Current challenges and potential solutions to the use of digital health technologies in evidence generation: a narrative review

Frontiers in Digital Health, Journal Year: 2023, Volume and Issue: 5

Published: Sept. 28, 2023

Digital health is a field that aims to improve patient care through the use of technology, such as telemedicine, mobile health, electronic records, and artificial intelligence. The aim this review examine challenges potential solutions for implementation evaluation digital technologies. tools are used across world in different settings. In Australia, Health Translation Implementation Program (DHTI) emphasizes importance involving stakeholders addressing infrastructure training issues healthcare workers. WHO's Global Task Force on TB address tuberculosis innovations. also mental care, but their effectiveness must be evaluated during development. Oncology supportive uses cancer intervention surveillance, evaluating can challenging. COVID post-COVID era, based technological maturity size deployment, well quality data they provide. To safely effectively it essential prioritize using complex systems evidence-based medical frameworks. implementation, important ethical research user consent socioeconomic disparities access effectiveness. It consider impact outcomes cost-effectiveness service delivery.

Language: Английский

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Integrating the Internet of Things (IoT) in SPA Medicine: Innovations and Challenges in Digital Wellness

Computers, Journal Year: 2024, Volume and Issue: 13(3), P. 67 - 67

Published: March 6, 2024

Integrating modern and innovative technologies such as the Internet of Things (IoT) Machine Learning (ML) presents new opportunities in healthcare, especially medical spa therapies. Once considered palliative, these therapies conducted using mineral/thermal water are now recognized a targeted specific therapeutic modality. The peculiarity treatments lies their simplicity administration, which allows for prolonged treatments, often lasting weeks, with progressive controlled effects. Thanks to technologies, it will be possible continuously monitor patient, both on-site remotely, increasing effectiveness treatment. In this context, wearable devices, smartwatches, facilitate non-invasive monitoring vital signs by collecting precise data on several key parameters, heart rate or blood oxygenation level, providing perspective detailed treatment progress. constant acquisition thanks IoT, combined advanced analytics ML collection analysis, allowing real-time personalized adaptation. This article introduces an IoT-based framework integrated techniques tailored customer management more effective results. A preliminary experimentation phase was designed implemented evaluate system’s performance through evaluation questionnaires. Encouraging results have shown that approach can enhance highlight value significant contribution healthcare.

Language: Английский

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Educational interventions and their effects on healthcare professionals’ digital competence development: A systematic review

International Journal of Medical Informatics, Journal Year: 2024, Volume and Issue: 185, P. 105396 - 105396

Published: March 11, 2024

The digitalisation of healthcare requires that professionals are equipped with adequate digital competencies to be able deliver high-quality healthcare. Continuing professional education is needed ensure these competencies. This systematic review aimed identify and describe the educational interventions have been developed improve various aspects competence effects interventions. A literature following Joanna Briggs Institute's guidelines for Evidence Synthesis was conducted. Five electronic databases (CINAHL, PubMed, ProQuest, Scopus Medic) up November 2023 were searched studies. Two researchers independently assessed eligibility studies by title, abstract full text methodological quality Data tabulation narrative synthesis analysis study findings performed. PRISMA checklist guided process. included 20 reporting heterogeneous develop professionals. participants mainly nurses conducted in settings. length varied from a 20-minute session six-month period. Education offered through traditional contact teaching, using blended-learning approach videoconference. Learning enhanced lectures, slide presentations, group work, case studies, discussions practical exercises or simulations. Educational achieved statistically significant results regarding participants' knowledge, skills, attitudes, perception resources, self-efficacy confidence output quality. this suggest allied health would benefit multi-method approach. Training should provide knowledge as well opportunities interact peers instructors. Skills training. Adequate organisational support, encouragement, individual, needs-based guidance provided.

Language: Английский

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Digital Health Technology Research Funded by the National Institutes of Health

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(1), P. e2452976 - e2452976

Published: Jan. 3, 2025

Importance Digital health in biomedical research and its expanding list of potential clinical applications are rapidly evolving. A combination new digital technologies (DHTs), novel uses existing DHTs through artificial intelligence– machine learning–based algorithms, improved integration analysis data from multiple sources has enabled broader use delivery these tools for care purposes. The aim this study was to assess the growth overall trajectory DHT funding a National Institutes Health (NIH)–wide grant portfolio analysis. Observations This used 21 preselected search terms identify allocations across 9-year period between fiscal year 2015 2023. subset grants were manually curated confirm terms’ accuracy ascertain stage development, focus, types or approaches. To understand translation application, common measures, such as publications trials included. represented 2.8% (US $7 628 967 500) NIH funded increased during $348 725 600 $1 533 281 000. using same 3714 14 786 89 240, respectively. More development purposes (59.3%) than regulatory (41.0%) based on manual, second-level curation. Conclusions Relevance found that investments at over past 9 years increase been steady since 2015, including even after COVID-19 pandemic. Increased is expected continue become more integral part ecosystem.

Language: Английский

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Disparities in Patient Portal Use Among Adults With Chronic Conditions

JAMA Network Open, Journal Year: 2024, Volume and Issue: 7(2), P. e240680 - e240680

Published: Feb. 29, 2024

Importance Disparities in patient access and use of health care portals have been documented. Limited research has evaluated disparities portal during after the COVID-19 pandemic. Objective To assess prevalence before, during, most restrictive phase pandemic (2019-2022) among & Chronic Conditions (C3) cohort to investigate any by sociodemographic factors. Design, Setting, Participants This study uses data from C3 study, an ongoing, longitudinal, telephone-based survey participants with multiple chronic conditions. were middle aged older-adult primary patients who had active account, recruited a single academic medical center Chicago, Illinois, between 2019 2022. Data analyzed March June Main Outcomes Measures (ie, number days login year) recorded for all electronic warehouse. All parent studies uniform measures social support, self-efficacy, literacy, activation. Results Of 536 (mean [SD] age, 66.7 [12.0] years; 336 [62.7%] female), 44 (8.2%) Hispanic or Latinx, 142 (26.5%) non-Hispanic Black, 322 (60.1%) White, 20 individuals (3.7%) identified as other race, including Asian, Native American Alaskan Native, self-reported race. In multivariable analyses, activity was higher 3 years compared baseline. Higher associated adequate literacy (incidence rate ratio [IRR], 1.51; 95% CI, 1.18-1.94) multimorbidity (IRR, 1.38; 1.17-1.64). Lower older age (≥70 years: IRR, 0.69; 0.55-0.85) female sex 0.77; 0.66-0.91). Compared White patients, lower observed Latinx 0.66; 0.49-0.89), Black 0.68; 0.56-0.83), race 0.42; 0.28-0.64). Conclusions Relevance using changes over time highlighted populations that information. The increase use. Sociodemographic reduced, although widened. A brief validated measure may serve useful digital screening tool identify need further support.

Language: Английский

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Digital Cognitive Behavioral Therapy for Panic Disorder and Agoraphobia: A Meta-Analytic Review of Clinical Components to Maximize Efficacy

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(5), P. 1771 - 1771

Published: March 6, 2025

Background: Although digital cognitive behavioral therapy (dCBT) is considered effective for anxiety disorders, there considerable heterogeneity in its efficacy across studies, and varied treatment content clinical components may explain such heterogeneity. Objective: This review aimed to identify the of panic disorder agoraphobia, examine whether applying relevant interoceptive exposure, inhibitory-learning-based personalization enhances efficacy. Methods: Randomized controlled trials dCBT agoraphobia with passive or active controls were identified from OVID Medline, Embase, Cochrane Library, PsycINFO. The overall effect sizes groups (interventions through platforms based on internet, mobile, computers, VR, etc.) aggregated against control (placebo/sham) (traditional CBT) groups. For subgroup analysis, key intervention as inhibitory learning, assessed dichotomously (0 1) along other study characteristics. stepwise meta-regression models applied traditional Bayesian statistical testing. risk bias publication included studies assessed. Results: Among 31 selected had an size g = 0.70 -0.05 control. In exposure improved effects both controls, learning increased therapist guide/support length sessions. Many vulnerable attrition bias. No was detected. Conclusions: can be explained by different factors they include. dCBT, therapists should consider treatment.

Language: Английский

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Acceptability of digital health interventions in perioperative care: a systematic review and narrative synthesis of clinician perspectives

BMJ Open, Journal Year: 2025, Volume and Issue: 15(3), P. e086412 - e086412

Published: March 1, 2025

Objectives To identify themes relating to clinician acceptability of digital health intervention (DHIs) in the perioperative setting. Design Systematic review and narrative synthesis applying an inductive-deductive framework approach. Data sources Medline, Embase Cumulative Index Nursing Allied Health Literature for studies published between inception 6 March 2023. Eligibility criteria Studies with qualitative data on perceptions DHIs context adult care. extraction Included were coded inductively by a single reviewer. Codes organised into based conceptual similarities. Collaborative discussions second third reviewer enabled higher-order interpretations emergence subthemes. Themes subthemes systematically mapped onto seven constructs theoretical (TFA). Results A total 3234 publications identified, which 18 selected inclusion. studied included telemedicine platforms, mobile applications, website-based programmes electronic record (EHR)-integrated software. The most commonly reported TFA construct was perceived effectiveness, followed affective attitudes, opportunity costs, ethicality, burden, coherence self-efficacy. Conclusions Clinicians’ acceptance is primarily driven effectiveness. Optimism about potential enhance care often overshadowed concerns patient safety, privacy costs. As clinicians are key gatekeepers DHI adoption, these perspectives have significant impact long-term integration technologies Cocreation required address implementation barriers, enhancing their utilisation uptake long term. PROSPERO registration number This conducted accordance Preferred Reporting Items Reviews Meta-Analyses (PRISMA) guidelines protocol accessible (registration number: CRD42023403205).

Language: Английский

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Mapping digital health ecosystems in Africa in the context of endemic infectious and non-communicable diseases

npj Digital Medicine, Journal Year: 2023, Volume and Issue: 6(1)

Published: May 26, 2023

Abstract Investments in digital health technologies such as artificial intelligence, wearable devices, and telemedicine may support Africa achieve United Nations (UN) Sustainable Development Goal for Health by 2030. We aimed to characterize map ecosystems of all 54 countries the context endemic infectious non-communicable diseases (ID NCD). performed a cross-national ecological analysis using 20-year data from World Bank, UN Economic Commission Africa, Organization, Joint Programme on HIV/AIDS. Spearman’s rank correlation coefficients were used correlations between exposure (technology characteristics) outcome (IDs NCDs incidence/mortality) variables. Weighted linear combination model was decision rule, combining disease burden, technology access, economy, explain, rank, given country. The perspective our government decision-making. trend showed that characteristics have been steadily growing including internet mobile cellular fixed broadband subscriptions, high-technology manufacturing, GDP per capita, adult literacy, while many overwhelmed double burden IDs NCDs. Inverse exist ID burdens, subscription incidence tuberculosis malaria, or capita malaria. Based models, should prioritize investments South Nigeria, Tanzania HIV; Democratic Republic Congo (DROC) tuberculosis; DROC, Uganda malaria; Egypt, Ethiopia diabetes, cardiovascular disease, respiratory diseases, malignancies. Countries Kenya, Ethiopia, Zambia, Zimbabwe, Angola, Mozambique also highly affected IDs. By mapping this study provides strategic guidance about where governments require preliminary country-specific contexts bring sustainable economic returns. Building infrastructure be key part development programs with high burdens ensure more equitable outcomes. Though developments alongside are responsibility governments, global initiatives can cultivate interventions substantially bridging knowledge investment gaps, both through transfer local production negotiation prices large-scale deployment most impactful technologies.

Language: Английский

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Covid-19 and sociovirtualization: Exploring new ways to socialize

London Journal of Social Sciences, Journal Year: 2024, Volume and Issue: 7, P. 23 - 36

Published: Jan. 25, 2024

Following the Covid-19 pandemic, globe has seen unheard-of modifications in many facets of daily life, including how we socialize. A term used to characterize use virtual platforms and technologies for social contact, sociovirtualization become more prevalent due requirement physical separation gathering constraints. Research on effects socialization emergence novel digital modes communication interaction is crucial. This article examines future, seeing as standard our interpersonal interactions. In order promote real human connections, it highlights necessity a well-rounded strategy that incorporates both in-person contacts. Through thoughtful embrace sociovirtualization, can make sense situation now get ready time when real-world interactions coexist peacefully.

Language: Английский

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Integrating Digital Health Solutions with Immunization Strategies: Improving Immunization Coverage and Monitoring in the Post-COVID-19 Era

Vaccines, Journal Year: 2024, Volume and Issue: 12(8), P. 847 - 847

Published: July 28, 2024

The COVID-19 pandemic underscored the critical importance of vaccination to global health security and highlighted potential digital solutions improve immunization strategies. This article explores integrating technologies with programs coverage, monitoring, public outcomes. It examines current landscape tools used in initiatives, such as mobile apps, electronic records, data analytics platforms. Case studies from different regions demonstrate effectiveness these addressing challenges vaccine hesitancy, logistics, real-time monitoring distribution adverse events. paper also ethical considerations, privacy issues, need for a robust infrastructure support innovations. By analyzing successes limitations interventions campaigns during after pandemic, we provide recommendations future integration strategies ensure resilient responsive systems. research aims guide policymakers, professionals, technologists leveraging strengthen efforts prepare emergencies.

Language: Английский

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