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
目的基于健康测量工具选择标准(consensus-based standards for the selection of health measurement instruments,COSMIN)指南,系统评价移动医疗可用性评估工具的测量学属性及研究的方法学质量。方法系统检索PubMed、Embase、CINAHL、...目的基于健康测量工具选择标准(consensus-based standards for the selection of health measurement instruments,COSMIN)指南,系统评价移动医疗可用性评估工具的测量学属性及研究的方法学质量。方法系统检索PubMed、Embase、CINAHL、Web of Science、Taylor&Francis、中国知网、维普数据库、万方数据库及中国生物医学文献数据库中与移动医疗可用性评价量表测量学属性评价有关的中英文文献,检索时限为建库至2024年6月5日。对综述和纳入文章的参考文献列表进行了补充检索。2名研究者分别独立筛选文献、提取资料。依据COSMIN系统评价指南,采用偏倚风险清单及质量标准评定量表评价测量学特性并形成最终的推荐意见。结果共纳入15项研究,包含10个可用性评估工具,分别为移动医疗应用可用性问卷患者版(mHealth App usability questionnaire,MAUQ)、健康信息技术可用性评估量表(health information technology usability evaluation scale,Health-ITUES)、远程医疗可用性问卷(telehealth usability questionnaire,TUQ)、感知有效性和易用性(perceived usefulness and ease of use,PUEU)、可用性、满意度和易用性问卷(usefulness,satisfaction,and ease-of-use Questionnaire,USE Questionnaire)、用户体验可用性指标(usability metric for user experience,UMUX)、系统可用性量表(system usability scale,SUS)、场景后问卷(after-scenario questionnaire,ASQ)、研究后系统可用性问卷(post-study system usability questionnaire,PSSUQ)、计算机系统可用性问卷(computer system usability questionnaire,CSUQ)。由于内容效度均为不确定,证据质量等级多为中等或以下,10个量表均为B级推荐。结论MAUQ量表针对移动医疗应用程序开发,且已有汉化中文版,在我国移动医疗应用程序中已进行验证,虽为B类推荐,但推荐使用该工具。此外,建议未来研究加强这些工具的验证,以更准确地反映移动医疗App的实际使用场景。展开更多
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.
文摘目的基于健康测量工具选择标准(consensus-based standards for the selection of health measurement instruments,COSMIN)指南,系统评价移动医疗可用性评估工具的测量学属性及研究的方法学质量。方法系统检索PubMed、Embase、CINAHL、Web of Science、Taylor&Francis、中国知网、维普数据库、万方数据库及中国生物医学文献数据库中与移动医疗可用性评价量表测量学属性评价有关的中英文文献,检索时限为建库至2024年6月5日。对综述和纳入文章的参考文献列表进行了补充检索。2名研究者分别独立筛选文献、提取资料。依据COSMIN系统评价指南,采用偏倚风险清单及质量标准评定量表评价测量学特性并形成最终的推荐意见。结果共纳入15项研究,包含10个可用性评估工具,分别为移动医疗应用可用性问卷患者版(mHealth App usability questionnaire,MAUQ)、健康信息技术可用性评估量表(health information technology usability evaluation scale,Health-ITUES)、远程医疗可用性问卷(telehealth usability questionnaire,TUQ)、感知有效性和易用性(perceived usefulness and ease of use,PUEU)、可用性、满意度和易用性问卷(usefulness,satisfaction,and ease-of-use Questionnaire,USE Questionnaire)、用户体验可用性指标(usability metric for user experience,UMUX)、系统可用性量表(system usability scale,SUS)、场景后问卷(after-scenario questionnaire,ASQ)、研究后系统可用性问卷(post-study system usability questionnaire,PSSUQ)、计算机系统可用性问卷(computer system usability questionnaire,CSUQ)。由于内容效度均为不确定,证据质量等级多为中等或以下,10个量表均为B级推荐。结论MAUQ量表针对移动医疗应用程序开发,且已有汉化中文版,在我国移动医疗应用程序中已进行验证,虽为B类推荐,但推荐使用该工具。此外,建议未来研究加强这些工具的验证,以更准确地反映移动医疗App的实际使用场景。
