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Plaza Roncero, Alejandro, Gonçalo Marques, Beatriz Sainz-De-Abajo, Francisco Martín-Rodríguez, Carlos del Pozo Vegas, Begonya Garcia-Zapirain, and Isabel de la Torre-Díez. "Mobile Health Apps for Medical Emergencies: Systematic Review." JMIR mHealth and uHealth 8, no. 12 (December 11, 2020): e18513. http://dx.doi.org/10.2196/18513.
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Background Mobile health apps are used to improve the quality of health care. These apps are changing the current scenario in health care, and their numbers are increasing. Objective We wanted to perform an analysis of the current status of mobile health technologies and apps for medical emergencies. We aimed to synthesize the existing body of knowledge to provide relevant insights for this topic. Moreover, we wanted to identify common threads and gaps to support new challenging, interesting, and relevant research directions. Methods We reviewed the main relevant papers and apps available in the literature. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was used in this review. The search criteria were adopted using systematic methods to select papers and apps. On one hand, a bibliographic review was carried out in different search databases to collect papers related to each application in the health emergency field using defined criteria. On the other hand, a review of mobile apps in two virtual storage platforms (Google Play Store and Apple App Store) was carried out. The Google Play Store and Apple App Store are related to the Android and iOS operating systems, respectively. Results In the literature review, 28 papers in the field of medical emergency were included. These studies were collected and selected according to established criteria. Moreover, we proposed a taxonomy using six groups of applications. In total, 324 mobile apps were found, with 192 identified in the Google Play Store and 132 identified in the Apple App Store. Conclusions We found that all apps in the Google Play Store were free, and 73 apps in the Apple App Store were paid, with the price ranging from US $0.89 to US $5.99. Moreover, 39% (11/28) of the included studies were related to warning systems for emergency services and 21% (6/28) were associated with disaster management apps.
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Ana, P., and SC Humphery. "Mobile health information system: a mobile app. to aid health workers relate health information." Global Journal of Mathematical Sciences 12, no. 1 (January 19, 2015): 13–23. http://dx.doi.org/10.4314/gjmas.v12i1.13.
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Healthcare is conventionally regarded as an important determinant in promoting the general health and wellbeing of peoples around the world. And in doing this, health education and information plays a major role, because it is a reliable medium and the most effective way to reduce morbidity and mortality in developing countries. We need to deliver vital messages and information to people at the lower quarter of the society, this information can be used for changing behaviors’ and practices, and this in turn can save and protect lives. It is in this context that the use of mobile phones in delivering vital health information and effective fieldwork reporting is of significance. This project seeks to use the availability of mobile service across the urban and rural areas to benefit healthcare.KEY WORDS: Health Information System; Mobile Health Information System, Medical Information
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Becker, Danielle. "What’s App? An Overview of Medical Mobile Apps." Journal of Electronic Resources in Medical Libraries 15, no. 3-4 (October 2, 2018): 165–71. http://dx.doi.org/10.1080/15424065.2018.1554465.
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Gupt, Sachchidanand, Manjeet Yadav, Shubham Verma, Archita Mishra, and Abhishek Shahi. "Map My Fitness App." International Journal of Research Publication and Reviews 03, no. 12 (2022): 749–53. http://dx.doi.org/10.55248/gengpi.2022.31216.
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Health is a state of complete physical, mental and social will and not merely the absence of disease or infirmity” (WHO, 1946). According to this World Health Organization definition, health means general well-being. The increasing prevalence of health problems resulting from modern lifestyles and limited medical resources has led several stakeholders to seek alternative medical methods. Physical activity has many positive health effects, but people often lack the intrinsic motivation to do so. The project is developed in Android Studios. Android has its own virtual machine "Dalvik Virtual Machine" which allows this Android application to run on any device, making it an open source application We used XML (Extensible Markup Language) for the user interface and Java programming for the logic. Android, an operating system developed for small devices such as mobile phones, has rapidly gained market share in dozens of smartphones and is now also used in devices such as tablets and TVs. This is a mobile operating system that uses a modified version of the Linux kernel. Android is developed by Google as part of the Open Handset Alliance. The Open Handset Alliance is a collective of over 30 mobile and technology companies committed to opening up the mobile phone atmosphere. Direct Manipulation relies mostly on his UI on Android, with touch gestures that loosely resemble real actions such as taps, swipes, and pinches for manipulating objects on the screen, and virtual touch gestures for text input use the keyboard. Overall, touchscreen devices, later Android TV for televisions and Android Auto for cars were developed by Google.
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Debong, Fredrick, Harald Mayer, and Johanna Kober. "Real-World Assessments of mySugr Mobile Health App." Diabetes Technology & Therapeutics 21, S2 (June 2019): S2–35—S2–40. http://dx.doi.org/10.1089/dia.2019.0019.
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Lawitschka, Anita, Stephanie Buehrer, Dorothea Bauer, Konrad Peters, Marisa Silbernagl, Natalia Zubarovskaya, Barbara Brunmair, et al. "A Web-Based Mobile App (INTERACCT App) for Adolescents Undergoing Cancer and Hematopoietic Stem Cell Transplantation Aftercare to Improve the Quality of Medical Information for Clinicians: Observational Study." JMIR mHealth and uHealth 8, no. 6 (June 30, 2020): e18781. http://dx.doi.org/10.2196/18781.
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Background A growing number of cancer and hematopoietic stem cell transplant (HSCT) survivors require long-term follow-up with optimal communication schemes, and patients' compliance is crucial. Adolescents have various unmet needs. Regarding self-report of symptoms and health status, users of mobile apps showed enhanced compliance. Currently, HSCT aftercare at the HSCT outpatient clinic of the St. Anna Children’s Hospital in Vienna, Austria, is based on handwritten diaries, carrying various disadvantages. Recently, we developed the prototype of a web-based, self-monitoring gamified mobile app tailored for adolescents: the INTERACCT (Integrating Entertainment and Reaction Assessment into Child Cancer Therapy) app. Objective This observational, prospective study evaluated the usability of the INTERACCT app for tracking real-time self-reported symptoms and health status data in adolescent HSCT patients and a healthy matched control group. The primary outcome of the study was the quality of the self-reported medical information. We hypothesized that the mobile app would provide superior medical information for the clinicians than would the handwritten diaries. Methods Health data were reported via paper diary and mobile app for 5 consecutive days each. The quality of medical information was rated on a 5-point scale independently and blinded by two HSCT clinicians, and the duration of use was evaluated. A total of 52 participant questionnaires were assessed for gaming patterns and device preferences, self-efficacy, users’ satisfaction, acceptability, and suggestions for improvement of the mobile app. Interrater reliability was calculated with the intraclass correlation coefficient, based on a two-way mixed model; one-way repeated-measures analysis of variance and t tests were conducted post hoc. Descriptive methods were used for correlation with participants’ demographics. For users’ satisfaction and acceptability of the mobile app, the median and the IQR were calculated. Results Data from 42 participants—15 patients and 27 healthy students—with comparable demographics were evaluated. The results of our study indicated a superiority of the quality of self-reported medical data in the INTERACCT app over traditional paper-and-pencil assessment (mobile app: 4.14 points, vs paper-based diary: 3.77 points, P=.02). The mobile app outperformed paper-and-pencil assessments mainly among the patients, in particular among patients with treatment-associated complications (mobile app: 4.43 points, vs paper-based diary: 3.73 points, P=.01). The mobile app was used significantly longer by adolescents (≥14 years: 4.57 days, vs ≤13 years: 3.14 days, P=.03) and females (4.76 days for females vs 2.95 days for males, P=.004). This corresponds with a longer duration of use among impaired patients with comorbidities. User satisfaction and acceptability ratings for the mobile app were high across all groups, but adherence to entering a large amount of data decreased over time. Based on our results, we developed a case vignette of the target group. Conclusions Our study was the first to show that the quality of patient-reported medical information submitted via the INTERACCT app embedded in a serious game is superior to that submitted via a handwritten diary. In light of these results, a refinement of the mobile app supported by a machine learning approach is planned within an international research project.
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Cambron, Julia C., Kirk D. Wyatt, Christine M. Lohse, Page Y. Underwood, and Thomas R. Hellmich. "Medical Videography Using a Mobile App: Retrospective Analysis." JMIR mHealth and uHealth 7, no. 12 (December 3, 2019): e14919. http://dx.doi.org/10.2196/14919.
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Background As mobile devices and apps grow in popularity, they are increasingly being used by health care providers to aid clinical care. At our institution, we developed and implemented a point-of-care clinical photography app that also permitted the capture of video recordings; however, the clinical findings it was used to capture and the outcomes that resulted following video recording were unclear. Objective The study aimed to assess the use of a mobile clinical video recording app at our institution and its impact on clinical care. Methods A single reviewer retrospectively reviewed video recordings captured between April 2016 and July 2017, associated metadata, and patient records. Results We identified 362 video recordings that were eligible for inclusion. Most video recordings (54.1%; 190/351) were captured by attending physicians. Specialties recording a high number of video recordings included orthopedic surgery (33.7%; 122/362), neurology (21.3%; 77/362), and ophthalmology (15.2%; 55/362). Consent was clearly documented in the medical record in less than one-third (31.8%; 115/362) of the records. People other than the patient were incidentally captured in 29.6% (107/362) of video recordings. Although video recordings were infrequently referenced in notes corresponding to the clinical encounter (12.2%; 44/362), 7.7% (22/286) of patients were video recorded in subsequent clinical encounters, with 82% (18/22) of these corresponding to the same finding seen in the index video. Store-and-forward telemedicine was documented in clinical notes in only 2 cases (0.5%; 2/362). Videos appeared to be of acceptable quality for clinical purposes. Conclusions Video recordings were captured in a variety of clinical settings. Documentation of consent was inconsistent, and other individuals were incidentally included in videos. Although clinical impact was not always clearly evident through retrospective review because of limited documentation, potential uses include documentation for future reference and store-and-forward telemedicine. Repeat video recordings of the same finding provide evidence of use to track the findings over time. Clinical video recordings have the potential to support clinical care; however, documentation of consent requires standardization.
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Tetenova, Elena J., Aleksei V. Nadezhdin, Alexey J. Kolgashkin, Mikhail V. Fedorov, Inessa A. Bedina, Egor A. Koshkin, Sergei V. Zolotukhin, et al. "Smartphone Medical Apps Use by Health Professionals: Is Gender a Confounding Factor?" Global Journal of Health Science 14, no. 3 (February 17, 2022): 87. http://dx.doi.org/10.5539/gjhs.v14n3p87.
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The main aim of the study was to establish, whether the gender of a health professional affects the use of smartphone medical apps. We studied the basic patterns of smartphone use in doctors with the largest addiction clinic in Moscow, engaged in in-patient treatment, to access possible gender-determined “digital divide”, evaluate the current use of medical applications, and eventual intentions to use a decision-support app. We performed a cross-sectional study of a non-probability sample of medical doctors using a non-standardized anonymous self-questionnaire, covering 3 domains: socio-demographic and professional characteristics; present use of a mobile device; attitudes to the use of mobile medical apps. The study covered 212 of the 328 staff members, 56% men and 44% women. The largest age group was 41–50 years old (32.1%), followed by 51–60 (25%), 31–40 (23.6%), over 61 (10.8%) and 20-30 (8.5%). 77.8% of respondents use mobile Internet in the office to search for professionally relevant information. 86.5% would like to use mobile applications that help in their professional activities. We failed to confirm the hypothesis about possible gender-related features in the use of mobile devices in doctors. The dedicated mobile system for supporting clinical decision-making in addiction hospitals may be in-demand. The level of doctors’ use of mobile devices and mobile applications shows the absence of gender barriers to the utilization of such systems. In the future, we recommend studying other socio-demographic and occupational predictors affecting the use of professional mobile applications by health professionals of various specialties and the acceptability of the gaming approach in the field.
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Upadhyay, Vivek, Adam Landman, and Michael J. Hassett. "Mobile health applications in oncology." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): e14115-e14115. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e14115.
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e14115 Background: Over 325,000 mobile health (mhealth) applications (apps) have been developed. There has been a substantial increase in mhealth investment, with over $8.1 billion invested in digital health startups in 2018. While apps have been studied within clinical oncology, we are aware of no comprehensive evaluation of the commercial footprint of oncology-specific apps. We sought to describe the state of oncology-specific apps and highlight notable areas of development. Methods: We conducted a systemic search for oncology apps in the Apple iOS and Google Play app stores in January 2020. Search terms included “cancer,” “oncology,” “radiotherapy,” and “chemotherapy.” All apps were manually reviewed and classified by English language support, date of last update, downloads, intended audience, intended purpose, and developer type. We also compared commercially available apps with those described in a recently conducted meta-analysis of oncology-app studies. We performed descriptive statistics using RStudio V1.2.335. Results: We identified 794 oncology-specific, English-language applications, but only 257 (32%) met basic quality standards and were considered evaluable. The primary reason for exclusion was lack of a recent update. Of included apps, almost half (47%) were found in the “Medical” Store Category and the majority were free (88%). The most common intended audience was healthcare professionals (45%), with 28% being geared towards the general public and 27% being intended for patients. The intended function was education for 37%, clinical decision support (CDS) for 19%, and patient support for 18%. Only 22% of education apps and 40% of CDS apps reported any formal app content review process. Web developers created 61% of apps, scientific societies created 10%, and hospitals/healthcare organizations created just 6% (Table). The most frequently downloaded apps tended to be geared toward educating/supporting the public. Of 54 studies that utilized mobile apps in oncology identified by a recent meta-analysis, only 2 could be matched to commercially available apps from our study, suggesting a substantial divide between investigation and product dissemination. Conclusions: Our analysis of oncology-related apps in the commercial marketplace found few high-quality, up-to-date apps, and a notable absence of key oncology stakeholders in app development. Future studies should explore barriers to developing and disseminating apps designed to advance oncology care delivery. [Table: see text]
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Sherwin-Smith, James, and Rowan Pritchard-Jones. "Medical Applications: The Future of Regulation." Bulletin of the Royal College of Surgeons of England 94, no. 1 (January 1, 2012): 12–13. http://dx.doi.org/10.1308/147363512x13189526438512.
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we define 'apps' as discrete, independent pieces of software that run on mobile devices. The use of such software on mobile devices within a health environment is not a new phenomenon – there is academic research discussing the opportunities of this technology as early as 1996. however, the proposition has only really become mainstream with the introduction of the Apple iPhone® and supporting App Store, backed by a hugely successful 'There's an app for that' advertising campaign. opening in July 2008 with a mere 500 applications available for download, the App Store now stocks around 500,000 applications and recently surpassed a staggering milestone: 15 billion downloads. Latterly it has been joined by rival application markets from Blackberry®, Microsoft® and, most successfully, AndroidTM.
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Inupakutika, D., D. Akopian, P. Chalela, and A. G. Ramirez. "Performance analysis of Mobile Cloud Computing Architectures for mHealth app." Electronic Imaging 2020, no. 3 (January 26, 2020): 335–1. http://dx.doi.org/10.2352/issn.2470-1173.2020.3.mobmu-332.
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Mobile Health (mHealth) applications (apps) are being widely used to monitor health of patients with chronic medical conditions with the proliferation and the increasing use of smartphones. Mobile devices have limited computation power and energy supply which may lead to either delayed alarms, shorter battery life or excessive memory usage limiting their ability to execute resource-intensive functionality and inhibit proper medical monitoring. These limitations can be overcome by the integration of mobile and cloud computing (Mobile Cloud Computing (MCC)) that expands mobile devices' capabilities. With the advent of different MCC architectures such as implementation of mobile user-side tools or network-side architectures it is hence important to decide a suitable architecture for mHealth apps. We survey MCC architectures and present a comparative analysis of performance against a resource demanding representative testing scenario in a prototype mHealth app. This work will compare numerically the mobile cloud architectures for a case study mHealth app for Endocrine Hormonal Therapy (EHT) adherence. Experimental results are reported and conclusions are drawn concerning the design of the prototype mHealth app system using the MCC architectures.
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Miner, Skye A., Eden N. Gelgoot, Alix Lahuec, Samantha Wunderlich, Darryl Safo, Felicia Brochu, Shrinkhala Dawadi, et al. "“Who needs an app? Fertility patients’ use of a novel mobile health app”." DIGITAL HEALTH 8 (January 2022): 205520762211022. http://dx.doi.org/10.1177/20552076221102248.
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Objective The number of couples experiencing infertility treatment has increased, as has the number of women and men experiencing infertility treatment-related stress and anxiety. Therefore, there is a need to provide information and support to both men and women facing fertility concerns. To achieve this goal, we designed a mhealth app, Infotility, that provided men and women with tailored medical, psychosocial, lifestyle, and legal information. Methods This study specifically examined how fertility factors (e.g. time in infertility treatment, parity), socio-demographic characteristics (e.g. gender, education, immigrant status), and mental health characteristics (e.g. stress, depression, anxiety, fertility-related quality of life) were related to male and female fertility patients’ patterns of use of the Infotility app. Results Overall, the lifestyle section of the app was the most highly used section by both men and women. In addition, women without children and highly educated women were more likely to use Infotility. No demographic, mental health or fertility characteristics were significantly associated with app use for men. Conclusion This study shows the feasibility of a mhealth app to address the psychosocial and informational needs of fertility patients.
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Liu, Yue, and Xia Wang. "Application of Smart Mobile Medical Services in Maternal Health Care Management." Contrast Media & Molecular Imaging 2021 (December 8, 2021): 1–6. http://dx.doi.org/10.1155/2021/6249736.
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In order to standardize the health management of pregnant women, improve the health level of pregnant women, and improve the outcome of pregnancy with the help of the smartphone mobile terminal app, the 100 pregnant women who gave birth in the hospital and participated in the management of the health assistant app were selected as the observation group, and the 100 hospitalized pregnant women who did not participate in the management of the app were selected as the control group. The two groups of pregnant women were compared in their knowledge of health care, compliance of prenatal examination, delivery mode, and follow-up rate. The results showed that the observation group was significantly higher than the control group in the knowledge of health care during pregnancy and perinatal period, the rate of natural childbirth, the compliance rate of prenatal examination, and the follow-up rate. After the system was launched, the number of registered pregnant women reached more than 60% of the total number of pregnant women in the hospital, the number of clicks reached more than 2 million times, the number of clinic settlement accounted for more than 30%, and the interpretation rate of fetal heart rate in outpatient and remote clinics reached more than 20%. The diagnosis and treatment process has been significantly improved, and the implementation effect has reached the expectation. O2O maternal and child service mode has been realized through mobile internet technology. It has been proved that the use of smart mobile terminals in the out-of-hospital health care management of pregnant women not only facilitates medical staff to provide timely personalized medical services for pregnant women but also is convenient for pregnant women to obtain health care knowledge through multiple channels, improve the quality of home health management for pregnant women, and effectively improve the pregnancy outcome.
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Greenstein, Jay, Robert Topp, Jena Etnoyer-Slaski, Michael Staelgraeve, and John McNulty. "Effect of a Mobile Health App on Adherence to Physical Health Treatment: Retrospective Analysis." JMIR Rehabilitation and Assistive Technologies 8, no. 4 (December 2, 2021): e31213. http://dx.doi.org/10.2196/31213.
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Background Adherence to prescribed medical interventions can predict the efficacy of the treatment. In physical health clinics, not adhering to prescribed therapy can take the form of not attending a scheduled clinic visit (no-show appointment) or prematurely terminating treatment against the advice of the provider (self-discharge). A variety of interventions, including mobile phone apps, have been introduced for patients to increase their adherence to attending scheduled clinic visits. Limited research has examined the impact of a mobile phone app among patients attending chiropractic and rehabilitation clinic visits. Objective This study aims to compare adherence to prescribed physical health treatment among patients attending a chiropractic and rehabilitation clinic who did and did not choose to adopt a phone-based app to complement their treatment. Methods The medical records of new patients who presented for care during 2019 and 2020 at 5 community-based chiropractic and rehabilitation clinics were reviewed for the number of kept and no-show appointments and to determine whether the patient was provider-discharged or self-discharged. During this 24-month study, 36.28% (1497/4126) of patients seen in the targeted clinics had downloaded the Kanvas app on their mobile phone, whereas the remaining patients chose not to download the app (usual care group). The gamification component of the Kanvas app provided the patient with a point every time they attended their visits, which could be redeemed as an incentive. Results During both 2019 and 2020, the Kanvas app group was provider-discharged at a greater rate than the usual care group. The Kanvas app group kept a similar number of appointments compared with the usual care group in 2019 but kept significantly more appointments than the usual care group in 2020. During 2019, both groups exhibited a similar number of no-show appointments; however, in 2020, the Kanvas app group demonstrated more no-show appointments than the usual care group. When collapsed across years and self-discharged, the Kanvas app group had a greater number of kept appointments compared with the usual care group. When provider-discharged, both groups exhibited a similar number of kept appointments. The Kanvas app group and the usual care group were similar in the number of no-show appointments when provider-discharged, and when self-discharged, the Kanvas app group had more no-show appointments compared with the usual care group. Conclusions Patients who did or did not have access to the Kanvas app and were provider-discharged exhibited a similar number of kept appointments and no-show appointments. When patients were self-discharged and received the Kanvas app, they exhibited 3.2 more kept appointments and 0.94 more no-show appointments than the self-discharged usual care group.
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Nachandiya, Nathan, Adeyemi Abel Ajibesin, Olumide Babatope Longe, and Benisemeni Francis Dama. "Design and Implementation of mHealth App Using Zoho Creator." Advances in Science and Technology 107 (June 28, 2021): 159–73. http://dx.doi.org/10.4028/www.scientific.net/ast.107.159.
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Mobile Health (mHealth) refers to any medical and public health practice aided by smart phones, tablets, or any mobile device. These devices are able to move about which allows communication anytime, anywhere. M-health is considered as the next step beyond the E-health systems. In recent times, M-health has become a new normal that has come to stay, despite the gradual reduction in COVID 19 cases worldwide that was believed to prompts most organization to go online. Software Developers have been on their toes trying to develop applications that can run effectively and remotely to deliver all healthcare services via mobile devices. This paper intends to develop a robust Mobile App using Zoho Creator that can effectively be bundled on any platform (Android, IOS etc) to meet the needs of patients anytime, everywhere. The application is rich with embedded platform and privileges for Doctors, Pharmacist, Lab scientist, Nurses, Medical record officers and patients. The interfaces are developed in a way that is attractive, easy to use, and optimized to meet the user’s needs. The app also takes care of selfservice facilities like Blood Pressure( BP) test, temperature test, heartbeat and some basic first aid and public health information tips for daily use.
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Zhai, Yunkai, Xin Song, Yajun Chen, and Wei Lu. "A Study of Mobile Medical App User Satisfaction Incorporating Theme Analysis and Review Sentiment Tendencies." International Journal of Environmental Research and Public Health 19, no. 12 (June 17, 2022): 7466. http://dx.doi.org/10.3390/ijerph19127466.
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Mobile medicine plays a significant role in optimizing medical resource allocation, improving medical efficiency, etc. Identifying and analyzing user concern elements from active online reviews can help to improve service quality and enhance product competitiveness in a targeted manner. Based on the latent Dirichlet allocation (LDA) topic model, this study carries out a topic-clustering analysis of users’ online comments and builds an evaluation index system of mobile medical users’ satisfaction by using grounded theory. After that, the evaluation information of users is obtained through an emotional analysis of online comments. Then, in order to fully consider the uncertainty of decision makers’ evaluations, rough number theory and the fuzzy comprehensive evaluation method are used to confirm the conclusions of experts and indicators and to evaluate the satisfaction of mobile medical users. The empirical results show that users are satisfied with the service quality and content quality of mobile medical apps, and less satisfied with the management and technology qualities. Therefore, this paper puts forward corresponding countermeasures from the aspects of strengthening safety supervision, strengthening scientific research, strengthening information audit, attaching importance to service quality management and strengthening doctors' sense of gain. This study uses text mining for index extraction and satisfaction analysis of online reviews to quantitatively evaluate user satisfaction with mobile medical apps, providing a reference for the improvement of mobile medical apps. However, there are still certain shortcomings in the current study, and subsequent studies can screen false reviews for a deeper study of online review information.
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Cruz-Cortes, Ma Elena. "Mobile Apps, a tool for public health." Mexican Journal of Medical Research ICSA 8, no. 16 (July 5, 2020): 33–39. http://dx.doi.org/10.29057/mjmr.v8i16.3970.
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The use of mobile apps in healthcare turned around the paradigm in which the medical service is underneath. M-Health is an increasing sector that offers a lot of innovation possibilities, it makes information available at any time. It allows the access to a large universe of tools that pledge to be of great benefit and become an important resource in the provision of health services due to its easy diffusion, use and wide acceptance. The mobile app help in diagnosis, treatment, disease prevention and effective counseling of health information. The reviewed literature reveal that M-Health in Mexico has a great potential to ameliorate access and quality of health-care services, boosting effectiveness of public health programs and the abatement of health care costs. The objective of this article is to explain the relation and benefits of e-Health and m- Health in the health care field and to identify the mobile app developed in public and private health care services in Mexico
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Moshi, Magdalena Ruth, Rebecca Tooher, and Tracy Merlin. "Development of a health technology assessment module for evaluating mobile medical applications." International Journal of Technology Assessment in Health Care 36, no. 3 (May 18, 2020): 252–61. http://dx.doi.org/10.1017/s0266462320000288.
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ObjectiveThe aim of this study was to develop a module which could be used to facilitate the assessment of mobile medical applications (MMA) for regulatory and reimbursement purposes.MethodsIn-depth interviews were conducted with policymakers, healthcare practitioners, and application developers to determine possible pathways and impediments to MMA reimbursement. These findings were integrated with our previous research on MMA reimbursement and regulation to create a module that could be used with existing health technology assessment (HTA) methodological frameworks to guide the evaluation of MMAs.ResultsStakeholders indicated that they trust how traditional medical devices are currently appraised for reimbursement. They were concerned that there was a lack of clarity regarding which entity in the health system was responsible for determining app quality. They were also concerned about the digital health literacy of medical practitioners and patients. Concepts emerging from our previous research were reinforced by the interview findings, including that the connectivity and cybersecurity of apps need to be considered, along with an assessment of software reliability. It is also critical that the credibility of the information presented in apps is assessed as it could potentially mislead patients and clinicians.ConclusionAn MMA evaluation module was created that would enable an existing HTA process to be adapted for the assessment of MMA technology. These adaptations include making provisions for an assessment of app cybersecurity, the impact on MMA clinical utility of software updates, and compatibility issues. Items to address concerns around practitioner responsibility and app misinformation were also incorporated into the module.
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Vincze, Joseph. "25 healthcare mobile apps for consumers." Library Hi Tech News 34, no. 7 (September 4, 2017): 16–23. http://dx.doi.org/10.1108/lhtn-07-2017-0052.
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Purpose The purpose of this paper is to provide a curated sample of consumer healthcare mobile apps that can be recommended to library patrons for obtaining health-related information and/or monitor and track their health. Design/methodology/approach Various health and medical apps listed on major app stores have been explored to address diverse consumer health and medical needs. Findings Healthcare mobile apps are increasingly being used by patients and consumers. Originality/value This paper examines some mobile apps that consumers are using as healthcare tools or for finding health information.
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Gkrozou, F., O. Tsonis, M. Godden, V. Siafaka, and M. Paschopoulos. "Mobile Health (mHealth) apps focused on menopause: Are they any good?" Post Reproductive Health 25, no. 4 (November 3, 2019): 191–98. http://dx.doi.org/10.1177/2053369119878978.
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Objective Nowadays, smartphones are becoming an indispensable tool due to the popular use of useful applications (apps) that can be downloaded and installed to aid our everyday lives. The quantity of apps manifested as tools for mobile health (mHealth) is undoubtedly high. The mHealth apps are very popular and cover various and different aspects of health. The first app for women in menopause was presented in 2014. Since then, more apps have been developed. The aim of this study is to identify mHealth apps that address the menopause with a focused view on the degree of medical professional involvement and documented evidence base practice in their design, as well as, underline their potential role in raising awareness regarding health in the community. Methods The official app stores by Google, Apple, Windows and Blackberry were chosen to pool the apps. The keywords used were ‘apps for menopause’, ‘women in menopause’ and ‘menopause’. Eligible apps were selected based on the target consumer, each app’s price, documentation of evidence base practice and documentation of medical professional involvement. Results This search revealed 35 relevant apps, of which 10 were excluded as they were identified as duplicates available for download by more than one app store. Authors excluded also further three mHealth apps, since they were not written in English, and the assessment was difficult due to the language barrier. A total of 22 mHealth menopause apps were included in this study. Medical professional involvement was noted in 27.3% of the mHealth menopause apps, and 22.7% of the total apps used evidence-based information. The mHealth menopause apps were free of charge in 86.4%. Ninety-one percent of the apps were designed for the consumers, while only 9% of them were suitable for medical professionals. Conclusions In conclusion, there is a need to improve the mHealth apps available for menopause, by including more medical staff in their development and by establishing clear regulation around the development and the context of an mHealth app.
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Carleton, Kelly E., Urvashi B. Patel, Dana Stein, David Mou, Alissa Mallow, and Michelle A. Blackmore. "Enhancing the scalability of the collaborative care model for depression using mobile technology." Translational Behavioral Medicine 10, no. 3 (June 2020): 573–79. http://dx.doi.org/10.1093/tbm/ibz146.
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Abstract The collaborative care model (CoCM) has substantial support for improving behavioral health care in primary care. However, large-scale CoCM adoption relies on addressing operational and financial implementation challenges across health care settings with varying resources. An academic medical center serving socioeconomically and racially diverse patients implemented the CoCM in seven practices. A smartphone application was introduced to facilitate CoCM care management during depression treatment (app-augmented CoCM). App features included secure texting, goal/appointment reminders, symptom monitoring, and health education material. A nonrandomized convenience patient sample (N = 807) was enrolled in app-augmented CoCM and compared with patients in standard CoCM (N = 3,975). Data were collected on clinical contact frequency, engagement, and clinical outcomes. App-augmented CoCM patients received more health care team contacts (7.9 vs. 4.9, p < .001) and shorter time to follow up compared with the standard CoCM sample (mean = 11 vs. 19 days, p < .001). App-augmented CoCM patients had clinical outcomes similar to the standard CoCM group (47% vs. 46% with ≥50% depression improvement or score <10), despite app-augmented patients having more prior depression treatment episodes. Further, the app-augmented group with greater app engagement demonstrated increased behavioral health appointment compliance, including more completed appointments and fewer no shows, and greater depression symptom improvement than those with less app engagement. App-augmented CoCM may improve patient engagement in treatment and provide opportunities to implement key CoCM elements without overburdening practice resources. CoCM sustainability and scalability in primary care may be enhanced by using this technology.
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Volk, Mojca, Janez Sterle, and Urban Sedlar. "Safety and Privacy Considerations for Mobile Application Design in Digital Healthcare." International Journal of Distributed Sensor Networks 2015 (2015): 1–12. http://dx.doi.org/10.1155/2015/549420.
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This paper presents a case study on security and privacy implications on the design of a mobile application in digital health, the DeStress Assistant (DeSA) app, which utilizes sensing technologies and capabilities of the Internet of Things (IoT). An analysis of the applicable legislative framework is provided and selected challenges encountered during the app design are discussed, which are related with the practical implications of provisions of the international and national legislation for software applications in general as well as medical devices and handling of sensitive data in particular. We provide insights into design choices, including different possible scenarios for classification of a mobile app as a medical device and the pertaining legal risks the app developer is faced with as a consequence of possible legal obligations, and different possibilities of specifying the intended use. Also, we propose two designs of a mechanism that enables secure sharing of the patient’s health-related observations from the DeSA app with a medical professional within a treatment context. The first mechanism provides secure submission of health-related observations into a hospital information system, whereas the second mechanism enables secure short-term sharing of observations without storage.
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Pereira Azevedo, Nuno, Stavros Gravas, and Jean de la Rosette. "Mobile Health in Urology: The Good, the Bad and the Ugly." Journal of Clinical Medicine 9, no. 4 (April 3, 2020): 1016. http://dx.doi.org/10.3390/jcm9041016.
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Our aim is to present the current position of mobile health (mHealth) and the delivery of healthcare services via mobile communication devices in urology. We conducted a literature review of urology mHealth papers on PubMed. Results indicate that mHealth is becoming ubiquitous in contemporary healthcare systems. Although its potential has been shown, urology lags behind other areas, representing just 0.1% of the 300,000 available medical apps in the Apple App Store and Google Play Store. Furthermore, there is a lack of expert healthcare professional involvement in app development. To avoid harm, it is critical that the scientific accuracy, patient privacy, and user safety of urology mHealth applications are assured. This is because there is no globally enforced medical app regulation, compulsory scientific guidelines, nor mandatory industry standards. Urologists, either individually or via scientific organizations, should have a pivotal position in the design, development, review, certification, and recommendation of apps. mHealth holds great potential in urology, as it can aid multiple stakeholders: citizens, patients, healthcare professionals, health organizations, and public authorities (e.g., Ministry of Health). Even though it is mostly used to improve existing medical activities at present, the future will include revolutionary and ground-breaking technology solutions. This innovative field should be seen by urologists as an opportunity to provide greater care to our patients and better tools and knowledge to our peers.
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Upadhyay, Vivek A., Adam B. Landman, and Michael J. Hassett. "Landscape Analysis of Oncology Mobile Health Applications." JCO Clinical Cancer Informatics, no. 5 (May 2021): 579–87. http://dx.doi.org/10.1200/cci.20.00156.
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PURPOSE More than 325,000 mobile health (mhealth) applications (apps) have been developed. We sought to describe the state of oncology-specific apps and to highlight areas of strength and opportunities for future development. METHODS We searched for oncology apps in the Apple iOS and Google Play app stores in January 2020. Apps were classified by English language support, date of last update, downloads, intended audience, intended purpose, and developer type. RESULTS We identified 794 oncology-specific, English language applications; only 257 (32%) met basic recency standards and were considered evaluable. Of evaluable apps, almost half (47%) were found in the Medical Store Category and the majority were free (88%). The most common intended audience was health care professionals (45%), with 28% being geared toward the general public and 27% being intended for patients. The intended function was education for 36%, clinical decision support for 19.5%, and patient support for 18%. Only 23% of education apps and 40% of clinical decision support apps reported any formal app content review process. Web developers created 61.5% of apps, scientific societies created 10%, and hospitals or health care organizations created just 6%. Of 54 studies that used mobile apps in oncology identified by a recent meta-analysis, only two could be matched to commercially available apps from our study, suggesting a substantial divide between investigation and product dissemination. CONCLUSION Relatively few oncology-related apps exist in the commercial marketplace, up-to-date apps are uncommon, and there is a notable absence of key oncology stakeholders in app development. Meaningful development opportunities exist.
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Nwe, Khine, Mark Erik Larsen, Natalie Nelissen, and David Chi-Wai Wong. "Medical Mobile App Classification Using the National Institute for Health and Care Excellence Evidence Standards Framework for Digital Health Technologies: Interrater Reliability Study." Journal of Medical Internet Research 22, no. 6 (June 5, 2020): e17457. http://dx.doi.org/10.2196/17457.
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Background Clinical governance of medical mobile apps is challenging, and there is currently no standard method for assessing the quality of such apps. In 2018, the National Institute for Health and Care Excellence (NICE) developed a framework for assessing the required level of evidence for digital health technologies (DHTs), as determined by their clinical function. The framework can potentially be used to assess mobile apps, which are a subset of DHTs. To be used reliably in this context, the framework must allow unambiguous classification of an app’s clinical function. Objective The objective of this study was to determine whether mobile health apps could be reliably classified using the NICE evidence standards framework for DHTs. Methods We manually extracted app titles, screenshots, and content descriptions for all apps listed on the National Health Service (NHS) Apps Library website on July 12, 2019; none of the apps were downloaded. Using this information, 2 mobile health (mHealth) researchers independently classified each app to one of the 4 functional tiers (ie, 1, 2, 3a, and 3b) described in the NICE digital technologies evaluation framework. Coders also answered contextual questions from the framework to identify whether apps were deemed to be higher risk. Agreement between coders was assessed using Cohen κ statistic. Results In total, we assessed 76 apps from the NHS Apps Library. There was classification agreement for 42 apps. Of these, 0 apps were unanimously classified into Tier 1; 24, into Tier 2; 15, into Tier 3a; and 3, into Tier 3b. There was disagreement between coders in 34/76 cases (45%); interrater agreement was poor (Cohen κ=0.32, 95% CI 0.16-0.47). Further investigation of disagreements highlighted 5 main explanatory themes: apps that did not correspond to any tier, apps that corresponded to multiple tiers, ambiguous tier descriptions, ambiguous app descriptions, and coder error. Conclusions The current iteration of the NICE evidence standards framework for DHTs did not allow mHealth researchers to consistently and unambiguously classify digital health mobile apps listed on the NHS app library according to their functional tier.
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Ramirez, Paulina, Eugene Patrick Toy, Suzanne Lababidi, Harvey Greenberg, Christina Bracamontes, Angela Jones, Zuber D. Mulla, and Jennifer L. Brown. "Mobile app in oncology: A pilot survey on Latina patients with gynecological cancers and their perception on utilizing a mobile app." Journal of Clinical Oncology 40, no. 16_suppl (June 1, 2022): 1571. http://dx.doi.org/10.1200/jco.2022.40.16_suppl.1571.
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1571 Background: Mobile applications have changed the way that users access information and revolutionized healthcare by allowing patients to educate themselves regarding their diagnosis and treatment. Challenges in developing a mobile health application include patient satisfaction and usage over time. Barriers to usage include trust, personalization, and accessibility. Investigating the patient population’s preferences on app content and ease of use is imperative. The use of mobile applications specifically for Latina Gynecologic Oncology patients undergoing treatment has yet to be investigated. Methods: Fifty-six patients were recruited from the Gynecologic Oncology clinic at an urban academic health sciences center located on the Texas-Mexico border. Cross-sectional analyses were performed. Subjects were asked a series of 10-point Likert scale questions including how comfortable they would feel using medical applications on their smartphones. Linear regression models were fit with this scale score as the outcome. Results: The age of the 56 patients ranged from 28 to 77 years with a mean of 53.9 years (SD: 11.1). Spanish was the preferred language of 53.8% of the patients (28/52). Forty-four subjects were available for the regression analyses. Subjects were asked, “Would you feel comfortable using medical applications on your smartphone,” where 1 represented “not at all comfortable” and 10 represented “very comfortable”. The mean comfort scale score was 7.39 (SD: 2.85). Thirty of the 44 subjects (68.2%) replied “Multiple times per day” to the question about how frequently they use mobile apps on their phone. After controlling for the patient’s age in a regression model, patients who used mobile apps multiple times per day had an average comfort scale score that was 1.75 points higher than that of women who did not use mobile apps on their phone multiple times per day (p = 0.03). After adjusting for the frequency of mobile app use, there was a reduction of 0.11 points (p = 0.002) in the comfort scale score for every one year increase in the patient’s age. Conclusions: Our unique pilot study found a positive association between the frequency of current app use and anticipated comfort in using smartphone medical applications. Overall, patients demonstrated a considerable amount of comfort with the prospect of using a mobile app. These findings support the idea of creating a mobile app designed to monitor Latina Gynecologic Oncology patients in efforts to lessen patients’ postoperative burden, improve mortality and morbidity outcomes, and decrease health care system costs.[Table: see text]
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Ebrahimi, Fahimeh, Miroslav Tushev, and Anas Mahmoud. "Classifying Mobile Applications Using Word Embeddings." ACM Transactions on Software Engineering and Methodology 31, no. 2 (April 30, 2022): 1–30. http://dx.doi.org/10.1145/3474827.
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Modern application stores enable developers to classify their apps by choosing from a set of generic categories, or genres, such as health, games, and music. These categories are typically static—new categories do not necessarily emerge over time to reflect innovations in the mobile software landscape. With thousands of apps classified under each category, locating apps that match a specific consumer interest can be a challenging task. To overcome this challenge, in this article, we propose an automated approach for classifying mobile apps into more focused categories of functionally related application domains. Our aim is to enhance apps visibility and discoverability. Specifically, we employ word embeddings to generate numeric semantic representations of app descriptions. These representations are then classified to generate more cohesive categories of apps. Our empirical investigation is conducted using a dataset of 600 apps, sampled from the Education, Health&Fitness, and Medical categories of the Apple App Store. The results show that our classification algorithms achieve their best performance when app descriptions are vectorized using GloVe, a count-based model of word embeddings. Our findings are further validated using a dataset of Sharing Economy apps and the results are evaluated by 12 human subjects. The results show that GloVe combined with Support Vector Machines can produce app classifications that are aligned to a large extent with human-generated classifications.
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Sung, MinDong, SungJun Park, Sungjae Jung, Eunsol Lee, Jaehoon Lee, and Yu Rang Park. "Developing a Mobile App for Monitoring Medical Record Changes Using Blockchain: Development and Usability Study." Journal of Medical Internet Research 22, no. 8 (August 14, 2020): e19657. http://dx.doi.org/10.2196/19657.
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Background Although we are living in an era of transparency, medical documents are often still difficult to access. Blockchain technology allows records to be both immutable and transparent. Objective Using blockchain technology, the aim of this study was to develop a medical document monitoring system that informs patients of changes to their medical documents. We then examined whether patients can effectively verify the monitoring of their primary care clinical medical records in a system based on blockchain technology. Methods We enrolled participants who visited two primary care clinics in Korea. Three substudies were performed: (1) a survey of the recognition of blockchain medical records changes and the digital literacy of participants; (2) an observational study on participants using the blockchain-based mobile alert app; and (3) a usability survey study. The participants’ medical documents were profiled with HL7 Fast Healthcare Interoperability Resources, hashed, and transacted to the blockchain. The app checked the changes in the documents by querying the blockchain. Results A total of 70 participants were enrolled in this study. Considering their recognition of changes to their medical records, participants tended to not allow these changes. Participants also generally expressed a desire for a medical record monitoring system. Concerning digital literacy, most questions were answered with “good,” indicating fair digital literacy. In the second survey, only 44 participants—those who logged into the app more than once and used the app for more than 28 days—were included in the analysis to determine whether they exhibited usage patterns. The app was accessed a mean of 5.1 (SD 2.6) times for 33.6 (SD 10.0) days. The mean System Usability Scale score was 63.21 (SD 25.06), which indicated satisfactory usability. Conclusions Patients showed great interest in a blockchain-based system to monitor changes in their medical records. The blockchain system is useful for informing patients of changes in their records via the app without uploading the medical record itself to the network. This ensures the transparency of medical records as well as patient empowerment.
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Chindalo, Pannel, Arsalan Karim, Ronak Brahmbhatt, Nishita Saha, and Karim Keshavjee. "Health Apps by Design." International Journal of Handheld Computing Research 7, no. 2 (April 2016): 34–43. http://dx.doi.org/10.4018/ijhcr.2016040103.
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The mobile health (mhealth) app market continues to grow rapidly. However, with the exception of fitness apps and a few isolated cases, most mhealth apps have not gained traction. The barriers preventing patients and care providers from using these apps include: for patients, information that contradicts health care provider advice, manual data entry procedures and poor fit with their treatment plan; for providers, distrust in unknown apps, lack of congruence with workflow, inability to integrate app data into their medical record system and challenges to analyze and visualize information effectively. In this article, the authors build upon previous work to define design requirements for quality mhealth apps and a framework for patient engagement to propose a new reference architecture for the next generation of healthcare mobile apps that increase the likelihood of being useful for and used by patients and health care providers alike.
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Koldeweij, Charlotte, Jonathan Clarke, Joppe Nijman, Calandra Feather, Saskia N. de Wildt, and Nicholas Appelbaum. "CE Accreditation and Barriers to CE Marking of Pediatric Drug Calculators for Mobile Devices: Scoping Review and Qualitative Analysis." Journal of Medical Internet Research 23, no. 12 (December 13, 2021): e31333. http://dx.doi.org/10.2196/31333.
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Background Pediatric drug calculators (PDCs) intended for clinical use qualify as medical devices under the Medical Device Directive and the Medical Device Regulation. The extent to which they comply with European standards on quality and safety is unknown. Objective This study determines the number of PDCs available as mobile apps for use in the Netherlands that bear a CE mark, and explore the factors influencing the CE marking of such devices among app developers. Methods A scoping review of Google Play Store and Apple App Store was conducted to identify PDCs available for download in the Netherlands. CE accreditation of the sampled apps was determined by consulting the app landing pages on app stores, by screening the United Kingdom Medicines and Healthcare products Regulatory Agency’s online registry of medical devices, and by surveying app developers. The barriers to CE accreditation were also explored through a survey of app developers. Results Of 632 screened apps, 74 were eligible, including 60 pediatric drug dosage calculators and 14 infusion rate calculators. One app was CE marked. Of the 20 (34%) respondents to the survey, 8 considered their apps not to be medical devices based on their intent of use or functionality. Three developers had not aimed to make their app available for use in Europe. Other barriers that may explain the limited CE accreditation of sampled PDC apps included poor awareness of European regulations among developers and a lack of restrictions when placing PDCs in app stores. Conclusions The compliance of PDCs with European standards on medical devices is poor. This puts clinicians and their patients at risk of medical errors resulting from the largely unrestricted use of these apps.
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Reinecke, Felix, Florian Dittrich, Marcel Dudda, Andreas Stang, Christina Polan, Roman Müller, Paula Beck, and Max Daniel Kauther. "Acceptance, Barriers, and Future Preferences of Mobile Health Among Patients Receiving Trauma and Orthopedic Surgical Care: Paper-Based Survey in a Prospective Multicenter Study." JMIR mHealth and uHealth 9, no. 4 (April 21, 2021): e23784. http://dx.doi.org/10.2196/23784.
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Background Smartphones have become an essential part of everyday life and it is undeniable that apps offer enormous opportunities for dealing with future challenges in public health. Nevertheless, the exact patient requirements for medical apps in the field of orthopedic and trauma surgery are currently unknown. Objective The aim of this study was to define target groups, evaluate patient requirements, and the potential and pitfalls regarding medical apps specific for patients receiving orthopedic and trauma surgical care. Methods A prospective multicenter study was conducted between August 2018 and December 2019 at a German trauma center and 3 trauma surgery/orthopedic practices. A paper-based survey consisting of 15 questions evaluated information regarding smartphone and medical app usage behavior. In addition, suggested app functions were rated using Likert scales. Descriptive statistics and binary log-binomial regression were performed. Results A total of 1055 questionnaires were included in our statistical analysis. Approximately 89.57% (945/1055) of the patients in this study owned a smartphone. Smartphone ownership probability decreased with every decade of life and increased with higher levels of education. Medical information was obtained via mobile web access by 62.65% (661/1055) of the patients; this correlated with smartphone ownership in regard to age and educational level. Only 11.18% (118/1055) of the patients reported previous medical app usage, and 3.50% (37/1055) of the patients received an app recommendation from a physician. More than half (594/1055, 56.30%) of the patients were unwilling to pay for a medical app. The highest rated app functions were information about medication, behavioral guidelines, and medical record archival. An improved treatment experience was reported through the suggested app features by 71.18% (751/1055) of the patients. Conclusions Mobile devices are a widely used source of information for medical content, but only a minority of the population reported previous medical app usage. The main target group for medical apps among patients receiving orthopedic and trauma surgical care tends to be the younger population, which results in a danger of excluding fringe groups, especially the older adults. Education seems to be one of the most important pull factors to use smartphones or a mobile web connection to obtain health information. Medical apps primarily focusing on an optimized patient education and flow of information seem to have the potential to support patients in health issues, at least in their subjective perception. For future target group–oriented app developments, further evidence on the clinical application, feasibility, and acceptance of app usage are necessary in order to avoid patient endangerment and to limit socioeconomic costs.
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Knitza, Johannes, David Simon, Antonia Lambrecht, Christina Raab, Koray Tascilar, Melanie Hagen, Arnd Kleyer, et al. "Mobile Health Usage, Preferences, Barriers, and eHealth Literacy in Rheumatology: Patient Survey Study." JMIR mHealth and uHealth 8, no. 8 (August 12, 2020): e19661. http://dx.doi.org/10.2196/19661.
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Background Mobile health (mHealth) defines the support and practice of health care using mobile devices and promises to improve the current treatment situation of patients with chronic diseases. Little is known about mHealth usage and digital preferences of patients with chronic rheumatic diseases. Objective The aim of the study was to explore mHealth usage, preferences, barriers, and eHealth literacy reported by German patients with rheumatic diseases. Methods Between December 2018 and January 2019, patients (recruited consecutively) with rheumatoid arthritis, psoriatic arthritis, and axial spondyloarthritis were asked to complete a paper-based survey. The survey included questions on sociodemographics, health characteristics, mHealth usage, eHealth literacy using eHealth Literacy Scale (eHEALS), and communication and information preferences. Results Of the patients (N=193) who completed the survey, 176 patients (91.2%) regularly used a smartphone, and 89 patients (46.1%) regularly used social media. Patients (132/193, 68.4%) believed that using medical apps could be beneficial for their own health. Out of 193 patients, only 8 (4.1%) were currently using medical apps, and only 22 patients (11.4%) stated that they knew useful rheumatology websites/mobile apps. Nearly all patients (188/193, 97.4%) would agree to share their mobile app data for research purposes. Out of 193 patients, 129 (66.8%) would regularly enter data using an app, and 146 patients (75.6%) would welcome official mobile app recommendations from the national rheumatology society. The preferred duration for data entry was not more than 15 minutes (110/193, 57.0%), and the preferred frequency was weekly (59/193, 30.6%). Medication information was the most desired app feature (150/193, 77.7%). Internet was the most frequently utilized source of information (144/193, 74.6%). The mean eHealth literacy was low (26.3/40) and was positively correlated with younger age, app use, belief in benefit of using medical apps, and current internet use to obtain health information. Conclusions Patients with rheumatic diseases are very eager to use mHealth technologies to better understand their chronic diseases. This open-mindedness is counterbalanced by low mHealth usage and competency. Personalized mHealth solutions and clear implementation recommendations are needed to realize the full potential of mHealth in rheumatology.
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Jahn, Haiko Kurt, Ingo H. Jahn, Damian Roland, Mark D. Lyttle, and Wilhelm Behringer. "Mobile device and app use in paediatric emergency care: a survey of departmental practice in the UK and Ireland." Archives of Disease in Childhood 104, no. 12 (July 3, 2019): 1203–7. http://dx.doi.org/10.1136/archdischild-2019-316872.
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IntroductionMobile devices and medical apps are used by healthcare professionals in adult and paediatric emergency departments worldwide. Recently, there has been a drive toward increased digitalisation especially in the UK. This point prevalence survey aims to describe hardware and software provision and their use in paediatric emergency care in the UK and Ireland.MethodsA web-based self-report questionnaire of member sites of an international paediatric emergency research collaborative was performed. A lead site investigator completed the survey on behalf of each site.ResultsOf the 54 sites, 46 (85%) responded. At 10 (21.7%) sites, the use of a personal mobile device at the bedside was not allowed; however, this was only enforced at 4 (8.7%) of these sites. Apple iOS devices accounted for the majority (70%) of institutional mobile devices. Most sites provided between 1 and 5 medical apps on the institutional mobile device. The British National Formulary (BNF/BNFc) app was the app which was most frequently provided and recommended. No site reported any harm from medical app use.ConclusionThe breadth of app use was relatively low. There was variability in trust guidance on app use and challenges in accessibility of Wi-Fi and devices.
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Arora, Sanjay, Kelsey Ford, Sophie Terp, Tiffany Abramson, Ryan Ruiz, Marissa Camilon, Christopher J. Coyne, Chun Nok Lam, Michael Menchine, and Elizabeth Burner. "Describing the evolution of mobile technology usage for Latino patients and comparing findings to national mHealth estimates." Journal of the American Medical Informatics Association 23, no. 5 (March 19, 2016): 979–83. http://dx.doi.org/10.1093/jamia/ocv203.
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Abstract Objectives Describe the change in mobile technology used by an urban Latino population between 2011 and 2014, and compare findings with national estimates. Materials and Methods Patients were surveyed on medical history and mobile technology use. We analyzed specific areas of mobile health capacity stratified by chronic disease, age, language preference, and educational attainment. Results Of 2144 Latino patients, the percentage that owned a cell phone and texted were in-line with Pew estimates, but app usage was not. Patients with chronic disease had reduced access to mobile devices ( P < .001) and lower use of mobile phone functionalities. Discussion Prior research suggests that Latinos can access mHealth; however, we observed lower rates among Latino patients actively seeking heath care. Conclusion Published national estimates do not accurately reflect the mobile technology use of Latino patients served by our public safety-net facility. The difference is greater for older, less educated patients with chronic disease.
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Ndabu, Theophile, Lavlin Agrawal, and Raj Sharman. "The Role of Access Type and Age Group in the Breadth of Use of Patient Portals: Observational Study." Journal of Medical Internet Research 24, no. 12 (December 27, 2022): e41972. http://dx.doi.org/10.2196/41972.
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Background Health care delivery and patient satisfaction are improved when patients engage with their medical information through patient portals. Despite their wide availability and multiple functionalities, patient portals and their functionalities are still underused. Objective We seek to understand factors that lead to patient engagement through multiple portal functionalities. We provide recommendations that could lead to higher patients’ usage of their portals. Methods Using data from the Health Information National Trends Survey 5, Cycle 3 (N=2093), we performed descriptive statistics and used a chi-square test to analyze the association between the demographic variables and the use of mobile health apps for accessing medical records. We further fitted a generalized linear model to examine the association between access type and the use of portal functionalities. We further examined the moderation effects of age groups on the impact of access type on portal usage. Results Our results show that accessing personal health records using a mobile health app is positively associated with greater patient usage of access capabilities (β=.52; P<.001), patient-provider interaction capabilities (β=.24, P=.006), and patient–personal health information interaction capabilities (β=.23, P=.009). Patients are more likely to interact with their records and their providers when accessing their electronic medical records using a mobile health app. The impacts of mobile health app usage fade with age for tasks consisting of viewing, downloading, and transmitting medical results to a third party (β=–.43, P=.005), but not for those involving patient-provider interaction (β=.05, P=.76) or patient–personal health information interaction (β=–.15, P=.19). Conclusions These findings provide insights on how to increase engagement with diverse portal functionalities for different age groups and thus improve health care delivery and patient satisfaction.
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Asiado, Annabelle Joy, Sweet Zerlyn Cabuntucan, and Cereneo Jr Santiago. "Routine Vaccine Simulation for Infants in a Mobile Environment." International Journal of Computing Sciences Research 6 (January 1, 2022): 763–80. http://dx.doi.org/10.25147/ijcsr.2017.001.1.73.
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Purpose–Thisstudy aimed to develop and evaluate the Routine Vaccine Simulation for Infants. The routine vaccine simulation application was developed for the health workers and parents to provide basic information and press the importance of the vaccination to infants.Method–The researchers used the fourth-generation technique (4GT) for the software development life cycle of the application. The technique adapted contains four major parts namely, requirements gathering, design strategy, implementation, and testing.Results–The application was tested and evaluated by health workers, parents, and IT practitioners from the academe and the industry. The evaluation was based on criteria for core app quality. Descriptive and inferential statistics were employed for data presentation and interpretation. As a whole, the evaluation of the android-based routine vaccine simulation application was found excellent in most of its features. The finding asserts the adherence to the standards of android developmentapplicationsand conforms to the expectations of the app’s potentialusers. Conclusion–The development of a routine vaccine app for infants serves as a new platform for immunization awareness and education. Once information given in the app is taken earnestly, infants will be protected against diseases. Thus, controversies surrounding vaccination hesitancies can be decreased.Recommendations–A thorough information dissemination and education campaign regarding vaccine safety can be initiated in the local communities to address the issues on vaccine safety and hesitancy.Research Implications–The healthcare system in the communities through the local government unit (LGU) willbe able to benchmark and implement the information dissemination and education to mothers and health workers using the app.
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Tseng, Chinyang Henry, Ray-Jade Chen, Shang-Yu Tsai, Tsung-Ren Wu, Woei-Jiunn Tsaur, Hung-Wen Chiu, Cheng-Yi Yang, and Yu-Sheng Lo. "Exploring the COVID-19 Pandemic as a Catalyst for Behavior Change Among Patient Health Record App Users in Taiwan: Development and Usability Study." Journal of Medical Internet Research 24, no. 1 (January 6, 2022): e33399. http://dx.doi.org/10.2196/33399.
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Background During the COVID-19 pandemic, personal health records (PHRs) have enabled patients to monitor and manage their medical data without visiting hospitals and, consequently, minimize their infection risk. Taiwan’s National Health Insurance Administration (NHIA) launched the My Health Bank (MHB) service, a national PHR system through which insured individuals to access their cross-hospital medical data. Furthermore, in 2019, the NHIA released the MHB software development kit (SDK), which enables development of mobile apps with which insured individuals can retrieve their MHB data. However, the NHIA MHB service has its limitations, and the participation rate among insured individuals is low. Objective We aimed to integrate the MHB SDK with our developed blockchain-enabled PHR mobile app, which enables patients to access, store, and manage their cross-hospital PHR data. We also collected and analyzed the app’s log data to examine patients’ MHB use during the COVID-19 pandemic. Methods We integrated our existing blockchain-enabled mobile app with the MHB SDK to enable NHIA MHB data retrieval. The app utilizes blockchain technology to encrypt the downloaded NHIA MHB data. Existing and new indexes can be synchronized between the app and blockchain nodes, and high security can be achieved for PHR management. Finally, we analyzed the app’s access logs to compare patients’ activities during high and low COVID-19 infection periods. Results We successfully integrated the MHB SDK into our mobile app, thereby enabling patients to retrieve their cross-hospital medical data, particularly those related to COVID-19 rapid and polymerase chain reaction testing and vaccination information and progress. We retrospectively collected the app’s log data for the period of July 2019 to June 2021. From January 2020, the preliminary results revealed a steady increase in the number of people who applied to create a blockchain account for access to their medical data and the number of app subscribers among patients who visited the outpatient department (OPD) and emergency department (ED). Notably, for patients who visited the OPD and ED, the peak proportions with respect to the use of the app for OPD and ED notes and laboratory test results also increased year by year. The highest proportions were 52.40% for ED notes in June 2021, 88.10% for ED laboratory test reports in May 2021, 34.61% for OPD notes in June 2021, and 41.87% for OPD laboratory test reports in June 2021. These peaks coincided with Taiwan’s local COVID-19 outbreak lasting from May to June 2021. Conclusions This study developed a blockchain-enabled mobile app, which can periodically retrieve and integrate PHRs from the NHIA MHB's cross-hospital data and the investigated hospital's self-pay medical data. Analysis of users’ access logs revealed that the COVID-19 pandemic substantially increased individuals’ use of PHRs and their health awareness with respect to COVID-19 prevention.
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Błajda, Joanna, Edyta Barnaś, and Anna Kucab. "Application of Personalized Education in the Mobile Medical App for Breast Self-Examination." International Journal of Environmental Research and Public Health 19, no. 8 (April 8, 2022): 4482. http://dx.doi.org/10.3390/ijerph19084482.
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Introduction. Mobile apps are considered intelligent tools useful in various areas of public health. The social dimension of breast cancer and the current epidemic situation require tools that may increase knowledge and improve the skills in the field of breast self-examination. The study aims to assess the use of personalized education based on algorithms with conditions in the mobile medical app for breast self-examination. Materials and methods. In total, 500 women from the Podkarpackie Province were enrolled in the study, which was a representative group for the inhabitants of this province. The subjects were randomly divided into two groups (group I: the study group including 250 people; group II: the controls of 250 people). The study group was subjected to intervention, which was personalized education on breast cancer. The method was a proprietary mobile medical app based on algorithms with conditions. The study was carried out from March 2018 to February 2019. Results. The majority of women, 77.8% (N = 389), were under 30 years of age. Only a small amount of the breast area was marked in the tactile test in both groups. In the study group, the average number of selected points was 14.86 (7.43% of the area to be examined), while in the control group it amounted to 9.14 (4.57%). The area most commonly examined in Test I in both groups was the central area of the mammary gland with the nipple. After the intervention in Test II, women from the study group marked a significantly greater area in the tactile test than women from the control group (χ2 = 99.733; df = 6; p < 0.0001). The mean result in the study group was 22.10, while in the control group it amounted to 9.10. It was found that the breast area marked in both tests depended solely on the women’s knowledge about breast cancer (p < 0.001). It was also found that the higher the risk of developing breast cancer, the more points in Test I were indicated by the women in the tactile test (p = 0.0122). Conclusions. Educational mobile medical apps for breast cancer prevention may help to deal with breast cancer, which is an important public health issue. It is also important to broaden the possibilities of medical apps for breast self-examination with elements verifying the skills of the three-stage compression of the examined breast.
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Cawley, Caroline, Hannelore Buckenmeyer, Trina Jellison, Joseph B. Rinaldi, and Keri B. Vartanian. "Effect of a Health System–Sponsored Mobile App on Perinatal Health Behaviors: Retrospective Cohort Study." JMIR mHealth and uHealth 8, no. 7 (July 6, 2020): e17183. http://dx.doi.org/10.2196/17183.
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Background Pregnancy mobile apps are becoming increasingly popular, with parents-to-be seeking information related to their pregnancy and their baby through mobile technology. This increase raises the need for prenatal apps with evidence-based content that is personalized and reliable. Previous studies have looked at whether prenatal apps impact health and behavior outcomes among pregnant and postpartum individuals; however, research has been limited. Objective The primary objective of this study is to assess whether the use of a health system–sponsored mobile app—Circle by Providence—aimed at providing personalized and reliable health information on pregnancy, postpartum recovery, and infant care is associated with improved health outcomes and increased healthy behaviors and knowledge among users. Methods This observational study compared app users and app nonusers using a self-reported survey and electronic medical records. The study took place over 18 months and was conducted at Providence St. Joseph Health in Portland, Oregon. The sample included patients who received prenatal care at one of seven Providence clinics and had a live birth at a Providence hospital. Recruitment occurred on a rolling basis and only those who completed the survey were included. Survey respondents were separated into app users and app nonusers, and survey responses and clinical outcomes were compared across groups using univariate and adjusted multivariate logistic regression. Results A total of 567 participants were enrolled in the study—167 in the app user group and 400 in the nonuser group. We found statistically significant differences between the two groups for certain behavior outcomes: subjects who used the app had 75% greater odds of breastfeeding beyond 6 months postpartum (P=.012), were less likely to miss prenatal appointments (P=.046), and were 50% more likely to exercise 3 or more times a week during pregnancy (P=.04). There were no differences in nutritional measures, including whether they took prenatal vitamins, ate 5 fruits or vegetables a day, or drank caffeine. We found no differences in many of the infant care outcomes; however, there was an increase in awareness of “purple crying.” Finally, there were no significant differences in measured clinical health outcomes, including cesarean births, length of hospital stays (in minutes), low birth weight infants, preterm births, small-for-gestational-age births, large-for-gestational-age births, and neonatal intensive care unit stays. Conclusions The use of the Circle app, which provides access to personalized and evidence-based health information, was associated with an increase in certain healthy behaviors and health knowledge, although there was no impact on clinical health outcomes. More research is needed to determine the impact of mobile prenatal apps on healthy pregnancies, clinical health outcomes, and infant care.
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Zaprutko, Tomasz, Joanna Zaprutko, Artur Baszko, Dominika Sawicka, Anna Szałek, Magdalena Dymecka, Wojciech Telec, et al. "Feasibility of Atrial Fibrillation Screening With Mobile Health Technologies at Pharmacies." Journal of Cardiovascular Pharmacology and Therapeutics 25, no. 2 (October 2, 2019): 142–51. http://dx.doi.org/10.1177/1074248419879089.
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Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia. Thus, the aim of our study was to evaluate the smartphone-based electrocardiogram (ECG) recordings aimed at AF screening at Polish pharmacies. Methods: Prospective AF screening among patients aged ≥65 years was conducted at 10 pharmacies using Kardia Mobile with a dedicated application (Kardia app). Prior AF was a study exclusion criterion. CHA2DS2-VASc score (congestive heart failure, hypertension, age, diabetes mellitus, previous stroke/transient ischemic attack, female sex, and vascular disease) has been collected from every patient. A single-lead ECG has been acquired by the placement of fingers from each hand on the pads. Kardia app diagnosis has been evaluated by the cardiologist. Results: A total of 525 ECGs were performed. Kardia app diagnosis was provided in 490 cases. In 437 (89.18%) cases, it was “normal” rhythm, in 17 (3.47%) recordings “possible AF,” in 23 (4.69%) ECGs “unreadable,” and in 13 (2.65%) “unclassified”. After the cardiologist reevaluation, the new AF was identified in 7 (1.33%) patients. Sensitivity and specificity of Kardia app in detecting AF was 100% (95% confidence interval [CI]: 71.5%-100%) and 98.7% (95% CI: 97.3%-99.5%), respectively. The positive predictive value was 64.7% (95% CI: 38.3%-85.7%) and the negative predictive value was 100% (95% CI: 99.2%-100%). CHA2DS2-VASc score was 2.14 ± 0.69 for those with new AF and 3.33 ± 1.26 in the non-AF group. Conclusion: Kardia app is capable of fast screening and detecting AF with high sensitivity and specificity. The possible diagnosis of AF deserves additional cardiological evaluation. The results obtained in patients with low CHA2DS2-VASc score and “silent” AF confirm the importance of routine AF screening. Cardiovascular screening with the use of mobile health technology is feasible at pharmacies.
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Wyatt, Kirk D., Anissa Finley, Richard Uribe, Peter Pallagi, Brian Willaert, Steve Ommen, James Yiannias, and Thomas Hellmich. "Patients' Experiences and Attitudes of Using a Secure Mobile Phone App for Medical Photography: Qualitative Survey Study." Journal of Medical Internet Research 22, no. 5 (May 12, 2020): e14412. http://dx.doi.org/10.2196/14412.
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Background Point-of-care clinical photography using mobile devices is coming of age as a new standard of care for clinical documentation. High-quality cameras in modern smartphones facilitate faithful reproduction of clinical findings in photographs; however, clinical photographs captured on mobile devices are often taken using the native camera app on the device and transmitted using relatively insecure methods (eg, SMS text message and email) that do not preserve images as part of the electronic medical records. Native camera apps lack robust security features and direct integration with electronic health records (EHRs), which may limit patient acceptability and usefulness to clinicians. In March 2015, Mayo Clinic overcame these barriers by launching an internally developed mobile app that allows health care providers to securely capture clinical photographs and upload them to the EHR in a manner that is compliant with patient privacy and confidentiality regulations. Objective The study aimed to understand the perceptions, attitudes, and experiences of patients who were photographed using a mobile point-of-care clinical image capture app. Methods The study included a mail-out survey sent to 292 patients in Rochester, Minnesota, who were photographed using a mobile point-of-care clinical image capture app within a preceding 2-week period. Results The surveys were completed by 71 patients who recalled being photographed. Patients were seen in 18 different departments, with the most common departments being dermatology (19/71, 27%), vascular medicine (17/71, 24%), and family medicine (10/71, 14%). Most patients (49/62, 79%) reported that photographs were taken to simply document the appearance of a clinical finding for future reference. Only 16% (10/62) of patients said the photographs were used to obtain advice from a specialist. Furthermore, 74% (51/69) of the patients said they would recommend medical photography to others and 67% (46/69) of them thought the photos favorably affected their care. Patients were largely indifferent about the device used for photography (mobile device vs professional camera; 40/69, 58%) or the identity of the photographer (provider vs professional photographer; 52/69, 75%). In addition, 90% (64/71) of patients found reuse of photographs for one-on-one learner education to be acceptable. Acceptability for other uses declined as the size of the audience increased, with only 42% (30/71) of patients deeming reuse on social media for medical education as appropriate. Only 3% (2/71) of patients expressed privacy or confidentiality concerns. Furthermore, 52% (33/63) of patients preferred to provide consent verbally, and 21% (13/63) of them did not think a specific consent process was necessary. Conclusions Patient attitudes regarding medical photography using a secure EHR-integrated app were favorable. Patients perceived that photography improved their care despite the most common reason for photography being to simply document the appearance of a clinical finding for future reference. Whenever possible, health care providers should utilize secure EHR-integrated apps for point-of-care medical photography using mobile devices.
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Müller, Julia, Lina Weinert, Laura Svensson, Rasmus Rivinius, Michael M. Kreusser, and Oliver Heinze. "Mobile Access to Medical Records in Heart Transplantation Aftercare: Mixed-Methods Study Assessing Usability, Feasibility and Effects of a Mobile Application." Life 12, no. 8 (August 8, 2022): 1204. http://dx.doi.org/10.3390/life12081204.
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Background: Patient access to medical records can improve quality of care. The phellow application (app) was developed to provide patients access to selected content of their medical record. It was tested at a heart transplantation (HTx) outpatient clinic. The aims of this study were (1) to assess usability of phellow, (2) to determine feasibility of implementation in routine care, and (3) to study the effects app use had on patients’ self-management. Methods: Usability was measured quantitatively through the System Usability Scale (SUS). Furthermore, usability, feasibility, and effects on self-management were qualitatively assessed through interviews with users, non-users, and health care providers. Results: The SUS rating (n = 31) was 79.9, indicating good usability. Twenty-three interviews were conducted. Although appreciation and willingness-to-use were high, usability problems such as incompleteness of record, technical issues, and complex registration procedures were reported. Improved technical support infrastructure, clearly defined responsibilities, and app-specific trainings were suggested for further implementation. Patients described positive effects on their self-management. Conclusions: To be feasible for implementation in routine care, usability problems should be addressed. Feedback on the effect of app use was encouraging. Accompanying research is crucial to monitor usability improvements and to further assess effects of app use on patients.
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Jahn, Haiko Kurt, Ingo Henry Johannes Jahn, Wilhelm Behringer, Mark D. Lyttle, and Damian Roland. "A survey of mHealth use from a physician perspective in paediatric emergency care in the UK and Ireland." European Journal of Pediatrics 180, no. 8 (March 25, 2021): 2409–18. http://dx.doi.org/10.1007/s00431-021-04023-0.
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Abstract There has been a drive towards increased digitalisation in healthcare. The aim was to provide a snapshot of current apps, instant messaging, and smartphone photography use in paediatric emergency care. A web-based self-report questionnaire was performed. Individual physicians working in paediatric emergency care recorded their personal practice. One hundred ninety-eight medical doctors completed the survey. Eight percent of respondents had access to institutional mobile devices to run medical apps. Eighty-six percent of respondents used medical apps on their personal mobile device, with 78% using Apple iOS devices. Forty-seven percent of respondents used formulary apps daily. Forty-nine percent of respondents had between 1–5 medical apps on their personal mobile device. Respondents who used medical apps had a total of 845 medical apps installed on their personal device, accounted for by 56 specific apps. The British National Formulary (BNF/BNFc) app was installed on the personal mobile device of 96% of respondents that use medical apps. Forty percent of respondents had patient confidentiality concerns when using medical apps. Thirty-eight percent of respondents have used consumer instant messaging services, 6% secure specialist messaging services, and 29% smartphone photography when seeking patient management advice. Conclusion App use on the personal mobile devices, in the absence of access to institutional devices, was widespread, especially the use of a national formulary app. Instant messaging and smartphone photography were less common. A strategic decision has to be made to either provide staff with institutional devices or use software solutions to address data governance concerns when using personal devices. What is Known:• mHealth use by junior doctors and medical students is widespread.• Clinicians’ use of instant messaging apps such as WhatsApp is the widespread in the UK and Ireland, in the absence of alternatives. What is New:• Personal mobile device use was widespread in the absence of alternatives, with the British National Formulary nearly universally downloaded to physicians’ personal mobile devices.• A third of respondents used instant messaging and smartphone photography on their personal mobile device when seeking patient management advice from other teams in the absence of alternatives.
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Koh, Uyen, Caitlin Horsham, H. Peter Soyer, Lois J. Loescher, Nicole Gillespie, Dimitrios Vagenas, and Monika Janda. "Consumer Acceptance and Expectations of a Mobile Health Application to Photograph Skin Lesions for Early Detection of Melanoma." Dermatology 235, no. 1 (November 7, 2018): 4–10. http://dx.doi.org/10.1159/000493728.
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Background: Mobile teledermoscopy may facilitate skin self-examinations (SSEs) and further improve monitoring and detection of melanoma. Objective: To assess consumer acceptability and expectations of a mobile health app used to: (i) instruct SSE and (ii) conduct consumer-performed mobile teledermoscopy. Methods: People aged 18 years and above were invited to participate in either (i) an online survey or (ii) focus group in Brisbane, Australia. Participants were asked about their SSE practices, mobile teledermoscopy acceptance, and app design and functionality. The online survey responses and focus group discussions were coded by two researchers who conducted thematic analysis. Results: Four focus groups were held with a total of 28 participants; 88 participants completed the online survey. The mean ages of participants in the focus group and online survey were 46 and 38 years, respectively. There were more males in the focus groups (61%, 17/28) compared to the online survey (19%, 17/88). Regular SSEs were conducted by 56 (64%) of the online survey participants. Barriers to SSE were forgetfulness (44%), low self-perceived risk of melanoma (25%) and low confidence in conducting SSEs (25%). The large majority of online survey participants (95%) would consider sending photos of their skin lesions to a medical practitioner via an app. Focus group participants reported that they would accept using mobile teledermoscopy; however, they would prefer to use it to monitor lesions between face-to-face consultations. Conclusions: Overall, participants had positive views on using mobile teledermoscopy to send images of skin lesions to a dermatologist or other medical practitioner.
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Baxter, Clarence, Julie-Anne Carroll, Brendan Keogh, and Corneel Vandelanotte. "Assessment of Mobile Health Apps Using Built-In Smartphone Sensors for Diagnosis and Treatment: Systematic Survey of Apps Listed in International Curated Health App Libraries." JMIR mHealth and uHealth 8, no. 2 (February 3, 2020): e16741. http://dx.doi.org/10.2196/16741.
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Background More than a million health and well-being apps are available from the Apple and Google app stores. Some apps use built-in mobile phone sensors to generate health data. Clinicians and patients can find information regarding safe and effective mobile health (mHealth) apps in third party–curated mHealth app libraries. Objective These independent Web-based repositories guide app selection from trusted lists, but do they offer apps using ubiquitous, low-cost smartphone sensors to improve health? This study aimed to identify the types of built-in mobile phone sensors used in apps listed on curated health app libraries, the range of health conditions these apps address, and the cross-platform availability of the apps. Methods This systematic survey reviewed three such repositories (National Health Service Apps Library, AppScript, and MyHealthApps), assessing the availability of apps using built-in mobile phone sensors for the diagnosis or treatment of health conditions. Results A total of 18 such apps were identified and included in this survey, representing 1.1% (8/699) to 3% (2/76) of all apps offered by the respective libraries examined. About one-third (7/18, 39%) of the identified apps offered cross-platform Apple and Android versions, with a further 50% (9/18) only dedicated to Apple and 11% (2/18), to Android. About one-fourth (4/18, 22%) of the identified apps offered dedicated diagnostic functions, with a majority featuring therapeutic (9/18, 50%) or combined functionality (5/18, 28%). Cameras, touch screens, and microphones were the most frequently used built-in sensors. Health concerns addressed by these apps included respiratory, dermatological, neurological, and anxiety conditions. Conclusions Diligent mHealth app library curation, medical device regulation constraints, and cross-platform differences in mobile phone sensor architectures may all contribute to the observed limited availability of mHealth apps using built-in phone sensors in curated mHealth app libraries. However, more efforts are needed to increase the number of such apps on curated lists, as they offer easily accessible low-cost options to assist people in managing clinical conditions.
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Villarreal, Vladimir, Gema Castillo-Sanchez, Sofiane Hamrioui, Aranzazu Berbey-Alvarez, Isabel De La Torre Díez, and Pascal Lorenz. "A Systematic Review of mHealth apps Evaluations for Cardiac Issues." Proceedings 2, no. 19 (October 23, 2018): 481. http://dx.doi.org/10.3390/proceedings2190481.
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Currently, with the widespread penetration of mobile devices with Internet access, including the smartphones, they can allow specific and/or complementary activities in the health field as well as in other commercial sectors. To verify the impact of the studies about medical scientific publications relatives to cardiac mobile applications (app). This review corresponds to information in scientific journals of high impact. The intention of this review is respond to the follow question: How these research works have evaluated the performance of health mobile applications, with a special interest in cardiac issues? This review of these searches corresponds to an analysis by 4 categories, which are: Assessment of the wearables—Body Care, Use of sensors in the applications, app in health, Health Care—Comparisons of review app and app specialized commercial/clinical use. Only 6% of the app are associated with a medical professional, 15% is published by a professional medical society and 63% according to the opinions of the user. It provides evidence of how some apps have been evaluated, and in some cases the effectiveness of the estimated accuracy is not in line with the real situation. In Panama, a platform has been presented that permit the integration of health applications for patient follow-up. AmI-HEALTH has been developed to provide a mechanism for self-management of hypertensive patient data, by re-cording elements such as blood pressure (systolic, diastolic and pulse). In this point is very important to remember to the near relation between the Cardiac Issues and the hypertension condition. This makes us reflect on the true implications that bring us closer to these technological innovations. Today, our world is so changing and globalized.
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Song, Yuqing, and Hong Chen. "Evaluating Chinese Mobile Health Apps for Ankylosing Spondylitis Management: Systematic App Search." JMIR mHealth and uHealth 9, no. 7 (July 14, 2021): e27234. http://dx.doi.org/10.2196/27234.
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Background Patients with ankylosing spondylitis (AS), a chronic systematic inflammatory disease, require long-term treatment and management. Mobile health (mHealth) apps can deliver health services through mobile devices, facilitate long-term disease management, support patient–health care provider communication, and enable patients to engage in disease management. There are some apps targeted at patients with AS, but the feature and quality of these apps have not been systematically examined. Objective The aim of this study was to identify existing, publicly available Chinese mHealth apps for AS management and to evaluate their features and quality. Methods We systematically searched potential apps for AS management on the Apple and Huawei App Stores, using 4 search terms: ankylosing spondylitis, spondyloarthritis, rheumatic disease, and arthritis. Apps were included if they were in the Chinese language, targeted at patients with AS, could be downloaded and run on Android and/or iOS operating systems, and incorporated elements of disease management and/or patient education. We excluded apps that were not for patient use, not relevant to AS, or had not been updated since 2018. Apps that met the inclusion criteria were downloaded for final analysis. We formulated a list of app quality measures from and consistent with international guidelines for mHealth apps and AS management to evaluate the features and quality of the included app. The user version of the Mobile App Rating Scale (uMARS) was also used to rate the apps’ quality. Results Of the 354 apps screened, 5 met the inclusion criteria and were included in our analysis. All apps were free, and most apps (4/5, 80%) had a privacy policy. Of the 5 apps, 1 (20%) involved medical professionals in the development process, 2 (40%) were developed by companies, and 2 (40%) were developed by medical institutions. All apps provided educational information about AS. Around half of the apps had functions like a basic information record (ie, users can input gender, age, disease history, etc) (n=3, 60%), patient–health care provider (and patient-patient) communication (n=2, 40%), symptom tracking (n=2, 40%), and information sharing (n=3, 60%). Only 1 (20%) app provided comprehensive functions that adhered to international guidelines for AS management and mHealth apps. The overall uMARS scores ranged from 2.7 to 4.2; only 1 app, with an overall uMARS score of 4.2, was considered as a high-quality app. Conclusions Most apps lacked comprehensive functions for AS management. One high-quality app provided comprehensive functions to help patients manage their conditions. This study assessed and summarized the features and quality of the apps but did not evaluate their efficacy. Future studies should evaluate the feasibility and efficacy of these apps. International guidelines and regulations for the design, development, validation, and implementation of mHealth apps are needed in the future. Meanwhile, health care providers, patients with AS, and app developers should collaborate to develop high-quality, evidence-based apps that take into account patients’ needs and health care professionals’ perspectives.
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Aungst, Timothy, Sheila Seed, Nurisha Gobin, and Rosa Jung. "The good, the bad, and the poorly designed: The mobile app stores are not a user-friendly experience for health and medical purposes." DIGITAL HEALTH 8 (January 2022): 205520762210900. http://dx.doi.org/10.1177/20552076221090038.
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The utilization of mobile health applications to help manage health conditions have grown in utilization within the past decade. However, the application stores (i.e. Google and Apple) are not designed in a user-friendly manner that allows consumers to identify high-quality health and medical-related mobile applications. Researchers have been interested in identifying applications that may be recommended for patient care but have found the ability to quantify and assess these applications to be difficult due to the current layout and organization of applications. We explain here in this brief communication our own research experience in the identification of mobile health applications on the application stores, along with trends noted in other mobile health research, and make suggestions on how the application store experience could be improved for both patients and health professionals. These include collaboration between developers, medical professionals and organizations, and technology companies to facilitate a better means of categorizing health applications for patient use, alongside other current endeavors being pursued such as application review organizations and the creation of digital health formulary databases.
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Weichelt, Bryan, Jeffrey VanWormer, Yin Xu, Chris Kadolph, and Simon Lin. "Lessons Learned from Development of a Mobile App for Cardiovascular Health Awareness." Sustainability 13, no. 11 (May 26, 2021): 5985. http://dx.doi.org/10.3390/su13115985.
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Cardiovascular disease (CVD) is a major public health concern in the United States. In response to the federally sponsored Million Hearts Risk Check Challenge, a team of programmers, software developers, health-information technologists, and clinicians in an integrated healthcare system in Wisconsin collaborated to develop Heart Health MobileTM (HHM), designed to improve awareness of cardiovascular disease risk and promote risk factor control among users. This paper outlines the development processes and highlights key lessons learned for mobile health applications. An agile project management methodology was used to dedicate adequate resources and employ adaptive planning and iterative development processes with a self-organized, cross-functional team. The initial HHM iOS app was developed and tested, and after additional modifications, gamified and HTML 5 versions of the app were released. The development of an iOS app is low in cost and sustainable by a healthcare system. Future app modifications to enhance data security and link self-reported cardiovascular risk assessment data to patient medical records may improve performance, patient relevance, and clinician acceptance of HHM in the primary-care setting. Legal and institutional barriers regarding the capture and analyses of protected health information must be mitigated to fully capture, analyze, and report patient health outcomes for future studies.
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Monteiro, B., A. Galhardo, M. Cunha, M. Couto, F. Fonseca, and L. Carvalho. "MindfulSpot: A mindfulness mobile app for people dealing with infertility." European Psychiatry 33, S1 (March 2016): S609—S610. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2279.
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IntroductionInfertility is not only a medical condition and its impact in mental health is well established. Although most couples facing fertility problems and the demands of medical treatment are able to adjust, some of them may show psychological difficulties with clinical relevance, such as depression and anxiety. The Mindfulness Based Program for Infertility (MBPI) is a group intervention designed for infertile women and data from its efficacy study revealed impact in depressive symptoms reduction as well as in internal and external shame, entrapment and defeat. Based on the MBPI, a mindfulness app targeting infertile patients was developed – the MindfulSpot.AimsThis study addresses the MindfulSpot development.MethodsThe MindfulSpot is a prototype mobile app, which seeks to offer the chance of practicing mindfulness in a comfortable and accessible way. This app covers informative audio and written texts. The audio contents correspond to mindfulness formal practices and suggestions for informal practice, making possible its use throughout different moments of the day. Beyond the practices mentioned above, users are invited to explore the informative menu, including information on the impact that infertility may have in several aspects of the patients’ lives.ResultsThe efficacy of the MindfulSpot is still under analysis and results are expected to be available soon.ConclusionsThe MindfulSpot was designed as a medium for training mindfulness skills and it includes useful information regarding specific aspects of the emotional impact of infertility. Additionally to its independent use, it may also be used as a support tool of the MBPI.Disclosure of interestThe authors have not supplied their declaration of competing interest.