Systematic review of digital self-management interventions in dementia care: Exploring the impact of wearable technology, smart homes, and mobile applications on patient outcomes (Preprint) DOI
Gary Cornelius, William Hodgson, Roma Maguire

et al.

Published: Sept. 16, 2024

BACKGROUND The dementia landscape has evolved significantly, with earlier diagnoses, better understanding of prevention (e.g. modifiable factors), and new treatments. Emerging digital technologies wearables, smart home apps) offer novel self-management opportunities, but critical knowledge gaps remain regarding their holistic integration into the care needs preferences people dementia. Broader also exist in intervention design, adaptation, implementation, including effectiveness, study quality, accessibility. OBJECTIVE This aims to collate appraise current literature on technologies, such as apps, optimised enhance self-management, reduce dementia-associated behaviours, improve quality life for review includes information characteristics, evaluated outcomes, accessibility, overall quality. METHODS We conducted a ten-year search across nine databases using terms related dementia, life, associated technologies. Studies were appraised based hardware, purpose. Outcomes mapped Nursing Classification (NOC) benchmarked NICE Quality Standard (QS184). Accessibility was assessed by availability, cost, ease use. Study Mixed Methods Appraisal Tool (MMAT), Critical Skills Programme (CASP), custom characterisation table. RESULTS Our yielded 835 unique articles, 24 meeting inclusion criteria. Interventions included 13 7 19 primarily carers. Mapping showed common outcomes: neurocognitive (n=24), self-care measures (n=17), health behavioural (n=13). Needs benchmarking revealed addressed needs, managing distress (n=15) supporting carers (n=15). Despite use widely available activity monitors, healthcare wearables prompters), accessibility poor due complex configurations support needs. Overall, good excellent, six high-quality randomized controlled trials excellent qualitative studies. CONCLUSIONS Research demonstrates significant benefits, particularly off-the-shelf devices flexible mobile apps that person-centred outcomes. Nevertheless, highlights weaknesses, limited participant diversity atypical dementias, minority groups) absence research key outcomes (e.g., symptom status, self-control). To address these issues, innovative approaches must be developed usability, focusing configurations, training, mechanisms.

Language: Английский

The impact of electronic health records on patient care and outcomes: A comprehensive review DOI Creative Commons

Adekunle Oyeyemi Adeniyi,

Jeremiah Olawumi Arowoogun,

Rawlings Chidi

et al.

World Journal of Advanced Research and Reviews, Journal Year: 2024, Volume and Issue: 21(2), P. 1446 - 1455

Published: Feb. 26, 2024

Electronic Health Records (EHRs) have revolutionized healthcare delivery, offering numerous benefits for patient care and outcomes. This comprehensive review examines the impact of EHRs on outcomes, highlighting key findings from existing literature. significantly improved by enhancing accessibility accuracy information. With EHRs, providers can easily access records, including medical history, medications, lab results, leading to more informed decision-making coordination care. also facilitate communication among providers, enabling better reducing errors. Moreover, been shown improve outcomes supporting evidence-based practices clinical decision-making. provide alerts reminders preventive screenings, helping adhere best guidelines. Additionally, enable real-time monitoring data, allowing early detection potential health issues timely interventions. Despite these benefits, challenges remain in implementation use EHRs. Issues such as interoperability, data security, provider burnout need be addressed fully realize improving In conclusion, had a transformative accessibility, accuracy, However, ongoing efforts are needed address ensure effective delivery.

Language: Английский

Citations

31

Addressing health disparities through IT: A review of initiatives and outcomes DOI Creative Commons

Scholastica Ijeh,

Chioma Anthonia Okolo,

Jeremiah Olawumi Arowoogun

et al.

World Journal of Biology Pharmacy and Health Sciences, Journal Year: 2024, Volume and Issue: 18(2), P. 107 - 114

Published: April 12, 2024

This paper provides a comprehensive review of information technology (IT) initiatives to address health disparities and evaluate their outcomes. Health disparities, defined as unequal outcomes access healthcare across different population groups, are persistent challenge globally. IT, including telehealth, electronic records (EHRs), mobile (mHealth) applications, data analytics, presents innovative opportunities mitigate these disparities. The discusses the successes challenges IT initiatives, highlighting potential enhance access, improve quality care, promote equity. Telehealth has been instrumental in bridging gap for remote underserved populations, while EHRs have improved care coordination. mHealth applications offer personalized interventions, analytics is crucial identifying addressing However, effectiveness solutions hindered by barriers such digital divide, lack literacy, privacy concerns. calls continued investment accessible equitable initiatives. It emphasizes need multidisciplinary approach involving policymakers, providers, professionals implement effective solutions. Through this review, aims contribute understanding how can be leveraged combat offering insights future research policy development.

Language: Английский

Citations

20

Developing and assessing the “MultiLife” intervention: a mobile health-based lifestyle toolkit for cardiometabolic multimorbidity in diabetes and hypertension management – a type 1 hybrid effectiveness-implementation trial protocol DOI Creative Commons
Sanghamitra Pati, Jaideep Menon, Tanveer Rehman

et al.

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 2, 2025

Cardiometabolic multimorbidity (CMM), characterized by the coexistence of diabetes, hypertension, and cardiovascular disease, poses a major health challenge in India, particularly rural areas with limited healthcare resources. Lifestyle interventions can manage cardiometabolic risk factors, yet adherence remains suboptimal. Mobile (mHealth) offer scalable approach for managing CMM promoting behaviour change medication adherence. We will develop evaluate MultiLife intervention, mHealth-based lifestyle toolkit aimed at improving management among individuals receiving primary care Eastern India year 2025. This study is two-arm, cluster-randomized controlled trial hybrid Type 1 design involving 840 participants across 18 centres Odisha Jharkhand. Using Health Belief Model as conceptual framework, intervention deliver daily digital reminders, weekly education broadcasts, ongoing support arm, while control group receive standard care. The trained workers recruit 50 patients, 6-month period, during routine visits each cluster. Primary outcomes include changes HbA1c from baseline (T0) to end-line (T6). Secondary blood pressure, body mass index, physical activity, dietary habits. Qualitative assessments explore barriers facilitators. Implementation outcomes, assessed through RE-AIM QuEST MultiFrame's acceptability, adoption, fidelity, maintenance. A random-effects regression model be used difference-in-difference analysis, adjusting covariates within-cluster correlations. may provide valuable insights into how mHealth-enabled enhance patient engagement, adherence, reduction resource-constrained settings. By integrating perspectives, this could inform strategies comprehensive management, providing future similar contexts. CTRI.nic.in, CTRI/2024/10/074559, Registered on October 2024.

Language: Английский

Citations

1

Telemedicine in rural Africa: A review of accessibility and impact DOI Creative Commons

Toritsemogba Tosanbami Omaghomi,

Jeremiah Olawumi Arowoogun,

Opeoluwa Akomolafe

et al.

World Journal of Advanced Research and Reviews, Journal Year: 2023, Volume and Issue: 21(2), P. 421 - 431

Published: Feb. 28, 2023

Telemedicine has emerged as a transformative solution to bridge the healthcare gap in rural Africa, where access medical services is often hindered by geographical remoteness and inadequate infrastructure. This paper delves into current landscape of telemedicine focusing on its accessibility profound impact it delivery. Accessibility remains critical challenge vast distances limited transportation infrastructure contribute isolation many communities from facilities. Telemedicine, leveraging digital communication technologies, offers promising avenue overcome these barriers. The review examines deployment infrastructure, including availability internet connectivity proliferation mobile devices, key factors influencing remote areas. Additionally, study assesses integration existing systems, exploring extent which regulatory frameworks policies support implementation. Africa multifaceted, encompassing improved access, enhanced diagnostic capabilities, cost-effective interventions. highlights how teleconsultations facilitate timely advice, reducing need for patients travel long routine care. Moreover, scrutinizes role enabling services, such teleimaging telepathology, have proven instrumental early disease detection intervention. socioeconomic another dimension explored this review. By alleviating burden healthcare-related expenses productivity losses due illness, contributes economic well-being communities. investigates potential empower local workers through training programs, thereby enhancing overall underserved regions. sheds light evolving emphasizing far-reaching As continues evolve, understanding challenges successes unique context will be shaping effective strategies future.

Language: Английский

Citations

12

Delivery methods and outcomes of eHealth programmes in neonatal transitional care for families of preterm or medically complex infants: a scoping review protocol DOI Creative Commons
Emanuele Buccione, Camilla Elena Magi, Laura Rasero

et al.

BMJ Open, Journal Year: 2025, Volume and Issue: 15(3), P. e092282 - e092282

Published: March 1, 2025

Introduction The transition from the neonatal intensive care unit (NICU) to home is a critical period for families with preterm or medically complex infants and often marked by stress, anxiety challenge of managing medical regimens. Virtual programmes such as mobile health applications telehealth interventions have emerged promising tools support during this transition. These aim provide continuous education after discharge. This scoping review will map existing evidence on virtual supporting NICU-to-home identify their delivery methods reported outcomes. Methods analysis protocol outlines methodology, described Arksey O’Malley further improved Levac et al . Preferred Reporting Items Systematic Reviews Meta-Analyses extension Scoping Review be used guiding framework reviews. A comprehensive search conducted in six databases: PubMed, Scopus, Web Science, Embase, CINAHL PsycINFO. Studies included if they (1) focus infants, (2) involve transitional discharge NICU (3) are primary studies. Grey literature, well secondary tertiary literature excluded. Data charted analysed summarise methods, target populations outcomes reported. Ethics dissemination No ethical approval required study. findings disseminated through publications peer-reviewed journals presentations relevant stakeholders. Trial registration number registered Open Science Framework ( https://doi.org/10.17605/OSF.IO/HWVZJ ).

Language: Английский

Citations

0

Catenation between mHealth application advertisements and cardiovascular diseases: moderation of artificial intelligence (AI)-enabled internet of things, digital divide, and individual trust DOI Creative Commons
Syed Hassan Raza,

Uzma Norin,

Emenyeonu C. Ogadimma

et al.

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 19, 2025

World Health Organization (WHO) identified noncommunicable diseases as the foremost risk to public health globally and cause of approximately 80% premature deaths. However, Cardiovascular account for most these deaths established threats health. Recently, digitization consultancy services through mHealth (e.g., mobile applications) using artificial intelligence (AI)-enabled Internet Things has notably facilitated accessibility expert advice continuous monitoring Cardiac on matters, making it more convenient adoption in recent times. Nonetheless, scant attention been paid how digital media might encourage digitally based consulting while accounting current IoT, Digital Divide, Individual Trust conditions. Given this status quo, study contributes body literature by delving into an unexplored evaluation role advertising plays outlining characteristics effectiveness AI-enabled IoT mHealth. The used a cross-sectional online survey collect data from 495 middle-aged adults. findings showed that social influence, performance expectation, effort expectancy, facilitating conditions are critical factors predicting intention use applications. While advertisements effective ingraining perception their better regarding evading cardiovascular added with is tool adopting utilization promote emerging elements like counter diseases, e.g., disease, not yet thoroughly explored. Consequently, communication features promotion among adults remains largely uncharted. This research examines respond showcasing media. Drawing analogy UTAUT-3 theory, investigates advertisement can effectively recently integrated consultation services. Remarkably, trust IoTs-based applications remained insignificant. divide resulting low literacy Global South, especially Pakistan, primary obstacle apps suggests organizations such WHO, apps, telemedicine service providers employ messaging instructional educate public.

Language: Английский

Citations

0

AI-Driven Telemedicine and mHealth Applications Integrating Digital Twin-Based Healthcare DOI

Himabindu Chetlapalli,

Sharadha Kodadi,

Durga Praveen Deevi

et al.

IGI Global eBooks, Journal Year: 2025, Volume and Issue: unknown, P. 437 - 466

Published: May 2, 2025

Background information: From digital twins, SDOH measures, agent-based simulations to community health dashboards, AI is changing the healthcare sector. These are making sure systems serve needs of people as well populations through addressing inequities, optimizing use resources, and improvements in patient-centered therapy. Methods: The methods include mathematical models with real-time sensor, wearable, EHR data. In simulation, resource management customized. Digital twins increase accuracy forecasting. Objectives: It aims offer fair treatment, scalable, proactive, predictive that includes SDOH, simulation. Results: framework reached 97% prediction accuracy, reduced inequities by 90%, raised patient satisfaction 25%, enhanced efficiency 30%. Conclusion: AI-driven integrate transforming industry care operational capabilities.

Language: Английский

Citations

0

Revolutionizing Healthcare: Telemedicine and Remote Diagnostics in the Era of Digital Health DOI

Pongkit Ekvitayavetchanukul,

Ch. Bhavani,

Namita Nath

et al.

Published: Jan. 1, 2024

Language: Английский

Citations

1

Review of Deep Learning Models for Remote Healthcare DOI
Avnish Singh Jat, Tor‐Morten Grønli, Gheorghiță Ghinea

et al.

Lecture notes in computer science, Journal Year: 2024, Volume and Issue: unknown, P. 204 - 219

Published: Jan. 1, 2024

Language: Английский

Citations

0

Systematic review of digital self-management interventions in dementia care: Exploring the impact of wearable technology, smart homes, and mobile applications on patient outcomes (Preprint) DOI
Gary Cornelius, William Hodgson, Roma Maguire

et al.

Published: Sept. 16, 2024

BACKGROUND The dementia landscape has evolved significantly, with earlier diagnoses, better understanding of prevention (e.g. modifiable factors), and new treatments. Emerging digital technologies wearables, smart home apps) offer novel self-management opportunities, but critical knowledge gaps remain regarding their holistic integration into the care needs preferences people dementia. Broader also exist in intervention design, adaptation, implementation, including effectiveness, study quality, accessibility. OBJECTIVE This aims to collate appraise current literature on technologies, such as apps, optimised enhance self-management, reduce dementia-associated behaviours, improve quality life for review includes information characteristics, evaluated outcomes, accessibility, overall quality. METHODS We conducted a ten-year search across nine databases using terms related dementia, life, associated technologies. Studies were appraised based hardware, purpose. Outcomes mapped Nursing Classification (NOC) benchmarked NICE Quality Standard (QS184). Accessibility was assessed by availability, cost, ease use. Study Mixed Methods Appraisal Tool (MMAT), Critical Skills Programme (CASP), custom characterisation table. RESULTS Our yielded 835 unique articles, 24 meeting inclusion criteria. Interventions included 13 7 19 primarily carers. Mapping showed common outcomes: neurocognitive (n=24), self-care measures (n=17), health behavioural (n=13). Needs benchmarking revealed addressed needs, managing distress (n=15) supporting carers (n=15). Despite use widely available activity monitors, healthcare wearables prompters), accessibility poor due complex configurations support needs. Overall, good excellent, six high-quality randomized controlled trials excellent qualitative studies. CONCLUSIONS Research demonstrates significant benefits, particularly off-the-shelf devices flexible mobile apps that person-centred outcomes. Nevertheless, highlights weaknesses, limited participant diversity atypical dementias, minority groups) absence research key outcomes (e.g., symptom status, self-control). To address these issues, innovative approaches must be developed usability, focusing configurations, training, mechanisms.

Language: Английский

Citations

0