and conduct a prototype test to assess the satisfaction and feasibility of a mobile app for adolescents with type 1 diabetes and their parents to aid in this transition. Methods Ten parent/adolescent groups used MyT1DHero for four weeks. They were given a pre-test/post-test survey regarding family conflict with three tasks of diabetes management and the general tone of family communication...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29226917/toward-research-tested-mobile-health-interventions-to-prevent-diabetes-and-cardiovascular-disease-among-persons-with-pre-diabetes
#13
Steven S Coughlin, Jessica Lynn Stewart
Background: About 35% of US adults have pre-diabetes and an increased risk of diabetes. Consumer-facing devices such as the Fitbit help users become more physically active and manage their weight which reduces risk of diabetes and cardiovascular disease. Methods: In this commentary we provide a summary of healthy lifestyle intervention studies involving persons with pre-diabetes including those conducted in routine clinical practice. We also provide an account of how such interventions might be enhanced through the use of wearable devices linked to smartphone applications...
November 2017: J Hosp Manag Health Policy
https://www.readbyqxmd.com/read/29202642/physical-activity-barriers-and-facilitators-among-us-pacific-islanders-and-the-feasibility-of-using-mobile-technologies-for-intervention-a-focus-group-study-with-tongan-americans
#14
Neng Wan, Ming Wen, Jessie X Fan, O Fahina Tavake-Pasi, Sara McCormick, Kirsten Elliott, Emily Nicolosi
BACKGROUND: Pacific Islanders experience an elevated risk of health conditions such as obesity and diabetes, which are related to a lack of physical activity (PA). However, little attention has been paid to understanding the determinants of PA and promoting PA among this racial/ethnic group in the United States. METHODS: We conducted focus group discussions with Tongan Americans, one of the major Pacific Islander groups in the United States, to gain a better understanding of their PA participation patterns, their barriers and facilitators, their attitudes toward PA, and their perceptions of how mobile technologies such as smartphones could help increase their PA levels...
December 4, 2017: Journal of Physical Activity & Health
https://www.readbyqxmd.com/read/29162560/diabetes-data-management-system-to-improve-glycemic-control-in-people-with-type-1-diabetes-prospective-cohort-study
#15
Concetta Irace, Matthias Axel Schweitzer, Cesare Tripolino, Faustina Barbara Scavelli, Agostino Gnasso
BACKGROUND: Smartphone and Web technology can improve the health care process, especially in chronic diseases. OBJECTIVE: The aim of this study was to investigate whether the use of blood glucose (BG) data management system, which enables connection to smartphones, the Web, the cloud, and downloading, can improve glycemic control in subjects with type 1 diabetes mellitus (T1DM). METHODS: This study was a prospective, single-arm, cohort feasibility study with 6 months of duration...
November 21, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29162557/self-management-and-clinical-decision-support-for-patients-with-complex-chronic-conditions-through-the-use-of-smartphone-based-telemonitoring-randomized-controlled-trial-protocol
#16
Emily Seto, Patrick Ware, Alexander G Logan, Joseph A Cafazzo, Kenneth R Chapman, Phillip Segal, Heather J Ross
BACKGROUND: The rising prevalence of chronic illnesses hinders the sustainability of the health care system because of the high cost of frequent hospitalizations of patients with complex chronic conditions. Clinical trials have demonstrated that telemonitoring can improve health outcomes, but they have generally been limited to single conditions such as diabetes, hypertension, or heart failure. Few studies have examined the impact of telemonitoring on complex patients with multiple chronic conditions, although these patients may benefit the most from this technology...
November 21, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29137708/smartphone-based-non-invasive-salivary-glucose-biosensor
#17
Anuradha Soni, Sandeep Kumar Jha
The present work deals with the development of a non-invasive optical glucose biosensor using saliva samples and a smartphone. The sensor was fabricated with a simple methodology by immobilization of Glucose oxidase enzyme along with a pH responsive dye on a filter paper based strip. The strip changes color upon reaction with glucose present in saliva and the color changes were detected using a smartphone camera through RGB profiling. This standalone biosensor showed good sensitivity and low interference while operating within 20 s response time...
December 15, 2017: Analytica Chimica Acta
https://www.readbyqxmd.com/read/29115204/use-of-the-smartphone-application-pregnant-with-diabetes
#18
Sidse Kjærhus Nørgaard, Vibeke Ladefoged Nichum, Charlotte Barfred, Hellen Marguerite Juul, Anna Lilja Secher, Lene Ringholm, Peter Damm, Elisabeth Reinhardt Mathiesen
INTRODUCTION: The aim of this article was to evaluate the awareness and use of the smartphone application (app) "Pregnant with Diabetes" locally, nationally and internationally. METHODS: In 2013, a patient initiated collaboration with the staff at Centre for Pregnant Women with Diabetes, Rigs-hospitalet, to develop the app "Pregnant with Diabetes". The app communicates clinically important antenatal health information to women with diabetes, based on recommendations from our centre...
November 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/29074843/a-quantitative-point-of-need-assay-for-the-assessment-of-vitamin-d3-deficiency
#19
S Vemulapati, E Rey, D O'Dell, S Mehta, D Erickson
Vitamin D is necessary for the healthy growth and development of bone and muscle. Vitamin D deficiency, which is present in 42% of the US population, is often undiagnosed as symptoms may not manifest for several years and long-term deficiency has been linked to osteoporosis, diabetes and cancer. Currently the majority of vitamin D testing is performed in large-scale commercial laboratories which have high operational costs and long times-to-result. Development of a low-cost point-of-need assay could be transformative to deficiency analysis in limited-resource settings...
October 26, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29060835/phonequant-a-smartphone-based-quantitative-immunoassay-analyser
#20
Malay Ilesh Shah, Jayaraj Joseph, Ujwal Sriharsha Sanne, Mohanasankar Sivaprakasam
There is a vital need for portable and cost-effective point-of-care (PoC) testing technologies that provide reliable and rapid results. Lateral Flow Immunoassays (LFIA) are suitable PoC diagnostic tools with the potential for use in a wide variety of field applications ranging from uses in clinical diagnostics to aiding law enforcement. Quick and reliable diagnosis of non-communicable diseases (NCD) like diabetes is vital especially in developing countries like India where the burden of these diseases is very high and is increasing day by day...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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