The Impact of COVID-19 on the Social Determinants of Cardiovascular Health

Canadian Journal of Cardiology, Год журнала: 2023, Номер 39(6), С. 754 - 760

Опубликована: Март 11, 2023

Язык: Английский

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Integration von Wearables und Nutzung von digitalen Biomarkern zur Diagnostik und Therapie im Gesundheitswesen

Health data management, Год журнала: 2024, Номер unknown, С. 323 - 336

Опубликована: Янв. 1, 2024

Wearable-Technologien stellen kontinuierlich Gesundheitsdaten bereit und können Ärzte bei Diagnose, Überwachung Therapie unterstützen. Während ihre Praktikabilität in den Bereichen Fitness Unterhaltung bereits bewiesen ist, erfordert Anwendung im Gesundheitswesen für Biomarker-Tracking jedoch Standardisierung, Workflow-Kompatibilität nahtlose Datenintegration. Digitale Gesundheitsanwendungen (DiGAs) sind medizinisch zertifiziert nutzenbringend, erfordern Interoperabilität, Sicherheit, Patientenorientierung sowie Zusammenarbeit mit elektronischen Patientenakten (ePA), Versicherungsplattformen Telemedizin. Die laufenden Standardisierungsbemühungen, insbesondere Hinblick auf HL7 FHIR, zeigen vielversprechende Ansätze die Integration von Wearables eHealth. Definition geeigneten Profilen, strukturierte Datenkodierung Entwicklung der nötigen Infrastruktur Schlüsselfaktoren eine gelungene Umsetzung.

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Internet-Based Interventions for Preventing Premature Birth in Preconceptional Women of Childbearing Age: A Systematic Review (Preprint)

Опубликована: Май 18, 2024

Preconception health is essential for preventing premature birth, yet engagement in preconception care remains low. Despite the development of several internet-based interventions post-COVID-19, a thorough evaluation their effectiveness enhancing and births necessary. This systematic review aims to assess study designs evaluate birth among preconceptional women childbearing age. We conducted comprehensive search MEDLINE, Embase, CINAHL, Cochrane Library databases identify randomized trials quasi-experimental studies on birth. The was global included published up December 2023, without language or geographic restrictions. Two authors independently assessed risk bias using revised RoB tool (RoB 2), adhering PRISMA guidelines. A meta-analysis not due heterogeneity populations, measurements, interventions. Eleven articles were included, with varying approaches. overall high most studies. Interventions improved knowledge reproductive but had no significant effect self-efficacy related promotion. While some behavioral changes reduce risks effectively promoted, impacts folic acid use, contraception initiation, dual method use inconsistent. Furthermore, there reductions sexually transmitted infections unplanned pregnancies. Internet-based showed mixed across different outcomes, general ineffectiveness improving status. results, derived from limited number bias, suggest need caution application. Future research, including robust clinical trials, vital develop, evaluate, disseminate effective safe care. PROSPERO CRD42021277024; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021277024

Язык: Английский

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Evaluation of Physical Exercise Performance Using Deep Learning Methods

Опубликована: Июнь 20, 2024

Язык: Английский

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Internet-based Interventions for Preventing Premature Birth in Preconceptional Women of Childbearing Age: A Systematic Review (Preprint)

Journal of Medical Internet Research, Год журнала: 2024, Номер unknown

Опубликована: Май 18, 2024

Язык: Английский

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A Deeper Look into Exercise Intensity Tracking through Mobile Applications: A Brief Report

Technologies, Год журнала: 2023, Номер 11(3), С. 66 - 66

Опубликована: Май 1, 2023

Mobile fitness applications (apps) allow for time-efficient opportunities physical activity. Current research suggests that apps do not accurately comply with the frequency, intensity, time, and type (FITT) principle. FITT is an important principle in exercise prescription as it applies scientific evidence to improve quality of exercise. Based on app assessment using Fitness Apps Scoring Instrument, most adequately address their plans. In particular, adhere intensity guidelines. Many users track heart rate a method assessing but few use information provide real-time feedback workout. For users, awareness education standards should be put forth coordination professionals, rather than relying alone.

Язык: Английский

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Feasibility, Acceptability, and Potential Impact of a Novel mHealth App for Smokers Ambivalent About Quitting: Randomized Pilot Study (Preprint)

Опубликована: Фев. 2, 2023

Most smokers are ambivalent about quitting—they want to quit someday, but not now. Interventions needed that can engage smokers, build their motivation for quitting, and support future attempts. Mobile health (mHealth) apps offer a cost-effective platform such interventions, research is inform optimal design assess acceptability, feasibility, potential effectiveness. This study aims the impact of novel mHealth app who smoking someday quitting in near term. We enrolled adults across United States smoked more than 10 cigarettes day were (n=60). Participants randomly assigned 1 2 versions GEMS app: standard care (SC) versus enhanced (EC). Both had similar identical evidence-based, best-practice cessation advice resources, including ability earn free nicotine patches. EC also included series exercises called experiments designed help clarify goals, strengthen motivation, learn important behavioral skills changing behavior without making commitment quit. Outcomes analyzed using automated data self-reported surveys at 3 months post enrollment. installed (57/60, 95%) largely female, White, socioeconomically disadvantaged, highly dependent. As expected, key outcomes trended favor group. Compared SC users, participants greater engagement (mean sessions 19.9 vs 7.3 SC). An intentional attempt was reported by 39.3% (11/28) users 37.9% (11/29) users. Seven-day point prevalence abstinence 3-month follow-up 14.7% (4/28) 6.9% (2/29) Among earned trial replacement therapy based on usage, 36.4% (8/22) 11.1% (2/18) requested treatment. A total 17.9% (5/28) 3.4% (1/29) used an in-app feature access tobacco quitline. Other metrics promising. completed average 6.9 (SD 3.1) out 9 experiments. Median helpfulness ratings ranged from 4 5-point scale. Finally, satisfaction with both very good 4.1 Likert scale) 95.3% (41/43) all respondents would recommend version others. Ambivalent receptive app-based intervention, version, which combined self-paced, experiential exercises, associated use evidence change. Further development evaluation program warranted. ClinicalTrials.gov NCT04560868; https://clinicaltrials.gov/ct2/show/NCT04560868

Язык: Английский

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Nutrition and Diet Apps: Brazilian Panorama before and during the COVID-19 Pandemic

Nutrients, Год журнала: 2023, Номер 15(16), С. 3606 - 3606

Опубликована: Авг. 17, 2023

In the last decade, we have seen a substantial increase in development and use of mobile technology to improve diet healthy eating behaviors. To describe characteristics nutrition apps before after COVID-19 pandemic available Brazil. Nutrition were identified using official Apple Google stores. The search occurred January 2020 May 2022 We extracted nutritional content standard indicators (e.g., being developed or 2020, number languages, target population, investment, prices, seller, reviews downloads, consumer rating). 280 launched 411 during period. Most at least ten languages (96.6%), with no indication age (95.6%) partial full cost (59%). As for contents, 18.9% addressed personal suggestions; 73.4%, education; 48.8%, revenues; 35.9%, physical activity guide; 2.3%, recommendation out; 23.9%, grocery shopping scan code; 32.4%, food diary; 18.9%, water intake; 4.6%, nutrition/diseases. data show an evolution that may been boosted by reveals trend towards educational content. During pandemic, there was positive qualitative quantitative movement e-health regarding promotion education.

Язык: Английский

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Feasibility, Usability, and Safety of ParaGym, an Intelligent Mobile Exercise App for Individuals With Paraplegia: Protocol for a Pilot Block-Randomized Controlled Trial (Preprint)

Опубликована: Фев. 1, 2023

Exercise is crucial for individuals with paraplegia to reduce the risk of secondary diseases and improve independence quality life. However, numerous barriers such as inadequate accessibility restrict their participation in exercise programs. Digital apps can help overcome these barriers. Personalization considered a feature mobile apps, people have individual requirements regarding programs depending on level impairment. Despite increasing popularity there are none available that target needs this cohort. The ParaGym app prototype was designed automatically tailor sessions users paraplegia. This study aims evaluate feasibility, usability, safety, preliminary effectiveness prototype. pilot block-randomized controlled feasibility trial will include 45 adult participants Eligible be block randomized either intervention or waitlist control group. group perform 6-week program using app, comprising three 35-minute per week. continue usual care receive access after completion. Participants record all conducted well additional during period diaries. primary outcomes safety. Feasibility assessed through semistructured interviews, adherence, retention rates. Usability measured System Scale. Safety determined by occurrence adverse events. Secondary effects peak capacity (VO₂ peak); handgrip strength; independence, which Spinal Cord Independence Measure III (SCIM III); health-related life, Short Form–36 Health Survey (SF-36). Recruitment commenced November 2022. Overall, 12 were enrolled at time submission. Data collection January 2023, completion expected April 2023. To best our knowledge, first assess safety an intelligent Thereafter, should adapted according findings trial. Future trials updated version aim larger sample size, longer duration, more diverse In long term, fully marketable implemented. would increase personalized, independent, evidence-based training cohort and, future, other who use wheelchairs. German Clinical Trials Register DRKS00030370; https://drks.de/search/de/trial/DRKS00030370 DERR1-10.2196/45652

Язык: Английский

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