Interactive Journal of Medical Research, Journal Year: 2022, Volume and Issue: 11(2), P. e38886 - e38886
Published: Oct. 24, 2022
This viewpoint presents a 3-phase conceptual model of the process user engagement with eHealth apps. We also describe how knowledge gleaned from psychosocial, behavioral, and cognitive science can be incorporated into this to enhance an app in each phase process.
Language: Английский
JMIR mhealth and uhealth, Journal Year: 2022, Volume and Issue: 10(4), P. e32557 - e32557
Published: Feb. 3, 2022
Background Osteoporosis is the fourth most common chronic disease worldwide. The adoption of preventative measures and effective self-management interventions can help improve bone health. Mobile health (mHealth) technologies play a key role in care patients with osteoporosis. Objective This study presents systematic review meta-analysis currently available mHealth apps targeting osteoporosis self-management, aiming to determine current status, gaps, challenges that future research could address, as well propose appropriate recommendations. Methods A all English articles was conducted, addition survey iOS Android app stores May 2021. comprehensive literature search (2010 2021) PubMed, Scopus, EBSCO, Web Science, IEEE Xplore conducted. Articles were included if they described dedicated or useful for (targeting nutrition, physical activity, risk assessment) delivered on smartphone devices adults aged ≥18 years. Of 32 articles, random effects performed 13 (41%) studies randomized controlled trials, whereas 19 (59%) remaining only narrative synthesis did not provide enough data. Results In total, 3906 unique identified. these (0.81%) met inclusion criteria reviewed depth. comprised 14,235 participants, whom, average, 69.5% (n=9893) female, mean age 49.8 (SD 17.8) identified 23 relevant self-management. revealed mHealth-supported resulted significant reduction pain (Hedges g −1.09, 95% CI −1.68 −0.45) disability −0.77, −1.59 0.05). posttreatment effect digital intervention function 2.54, −4.08 4.08) but nonsignificant well-being 0.17, −1.84 2.17), activity 0.09, −0.59 0.50), anxiety −0.29, −6.11 5.53), fatigue −0.34, −5.84 5.16), calcium −0.05, vitamin D intake 0.10, −4.05 4.26), trabecular score 0.06, −1.00 1.12). Conclusions have potential support management its symptoms; also appear be valuable tools professionals. However, are lack clinically validated evidence their efficacy focus limited number symptoms. more holistic personalized approach within cocreation design ecosystem needed. Trial Registration PROSPERO 2021 CRD42021269399; https://tinyurl.com/2sw454a9
Language: Английский
Citations
46
Internet Interventions, Journal Year: 2024, Volume and Issue: 35, P. 100724 - 100724
Published: Feb. 3, 2024
Despite the potential of mobile health (mHealth) to address high rates depression and anxiety in underserved rural communities, most mHealth interventions do not explicitly consider realities life. The aim this scoping review is identify examine available literature on that needs populations order gauge their feasibility utility for addressing anxiety. Additionally, we provide an overview users' perceptions about preferences mHealth-delivered mental screening intervention systems. Out 169 articles identified, 16 met inclusion criteria. Studies were conducted across a wide range countries, age groups, subpopulations including individuals with bipolar disorder, anxiety, perinatal depression, PTSD, chronic pain, as well refugees, veterans, transgender LGBTQ+ individuals. All feasibility/acceptability testing stage users. Identified strengths included simplicity, accessibility, convenience, availability support between sessions providers, remote access care team. Weaknesses problems charging phone batteries exceeding data limits, privacy concerns, general lack comfort app-based support. Based upon review, recommendations future development value developer-user coproduction methods, need user variation smartphones, or connectivity limitations, stigma, confidentiality concerns communities.
Language: Английский
Citations
7
Canadian Journal of Pain, Journal Year: 2022, Volume and Issue: 6(1), P. 33 - 44
Published: Feb. 2, 2022
With hundreds of pain management apps on the Canadian marketplace, it can be challenging for patients and clinicians to select effective evidence-based mobile health (mHealth) that address from a biopsychosocial perspective.The aim this study is identify within app marketplaces aid in recommending apps.The iOS Android were systematically searched included at least one core component cognitive behavioral therapy (CBT) or mindfulness- acceptance-based therapies. Selected assessed using researcher developed psychological components checklist, Mobile App Rating Scale (MARS). These two measures provided robust assessment apps' technical abilities principles being implemented.Five hundred eight identified, yet only 12 available evaluation. On average, contained 8.10 out 18 (SD = 2.77) with MARS quality rating 4.02 5 0.32). The most common grounded CBT, including psychoeducation, sleep hygiene, activation, coping skills training, social support. Among commonly goal setting, values, culture/diversity. Two-thirds involved care practitioners their development, but independent scientific review was scarce.The highest scoring (Curable, Pathways, Vivify) are highlighted who may wish recommend mHealth technologies management. Future directions research development discussed.Contexte: Le fait qu’il existe des centaines d'applications de prise en charge la douleur sur le marché canadien peut faire sorte soit difficile pour les et cliniciens choisir une application santé efficace fondée données probantes, qui aborde d'un point vue biopsychosocial.But: cette étude est répertorier applications disponibles marchés canadiens afin d'aider à recommander certaines.Méthodes: Les ont été systématiquement consultés comprennent au moins composante base thérapie cognitivo-comportementale (TCC) ou thérapies fondées pleine conscience l'acceptation. sélectionnées évaluées l'aide d'une liste vérification composantes psychologiques élaborée par un chercheur Ces deux mesures fourni évaluation robuste capacités techniques principes mis œuvre.Résultats: Cinq cent huit répertoriées, mais seulement d’entre elles comprenaient psychologique étaient l'évaluation. En moyenne, contenaient 8,10 (ÉT 2,77) obtenaient score qualité 4,02 0,32. plus courantes ancrées dans TCC, y compris psychoéducation, l'hygiéne du sommeil, l'activation comportementale, formation aux compétences d'adaptation soutien social. souvent incluses l'établissement d'objectifs, valeurs culture/diversité. Deux-tiers avaient impliqué praticiens leur développement, peu soumises examen scientifique indépendant.Conclusion: ayant obtenu scores élevés sont mises évidence l’intention soins peuvent souhaiter leurs douleur. orientations futures recherche développement abordées.
Citations
25
International Journal of Mental Health Nursing, Journal Year: 2024, Volume and Issue: 33(4), P. 760 - 780
Published: Jan. 30, 2024
Abstract This study aimed to provide a critical analysis of the current literature on use digital mental health interventions (DMHIs) for management and treatment disorders among refugees asylum seekers. These groups are most disadvantaged compared general population in terms socio‐economic status, due conflicts wars. The number fleeing their home countries is growing exponentially, experience trauma, torture, persecution human right abuses, which have profound effect overall well‐being. researchers conducted an integrative review from electronic databases Medline, CINAHL Google Scholar, selecting articles published English 2010 2023. thematic 10 identified revealed four main themes two sub‐themes: (1) types intervention/apps used ; (2) barriers encountered intervention (3) user (4) mapping gaps . Two sub‐themes were located Theme 2: (2.1) Language demographic (2.2) Structural showed that DMHIs was associated with positive experiences Limited care offered seekers range logistical, political, economic, geographical, language, cultural social barriers. potential overcome and/or moderate these concludes scaled implementation effective holds possibility improve wider distribution However, further research needed confirm effectiveness scale up studies utilisation this group. In summary, highlights improving results important implications service providers, policymakers address needs vulnerable/priority
Language: Английский
Citations
6
Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e50508 - e50508
Published: July 29, 2024
Background There are numerous mobile health (mHealth) interventions for treatment adherence and self-management; yet, little is known about user engagement or interaction with these technologies. Objective This systematic review aimed to answer the following questions: (1) How defined measured in studies of mHealth promote prescribed medical regimens self-management among people living a condition? (2) To what degree patients engaging interventions? (3) What association between outcomes? (4) often research end point? Methods Scientific database (Ovid MEDLINE, Embase, Web Science, PsycINFO, CINAHL) search results (2016-2021) were screened inclusion exclusion criteria. Data extracted standardized electronic form. No risk-of-bias assessment was conducted because this characterize measurement rather than certainty primary study results. The synthesized descriptively thematically. Results A total 292 included data extraction. median number participants per 77 (IQR 34-164). Most evaluated nonrandomized (157/292, 53.8%), involved diabetes (51/292, 17.5%), targeted medication (98/292, 33.6%), comprised apps (220/292, 75.3%). principal findings as follows: >60 unique terms used define engagement; “use” (102/292, 34.9%) “engagement” (94/292, 32.2%) most common; 11 distinct approaches identified; use objective log-in from an app web portal (160/292, 54.8%) although inconsistently evaluated, (99/195, 50.8%) reported >1 level due multiple methods analyses, decreased across time (76/99, 77%), conclusions suggesting that higher associated positive (60/103, 58.3%); point only 19.2% (56/292) studies. Conclusions revealed major limitations literature reviewed, including significant variability how defined, tendency rely on over other measurements, critical gaps (infrequently relation outcomes rarely considered point). Recommendations outlined response our goal improving rigor area. Trial Registration PROSPERO International Prospective Register Systematic Reviews CRD42022289693; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022289693
Language: Английский
Citations
5
JMIR mhealth and uhealth, Journal Year: 2022, Volume and Issue: 10(5), P. e31102 - e31102
Published: Feb. 17, 2022
Patients suffering from inflammatory bowel disease (IBD) frequently need long-term medical treatment. Mobile apps promise to complement and improve IBD management, but so far there has been no scientific analysis of their quality.This study evaluated the quality German mobile targeting patients physicians treating using Application Rating Scale (MARS).The Apple App Store Google Play were systematically searched identify for patient physician use. MARS was used by 6 (3 Android smartphones 3 iPhones) independently assess app quality. Apps randomly assigned that 4 with most downloads rated all raters remaining 1 iOS user.In total, we identified 1764 in Store. After removing not related (n=1386) or available (n=317), 61 remained. duplicates (n=3) congresses (n=7), journals (n=4), clinical studies (n=6), as well excluding only 2 stores (n=20) could be an additional device included a total 14 apps. The "CED Dokumentation und Tipps" had highest overall median score at 4.11/5. On whole, scores ranged between 2.38/5 As significant difference iPhone raters, Wilcoxon comparison test calculate P values.The ratings showed varied. We also discovered discrepancy store ratings, highlighting difficulty assessing perceived Despite promising results international studies, is little evidence benefits Clinical inclusion development process are needed effectively implement routine care.
Language: Английский
Citations
22
JMIR Formative Research, Journal Year: 2022, Volume and Issue: 6(5), P. e36203 - e36203
Published: April 18, 2022
Depression and anxiety frequently coexist with chronic musculoskeletal pain can negatively impact patients' responses to standard orthopedic treatments. Nevertheless, mental health is not routinely addressed in the care setting. If effective, a digital intervention may be feasible scalable method of addressing an setting.We aimed compare 2-month changes physical between patients who received addition usual care, those only (without specific intervention), in-person psychologist as part their treatment plan.In this single-center retrospective cohort study involving ancillary analysis pilot feasibility study, self-reported were compared access (Wysa) 2 convenience sample comparison cohorts (patients without plan). All 18 years or older reported elevated symptoms depression at clinic visit (Patient-Reported Outcomes Measurement Information System [PROMIS] Anxiety score ≥55). The was multi-component mobile app that used chatbot technology text-based human counselors provide cognitive behavioral therapy, mindfulness training, sleep tools, among other features, emphasis on activation acceptance. interest between-cohort differences longitudinal PROMIS scores (primary outcomes) Pain Interference Physical Function (secondary outcomes).Among 153 (mean age 55, SD 15 years; 128 [83.7%] female; 51 per cohort), showed clinically meaningful improvements follow-up for all measures improvement 2.8-3.7 points; P≤.02). After controlling BMI, Depression, Interference, meaningfully greater than shown by between-group difference 2.6-4.8 P≤.04). Improvements also psychological counseling 2.4 P=.04).Patients mean depression, interference, function care. They comparable anxiety, interference counseling.
Language: Английский
Citations
22
PEC Innovation, Journal Year: 2023, Volume and Issue: 3, P. 100175 - 100175
Published: June 16, 2023
Chronic low back pain places a significant burden on healthcare services and sufferers. Clinical guidelines state that it is condition requires self-management. This realist synthesis explores how mobile app could help people to self-manage chronic pain.
Language: Английский
Citations
12
The Lancet Respiratory Medicine, Journal Year: 2021, Volume and Issue: 9(8), P. 812 - 814
Published: July 15, 2021
With millions of individuals contracting COVID-19 worldwide, an unprecedented number intensive care unit (ICU) survivors are now in recovery.1Prescott HC Outcomes for patients following hospitalization COVID-19.JAMA. 2021; 325: 1511-1512Crossref PubMed Scopus (16) Google Scholar There is urgent need to understand more fully the consequences critical illness prioritise patient-centred and family-centred interventions meet their post-ICU physical mental health needs. However, achieving advances understanding provide optimum after acute disease remains challenging, with a paucity post-COVID-19 long-term outcome data, little intersection between direct (currently identified under term condition) complex (post-intensive syndrome or PICS). Although lessons certainly can be learned from previous studies respiratory distress (ARDS) SARS-CoV infection, we open possibility that range persistent symptoms COVID-19-associated different reported previously. Detailed follow-up data both ARDS SARS-CoV2Herridge MS Tansey CM Matté A et al.Functional disability 5 years syndrome.N Engl J Med. 2011; 364: 1293-1304Crossref (2012) Scholar, 3Tansey Louie M Loeb al.One-year outcomes utilization severe syndrome.Arch Intern 2007; 167: 1312-1320Crossref (226) show large proportion have cognitive impairments weeks ICU discharge, suggest some might permanent. Persistent weakness affects over 25% patients, substantial functional dependency activities daily living, including mobility self-care. Peripheral nerve injuries positioning, joint contracture immobility, oral laryngeal protracted endotracheal intubation during stay common. Tracheal stenosis frequent than was previously thought. Patients family caregivers develop important challenges, lasting months illness.2Herridge These challenges exacerbated outbreak setting which families isolated stigmatised,3Tansey racial ethnic minorities disproportionately affected. Additionally, inpatient visiting restrictions hospital phase, put place reduce transmission risks, result lack personal contact dehumanisation care, adding patients' members' longer-term burden. Similar trajectories those seen emerging early literature COVID-19. Huang colleagues4Huang C L Wang Y al.6-month discharged hospital: cohort study.Lancet. 397: 220-232Summary Full Text PDF (2818) 6-month Wuhan, 1733 122 whom had required high-flow nasal cannulae, non-invasive mechanical ventilation, invasive ventilation. Most at least one symptom follow-up, most commonly fatigue muscle weakness, sleep difficulties, anxiety depression, phase increased risk these pulmonary diffusion abnormalities follow-up.4Huang Morin colleagues5Morin Savale Pham T al.Four-month clinical status 1525-1534Crossref (364) on 4-month 478 who survived treatment Among 94 been admitted ICU, (23%), depression (18%), post-traumatic stress disorder (7%) were reported, muscular by 14 (27%) 51 intubated.5Morin Ayoubkhani colleagues6Ayoubkhani D Khunti K Nafilyan V al.Post-covid covid-19: retrospective study.BMJ. 372: n693Crossref (426) showed nearly third readmitted (14 060 47 780 patients) 10% died events occurring rates four times eight higher, respectively, general population matched control group.6Ayoubkhani Additional imposed pandemic hinder recovery post-acute include inadequate access comprehensive rehabilitation, due limitations quality appointments potential shortages health-care professionals related redeployment areas, burnout, illness. low-income settings areas hit hardest COVID-19, where systems overwhelmed. Such considerations also impact evaluating COVID-19-related thereby impede understanding. It fundamental initiate global, coordinated efforts, ongoing people align definitions core measures accurately inform our illness, so pathways adapted personalised.7Carson G Research priorities long Covid: refined through international multi-stakeholder forum.BMC 19: 84Crossref (38) 8Tong Baumgart Evangelidis N al.Core trials coronavirus 2019: failure, multiorgan shortness breath, recovery.Crit Care 49: 503-516Crossref (34) unifying definition condition starting point many groups already embarked this. The WHO will emerge soon. Studies must inclusive explore determinants based, example, gender socioeconomic factors.9Zettersten E Engerström Bell al.Long-term COVID-19: differences men women-a nationwide study.Crit Care. 25: 86Crossref (23) imperative children pregnant women, often excluded neglected research, assessed detail prioritised inclusion as part case definition. International comparisons essential investigate differential biological effects virus across spectrum ethnicities within offering varied resources patient access. fostering this effort.7Carson independent contribution variably overwhelmed bias observed considered describing sequelae In-person assessments limited isolation needs require researchers rely metrics administered remotely. Virtual infrastructures, rapidly deployed pandemic, could represent novel opportunities research ensure appropriate vulnerable populations; efforts prospective registries collate cases settings. Physical, psychological, neurocognitive aspects chronic pain multimodal assessment, patient-centric smartphone app-based technology help enhance communication providers promote self-management.10Bhatia Kara Janmohamed al.User engagement manage my app pain: real-world, multi-site trial.JMIR Mhealth Uhealth. 9e26528Crossref (24) scientific community endorse importance reporting become standard SARS-CoV-2 infection. Clinical linked basic translational genomics, mechanisms organ injury, recovery, continuum encompasses mechanistic, observational, randomised preventive therapeutic interventions. In addition clinicians, researchers, involvement other stakeholders (eg, social workers, economists, politicians) key informed support address affected conditions society level delays return work alternative occupations workplace). volumes thoughtful system change development systematised care. As features course post-COVID-19-associated clearer, optimised families. We declare no competing interests.
Language: Английский
Citations
24
Total Quality Management & Business Excellence, Journal Year: 2023, Volume and Issue: 34(15-16), P. 2157 - 2182
Published: July 25, 2023
The healthcare industry is transforming into Healthcare 4.0 (H4.0), an era characterized by smart and connected systems. This study presents a conceptual framework that classifies H4.0 digital technologies information communication technology bundles within the value chain. It also identifies barriers evaluates technologies' impact on quality measures through systematic literature review meta-analysis approach following PRISMA protocol. analysis reveals in sector traditionally consist of sensing-communication processing-actuation technologies. findings highlight significant influence three measures: patient safety, experience/satisfaction, clinical effectiveness. While these offer potential benefits, they pose challenges for patients clinicians, including intellectual property significance concerns, especially North America. proposed addresses issues enables stakeholders to prioritize, review, analyze enhance experience, research contributes existing being first comprehensive care. provided this offers valuable guidance selecting appropriate improve outcomes support
Language: Английский
Citations
11