Mobile health apps(MHAs)provide users with exercise support and dietary recommendations.They also suggest a wide range of novel foods.However,some users may face food neophobia,a reluctance to try unfamiliar foods,as ...Mobile health apps(MHAs)provide users with exercise support and dietary recommendations.They also suggest a wide range of novel foods.However,some users may face food neophobia,a reluctance to try unfamiliar foods,as well as the“omnivore’s paradox”.Optimizing the features that promote novel food acceptance among consumers is important for enhancing the operational performance of MHAs.Drawing on technology affordance theory and mind perception theory,this study examines how technology affordance affects consumers’acceptance of novel foods in MHAs.Using survey data from 422 MHA users,this study employed the Partial Least Squares Structural Equation Modeling(PLS-SEM)analysis method.The findings reveal that MHAs’technology affordance positively impacts consumer perceptions of novel food characteristics and facilitates purchase decisions.Additionally,this study provides recommendations for improving the functioning of MHAs and online marketing efforts for novel foods.展开更多
Objectives:With this study,we aimed to develop a mobile technology(mHealth)intervention to improve medication adherence among patients with coronary heart disease(CHD).Methods:The study was conducted in two phases wit...Objectives:With this study,we aimed to develop a mobile technology(mHealth)intervention to improve medication adherence among patients with coronary heart disease(CHD).Methods:The study was conducted in two phases with CHD patients from a Cardiology Department of a hospital located in China.Each phase was independent from the other.Phase 1 tested the integration of the two apps-"WeChat"and"BB Reminder"-as an mHealth intervention.All participants received the same educational materials via WeChat every two days.Participants in the experimental group received a reminder from BB Reminder for every dose of their medications.The duration of Phase 1 was 30 days for each participant.Phase 2 refined the intervention,in which educational materials were sent every five days rather than every two days,and medication-taking reminders were sent daily rather than every dose.Results:In Phase 1,an mHealth intervention was developed by integrating two mobile apps.In Phase 2,medication adherence increased at 30-day follow-up in both groups compared to baseline.At the 30-day follow-up,the mean of the decrease in medication non-adherence score in the experimental group(M=1.35,SD=2.18,n=36)was more than the decrease in control group(M=0.69,SD=1.58,n=36),which means the medication adherence improved more in the experimental group.Conclusion:The feasibility of using mHealth to remind CHD patients to take their medications is high.展开更多
Innovations in mobile health(mHealth)technology offer applications to promote wellness management and health behavior change outside of formal clinical settings.Nurses can help to move mHealth into mainstream health c...Innovations in mobile health(mHealth)technology offer applications to promote wellness management and health behavior change outside of formal clinical settings.Nurses can help to move mHealth into mainstream health care by understanding its potential to change the landscape of health intervention delivery,incorporating mHealth into patients'day to day preventive care strategies,and supporting the science of mHealth's effectiveness.展开更多
Although there have been remarkable technological developments in healthcare, the privacy and security of mobile health systems (mHealth) still raise many concerns with considerable consequences for patients using the...Although there have been remarkable technological developments in healthcare, the privacy and security of mobile health systems (mHealth) still raise many concerns with considerable consequences for patients using these technologies. For instance, potential security and privacy threats in wireless devices, such as Wi-Fi and Bluetooth connected to a patient hub at the application, middleware and sensory layers, may result in the disclosure of private and sensitive data. This paper explores the security and privacy of the patient hub, including patient applications and their connections to sensors and cloud technology. Addressing the privacy and security concerns of the patient hub called for a comprehensive risk assessment by using the OCTAVE risk assessment framework. Findings reveal that the highest risk concerned data exposure at the sensory layer. In spite of the countermeasures presented in this paper, most served as a means to identify risk early as opposed to mitigating them. The findings can serve to inform users of the potential vulnerabilities in the patient hub before they arise.展开更多
Physical activity is critical to improve the condition of patients with chronic leg and foot ulcers, especially those who are obese and experienced multiple co-morbid conditions. Unfortunately, these individuals are u...Physical activity is critical to improve the condition of patients with chronic leg and foot ulcers, especially those who are obese and experienced multiple co-morbid conditions. Unfortunately, these individuals are unable to engage in guideline based physical activity (PA) programs. A prototype of BluetoothTM enabled acceleration tracking (BEAT) mHealth system was developed and manufactured for remote monitoring and stimulation of adherence to PA in deconditioned patients. The system consists of a miniature accelerometer-based sensor, smartphone application, and a network service. Validation testing showed high reliability and reproducibility of the BEAT sensors. Pilot study with human subjects demonstrated high accuracy of the BEAT system in recognition of different exercises and calculating overall outcomes of PA. Taken together, these results indicate that BEAT system could become a valuable tool for realtime monitoring of PA in deconditioned patients.展开更多
Considering characteristic of mHealth communication and problems of existing methods, this paper presents a real-time communication method for mHealth based on extended XMPP protocol. The method can maintain the role ...Considering characteristic of mHealth communication and problems of existing methods, this paper presents a real-time communication method for mHealth based on extended XMPP protocol. The method can maintain the role status efficiently and reduce data latency during the communication process. Meanwhile, it can be extended flexibly to meet increasing communication demands of mHealth services. Furthermore, a system framework is presented to support telemonitoring scene. Finally, system implementation and feasibility tests verify the effectiveness of the method and framework.展开更多
Background: The use of mobile phones continues to rise rapidly in the provision of health related services. Many countries have adopted the use of mobiles to provide sexual and reproductive health and rights and espec...Background: The use of mobile phones continues to rise rapidly in the provision of health related services. Many countries have adopted the use of mobiles to provide sexual and reproductive health and rights and especially among the adolescents where specific messages are tailored for various audiences with specific messages. The purpose of this paper is to present the results of a research priority setting exercise on mHealth and innovative strategies. Methods: We adapted Child Health and Nutrition Research Initiative methodology to identify and set research priorities on mHealth and innovative strategies that respond to sexual and reproductive health and rights services. General potential research questions were gathered online from multiple stakeholders in the region and sent for consolidation consolidated to technical experts in World Health Organization headquarters. The second phase involved a meeting with experts to review and thematically analyze the questions list of 33 questions producing a list of 22 research questions. The questions were scored against a six point criteria and ranked accordingly. Ten top priority research questions were identified. Results: Lists of 33 priority research questions for mHealth and innovative strategies were proposed for discussions by 67 stakeholders. The questions were reviewed, scored and ranked in a technical meeting by experts. The highest ranking questions at 87% include evaluation of mHealth for data management and sexual and reproductive health and rights decision making, assessment of innovative local financing techniques to support community based sexual reproductive health and rights and evaluation of the role of mobile technologies in referral and counter referral. Conclusions: Information and communication technology is developing drastically and has a great potential in improving health especially in sexual and reproductive health and rights service delivery. This potential must be demonstrated with more relevant and quality research on mHealth and innovative strategies priorities identified.展开更多
Objective:To evaluate mobile applications available for patients undergoing assisted reproduction and assess the extent of their clinical validation.Methods:A systematic search was conducted in the Apple App Store and...Objective:To evaluate mobile applications available for patients undergoing assisted reproduction and assess the extent of their clinical validation.Methods:A systematic search was conducted in the Apple App Store and Google Play between September 1,2023 and September 30,2023 to identify mobile applications related to assisted reproduction.Apps were evaluated using the mobile app rating scale(MARS).In parallel,a literature search of PubMed,Scopus,Embase,and Web of Science was performed to identify clinical studies related to mobile applications in assisted reproduction.Clinical validation status and MARS scores were recorded,and findings were synthesized to highlight the gap between commercially available apps and research-based evidence.Results:From 1143 apps screened,11 met the inclusion criteria.Mean MARS score across apps was 3.63,with Leeaf scoring the highest(4.60).However,only one application(Embie)was supported by published research.The literature research identified 13 relevant studies,mostly randomized controlled trials,cohort studies,or usability studies.While research-based apps demonstrated clinical utility(e.g.,MediEmo,PreLiFe,Patient Journey App),most were unavailable on app stores.This revealed a disconnect between research-backed applications and those accessible to patients.Conclusions:Although several mobile apps for assisted reproduction demonstrate high usability and quality,few are clinically validated.The lack of integration between research and practice highlights the need for stronger collaboration between researchers,developers,and policymakers to ensure that patients access safe and effective tools.展开更多
基金supported by the National Social Science Fund of China(Grant Nos.22VRC153,19BGL262)the Fundamental Research Funds for the Central Universities of China(Grant No.2023JGJC03).
文摘Mobile health apps(MHAs)provide users with exercise support and dietary recommendations.They also suggest a wide range of novel foods.However,some users may face food neophobia,a reluctance to try unfamiliar foods,as well as the“omnivore’s paradox”.Optimizing the features that promote novel food acceptance among consumers is important for enhancing the operational performance of MHAs.Drawing on technology affordance theory and mind perception theory,this study examines how technology affordance affects consumers’acceptance of novel foods in MHAs.Using survey data from 422 MHA users,this study employed the Partial Least Squares Structural Equation Modeling(PLS-SEM)analysis method.The findings reveal that MHAs’technology affordance positively impacts consumer perceptions of novel food characteristics and facilitates purchase decisions.Additionally,this study provides recommendations for improving the functioning of MHAs and online marketing efforts for novel foods.
基金This work was supported by the Duke University School of NursingPhD Student Pilot Study Fund+1 种基金and the Duke University Graduate SchoolInternational Dissertation Research Travel Award
文摘Objectives:With this study,we aimed to develop a mobile technology(mHealth)intervention to improve medication adherence among patients with coronary heart disease(CHD).Methods:The study was conducted in two phases with CHD patients from a Cardiology Department of a hospital located in China.Each phase was independent from the other.Phase 1 tested the integration of the two apps-"WeChat"and"BB Reminder"-as an mHealth intervention.All participants received the same educational materials via WeChat every two days.Participants in the experimental group received a reminder from BB Reminder for every dose of their medications.The duration of Phase 1 was 30 days for each participant.Phase 2 refined the intervention,in which educational materials were sent every five days rather than every two days,and medication-taking reminders were sent daily rather than every dose.Results:In Phase 1,an mHealth intervention was developed by integrating two mobile apps.In Phase 2,medication adherence increased at 30-day follow-up in both groups compared to baseline.At the 30-day follow-up,the mean of the decrease in medication non-adherence score in the experimental group(M=1.35,SD=2.18,n=36)was more than the decrease in control group(M=0.69,SD=1.58,n=36),which means the medication adherence improved more in the experimental group.Conclusion:The feasibility of using mHealth to remind CHD patients to take their medications is high.
文摘Innovations in mobile health(mHealth)technology offer applications to promote wellness management and health behavior change outside of formal clinical settings.Nurses can help to move mHealth into mainstream health care by understanding its potential to change the landscape of health intervention delivery,incorporating mHealth into patients'day to day preventive care strategies,and supporting the science of mHealth's effectiveness.
文摘Although there have been remarkable technological developments in healthcare, the privacy and security of mobile health systems (mHealth) still raise many concerns with considerable consequences for patients using these technologies. For instance, potential security and privacy threats in wireless devices, such as Wi-Fi and Bluetooth connected to a patient hub at the application, middleware and sensory layers, may result in the disclosure of private and sensitive data. This paper explores the security and privacy of the patient hub, including patient applications and their connections to sensors and cloud technology. Addressing the privacy and security concerns of the patient hub called for a comprehensive risk assessment by using the OCTAVE risk assessment framework. Findings reveal that the highest risk concerned data exposure at the sensory layer. In spite of the countermeasures presented in this paper, most served as a means to identify risk early as opposed to mitigating them. The findings can serve to inform users of the potential vulnerabilities in the patient hub before they arise.
文摘Physical activity is critical to improve the condition of patients with chronic leg and foot ulcers, especially those who are obese and experienced multiple co-morbid conditions. Unfortunately, these individuals are unable to engage in guideline based physical activity (PA) programs. A prototype of BluetoothTM enabled acceleration tracking (BEAT) mHealth system was developed and manufactured for remote monitoring and stimulation of adherence to PA in deconditioned patients. The system consists of a miniature accelerometer-based sensor, smartphone application, and a network service. Validation testing showed high reliability and reproducibility of the BEAT sensors. Pilot study with human subjects demonstrated high accuracy of the BEAT system in recognition of different exercises and calculating overall outcomes of PA. Taken together, these results indicate that BEAT system could become a valuable tool for realtime monitoring of PA in deconditioned patients.
文摘Considering characteristic of mHealth communication and problems of existing methods, this paper presents a real-time communication method for mHealth based on extended XMPP protocol. The method can maintain the role status efficiently and reduce data latency during the communication process. Meanwhile, it can be extended flexibly to meet increasing communication demands of mHealth services. Furthermore, a system framework is presented to support telemonitoring scene. Finally, system implementation and feasibility tests verify the effectiveness of the method and framework.
文摘Background: The use of mobile phones continues to rise rapidly in the provision of health related services. Many countries have adopted the use of mobiles to provide sexual and reproductive health and rights and especially among the adolescents where specific messages are tailored for various audiences with specific messages. The purpose of this paper is to present the results of a research priority setting exercise on mHealth and innovative strategies. Methods: We adapted Child Health and Nutrition Research Initiative methodology to identify and set research priorities on mHealth and innovative strategies that respond to sexual and reproductive health and rights services. General potential research questions were gathered online from multiple stakeholders in the region and sent for consolidation consolidated to technical experts in World Health Organization headquarters. The second phase involved a meeting with experts to review and thematically analyze the questions list of 33 questions producing a list of 22 research questions. The questions were scored against a six point criteria and ranked accordingly. Ten top priority research questions were identified. Results: Lists of 33 priority research questions for mHealth and innovative strategies were proposed for discussions by 67 stakeholders. The questions were reviewed, scored and ranked in a technical meeting by experts. The highest ranking questions at 87% include evaluation of mHealth for data management and sexual and reproductive health and rights decision making, assessment of innovative local financing techniques to support community based sexual reproductive health and rights and evaluation of the role of mobile technologies in referral and counter referral. Conclusions: Information and communication technology is developing drastically and has a great potential in improving health especially in sexual and reproductive health and rights service delivery. This potential must be demonstrated with more relevant and quality research on mHealth and innovative strategies priorities identified.
基金funded by Vietnam National University Ho Chi Minh City(VNU-HCM)under grant number NCM2020-28-01.
文摘Objective:To evaluate mobile applications available for patients undergoing assisted reproduction and assess the extent of their clinical validation.Methods:A systematic search was conducted in the Apple App Store and Google Play between September 1,2023 and September 30,2023 to identify mobile applications related to assisted reproduction.Apps were evaluated using the mobile app rating scale(MARS).In parallel,a literature search of PubMed,Scopus,Embase,and Web of Science was performed to identify clinical studies related to mobile applications in assisted reproduction.Clinical validation status and MARS scores were recorded,and findings were synthesized to highlight the gap between commercially available apps and research-based evidence.Results:From 1143 apps screened,11 met the inclusion criteria.Mean MARS score across apps was 3.63,with Leeaf scoring the highest(4.60).However,only one application(Embie)was supported by published research.The literature research identified 13 relevant studies,mostly randomized controlled trials,cohort studies,or usability studies.While research-based apps demonstrated clinical utility(e.g.,MediEmo,PreLiFe,Patient Journey App),most were unavailable on app stores.This revealed a disconnect between research-backed applications and those accessible to patients.Conclusions:Although several mobile apps for assisted reproduction demonstrate high usability and quality,few are clinically validated.The lack of integration between research and practice highlights the need for stronger collaboration between researchers,developers,and policymakers to ensure that patients access safe and effective tools.
