Subjects -> HEALTH AND SAFETY (Total: 1556 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (728 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (390 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (115 journals)
    - PHYSICAL FITNESS AND HYGIENE (133 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (728 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
ACM Transactions on Computing for Healthcare     Hybrid Journal   (Followers: 5)
Acta Informatica Medica     Open Access   (Followers: 3)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 13)
Advances in Public Health     Open Access   (Followers: 33)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 4)
African Health Sciences     Open Access   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 7)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 48)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 9)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 4)
Akademika     Open Access   (Followers: 1)
American Journal of Family Therapy     Hybrid Journal   (Followers: 9)
American Journal of Health Economics     Full-text available via subscription   (Followers: 22)
American Journal of Health Education     Hybrid Journal   (Followers: 39)
American Journal of Health Promotion     Hybrid Journal   (Followers: 35)
American Journal of Health Sciences     Open Access   (Followers: 13)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 31)
American Journal of Public Health     Full-text available via subscription   (Followers: 300)
American Journal of Public Health Research     Open Access   (Followers: 32)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 9)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 16)
Annals of Health Law     Open Access   (Followers: 6)
Applied Biosafety     Hybrid Journal   (Followers: 1)
Applied Ergonomics     Hybrid Journal   (Followers: 18)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 3)
Archives of Medicine and Health Sciences     Open Access   (Followers: 7)
Archives of Suicide Research     Hybrid Journal   (Followers: 12)
Archivos de Prevención de Riesgos Laborales     Open Access  
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 11)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 6)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 15)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 5)
Asian Journal of Medicine and Health     Open Access   (Followers: 2)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 7)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 5)
Autism & Developmental Language Impairments     Open Access   (Followers: 17)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 7)
Biosafety and Health     Open Access   (Followers: 1)
Biosalud     Open Access   (Followers: 1)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 24)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 14)
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 53)
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 23)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos de Saúde     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 16)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 14)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 28)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 2)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
CASUS : Revista de Investigación y Casos en Salud     Open Access   (Followers: 1)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access  
Child and Adolescent Obesity     Open Access   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 12)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 3)
Christian Journal for Global Health     Open Access   (Followers: 1)
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia & Salud     Open Access   (Followers: 1)
Ciencia & Trabajo     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 3)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Cities & Health     Hybrid Journal   (Followers: 4)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 6)
Conflict and Health     Open Access   (Followers: 8)
Contact (CTC)     Open Access  
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access   (Followers: 3)
Cuadernos de la Escuela de Salud Pública     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 11)
Current Opinion in Environmental Science & Health     Hybrid Journal   (Followers: 1)
Das österreichische Gesundheitswesen ÖKZ     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal  
Digital Health     Open Access   (Followers: 10)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 16)
Diversity and Equality in Health and Care     Open Access   (Followers: 9)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 3)
Drogues, santé et société     Open Access   (Followers: 2)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 29)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 26)
EcoHealth     Hybrid Journal   (Followers: 6)
Education for Health     Open Access   (Followers: 9)
ElectronicHealthcare     Full-text available via subscription   (Followers: 4)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emerging Trends in Drugs, Addictions, and Health     Open Access   (Followers: 1)
Ensaios e Ciência : Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 4)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 6)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 7)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 24)
EsSEX : Revista Científica     Open Access   (Followers: 1)
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access   (Followers: 1)
Ethics & Human Research     Hybrid Journal   (Followers: 4)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 8)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 16)
Eurasian Journal of Health Technology Assessment     Open Access   (Followers: 1)
EUREKA : Health Sciences     Open Access   (Followers: 3)
European Journal of Health Communication     Open Access   (Followers: 2)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 6)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 3)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 11)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
F&S Reports     Open Access   (Followers: 1)
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 10)
Family & Community Health     Hybrid Journal   (Followers: 15)
Family Medicine and Community Health     Open Access   (Followers: 10)
Family Relations     Partially Free   (Followers: 15)
FASEB BioAdvances     Open Access  
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 19)
Food Hydrocolloids for Health     Open Access  
Food Quality and Safety     Open Access   (Followers: 2)
Frontiers in Digital Health     Open Access   (Followers: 3)
Frontiers in Neuroergonomics     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 9)
Frontiers of Health Services Management     Partially Free   (Followers: 9)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 9)
Global Health Annual Review     Open Access   (Followers: 3)
Global Health Journal     Open Access   (Followers: 3)
Global Health Promotion     Hybrid Journal   (Followers: 19)
Global Journal of Health Science     Open Access   (Followers: 12)
Global Journal of Public Health     Open Access   (Followers: 17)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 11)
Global Reproductive Health     Open Access   (Followers: 1)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Global Transitions Proceedings     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 9)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 7)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 20)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 18)
Health and Human Rights     Open Access   (Followers: 10)
Health and Research Journal     Open Access   (Followers: 2)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 11)
Health and Social Work     Hybrid Journal   (Followers: 72)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 5)
Health Behavior Research     Open Access   (Followers: 6)

        1 2 3 4 | Last

Similar Journals
Journal Cover
Digital Health
Number of Followers: 10  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2055-2076 - ISSN (Online) 2055-2076
Published by Sage Publications Homepage  [1166 journals]
  • Get waivered remote: Nationwide, remote DEA-x waiver course in response to
           COVID-19

    • Authors: Alister Martin, Joshua P. Raber, Desiree Shayer, Deborah Lai, Adam Goodcoff, Jasmine Kannikal, Ali S. Raja, Shuhan He
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ProblemAs of 2020, less than 5% of physicians in the United States have a drug enforcement administration-X waiver to prescribe buprenorphine. The coronavirus-2019 pandemic restricted in-person gatherings, including traditional drug enforcement administration-X waiver courses. As a result, in-person conferences have needed to adopt remote formats. Many programs identified a gap between educational delivery and the faculty skills required to deliver content remotely.ApproachTo address the need for high-quality remote learning, Get Waivered designed and implemented a novel experience for clinicians, called Get Waivered Remote. An educational session was live-streamed via Zoom™. To foster interactivity, like in-person didactic conferences, participants were polled to facilitate discussion among presenters, learners, and facilitators during the broadcastOutcomesThe RE-AIM framework was used for evaluation. Our program had a Reach encompassing 814 users that participated during the live-streamed event; Effectiveness with 73.79% reporting being somewhat familiar or very familiar with the practice of opioid dependency treatment with approved buprenorphine medications; Adoption with 95.15% reporting a favorable experience and 92.23% reporting it was similar or more enjoyable than their usual teaching; Implementation with 450 messages sent by 281 users to engage with presenters and other learners via Zoom chat in real time.Next stepsGet Waivered Remote provides a proof-of-concept that a broadcast with a concurrent, interactive remote learning platform is feasible, low cost, and simple to execute. Further study is required to assess the ability of our group to maintain this innovation and also to measure its impact on the treatment of opioid use disorder.
      Citation: DIGITAL HEALTH
      PubDate: 2021-10-19T10:20:59Z
      DOI: 10.1177/20552076211048985
      Issue No: Vol. 7 (2021)
       
  • Integrating online community support into outpatient breast cancer care:
           Mayo Clinic Connect online platform

    • Authors: David M Harmon, Colleen D Young, Melissa A Bear, Lee A Aase, Sandhya Pruthi
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      IntroductionMayo Clinic Connect is an online community of over 100,000 members who support each other through sharing lived experience when facing and managing new diagnoses. The community is moderated by Mayo Clinic staff and volunteer patient mentors.MethodsMayo Clinic breast clinic patients undergoing evaluation received a binder of support resources including a brochure about Mayo Clinic Connect at visits between January and May of 2019. Surveys were distributed at subsequent visits between May and December of 2019 to assess patient awareness about the online resource, participation frequency, purpose of use, and benefits for members, as well as reasons for not joining (non-members). The primary aim was to assess patient resilience, coping, and self-management after joining the online community.ResultsNine hundred surveys were distributed, and 102 participants completed surveys between May and December 2019. Forty-five percent (n = 46) had heard about Mayo Clinic Connect; 34% (n = 15) through a brochure. The remainder heard about the community from a Mayo Clinic provider (43%; n = 19) or other resources (22%, n = 10; no response n = 2). Twenty percent (n = 20) of survey participants registered as Breast Cancer group members, and most of this subgroup (55%; n = 11) reported understanding diagnosis, treatment plans, and finding peer support as reasons for joining. Seventy-five percent of Mayo Clinic Connect participants (n = 15) reported the community met or exceeded expectations.ConclusionThis pilot study reveals the potential positive impact of introducing an online peer support group into clinical care plans for patients coping with a new and anxiety-provoking cancer diagnosis.
      Citation: DIGITAL HEALTH
      PubDate: 2021-10-18T12:17:38Z
      DOI: 10.1177/20552076211048979
      Issue No: Vol. 7 (2021)
       
  • “Let me know when I’m needed”: Exploring the gendered nature of
           digital technology use for health information seeking during the
           transition to parenting

    • Authors: Bradley Hiebert, Jodi Hall, Lorie Donelle, Danica Facca, Kim Jackson, Ewelina Stoyanovich
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      This paper presents results of a qualitative descriptive study conducted to understand parents’ experiences with digital technologies during their transition to parenting (i.e. the period from pre-conception through postpartum). Individuals in southwest Ontario who had become a new parent within the previous 24 months were recruited to participate in a focus group or individual interview. Participants were asked to describe the type of technologies they/their partner used during their transition to parenthood, and how such technologies were used to support their own and their family's health. Focus group and interview transcripts were then subjected to thematic analysis using inductive coding. Ten focus groups and three individual interviews were conducted with 26 heterosexual female participants. Participants primarily used digital technologies to: (1) seek health information for a variety of reproductive health issues, and (2) establish social and emotional connections. The nature of such health information work was markedly gendered and was categorized by 2 dominant themes. First, “‘Let me know when I’m needed’”, characterizes fathers’ apparent avoidance of health information seeking and resultant creation of mothers as lay information mediaries. Second, “Information Curation”, captures participants’ belief that gender biases built-in to popular parenting apps and resources reified the gendered nature of health and health information work during the transition to parenting. Overall, findings indicate that digital technology tailored to new and expecting parents actively reinforced gender norms regarding health information seeking, which creates undue burden on new mothers to become the sole health information seeker and interpreter for their family.
      Citation: DIGITAL HEALTH
      PubDate: 2021-10-18T04:50:14Z
      DOI: 10.1177/20552076211048638
      Issue No: Vol. 7 (2021)
       
  • Erratum to: The environmental impacts of digital health

    • Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.

      Citation: DIGITAL HEALTH
      PubDate: 2021-10-07T12:06:08Z
      DOI: 10.1177/20552076211045559
      Issue No: Vol. 7 (2021)
       
  • User perspectives and preferences regarding a mobile health cough
           application: A qualitative study during the coronavirus disease pandemic
           in Denmark

    • Authors: Stine Thestrup Hansen, Humira Ehrari, Susanne Kristiansen, Lotte Schelde Olsen, Rasmus Stig Jensen, Troels Wesenberg Kjær, Malene Beck
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      IntroductionHealth care systems worldwide are currently facing major challenges because of the coronavirus disease pandemic. When individuals experience coronavirus disease symptoms, they often have to decide whether to seek health care services and render themselves vulnerable to infection or stay home and monitor their condition. Coronavirus disease management strategies should aim to reduce transmission, promote disease control, and facilitate self-monitoring within the population. In this regard, mobile health technologies serve as supportive tools, and acquiring knowledge about user perspectives will facilitate the development and integration of coronavirus disease-related applications. Accordingly, this study aimed to examine user perspectives on applications that monitor coronavirus disease-related physical signs and identify discrepancies between user expectations and developer design perspectives within the Danish context.Materials and methodsA qualitative research design was adopted. Semi-structured telephone interviews were conducted to examine user expectations during the first wave of the coronavirus disease pandemic in April 2020. The theoretical framework, which was inspired by the concept of health literacy, was developed using a six-step thematic analytic approach.ResultsThe analysis yielded two major themes that captured user experiences: (1) coronavirus disease-related applications may serve as digital tools that foster safety when physical signs are monitored and (2) the acceptability of coronavirus disease-related applications depends on the adoption of a personalised and user-friendly design.
      Citation: DIGITAL HEALTH
      PubDate: 2021-10-07T12:05:34Z
      DOI: 10.1177/20552076211045590
      Issue No: Vol. 7 (2021)
       
  • Exploring the relationship between the usability of a goal-oriented mobile
           health application and non-usage attrition in patients with
           multimorbidity: A blended data analysis approach

    • Authors: Farah Tahsin, Shawn Tracy, Edward Chau, Sarah Harvey, Mayura Loganathan, Brian McKinstry, Stewart W Mercer, Jason Nie, Tim Ramsay, Kednapa Thavorn, Ted Palen, Jasvinei Sritharan, Carolyn Steele Gray
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundMobile health applications are increasingly used to support the delivery of health care services to a variety of patients. Based on data obtained from a pragmatic trial of the electronic Patient Reported Outcome (ePRO) app designed to support goal-oriented care primary care, this study aims to (1) examine how patient-reported usability changed over the one-year intervention period, and (2) explore participant attrition rate of the electronic Patient Reported Outcome app over one year study period.MethodsWe performed a secondary analysis of 44 older adults with complex chronic needs enrolled in the electronic Patient Reported Outcome-digital health intervention. App usage and attrition were measured using device-generated usage logs; usability was measured using the patient-reported post-study system usability questionnaire collected at 3, 6, 9, and 12 months. Research memos were used to interpret potential contextual contributing factors to patients’ overall usage and usability score pattern. A data triangulation method of both quantitative and qualitative data was used to analyze and interpret study findings.ResultsWhile there was gradual attrition in the use of the ePRO app, patients’ usability scores remained consistent throughout the study period. Qualitative memos suggested patients’ encounters with technical difficulties and relationship dynamics with primary providers influenced patients’ adherence to the ePRO app.ConclusionThis study highlights that the patient–provider relationship is a key determining factor that influences complex patients’ continued engagement with a Mobile health app. The finding calls attention to the measurement of usability of a Mobile health app, its impact on attrition, and contributing factors that influence patients’ attrition. Trial registration: Clinicaltrials.gov Identified NCT02917954.
      Citation: DIGITAL HEALTH
      PubDate: 2021-10-05T04:21:03Z
      DOI: 10.1177/20552076211045579
      Issue No: Vol. 7 (2021)
       
  • Development of a casual video game (Match Emoji) with psychological
           well-being concepts for young adolescents

    • Authors: Russell Pine, Lisa Te Morenga, Mitch Olson, Theresa Fleming
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      Digital interventions for mental health and well-being have been shown to be effective in trials, yet uptake and retention in real-world settings are often disappointing. A more significant impact may be achieved by building interventions that are closer to how target groups use technology to support their own psychological well-being. Casual video games may be poised to offer an opportunity in this area as they are a highly popular activity among young people. We propose that mental health content can be integrated into the explicit content and the implicit processes used in casual video games. In this paper, we describe the design and core processes of Match Emoji, a casual video game designed to support the development of psychological well-being via gameplay and micro-messages. The iterative development of Match Emoji involved various phases, including a systematic review of the literature, consultation with target users, clinicians, game developers, and close reading of the literature. Expert collaboration was sought throughout the process to ensure gameplay and messages matched behaviour change and learning theories. An acceptability and feasibility study of Match Emoji will inform a randomised controlled trial in the future.
      Citation: DIGITAL HEALTH
      PubDate: 2021-10-04T11:06:35Z
      DOI: 10.1177/20552076211047802
      Issue No: Vol. 7 (2021)
       
  • Immunisation provider experiences with an automated short message
           service-based active surveillance system for monitoring adverse events
           following immunisation: A qualitative descriptive study

    • Authors: Gurkamal Singh, Rachel Nesaraj, Nicolas Bchara, Benjamin Kop, Alan Leeb, Lisa Nissen, Ian Peters, Danae Perry, Sandra Salter, Kenneth Lee
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveCurrently, active surveillance systems to monitor adverse events following immunisation are limited to hospitals, and medical and immunisation clinics. Globally, community pharmacies represent a significant destination for immunisation services. However, until recently, pharmacies lacked active surveillance systems. We therefore wished to explore pharmacists’ experiences with SmartVax: an active surveillance system that has recently been integrated for use in Australian community pharmacies. Specifically, we wished to explore pharmacists’ perceived (1) benefits of using SmartVax, (2) areas for improvement in the system, and (3) issues with future/ongoing access to the system.MethodsThe present study forms the qualitative arm of a convergent mixed-methods pilot study. In the present study, we performed semi-structured interviews with pharmacist immunisers after a 21- to 22-week trial period with SmartVax. Thematic analysis of interview transcripts was performed independently by two researchers in QSR NVivo 12, using the framework method.ResultsFifteen participants completed the semi-structured interviews. A broad range of perceived benefits were cited by participants, including the usability of SmartVax, the ease of patient follow-up facilitated by the system, and enhancement to the patient–pharmacist relationship. Participants voiced a desire for the system to have more granularity and a faster response time in the report generated for pharmacies. When asked about issues with future/ongoing access to SmartVax, cost concerns of the system were the prevailing theme.ConclusionsThe present study suggests that, among pharmacist immuniser end-users of SmartVax, the system is perceived to be easy-to-use, facilitates patient follow-up, and enhances the patient–pharmacist relationship.
      Citation: DIGITAL HEALTH
      PubDate: 2021-09-29T02:43:35Z
      DOI: 10.1177/20552076211038165
      Issue No: Vol. 7 (2021)
       
  • Use and performance of machine learning models for type 2 diabetes
           prediction in clinical and community care settings: Protocol for a
           systematic review and meta-analysis of predictive modeling studies

    • Authors: Kushan De Silva, Joanne Enticott, Christopher Barton, Andrew Forbes, Sajal Saha, Rujuta Nikam
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveMachine learning involves the use of algorithms without explicit instructions. Of late, machine learning models have been widely applied for the prediction of type 2 diabetes. However, no evidence synthesis of the performance of these prediction models of type 2 diabetes is available. We aim to identify machine learning prediction models for type 2 diabetes in clinical and community care settings and determine their predictive performance.MethodsThe systematic review of English language machine learning predictive modeling studies in 12 databases will be conducted. Studies predicting type 2 diabetes in predefined clinical or community settings are eligible. Standard CHARMS and TRIPOD guidelines will guide data extraction. Methodological quality will be assessed using a predefined risk of bias assessment tool. The extent of validation will be categorized by Reilly–Evans levels. Primary outcomes include model performance metrics of discrimination ability, calibration, and classification accuracy. Secondary outcomes include candidate predictors, algorithms used, level of validation, and intended use of models. The random-effects meta-analysis of c-indices will be performed to evaluate discrimination abilities. The c-indices will be pooled per prediction model, per model type, and per algorithm. Publication bias will be assessed through funnel plots and regression tests. Sensitivity analysis will be conducted to estimate the effects of study quality and missing data on primary outcome. The sources of heterogeneity will be assessed through meta-regression. Subgroup analyses will be performed for primary outcomes.Ethics and disseminationNo ethics approval is required, as no primary or personal data are collected. Findings will be disseminated through scientific sessions and peer-reviewed journals.PROSPERO registration numberCRD42019130886
      Citation: DIGITAL HEALTH
      PubDate: 2021-09-28T01:36:24Z
      DOI: 10.1177/20552076211047390
      Issue No: Vol. 7 (2021)
       
  • The multidisciplinary, theory-based co-design of a new digital health
           intervention supporting the care of oesophageal cancer patients

    • Authors: Kristi Sun, Henry Goodfellow, Emmanouela Konstantara, Alison Hill, Debby Lennard, Elizabeth Lloyd-Dehler, Muntzer Mughal, Kathy Pritchard-Jones, Chris Robson, Elizabeth Murray
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveOesophageal cancer patients have complex care needs. Cancer clinical nurse specialists play a key role in coordinating their care but often have heavy workloads. Digital health interventions can improve patient care but there are few examples for oesophageal cancer. This paper aims to describe the multidisciplinary co-design process of a digital health intervention to improve the experience of care and reduce unmet needs among patients with oesophageal cancer.MethodsA theory-based, multi-disciplinary, co-design approach was used to inform the developmental process of the digital health intervention. Key user needs were elicited using mixed methodology from systematic reviews, focus groups and interviews and holistic need assessments. Overarching decisions were discussed among a core team of patients, carers, health care professionals including oncologists and cancer clinical nurse specialists, researchers and digital health providers. A series of workshops incorporating a summary of findings of key user needs resulted in the development of a minimum viable product. This was further refined after a pilot study based on feedback from end users.ResultsThe final digital health intervention consists of a mobile app feature for patients and carers connected to a dashboard with supporting additional features for clinical nurse specialist. It contains a one-way messaging function for clinical nurse specialists to communicate with patients, functions for patients to record weight and holistic need assessment results which could be viewed by their clinical nurse specialists as well as a library of informative articles.ConclusionsThe multidisciplinary co-design of a digital health intervention providing support for oesophageal cancer patients and health care professionals has been described. Future studies to establish its impact on patient outcomes are planned.
      Citation: DIGITAL HEALTH
      PubDate: 2021-09-28T01:36:04Z
      DOI: 10.1177/20552076211038410
      Issue No: Vol. 7 (2021)
       
  • Increasing utility of Google Trends in monitoring cardiovascular disease

    • Authors: Conor Senecal, Madeline Mahowald, Lilach Lerman, Francisco Lopes-Jimenez, Amir Lerman
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      IntroductionCardiovascular disease is the most common cause of morbidity and mortality in the United States. Patients are increasingly using internet search to find health-related information, including searches for cardiovascular diseases and risk factors. We sought to evaluate the change in the state by state correlation of cardiovascular disease and risk factors with Google Trends search volumes.MethodsData on cardiovascular disease hospitalizations and risk factor prevalence were obtained from the publically available Centers for Disease Control and Prevention website from 2006 to 2018. Google Trends data were obtained for matching conditions and time periods. Simple linear regression was performed to evaluate for an increase in correlation over time.ResultsHospitalizations for six separate cardiovascular disease conditions showed moderate to strong correlation with online search data in the last period studied (heart failure (0.58, p 
      Citation: DIGITAL HEALTH
      PubDate: 2021-09-28T01:35:48Z
      DOI: 10.1177/20552076211033420
      Issue No: Vol. 7 (2021)
       
  • More from less: Study on increasing throughput of COVID-19 screening and
           testing facility at an apex tertiary care hospital in New Delhi using
           discrete-event simulation software

    • Authors: Naveen R Gowda, Amitesh Khare, H Vikas, Angel R Singh, D K Sharma, Ramya Poulose, Dhayal C John
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundOne of the challenges has been coping with an increasing need for COVID-19 testing. A COVID-19 screening and testing facility was created. There was a need for increasing throughput of the facility within the existing space and limited resources. Discrete event simulation was used to address this challenge.MethodologyA cross-sectional interventional study was done from September 2020 to October 2020. Detailed process mapping with all micro-processes was done. Patient arrival patterns and time taken at each step were measured by two independent observers at random intervals over two weeks. The existing system was simulated and a bottleneck was identified. Two possible alternatives to the problem were simulated and evaluated.ResultsScenario 1 showed a maximum throughput of 316. The average milestone times of all the processes after the step of “Preparation of sampling kits” jumped 62%; from 82 to 133 min. Staff state times also showed that staff at this step was stretched and medical lab technicians were underutilized. Scenario 2 simulated the alternative with lesser time spent on sampling kit preparation with a 22.4% increase in throughput, but could have led to impaired quality check. Scenario 3 simulated with increased manpower at the stage of bottleneck with 26.5% increase in throughput and was implemented on-ground.ConclusionDiscrete event simulation helped to identify the bottleneck, simulate possible alternative solutions without disturbing the ongoing work, and finally choose the most suitable intervention to increase throughput, without the need for additional space allocation. It therefore helped to optimally utilize resources and get “more from less.”
      Citation: DIGITAL HEALTH
      PubDate: 2021-09-27T10:26:28Z
      DOI: 10.1177/20552076211040987
      Issue No: Vol. 7 (2021)
       
  • COVID-Care – a safe and successful digital self-assessment tool for
           outpatients with proven and suspected coronavirus-2019

    • Authors: George P Drewett, Natasha E Holmes, Jason A Trubiano, Sara Vogrin, Jeff Feldman, Morgan Rose
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      IntroductionThe coronavirus-2019 (COVID-19) pandemic and restrictions placed on movement to prevent its transmission have led to a surge in demand for remote medical care. We investigated whether COVID-Care, a patient-reported, telehealth, symptom monitoring system, was successful at delivering safe monitoring and care for these patients leading to decreased hospital presentations.MethodsWe performed a single centre, prospective, interventional cohort study with symptomatic outpatients who presented for COVID-19 screening at Austin Health, Australia. Participants were invited to take part in the COVID-Care programme, entering common COVID-19 symptoms on a purpose-built, online survey monitored by infectious diseases physicians, and matched with clinical data including date of symptom onset, hospital admission, and screening clinic presentations.Results42,158 COVID-19 swabs were performed in 31,626 patients from March to October 2020, with 414 positive cases. 20,768 people used the COVID-Care survey at least once. COVID-Care users were significantly younger than non-users. Of the 414 positive cases, 254 (61.3%) used COVID-Care, with 160 (38.6%) non-users. Excluding presentations on the same day or prior to the COVID-19 swab, of the positive cases there were 56 hospital presentations. 4.3% (11) of COVID-Care users and 28.1% (45) non-users were admitted to hospital or the emergency department (p 
      Citation: DIGITAL HEALTH
      PubDate: 2021-09-27T01:10:24Z
      DOI: 10.1177/20552076211047382
      Issue No: Vol. 7 (2021)
       
  • Digital Health: The journal's pioneering journey 6 years on

    • Authors: Thierry Moulin, Jennifer Dobson, John D Hixson, Theodoros N Arvanitis
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.

      Citation: DIGITAL HEALTH
      PubDate: 2021-09-09T11:58:33Z
      DOI: 10.1177/20552076211034034
      Issue No: Vol. 7 (2021)
       
  • Change in cardiometabolic risk factors among Asian Indian adults recruited
           in a mHealth-based diabetes prevention trial

    • Authors: Shruti Muralidharan, Harish Ranjani, Ranjit Mohan Anjana, Yashdeep Gupta, Samita Ambekar, Varsha Koppikar, N Jagannathan, Sidhant Jena, Nikhil Tandon, Steven Allender, Viswanathan Mohan
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveIndia is experiencing an increasing prevalence of type 2 diabetes and cardiovascular diseases. Mobile health technology may be a strategy to reduce the risk of cardiometabolic disorders. This paper reports on the effect of a mobile health intervention on cardiometabolic risk factors.MethodsThe mobile health and diabetes intervention was a 12-week reality television-based mobile health program application delivered via videos, short message service and infographics through a smartphone application followed-up weekly by health coach calls. mobile health and diabetes was conducted in a randomized control trial mode randomized controlled trial methodology in three Indian cities (Chennai, Bengaluru and New Delhi) with participants recruited via community screening events. This paper looks at the pre–post changes in cardiometabolic risks among the participants and the place of demography in influencing these.ResultsThe mobile health and diabetes intervention group experienced a small reduction in waist circumference (1.8 cm) compared to the control group (0.5 cm, p 
      Citation: DIGITAL HEALTH
      PubDate: 2021-09-07T08:57:24Z
      DOI: 10.1177/20552076211039032
      Issue No: Vol. 7 (2021)
       
  • Implementation of online psychosocial interventions for people with
           neurological conditions and their caregivers: A systematic review protocol
           

    • Authors: Melissa Miao, Emma Power, Rachael Rietdijk, Melissa Brunner, Leanne Togher
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundAs the burden of neurological conditions increases globally, online psychosocial interventions offer a potentially scalable solution to enabling healthcare access. However, their successful development and implementation require research into electronic healthcare implementation specifically.MethodsUsing a search strategy combining the concepts of implementation, electronic healthcare, psychosocial interventions and neurological conditions, we will conduct comprehensive electronic searches for primary implementation evidence in MEDLINE, EMBASE, PsycINFO, CINAHL, Scopus, SpeechBITE and NeuroBITE databases. Included studies will be analysed according to the Non-adoption, Abandonment, Scale-Up, Spread, and Sustainability framework, appraised using the Mixed-Methods Appraisal Tool and evaluated for theoretical underpinning in implementation science, with hybrid studies of effectiveness-implementation research classified according to the type of hybrid design.DiscussionThis review will be the first to use a theoretical underpinning in the Non-adoption, Abandonment, Scale-Up, Spread, and Sustainability framework to evaluate strengths and gaps in existing implementation research into online psychosocial interventions for people with neurological conditions and/or their caregivers. The results may be useful to provide direction and recommendations for future clinical implementation and research into online psychosocial interventions for people with neurological conditions and/or their caregivers.Systematic review registrationPROSPERO 2020: CRD42020186387.
      Citation: DIGITAL HEALTH
      PubDate: 2021-09-06T09:33:10Z
      DOI: 10.1177/20552076211035988
      Issue No: Vol. 7 (2021)
       
  • Qualitative exploration of digital chatbot use in medical education: A
           pilot study

    • Authors: Anjuli Kaur, Sid Singh, Joht S Chandan, Tim Robbins, Vinod Patel
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      PurposeDuring the coronavirus disease 2019 pandemic, face-to-face teaching has been severely disrupted and limited for medical students internationally. This study explores the views of medical students and academic medical staff regarding the suitability and limitations, of a bespoke chatbot tool to support medical education.MethodsFive focus groups, with a total of 16 participants, were recruited using a convenience sample. The participants included medical students across all year groups and academic staff. The pre-determined focus group topic guide explored how chatbots can augment existing teaching practices. A thematic analysis was conducted using the transcripts to determine key themes.ResultsThematic analysis identified five main themes: (1) chatbot use as a clinical simulation tool; (2) chatbot use as a revision tool; (3) differential usefulness by medical school year group; (4) standardisation of education and assessment; (5) challenges of use and implementation.ConclusionsBoth staff and students have clear benefits from using chatbots in medical education. However, they documented possible limitations to their use. The creation of chatbots to support the medical curriculum should be further explored and urgently evaluated to assess their impact on medical students training both during and after the global pandemic.
      Citation: DIGITAL HEALTH
      PubDate: 2021-08-31T11:52:20Z
      DOI: 10.1177/20552076211038151
      Issue No: Vol. 7 (2021)
       
  • Affecting factors of cloud computing adoption in public hospitals
           affiliated with Zahedan University of Medical Sciences: A cross-sectional
           study in the Southeast of Iran

    • Authors: Jahanpour Alipour, Yousef Mehdipour, Afsaneh Karimi, Roxana Sharifian
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveHealth care organizations require cloud computing to remain efficient and cost-effective, and provide high-quality health care services. Adoption of this technology by users plays a critical role in the success of its application. This study aimed to determine factors affecting cloud computing adoption in public hospitals affiliated with Zahedan University of Medical Sciences.MethodsA cross-sectional descriptive and analytic study was performed in 2017. The study population comprised information technology and hospital information system authorities and hospital information system users. The sample consisted of 573 participants. The data were collected using a questionnaire and analyzed with the Statistical Package for Social Sciences software using descriptive and analytical statistics.ResultsThe mean score of environmental, human, organizational, technological, and intention dimensions of cloud computing adoption was 3.39 ± 0.81, 3.27 ± 0.63, 3.19 ± 0.71, 3 ± 0.43, and 3.55 ± 1.10, respectively. Furthermore, a significant positive relationship was found between intention of cloud computing adoption and environmental (R = 0.521, p = 0.000), organizational (R = 0.426, p = 0.000), human (R = 0.492, p = 0.000), and technological dimensions (R = 0.157, p = 0.000).ConclusionsBenefits of cloud computing adoption, relative advantage, and competitive pressure were identified as the most influential factors in accepting cloud computing. Simplifying the users’ understanding of this technology and its application, improving the staff's technical capabilities, promoting executive managers’ understanding of the nature and functions of cloud computing, and fully supporting and increasing governmental mandates for adoption of new technologies are necessary for facilitating the adoption of cloud computing in given hospitals.
      Citation: DIGITAL HEALTH
      PubDate: 2021-08-30T01:06:56Z
      DOI: 10.1177/20552076211033428
      Issue No: Vol. 7 (2021)
       
  • Using mobile sensing data to assess stress: Associations with perceived
           and lifetime stress, mental health, sleep, and inflammation

    • Authors: Michelle L Byrne, Monika N Lind, Sarah R Horn, Kathryn L Mills, Benjamin W Nelson, Melissa L Barnes, George M Slavich, Nicholas B Allen
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundAlthough stress is a risk factor for mental and physical health problems, it can be difficult to assess, especially on a continual, non-invasive basis. Mobile sensing data, which are continuously collected from naturalistic smartphone use, may estimate exposure to acute and chronic stressors that have health-damaging effects. This initial validation study validated a mobile-sensing collection tool against assessments of perceived and lifetime stress, mental health, sleep duration, and inflammation.MethodsParticipants were 25 well-characterized healthy young adults (Mage = 20.64 years, SD = 2.74; 13 men, 12 women). We collected affective text language use with a custom smartphone keyboard. We assessed participants’ perceived and lifetime stress, depression and anxiety levels, sleep duration, and basal inflammatory activity (i.e. salivary C-reactive protein and interleukin-1β).ResultsThree measures of affective language (i.e. total positive words, total negative words, and total affective words) were strongly associated with lifetime stress exposure, and total negative words typed was related to fewer hours slept (all large effect sizes: r = 0.50 – 0.78). Total positive words, total negative words, and total affective words typed were also associated with higher perceived stress and lower salivary C-reactive protein levels (medium effect sizes; r = 0.22 – 0.32).ConclusionsData from this initial longitudinal validation study suggest that total and affective text use may be useful mobile sensing measures insofar as they are associated with several other stress, mental health, behavioral, and biological outcomes. This tool may thus help identify individuals at increased risk for stress-related health problems.
      Citation: DIGITAL HEALTH
      PubDate: 2021-08-27T01:18:32Z
      DOI: 10.1177/20552076211037227
      Issue No: Vol. 7 (2021)
       
  • Mobile consulting as an option for delivering healthcare services in
           low-resource settings in low- and middle-income countries: A mixed-methods
           study

    • Authors: Bronwyn Harris, Motunrayo Ajisola, Raisa Meher Alam, Jocelyn Anstey Watkins, Theodoros N Arvanitis, Pauline Bakibinga, Beatrice Chipwaza, Nazratun Nayeem Choudhury, Peter Kibe, Olufunke Fayehun, Akinyinka Omigbodun, Eme Owoaje, Senga Pemba, Rachel Potter, Narjis Rizvi, Jackie Sturt, Jonathan Cave, Romaina Iqbal, Caroline Kabaria, Albino Kalolo, Catherine Kyobutungi, Richard J Lilford, Titus Mashanya, Sylvester Ndegese, Omar Rahman, Saleem Sayani, Rita Yusuf, Frances Griffiths
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveRemote or mobile consulting is being promoted to strengthen health systems, deliver universal health coverage and facilitate safe clinical communication during coronavirus disease 2019 and beyond. We explored whether mobile consulting is a viable option for communities with minimal resources in low- and middle-income countries.MethodsWe reviewed evidence published since 2018 about mobile consulting in low- and middle-income countries and undertook a scoping study (pre-coronavirus disease) in two rural settings (Pakistan and Tanzania) and five urban slums (Kenya, Nigeria and Bangladesh), using policy/document review, secondary analysis of survey data (from the urban sites) and thematic analysis of interviews/workshops with community members, healthcare workers, digital/telecommunications experts, mobile consulting providers, and local and national decision-makers. Project advisory groups guided the study in each country.ResultsWe reviewed four empirical studies and seven reviews, analysed data from 5322 urban slum households and engaged with 424 stakeholders in rural and urban sites. Regulatory frameworks are available in each country. Mobile consulting services are operating through provider platforms (n = 5–17) and, at the community level, some direct experience of mobile consulting with healthcare workers using their own phones was reported – for emergencies, advice and care follow-up. Stakeholder willingness was high, provided challenges are addressed in technology, infrastructure, data security, confidentiality, acceptability and health system integration. Mobile consulting can reduce affordability barriers and facilitate care-seeking practices.ConclusionsThere are indications of readiness for mobile consulting in communities with minimal resources. However, wider system strengthening is needed to bolster referrals, specialist services, laboratories and supply chains to fully realise the continuity of care and responsiveness that mobile consulting services offer, particularly during/beyond coronavirus disease 2019.
      Citation: DIGITAL HEALTH
      PubDate: 2021-08-19T01:29:26Z
      DOI: 10.1177/20552076211033425
      Issue No: Vol. 7 (2021)
       
  • Participant views and experiences of sexual health research: The
           Contraception Choices online trial

    • Authors: Julia V Bailey, Kirsty F Bennett, Anasztazia Gubijev, Jill Shawe, Judith Stephenson
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundOnline sexual health research can be convenient, efficient and low cost, but there are debates about the adequacy of online informed consent, privacy, and the acceptability of different methods of follow-up.ObjectivesTo explore women's views and experiences of the Contraception Choices feasibility trial procedures and the place of digital interventions for contraception decision making.MethodsWe analysed data from two sources: (1) Qualitative interviews. Eighteen interviews were conducted with women who had taken part in the Contraception Choices pre-trial feasibility study, to evaluate recruitment and online trial procedures. (2) Free-text comments. Women in the main Contraception Choices randomised controlled trial were followed up at 3 and 6 months, and asked ‘Please tell us what you liked or disliked about the website’ and ‘Has being in the study had any good or bad effects on your life'’ A total of 387 and 414 comments were made at 3 and 6 months respectively. Data were analysed thematically.ResultsParticipants liked being involved in a study about contraception, although recruitment from an abortion clinic was less acceptable than in other sexual health settings. Women found the trial procedures straightforward, and expressed no major concerns about online self-registration, informed consent or online data collection. Online survey questions about contraception and fertility were acceptable, and participants liked the convenience of being followed up by email or text.ConclusionsParticipants appreciated the advantages of the online research design and did not express concerns about consent or privacy. Women would welcome digital interventions for contraception in a variety of settings.
      Citation: DIGITAL HEALTH
      PubDate: 2021-08-12T02:46:52Z
      DOI: 10.1177/20552076211033424
      Issue No: Vol. 7 (2021)
       
  • Development of a digital toolkit to improve quality of life of patients
           with systemic lupus erythematosus

    • Authors: Jerik Leung, Laura Kloos, Alfred HJ Kim, Elizabeth A Baker
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveThe purpose of this manuscript is to detail development and initial usability testing of an e-toolkit designed to provide skills and knowledge around self-management behaviors for individuals living with systemic lupus erythematosus.MethodsResearchers worked with a steering committee of patients and providers to (1) develop a clickable prototype of an e-toolkit and (2) conduct alpha (individuals not affiliated with an academic clinic as patient or provider) and beta (individual patients with systemic lupus erythematosus as well as members of the clinic healthcare team and individuals who work in patient advocacy organizations) usability testing through semistructured interviews.ResultsDuring the review of the e-toolkit, the feedback provided by participants in both alpha and beta groups centered on two overarching themes: (1) improving user interface and materials and (2) integration of information and supports between toolkit and clinical personnel.ConclusionDigital approaches that are tailored to individual symptom variation and integrated with a clinical system have the opportunity to enhance ongoing clinical care. These findings support movement toward integrated, team-based care models, tailored digital resources, and use of expanded virtual interaction options to ensure on-going engagement between healthcare providers and systemic lupus erythematosus patients.
      Citation: DIGITAL HEALTH
      PubDate: 2021-08-10T02:37:06Z
      DOI: 10.1177/20552076211033423
      Issue No: Vol. 7 (2021)
       
  • The environmentally impacts of digital health

    • Authors: Maddy Thompson
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      Digital health interventions are widely celebrated due to their low-cost nature and ability to provide tailored person-centred care in communities worldwide. As coronavirus disease-19 has rapidly accelerated their growth and reach, interest in global ethical questions surrounding digital health is growing. However, the global environmental implications of digital health have been overlooked. This commentary draws attention to the environmental impacts of digital health devices and communication networks, as well as the data produced by digital health activities. Unless serious attention is paid to greening digital health practices, the rise of digital health will significantly contribute to environmental change, and thus create outcomes of ill-health.
      Citation: DIGITAL HEALTH
      PubDate: 2021-08-10T02:35:51Z
      DOI: 10.1177/20552076211033421
      Issue No: Vol. 7 (2021)
       
  • A survey of technology literacy and use in cancer survivors from the
           Alberta Cancer Exercise program

    • Authors: Manuel Ester, Margaret L McNeely, Meghan H McDonough, S Nicole Culos-Reed
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundSupervised physical activity interventions can improve cancer survivor quality of life. However, they are resource intensive and may not support physical activity maintenance. Therefore, most cancer survivors remain inactive. Electronic health is a promising tool to support physical activity maintenance, yet technology-based physical activity interventions in oncology have shown mixed effectiveness. We surveyed cancer participants in the Alberta Cancer Exercise program to better understand their experience with technology.MethodsAlberta Cancer Exercise participants were invited to complete a survey on technology literacy, usage, and perceived usefulness. Summary statistics were calculated for all variables. Multiple regression examined demographic prediction of technology usage and literacy.ResultsThe response rate was 52.6% (n = 627/1191), with 93.3% survey completion (n = 585/627). Respondents were 60.6 ± 11.0 years old, 96.2% Caucasian, and of high socioeconomic status (83.3% with post-secondary education, 65.5% with income>$60,000). While electronic health literacy was low (mean 1.73 ± 0.73/4), computer (87.6%) and smartphone (87.5%) use was widespread, with 94.6% of smartphone users reporting daily use. One in two respondents used mobile applications or wearable trackers for physical activity, which were perceived as useful by>80% of users. Age and income were significant predictors of technology use and literacy.ConclusionsTechnology is part of the lives of cancer survivors who engaged in a physical activity program, with mobile devices perceived as useful to support physical activity. However, the present findings highlight a need to increase electronic health literacy via education and tailoring of digital tools. These survey findings are being used to build our patient-centered, technology-supported physical activity interventions.
      Citation: DIGITAL HEALTH
      PubDate: 2021-08-05T12:27:35Z
      DOI: 10.1177/20552076211033426
      Issue No: Vol. 7 (2021)
       
  • Sensationalist social media usage by doctors and dentists during Covid-19

    • Authors: Richard WM Law, Shalini Kanagasingam, Kartina A Choong
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      IntroductionMany doctors and dentists took to social media to raise alarm and/or express professional opinion, dissatisfaction, anger and/or incredulity associated with the Covid-19 pandemic. Although most of these social media posts involved practitioners from abroad, this article explores whether they would attract fitness to practise investigations had they been posted by UK-based medical and dental practitioners. In particular, it asks whether such conduct comes into conflict with the existing professional standards issued by the General Medical Council (GMC) and the General Dental Council (GDC). It questions also whether those guidelines should be updated and/or further clarified in view of the extraordinary circumstances posed by the pandemic.MethodAn exploratory study was conducted using sensationalist pandemic-related social media posts by doctors and dentists discovered during the first half of 2020 (n = 11). The contents were analysed qualitatively using documentary analysis using coding terms based on the professional standards on social media published by both the GMC and the GDC. The codes generated common and recurring themes that were used to structure discussion.FindingsThis study provides a partial insight as to the likely motivations of doctors and dentists to use social media in a manner that may not necessarily lend well to the professional standards expected. In a majority of instances, doctors and dentists who posted social media material with a sensationalist outlook tended to focus on single-issue campaigns pertaining to specific aspects of the Covid-19 pandemic. These issues included controversial commentary on acute shortages of personal protective equipment and attendant occupational risks to clinical staff to Covid-19 infection; criticisms directed towards regulatory bodies in the handling of the pandemic; and professional advice to the general public which was later found to be inaccurate.ConclusionsSocial media offer opportunities for healthcare professionals to play a constructive role in raising awareness, disseminating information, and promoting solidarity in the management of the Covid-19 pandemic. However, doctors and dentists must carefully consider the ethical and professional pitfalls involved in sensationalist social media posts. The GMC and the GDC should, at the same time, regularly update and clarify their social media guidance in response to major global events like a pandemic as well as advances in social media technology.
      Citation: DIGITAL HEALTH
      PubDate: 2021-06-30T04:59:43Z
      DOI: 10.1177/20552076211028034
      Issue No: Vol. 7 (2021)
       
  • Digital encounters: Human interactions in mHealth behavior change
           interventions

    • Authors: Ulrika Müssener
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      Digitalization and high mobile phone ownership globally have radically changed communication in all areas of society, including health care. Previous research has shown the effectiveness of behavior change interventions delivered by mobile phones and has highlighted advantages, such as that they require fewer resources than traditional face-to-face interventions and can be delivered at any time. One of the foremost questions pertaining to unsupported digital interventions is whether they can ever be comparable to in-person interventions. Little is known about the therapeutic alliance and the specific qualities of encounters in digital interactions for behavior change. Human interactions in digital interventions and their relationship with outcomes require further investigation. This paper aims to encourage critical reflection and further consideration of mHealth behavior change interventions in a digital age, when even the professional is excluded from the intervention. Questions are raised on the feelings associated with digital therapeutic relationships and how such interactions might affect user’s capacity for behavioral change. Some technological features and human-like considerations for enhancing digital encounters in mHealth interventions are given. Finally, suggestions for future research to facilitate the digital encounter in mHealth behavior change interventions is presented.
      Citation: DIGITAL HEALTH
      PubDate: 2021-06-30T02:00:02Z
      DOI: 10.1177/20552076211029776
      Issue No: Vol. 7 (2021)
       
  • Developing a digital health strategy for people who use drugs: Lessons
           from COVID-19

    • Authors: Melissa Perri, Adrian Guta, Marilou Gagnon, Matt Bonn, Pamela Leece, Ahmed M Bayoumi, Nanky Rai, Natasha Touesnard, Carol Strike
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      COVID-19 has significantly exacerbated negative health and social outcomes for people who use drugs (PWUD) around the world. The closure of harm reduction services, ongoing barriers to employment and housing, and pre-existing physical and mental health conditions have increased harms for diverse communities of PWUD. Adapting current models of health and human service delivery to better meet the needs of PWUD is essential in minimizing not only COVID-19 but also drug-related morbidity and mortality. This article draws on research, practice, and advocacy experiences, and discusses the potential for digital health tools such as remote monitoring and telecare to improve the continuum of care for PWUD. We call for a digital health strategy for PWUD and provide recommendations for future program development and implementation.
      Citation: DIGITAL HEALTH
      PubDate: 2021-06-28T07:58:47Z
      DOI: 10.1177/20552076211028404
      Issue No: Vol. 7 (2021)
       
  • The NICE Evidence Standards Framework for digital health and care
           technologies – Developing and maintaining an innovative evidence
           framework with global impact

    • Authors: Harriet Unsworth, Bernice Dillon, Lucie Collinson, Helen Powell, Mark Salmon, Tosin Oladapo, Lynda Ayiku, Gary Shield, Joanne Holden, Neelam Patel, Mark Campbell, Felix Greaves, Indra Joshi, John Powell, Alexia Tonnel
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveIn 2018, the UK National Institute for Health and Care Excellence (NICE), in partnership with Public Health England, NHS England, NHS Improvement and others, developed an evidence standards framework (ESF) for digital health and care technologies (DHTs). The ESF was designed to provide a standardised approach to guide developers and commissioners on the levels of evidence needed for the clinical and economic evaluation of DHTs by health and care systems.MethodsThe framework was developed using an agile and iterative methodology that included a literature review of existing initiatives and comparison of these against the requirements set by NHS England; iterative consultation with stakeholders through an expert working group and workshops; and questionnaire-based stakeholder input on a publicly available draft document.ResultsThe evidence standards framework has been well-received and to date the ESF has been viewed online over 55,000 times and downloaded over 19,000 times.ConclusionsIn April 2021 we published an update to the ESF. Here, we summarise the process through which the ESF was developed, reflect on its global impact to date, and describe NICE’s ongoing work to maintain and improve the framework in the context for a fast moving, innovative field.
      Citation: DIGITAL HEALTH
      PubDate: 2021-06-24T11:47:13Z
      DOI: 10.1177/20552076211018617
      Issue No: Vol. 7 (2021)
       
  • Diagnostic digital pathology implementation: Learning from the digital
           health experience

    • Authors: Samar Betmouni
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      Digital Pathology (also referred to as Telepathology and Whole Slide Imaging) is the process of producing high resolution digital images from tissue sections on glass slides. These glass slides are normally examined under a microscope by a pathologist as part of the diagnostic process. The emergence of digital pathology now means that digital images are stored on secure servers and can be viewed on computer monitors; enabling pathologists to work remotely and to collaborate with other colleagues when second opinions are needed. The implementation of digital pathology into clinical practice has many potential benefits. Although this has been long recognised, its adoption as a diagnostic tool remains low and pathologists’ projections about its future deployment are cautious. Notable early digital pathology adopters have led the way. The challenge now is to scale-up digital pathology beyond the relatively few large networks and centres of excellence. Many other areas of healthcare have accumulated experience about optimising approaches to digital health/healthcare technology deployment and sustainability. This has been done in a multi-disciplinary context and has applied theoretical/conceptual frameworks. Thus far there has been little use of similar frameworks in the planning of digital pathology deployment in clinical practice. In this essay, I will explore the scope of digital pathology implementation approaches that have been deployed in clinical practice and examine what can be learned from the wider healthcare experience of adopting, scaling-up and sustaining innovative healthcare solutions.
      Citation: DIGITAL HEALTH
      PubDate: 2021-06-18T08:03:50Z
      DOI: 10.1177/20552076211020240
      Issue No: Vol. 7 (2021)
       
  • Perspectives of older adults with chronic disease on the use of wearable
           technology and video games for physical activity

    • Authors: Joshua Simmich, Allison Mandrusiak, Trevor Russell, Stuart Smith, Nicole Hartley
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundThere is increasing interest in technology to deliver physical rehabilitation and allow clinicians to monitor progress. Examples include wearable activity trackers and active video games (AVGs), where physical activity is required to play the game. However, few studies have explored what may influence the effectiveness of these as technology-based physical activity interventions in older adults with chronic diseases.ObjectiveThis study aimed to explore: 1) perceptions about wearable physical activity trackers; 2) perceptions about using technology to share physical activity information with clinicians; 3) barriers and motivators to playing games, including AVGs for rehabilitation.MethodsQualitative study based on semi-structured interviews with older adults (n = 19) with chronic obstructive pulmonary disease (COPD).ResultsWearable activity trackers were perceived as useful to quantify activity, facilitate goal-setting, visualize long-term improvements and provide reminders. Participants generally wished to share data with their clinicians to gain greater accountability, receive useful feedback and improve the quality of clinical care. Participants were motivated to play games (including AVGs) by seeking fun, social interaction and health benefits. Some felt that AVGs were of no benefit or were too difficult. Competition was both a motivator and a barrier.ConclusionsThe findings of the present study seek to inform the design of technology to encourage physical activity in older adults with chronic diseases.
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-30T10:57:51Z
      DOI: 10.1177/20552076211019900
      Issue No: Vol. 7 (2021)
       
  • Potentialities and challenges of digital health in psychiatry in Kashmir,
           India

    • Authors: Sheikh Shoib, SM Yasir Arafat
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      Telepsychiatry has been recommended as a cost-effective strategy to meet the high unmet need for mental health services to the remote and areas with conflict. The current COVID-19 pandemic along with lockdown measures to prevent the spread of the disease has worsened the mental health status of the Kashmiri population.
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-28T04:41:25Z
      DOI: 10.1177/20552076211019908
      Issue No: Vol. 7 (2021)
       
  • Recruiting patients to a digital self-management study whilst in hospital
           for a chronic obstructive pulmonary disease exacerbation: A feasibility
           analysis

    • Authors: Maxine Whelan, Christopher Biggs, Carlos Areia, Elizabeth King, Beth Lawson, Nikki Newhouse, Xiaorong Ding, Carmelo Velardo, Mona Bafadhel, Lionel Tarassenko, Peter Watkinson, David Clifton, Andrew Farmer
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundPatients with chronic obstructive pulmonary disease (COPD) are often hospitalised with acute exacerbations (AECOPD) and many patients get readmitted. Intervening with hospitalised patients may be optimal timing to provide support. Our previous work demonstrated use of a digital monitoring and self-management support tool in the community. However, we wanted to explore the feasibility of recruiting patients whilst hospitalised for an AECOPD, and to identify the rate of dropout attrition around admission for AECOPD.MethodsPatients were recruited to the EDGE2 study between May 2019 and March 2020. Patients were identified by the clinical teams and patients were recruited by members of the clinical research team. Participants were aged 40 years or older, had a diagnosis of COPD and were attending or admitted to hospital for an AECOPD. Participants were given a tablet computer, Bluetooth-linked pulse oximeter and wrist-worn physical activity monitor to use until 6 months post-discharge. Use of the system aimed to support COPD self-management by enabling self-monitoring of vital signs, COPD symptoms, mood and physical activity, and access to multi-media educational resources.Results281 patients were identified and 126 approached. The main referral source was the specialist respiratory nursing and physiotherapist team (49.8% of patients identified). Twenty-six (37.1%) patients were recruited. As of 21 April 2020, 14 (53.8%) participants withdrew and 11 (of 14; 78.6%) participants withdrew within four weeks of discharge. The remaining participants withdrew between one and three months follow-up (1 of 14; 7.1%) and between three and six months follow-up (2 of 14; 14.3%).ConclusionA large number of patients were screened to recruit a relatively small sample and a high rate of dropout was observed. It does not appear feasible to recruit patients with COPD to digital interventional studies from the hospital setting when they have the burden of coping with acute illness.
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-28T04:41:25Z
      DOI: 10.1177/20552076211020876
      Issue No: Vol. 7 (2021)
       
  • Building MedVenture – A mobile health application to improve adolescent
           medication adherence – Using a multidisciplinary approach and
           academic–industry collaboration

    • Authors: Pooja Mehta, Susan L Moore, Sheana Bull, Bethany M Kwan
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveMobile health (mHealth) tools are increasingly used to support medication adherence yet few have been designed specifically for the pediatric population. This paper describes the development of a medication adherence application (MedVenture) using the integration of patient and healthcare provider input, health behavior theory, and user engagement strategies for adolescents with chronic gastrointestinal disease.MethodsMedVenture was created by a multidisciplinary research team consisting of a gastroenterologist, a social health psychologist, software developers, and digital health researchers. Healthcare providers and adolescent patients were interviewed to identify barriers to medication adherence, explore ways that technologies could best support medication adherence for both patients and providers, and determine user requirements and core design features for a digital health tool. Intervention mapping was used to match themes from qualitative content analysis to known efficacious adherence strategies, according to a conceptual framework based on self-determination theory. Iterative design with review by the research team and two rounds of user testing informed the final prototype.ResultsThree themes were identified from content analysis: 1) lack of routine contributes to nonadherence, 2) adolescents sometimes purposefully forgo medications, and 3) healthcare providers would prefer a tool that promotes patient self-management rather than one that involves patient-provider interaction. These findings, combined with evidence-based adherence and user engagement strategies, resulted in the development of MedVenture – a game-based application to improve planning and habit formation.ConclusionsAcademic-industry collaboration incorporating stakeholders can facilitate the development of mobile health tools designed specifically for adolescents with chronic disease.
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-22T09:55:44Z
      DOI: 10.1177/20552076211019877
      Issue No: Vol. 7 (2021)
       
  • Distinguishing atrial fibrillation from sinus rhythm using commercial
           pulse detection systems: The non-interventional BAYathlon study

    • Authors: Christian Müller, Ulf Hengstmann, Michael Fuchs, Martin Kirchner, Frank Kleinjung, Harald Mathis, Stephan Martin, Ingo Bläse, Stefan Perings
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveEarly diagnosis of atrial fibrillation (AFib) is a priority for stroke prevention. We sought to test four commercial pulse detection systems (CPDSs) for ability to distinguish AFib from normal sinus rhythm using a published algorithm (Zhou et al., PLoS One 2015;10:e0136544), compared with visual diagnosis by electrocardiogram inspection.MethodsBAYathlon was a prospective, non-interventional, single-centre study. Adult cardiology patients with documented AFib or sinus rhythm who were due to have a routine 5-min electrocardiogram were randomized to undergo a parallel 5-min pulse assessment with a Polar V800, eMotion Faros 360, TomTom heart rate monitor, or Adidas miCoach Smart Run.Results144 patients (73 with AFib, 71 with sinus rhythm (based on electrocardiograms); median age: 73 years; 53.5% male) were analysed. Algorithm sensitivities (primary endpoint) and specificities for AFib when applied to CPDS recordings were 93.3% and 94.1% with the Polar V800, 90.0% and 84.2% with the eMotion Faros 360, and 0% and 100% with the other CPDSs (analysis period: 127 heart rate signals + 2 min). When applied to routine electrocardiograms, the algorithm correctly detected AFib in 71/73 patients. Different analysis periods (127 heart rate signals +1 or 3 min) only slightly changed the sensitivities with the Polar V800 and eMotion Faros 360 and had no effect on the sensitivities with the other CPDSs.ConclusionAFib screening using the applied algorithm is feasible with the Polar V800 and eMotion Faros 360 (which provide RR interval data) but not with the other CPDSs (which provide pre-processed heart rate time series).ClinicalTrials.gov identifier: NCT02875106
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-22T09:54:42Z
      DOI: 10.1177/20552076211019620
      Issue No: Vol. 7 (2021)
       
  • The contribution of teledentistry in detecting tooth erosion in patients
           with eating disorders

    • Authors: Nicolas Giraudeau, Paul Camman, Laurence Pourreyron, Camille Inquimbert, Patrick Lefebvre
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveThe aim of this study was to demonstrate that including a teledentistry consultation in the standard care provided to patients in an eating disorder day hospital could be beneficial, notably for screening for particular pathologies and preventing dental erosion.MethodsWe included 50 patients from the eating disorders unit of the University Hospital of Montpellier, all of whom underwent a dental examination using asynchronous telemedicine. We recorded the data using teledentistry software for the medical file and an intraoral camera for the clinical videos. Remote diagnosis was performed using the Basic Erosive Wear Examination index. In addition, the participants completed a questionnaire to assess their risk factors for dental pathologies.ResultsWe found dental erosion in 92% of the patients, and 50% had at least one tooth with BEWE 2 or 3 type erosion.ConclusionsDespite the fact that there can be wide variety within a group of individuals with similar risk factors, dental telemedicine could promote awareness within this at-risk population, as well as provide personalised prevention advice to each patient. Above all, it would make it possible to treat these patients' lesions at the earliest possible moment, thereby improving their outcomes.
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-22T09:54:23Z
      DOI: 10.1177/20552076211019250
      Issue No: Vol. 7 (2021)
       
  • “Sometimes I don’t have a pulse … and I’m still alive!”
           Interviews with healthcare professionals to explore their experiences of
           and views on population-based digital health technologies

    • Authors: Flavio Tomasella, Heather May Morgan
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundDigital technologies are increasingly becoming an integral part of our daily routine and professional lives, and the healthcare field is no exception. Commercially available digital health technologies (DHTs – e.g. smartphones, smartwatches and apps) may hold significant potential in healthcare upon successful and constructive implementation. Literature on the topic is split between enthusiasm associated with potential benefits and concerns around privacy, reliability and overall effectiveness. However, little is known about what healthcare professionals (HCPs) have experienced so far with patients and what they perceive as the main advantages and disadvantages of adoption. This study therefore aims to investigate current perceptions of HCPs towards self-tracked health-related outputs from devices and apps available to the public.MethodsNine HCPs volunteered to take part in semi-structured interviews. Related data were thematically analysed, following a deductive approach with the construction of a framework based on expected themes from the relevant literature, and themes identified from the first two interviews.FindingsThe following main themes in relation to DHTs were identified and explored in detail: HCPs’ experience, knowledge and views; advantages and disadvantages; barriers towards healthcare implementation and potential solutions; future directions. While most participants were adopters of DHTs and held positive views about them, their overall experience with patients and the technology was limited. Potential reasons for this were explored, including factors such as time/resources; colleagues’ mindset; lack of evidence of effectiveness for practice; data security concerns.ConclusionsThe potential advantages of DHTs’ adoption in healthcare are substantial, e.g. patient autonomy, time/resources saving, health and behaviour change promotion, but are presently premature. Therefore, future research is warranted, focussing on addressing barriers, minimising disadvantages, and assessing the clinical value of commercially available DHTs.
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-22T08:10:17Z
      DOI: 10.1177/20552076211018366
      Issue No: Vol. 7 (2021)
       
  • Testing the accuracy of a novel digital peak flow meter aligned with a
           smartphone app compared to a lab spirometer: A pilot work

    • Authors: Panagiotis Sakkatos, Andrew Williams
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundA new digital peak flow meter, known as Smart Peak Flow (SPF), has been developed to monitor asthma patients’ peak expiratory flow (PEF) at home. It is connected wirelessly to any type of smartphone and it is used by asthma patients to self-monitor progress of their clinical condition. Thus evaluation of the SPF’s ability to provide accurate PEF values is essential. The aim of this pilot work was to provide preliminary in-vivo data about the measurement agreement between the SPF and a lab spirometer for a first time.MethodsPEF measurements were obtained by 9 healthy adults as this pilot work was terminated earlier than it was expected due to COVID-19 restrictions. PEF readings (n=27) were recorded by the comparable devices at the same time during three different expiratory maneuvers performed by each participant. The Bland and Altman plot was used to assess the agreement.ResultsGood agreement between the SPF and the lab spirometer was found with the mean bias being estimated 0.29 L/min. The lower and upper limits of agreement (LOA) were estimated 30.03 L/min and −30.61 L/min respectively.ConclusionDue to a small sample size, no firm conclusions can be drawn regarding the SPF’s accuracy. However the current promising results encourage further testing in the future.
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-21T01:09:07Z
      DOI: 10.1177/20552076211005959
      Issue No: Vol. 7 (2021)
       
  • Mobile health apps: An exploration of user-generated reviews in Google
           Play Store on a physical activity application

    • Authors: Miznah Al-Abbadey, Megan M-W Fong, Laura J Wilde, Roger Ingham, Daniela Ghio
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveThis study aimed to evaluate reviews that have been posted publicly on the app ‘MapMyRun’ to investigate which features were associated with usage of the app. A secondary aim was to determine whether MapMyRun consisted of specific behaviour change techniques that would have increased the likelihood of users being engaged with the app.MethodsReviews posted on MapMyRun by users between 1st May 2017- 30th April 2018 were extracted, coded and analysed using content analysis.ResultsEleven behaviour change techniques were identified among the features of MapMyRun. A total of 3,253 reviews met the inclusion/exclusion criteria, and 12 codes were developed. The codes were grouped into 8 subthemes within 2 main themes: ‘Effort’ and ‘Self-monitoring’. Consistent with previous literature, ‘Goal-Setting’ and ‘Self-Monitoring of Behaviour’ were two techniques included in MapMyRun. Social features of MapMyRun facilitated competition among users, their family, and friends.ConclusionsThis was the first qualitative review to assess a single mobile health physical activity app and analyse it from the perspectives of the users. Creators of future mobile health apps should focus on user friendliness and the use of social features, as both may increase the chances of users’ continued use with the app.
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-09T06:52:10Z
      DOI: 10.1177/20552076211014988
      Issue No: Vol. 7 (2021)
       
  • “It was an unexpected bond”: How an emerging participant-driven online
           social network may be enhancing an eLearning nutrition education &
           supplemental produce intervention

    • Authors: Sarah A Stotz, Jung Sun Lee, Jennifer Jo Thompson
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveThe purpose of this paper is to describe a participant-driven, online text message-based social support network that emerged from an eLearning nutrition education and supplemental produce intervention.MethodsAdults (n = 20) who utilized a safety-net clinic for their healthcare participated in a 12-week smartphone-based nutrition education eLearning program using loaned smartphones. Participants also received a box of fresh produce weekly. Participants received weekly text message reminders to collect their produce, and from this researcher-initiated reminder text, a supportive, participant-led, all-group text message thread commenced. Researchers collected all 471 text messages in this all-group thread and included them in the qualitative content analysis of pre and post intervention focus groups.ResultsThe original design of the eLearning nutrition education program was to asynchronously engage learners with nutrition education resources. However, participants themselves initiated a robust group text message support system through which they shared encouragement, recipes, grocery shopping tips, and images of food they prepared with the produce box amongst themselves for the duration of the 12-week intervention.ConclusionThe novel nature by which these participants voluntarily engaged in this peer-to-peer nutrition education-focused text message conversation exemplifies participants becoming agents in their own learning experience and will be used to enhance future eLearning nutrition education experiences developed by our team.
      Citation: DIGITAL HEALTH
      PubDate: 2021-05-06T05:24:08Z
      DOI: 10.1177/20552076211014978
      Issue No: Vol. 7 (2021)
       
  • Technology clinical trials: Turning innovation into patient benefit

    • Authors: Jennifer K Royle, Andrew Hughes, Laura Stephenson, Dónal Landers
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      Health care needs to continuously evolve and innovate to maintain the health of populations. Technology has the potential to enable better patient engagement and ownership, as well as optimise therapeutic interventions and data-science approaches to facilitate improved health care decisions. Yet, to date, technological innovation has not resulted in the rate of change that could have been predicted from other sectors. This article discusses multiple reasons for this and proposes a newly tested and deployed solution: the technology clinical trial. The technology clinical trial methodology has been developed through working directly with patients, clinical and medical devicetrial experts. This approach enables researchers to use the complex environment of health care as an opportunity to transform the pace of innovation and create new care pathways. Instead of testing a single innovation, researchers can ‘step back’ and systematically review all areas of the patient's journey for potential optimization. Then integrate novel data science, technological advances, process updates, behavioural science, and patient engagement to co-create a streamlined multidisciplinary solution. As a result, this research has the potential for larger advances due to the emergent benefits that can arise when the individual elements work together as a whole. These potential benefits are then robustly tested, characterised and measured in the trial environment to ensure that future application of the innovative pathway is supported by the robust empirical data health care requires.
      Citation: DIGITAL HEALTH
      PubDate: 2021-04-30T04:49:15Z
      DOI: 10.1177/20552076211012131
      Issue No: Vol. 7 (2021)
       
  • What’s driving dermatology' Contribution title analysis of the
           largest German Dermatology Congress 2019

    • Authors: Robert Kaczmarczyk, Felix King, Tilo Biedermann, Alexander Zink
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundEvery two years, German-speaking dermatologic specialist groups gather in Berlin to share the latest developments at Germanýs largest dermatologic conference, the Annual Meeting of the Germany Society of Dermatology (DDG). Because this conference has a lasting effect on dermatologic practice and research, understanding what is moving the specialist groups means understanding what is driving dermatology in Germany.MethodsWe used word network analysis to compile and visualize the information embedded in the contribution titles to the DDG Annual Meeting in 2019. We extracted words, contributing cities and inter-connections. The data was standardized, visualized using network graphs and analyzed using common network analysis parameters.ResultsA total of 5509 words were extracted from 1150 contribution titles. The most frequently used words were “therapy”, “patients”, and “psoriasis”. The highest number of contributions came from Hamburg, Berlin and Munich. High diversity in research topics was found, as well as a well-connected research network.ConclusionsFocus of the well-connected German-speaking dermatology community meeting 2019 was patient and therapy centered and lies especially on the diseases psoriasis and melanoma. Network graph analysis can provide helpful insights and help planning future congresses. It can facilitate the choice which contributors to include as imbalances become apparent. Moreover, it can help distributing the topics more evenly across the whole dermatologic spectrum.
      Citation: DIGITAL HEALTH
      PubDate: 2021-04-22T05:11:31Z
      DOI: 10.1177/20552076211012138
      Issue No: Vol. 7 (2021)
       
  • The development of a digital intervention to increase influenza
           vaccination amongst pregnant women

    • Authors: Joanne E Parsons, Katie V Newby, David P French, Elizabeth Bailey, Nadia Inglis
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectivePregnant women and unborn babies are at increased risk of complications from influenza, including pneumonia, yet in the UK, uptake of flu vaccination amongst this population remains
      Citation: DIGITAL HEALTH
      PubDate: 2021-04-22T05:11:30Z
      DOI: 10.1177/20552076211012128
      Issue No: Vol. 7 (2021)
       
  • What are the implications for patient safety and experience of a major
           healthcare IT breakdown' A qualitative study

    • Authors: Arabella Scantlebury, L Sheard, Cindy Fedell, J Wright
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      IntroductionTo explore the impact of a three-week downtime to an electronic pathology system on patient safety and experience.MethodsQualitative study consisting of semi-structured interviews and a focus group at a large NHS teaching hospital in England. Participants included NHS staff (n = 16) who represented a variety of staff groups (doctors, nurses, healthcare assistants) and board members. Data were collected 2–5 months after the outage and were analysed thematically.ResultsWe present the implications which the IT breakdown had for both patient safety and patient experience. Whilst there was no actual recorded harm to patients during the crisis, there was strong and divided opinion regarding the potential for a major safety incident to have occurred. Formal guidance existed to assist staff to navigate the outage but there was predominantly a reliance on informal workarounds. Junior clinicians seemed to struggle without access to routine blood test results whilst senior clinicians seemed largely unperturbed. Patient experience was negatively affected due to the extensive wait time for manually processed diagnostic tests, increasing logistical problems for patients.ConclusionThe potential negative consequences on patient safety and experience relating to IT failures cannot be underestimated. To minimise risks during times of crisis, clear communication involving all relevant stakeholders, and guidance and management strategies that are agreed upon and communicated to all staff are recommended. To improve patient experience flexible approaches to patient management are suggested.
      Citation: DIGITAL HEALTH
      PubDate: 2021-04-20T04:30:49Z
      DOI: 10.1177/20552076211010033
      Issue No: Vol. 7 (2021)
       
  • The role of eHealth, telehealth, and telemedicine for chronic disease
           patients during COVID-19 pandemic: A rapid systematic review

    • Authors: Hind Bitar, Sarah Alismail
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveTo summarize the current status of, and the current expert opinions, recommendation and evidence associated with the use and implementation of electronic health (eHealth), telemedicine, and/or telehealth to provide healthcare services for chronic disease patients during the COVID-19 pandemic.Materials and methodsWe searched four electronic databases (PubMed, Google Scholar, Science Direct, and Web of Science Core Collection) to identify relevant articles published between 2019 and 2020. Searches were restricted to English language articles only. Two independent reviewers screened the titles, abstracts, and keywords for relevance. The potential eligible articles, papers with no abstract, and those that fall into the uncertain category were read in full text independently. The reviewers met and discussed which articles to include in the final review and reached a consensus.ResultsWe identified 51 articles of which 25 articles met the inclusion criteria. All included articles indicated the promising potential of eHealth, telehealth, and/or telemedicine solutions in delivering healthcare services to patients living with chronic diseases/conditions during the COVID-19 pandemic. We synthesized the main findings into ten usages and eight recommendations concerning the different activities for delivering healthcare services remotely for those living with chronic diseases/conditions in the era of COVID-19.Discussion and conclusionsThere is limited evidence available about the effectiveness of such solutions. Further research is required during this pandemic to improve the credibility of evidence on telemedicine, telehealth, and/or eHealth-related outcomes for those living with chronic diseases.
      Citation: DIGITAL HEALTH
      PubDate: 2021-04-20T04:30:48Z
      DOI: 10.1177/20552076211009396
      Issue No: Vol. 7 (2021)
       
  • Association between glycosylated haemoglobin and outcomes for patients
           discharged from hospital with diabetes: A health informatics approach

    • Authors: Tim Robbins, Sailesh Sankaranarayanan, Harpal Randeva, Sarah N Lim Choi Keung, Theodoros N Arvanitis
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      Aims/ObjectivesExtensive research considers associations between inpatient glycaemic control and outcomes during hospital admission; this cautions against overly tight glycaemic targets. Little research considers glycaemic control following hospital discharge. This is despite a clear understanding that people with diabetes are at increased risk of negative outcomes, following discharge. We evaluate absolute and relative Hba1c values, and frequency of Hba1c monitoring, on readmission and mortality rates for people discharged from hospital with diabetes.MethodsAll discharges (n = 46,357) with diabetes from a major tertiary referral centre over 3 years were extracted, including biochemistry data. We conducted an evaluation of association between Hba1c, mortality and readmission, statistical significance and standardised Cohen’s D effect size calculations.Results399 patients had a Hba1c performed during their admission. 3,138 patients had a Hba1c within 1 year of discharge. Mean average Hba1c for readmissions was 57.82 vs 60.39 for not readmitted (p = 0.009, Cohen’s D 0.28). Mean average number of days to Hba1c testing in readmitted was 97 vs 113 for those not readmitted (p = 0.00006, Cohen’s D 0.39). Further evaluation of mortality outcomes, cohorts of T1DM and T2DM and association of relative change in Hba1c was performed.ConclusionsLower Hba1c values following discharge from hospital are significantly associated with increased risk of readmission, as is a shorter duration until testing. Similar patterns observed for mortality. Findings particularly prominent for T1DM. Further research needed to consider underlying causation and design of appropriate risk stratification models.
      Citation: DIGITAL HEALTH
      PubDate: 2021-04-17T03:16:11Z
      DOI: 10.1177/20552076211007661
      Issue No: Vol. 7 (2021)
       
  • Acceptability of collecting speech samples from the elderly via the
           telephone

    • Authors: Catherine Diaz-Asper, Chelsea Chandler, R Scott Turner, Brigid Reynolds, Brita Elvevåg
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveThere is a critical need to develop rapid, inexpensive and easily accessible screening tools for mild cognitive impairment (MCI) and Alzheimer’s disease (AD). We report on the efficacy of collecting speech via the telephone to subsequently develop sensitive metrics that may be used as potential biomarkers by leveraging natural language processing methods.MethodsNinety-one older individuals who were cognitively unimpaired or diagnosed with MCI or AD participated from home in an audio-recorded telephone interview, which included a standard cognitive screening tool, and the collection of speech samples. In this paper we address six questions of interest: (1) Will elderly people agree to participate in a recorded telephone interview' (2) Will they complete it' (3) Will they judge it an acceptable approach' (4) Will the speech that is collected over the telephone be of a good quality' (5) Will the speech be intelligible to human raters' (6) Will transcriptions produced by automated speech recognition accurately reflect the speech produced'ResultsParticipants readily agreed to participate in the telephone interview, completed it in its entirety, and rated the approach as acceptable. Good quality speech was produced for further analyses to be applied, and almost all recorded words were intelligible for human transcription. Not surprisingly, human transcription outperformed off the shelf automated speech recognition software, but further investigation into automated speech recognition shows promise for its usability in future work.ConclusionOur findings demonstrate that collecting speech samples from elderly individuals via the telephone is well tolerated, practical, and inexpensive, and produces good quality data for uses such as natural language processing.
      Citation: DIGITAL HEALTH
      PubDate: 2021-04-17T03:16:10Z
      DOI: 10.1177/20552076211002103
      Issue No: Vol. 7 (2021)
       
  • Implementing online patient feedback in a ‘special measures’ acute
           hospital: A case study using Normalisation Process Theory

    • Authors: Rebecca Baines, Frazer Underwood, Kim O’Keeffe, Jessica Saunders, Ray B Jones
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveOnline patient feedback is becoming increasingly prevalent on an international scale. However, limited research has explored how healthcare organisations implement such feedback. This research sought to explore how an acute hospital, recently placed into ‘special measures’ by a regulatory body implemented online feedback to support its improvement journey.MethodsSemi-structured interviews were conducted with eleven key stakeholders involved in the implementation and/or use of online patient feedback. Data was analysed using deductive thematic analysis with Normalisation Process Theory used as the analytical framework. Research findings are translated into the Engage, Support and Promote (ESP) model, a model of rapid feedback adoption.ResultsParticipants viewed the implementation of online feedback as an opportunity to learn, change and improve. Factors found to facilitate implementation were often linked to engagement, support and promotion. Although less frequently described, barriers to implementation included staff anxieties about time pressures, moderation processes and responding responsibilities. Such anxieties were often addressed by activities including the provision of evidence based responder training. Overall, staff were overwhelmingly positive about the value of online feedback with 24 impacts identified at an individual and organisational level, including the ability to boost staff morale, resilience and pride.ConclusionsThe rapid implementation of online patient feedback can be achieved in a ‘special measures’ organisation. However, the difficulties of implementing such feedback should not be underestimated. In order to embed online feedback, staff members need to be engaged and feel supported, with opportunities to provide, respond and invite patient feedback frequently promoted to both patients and staff members.
      Citation: DIGITAL HEALTH
      PubDate: 2021-04-02T04:05:06Z
      DOI: 10.1177/20552076211005962
      Issue No: Vol. 7 (2021)
       
  • StopWatch: Pilot study for an Apple Watch application for youth with ADHD

    • Authors: John E Leikauf, Carlos Correa, Andrew N Bueno, Vicente Peris Sempere, Leanne M Williams
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      IntroductionTo address the need for non-pharmacologic, scalable approaches for managing attention-deficit and hyperactivity disorder (ADHD) in young people, we report the results of a study of an application developed for a wearable device (Apple Watch) that was designed to track movement and provide visual and haptic feedback for ADHD.MethodsSix-week, open label pilot study with structured rating scales ADHD and semi-structured qualitative interview. Apple Watch software application given to users that uses actigraphy and graphic interface as well as haptic feedback to provide feedback to users about level of movement during periods of intentional focus. Linear mixed models to estimate trajectories.ResultsThirty-two participants entered the study. This application was associated with improvement in ADHD symptoms over the 6 weeks of the study. We observed an ADHD-Rating Scale change of β = −1.2 units/week (95% CI = −0.56 to −1.88, F = 13.4, P = .0004).ConclusionsThese positive clinical outcomes highlight the promise of such wearable applications for ADHD and the need to pursue their further development.
      Citation: DIGITAL HEALTH
      PubDate: 2021-04-02T04:05:05Z
      DOI: 10.1177/20552076211001215
      Issue No: Vol. 7 (2021)
       
  • Systematic review of cost-effectiveness analysis of behavior change
           communication apps: Assessment of key methods

    • Authors: Cynthia Afedi Hazel, Sheana Bull, Elizabeth Greenwell, Maya Bunik, Jini Puma, Marcelo Perraillon
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveEvidence backing the effectiveness of mobile health technology is growing, and behavior change communication applications (apps) are fast becoming a useful platform for behavioral health programs. However, data to support the cost-effectiveness of these interventions are limited. Suggestions for overcoming the low output of economic data include addressing the methodological challenges for conducting cost-effectiveness analysis of behavior change app programs. This study is a systematic review of cost-effectiveness analyses of behavior change communication apps and a documentation of the reported challenges for investigating their cost-effectiveness.Materials and methodsFour academic databases: Medline (Ovid), CINAHL, EMBASE and Google Scholar, were searched. Eligibility criteria included original articles that use a cost-effectiveness evaluation method, published between 2008 and 2018, and in the English language.ResultsOut of the 60 potentially eligible studies, 6 used cost-effectiveness analysis method and met the inclusion criteria.ConclusionThe evidence to support the cost-effectiveness of behavior change communication apps is insufficient, with all studies reporting significant study challenges for estimating program costs and outcomes. The main challenges included limited or lack of cost data, inappropriate cost measures, difficulty with identifying and quantifying app effectiveness, representing app effects as Quality-adjusted Life Years, and aggregating cost and effects into a single quantitative measure like Incremental Cost Effectiveness Ratio. These challenges highlight the need for comprehensive economic evaluation methods that balance app data quality issues with practical concerns. This would likely improve the usefulness of cost-effectiveness data for decisions on adoption, implementation, scalability, sustainability, and the benefits of broader healthcare investments.
      Citation: DIGITAL HEALTH
      PubDate: 2021-03-27T04:33:20Z
      DOI: 10.1177/20552076211000559
      Issue No: Vol. 7 (2021)
       
  • Detecting COVID-19 and other respiratory infections in obstructive sleep
           apnoea patients through CPAP device telemonitoring

    • Authors: Jean-Louis Pépin, Sébastien Bailly, Jean-Christian Borel, Sophie Logerot, Marc Sapène, Jean-Benoît Martinot, Patrick Lévy, Renaud Tamisier
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveThe earliest possible detection of individuals with COVID-19 has been essential to curb the spread of infection. Existing digital tools have been scaled up to address this issue. Every night telemonitoring data on continuous positive airway pressure (CPAP) device use, the first-line therapy for obstructive sleep apnoea (OSA), is collected worldwide. We asked whether the changes in CPAP adherence patterns of might constitute an alert for COVID-19.MethodsWe analysed preliminary results of telemonitoring data, recorded between February 1 and April 30, 2020, on OSA patients followed by our sleep clinics and diagnosed with COVID-19.ResultsCPAP telemonitoring data from the first 19 patients diagnosed with COVID-19 showed a clear decrease or halt in adherence in the 20 days immediately preceding COVID-19 diagnosis compared to an earlier period (p 
      Citation: DIGITAL HEALTH
      PubDate: 2021-03-27T04:33:20Z
      DOI: 10.1177/20552076211002957
      Issue No: Vol. 7 (2021)
       
  • Exploring healthcare professionals’ perceptions of artificial
           intelligence: Validating a questionnaire using the e-Delphi method

    • Authors: Lucy Shinners, Christina Aggar, Sandra Grace, Stuart Smith
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveThe aim of this study was to draw upon the collective knowledge of experts in the fields of health and technology to develop a questionnaire that measured healthcare professionals’ perceptions of Artificial Intelligence (AI).MethodsThe panel for this study were carefully selected participants who demonstrated an interest and/or involvement in AI from the fields of health or information technology. Recruitment was accomplished via email which invited the panel member to participate and included study and consent information. Data were collected from three rounds in the form of an online survey, an online group meeting and email communication. A 75% median threshold was used to define consensus.ResultsBetween January and March 2019, five healthcare professionals and three IT experts participated in three rounds of study to reach consensus on the structure and content of the questionnaire. In Round 1 panel members identified issues about general understanding of AI and achieved consensus on nine draft questionnaire items. In Round 2 the panel achieved consensus on demographic questions and comprehensive group discussion resulted in the development of two further questionnaire items for inclusion. In a final e-Delphi round, a draft of the final questionnaire was distributed via email to the panel members for comment. No further amendments were put forward and 100% consensus was achieved.ConclusionA modified e-Delphi method was used to validate and develop a questionnaire to explore healthcare professionals’ perceptions of AI. The e-Delphi method was successful in achieving consensus from an interdisciplinary panel of experts from health and IT. Further research is recommended to test the reliability of this questionnaire.
      Citation: DIGITAL HEALTH
      PubDate: 2021-03-24T06:52:00Z
      DOI: 10.1177/20552076211003433
      Issue No: Vol. 7 (2021)
       
  • Review of the role of big data and digital technologies in controlling
           COVID-19 in Asia: Public health interest vs. privacy

    • Authors: Gopinath Nageshwaran, Rebecca C Harris, Clotilde El Guerche-Seblain
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundAsia has been at the forefront of leveraging big data and digital technologies to strengthen measures against SARS-CoV-2 spread. Understanding strengths and challenges of these new approaches is important to inform improvements and implementation. In this review, we aimed to explore how these tools were utilized in four countries in Asia to facilitate COVID-19 preventative control measures.MethodsWe conducted a pragmatic review of English-language literature and web-based information in Pubmed, MedRxiv, national and international public health institution websites and media sources between 1st January-3rd August 2020 to identify examples of big data and digital technologies to facilitate COVID-19 preventative control measures in Taiwan, South Korea, Hong Kong, and Singapore. Results were summarized narratively by common technological themes, and examples of integration highlighted.ResultsDigital tools implemented included real-time epidemiological dashboards, interactive maps of case location, mobile apps for tracing patients’ contacts and geofencing to monitor quarantine compliance. Examples of integration of tools included linkage of national health and immigration databases to identify high-risk individuals in Taiwan, and the use of multiple digital surveillance sources to map patients’ movements in South Korea. Challenges in balancing privacy and public good were identified.ConclusionsDigital technologies have facilitated and strengthened traditional public health measures for prevention of SARS-CoV-2 spread in Asia. Resolving issues around privacy concerns would improve future preparedness, implementation speed and uptake of digital measures. The significant technological advances and lessons learned can be adopted or adapted by other countries to ensure public health preparedness for future waves of COVID-19 and other pandemics.
      Citation: DIGITAL HEALTH
      PubDate: 2021-03-24T01:03:54Z
      DOI: 10.1177/20552076211002953
      Issue No: Vol. 7 (2021)
       
  • Adolescents’ and young adults’ experiences of a prototype
           cancer smartphone app

    • Authors: Signe Hanghøj, Kirsten A Boisen, Maiken Hjerming, Helle Pappot
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveSmartphone cancer-related apps have been shown to meet some of the needs of adolescents and young adults (AYAs) during their cancer trajectory. However, there is a lack of apps evaluated by AYAs; thus, the quality of many of these apps has been contested. The aim of this study was to investigate the usefulness of a cancer smartphone app called Kræftværket. The AYA participants reflected on their first experiences of the app and whether it was a relevant and useful tool during and after their cancer trajectory.MethodsA total of 20 AYA cancer patients aged 16-29 years (n = 10 on treatment, n = 10 in follow up) were provided with a prototype of the Kræftværket app during a 6-week test period (April-May 2018). After the test period, n = 17 participated in focus group interviews, which were analyzed thematically.ResultsThe following themes were found: Sharing personal information (anonymity, safe communication, tough topics, videos and YouTube clips, tracking statistics); Normalcy (Seeing oneself reflected in in others, not alone, general and specific communities); Need for interaction (response from the app, information provided by the app, the app should give more back); and An everyday tool (integrating the app into daily routines, competition between app and Facebook group, temporary needs).ConclusionsThe app was perceived to be most relevant at disease onset. During the treatment period, both diagnosis-specific information and communities were requested. There was a call for a clearer distinction between the purpose of the app and other Facebook communities and for a notification function.
      Citation: DIGITAL HEALTH
      PubDate: 2021-02-25T05:18:52Z
      DOI: 10.1177/2055207621997258
      Issue No: Vol. 7 (2021)
       
  • Incorporating telehealth into health service psychology training: A
           mixed-method study of student perspectives

    • Authors: Alex R Dopp, Ayla R Mapes, Noah R Wolkowicz, Carly E McCord, Matthew T Feldner
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveTelehealth is increasingly recognized as an avenue for enhancing psychologists’ capacities to meet the mental health needs of a diverse and underserved (due to barriers e.g., distance, transportation) public. The present study sought to inform training in telepsychology (i.e., telehealth delivery of psychological services) by using both quantitative and qualitative methods to explore the perspectives of doctoral students who have already been involved in such training.MethodA total of 19 predoctoral students from two universities, with at least some experience in telepsychology training, provided their perspectives on two complementary research questions: (1) How do students perceive their level of competence in various domains of telepsychology'; and (2) What are students’ perspectives on the process of telepsychology competency development during their doctoral training'ResultsThe results of our study provide early evidence that doctoral trainees are able to develop telepsychology competencies and suggest that a supportive, training-oriented environment and fit between telepsychology and existing programmatic areas of emphasis are likely key to success.ConclusionsContinued efforts to enhance training in providing telepsychology services should focus on how to best define, measure, and promote competency development in this emerging specialty area.
      Citation: DIGITAL HEALTH
      PubDate: 2021-02-25T05:18:50Z
      DOI: 10.1177/2055207620980222
      Issue No: Vol. 7 (2021)
       
  • MyHealthPortal – A web-based e-Healthcare web portal for
           out-of-hospital patient care

    • Authors: Syed K Tanbeer, Edward R Sykes
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      Current e-Health portal platforms provide support for patients only if they have previously registered and received service from a healthcare facility (e.g., hospital, healthcare clinic, etc.). These portals are usually connected to a central EMR/EHR system linked to a central system. Furthermore, these portals are restrictive in that they are only accessible by these patients at the exclusion of parents, relatives and others that participate in providing care to the patient. Further complications include the increasing demand from our healthcare systems for patients to receive more off-site, non-primary, in-homecare, and/or specialized healthcare services at home (e.g., therapy, nursing, personal support, etc.). Lastly, an increasing number of people would like to have more autonomy over their health in terms of increased access to their own medical records and the services they receive. In this work, we addressed these limitations by creating MyHealthPortal – a patient portal aimed at non-primary care, in-homecare, and/or special healthcare for patients. MyHealthPortal can assist homecare and clinic-based healthcare services along with the benefits of existing portals (e.g., online appointment scheduling, monitoring, and information sharing). MyHealthPortal is secure, robust, flexible and user-friendly. We developed it in partnership with our industry partner, Closing the Gap Healthcare. Closing the Gap is a prominent homecare and clinic-based healthcare service provider that became the first homecare agency to score 100% on standards from accreditation Canada and was awarded the exemplary standing. In this paper we present MyHealthPortal, the architectural framework that we designed and developed to support the system, and the results of a usability study conducted from real field studies. Our system was tested in a variety of conditions and achieved SUS usability scores of 92.5% (high).
      Citation: DIGITAL HEALTH
      PubDate: 2021-02-25T05:18:49Z
      DOI: 10.1177/2055207621989194
      Issue No: Vol. 7 (2021)
       
  • The use of social media as a tool for stakeholder engagement in health
           service design and quality improvement: A scoping review

    • Authors: Louisa Walsh, Nerida Hyett, Nicole Juniper, Chi Li, Sophie Rodier, Sophie Hill
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundHealth-related social media use is common but few health organisations have embraced its potential for engaging stakeholders in service design and quality improvement (QI). Social media may provide new ways to engage more diverse stakeholders and conduct health design and QI activities.ObjectiveTo map how social media is used by health services, providers and consumers to contribute to service design or QI activities.MethodsThe scoping review was undertaken using the Joanna Briggs Institute methodology. An advisory committee of stakeholders provided guidance throughout the review. Inclusion criteria were studies of any health service stakeholders, in any health setting, where social media was used as a tool for communications which influenced or advocated for changes to health service design or delivery. A descriptive numerical summary of the communication models, user populations and QI activities was created from the included studies, and the findings were further synthesised using deductive qualitative content analysis.Results40 studies were included. User populations included organisations, clinical and non-clinical providers, young people, people with chronic illness/disability and First Nations people. Twitter was the most common platform for design and QI activities. Most activities were conducted using two-way communication models. A typology of social media use is presented, identifying nine major models of use.ConclusionThis review identifies the ways in which social media is being used as a tool to engage stakeholders in health service design and QI, with different models of use appropriate for different activities, user populations and stages of the QI cycle.
      Citation: DIGITAL HEALTH
      PubDate: 2021-02-25T05:18:48Z
      DOI: 10.1177/2055207621996870
      Issue No: Vol. 7 (2021)
       
  • A mobile phone-based multimedia intervention to support maternal health is
           acceptable and feasible among illiterate pregnant women in Uganda:
           Qualitative findings from a pilot randomized controlled trial

    • Authors: Angella Musiimenta, Wilson Tumuhimbise, Niels Pinkwart, Jane Katusiime, Godfrey Mugyenyi, Esther C Atukunda
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      BackgroundUganda’s maternal mortality rate remains unacceptably high. Mobile phones can potentially provide affordable means of accessing maternal health services even among the otherwise hard-to-reach populations. Evidence about the acceptability and feasibility of mobile phone-based interventions targeting illiterate women, however, is limited.ObjectiveTo assess the acceptability and feasibility of a mobile phone-based multimedia application (MatHealth app) to support maternal health amongst illiterate pregnant women in rural southwestern Uganda.Methods80 pregnant women initiating antenatal care from Mbarara regional referral hospital were enrolled in a pilot randomized controlled trial and followed until six weeks after delivery. The 40 women in the intervention group received a MatHealth app composed of educational videos/audios, clinic appointment reminders, and the calling function. Qualitative interviews on acceptability of this technology were carried out with 30 of the intervention participants. An inductive, content analytic approach was used to analyze qualitative data. Quantitative feasibility data were recorded and summarized descriptively.ResultsParticipants reported that the intervention is acceptable as it enabled them adopt good maternal health practices, enhanced social support from spouses, provided clinic appointment reminders, and facilitated communication with healthcare providers. Challenges included: phone sharing (74%), accidental deletion of the application 15 (43%), lack of electricity 15 (43%), and inability to set up a reminder function 20 (57%).ConclusionThe MatHealth app is an acceptable and feasible intervention among illiterate women, in a resource limited setting. Future efforts should focus on optimized application design, spouse orientation, and incorporating economic support to overcome the challenges we encountered.
      Citation: DIGITAL HEALTH
      PubDate: 2021-02-25T05:18:46Z
      DOI: 10.1177/2055207620986296
      Issue No: Vol. 7 (2021)
       
  • Mobile health approaches to disease surveillance in Africa; Wellvis COVID
           triage tool

    • Authors: Ayomide Owoyemi, Ron Ikpe, Mariam Toye, Ayesan Rewane, Moshood Abdullateef, Etin Obaseki, Segun Mustafa, Wale Adeosun
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      COVID-19 has rapidly spread across the globe and was declared a pandemic by the World Health Organization (WHO). The COVID-19 infection continues to spread across Africa. In Africa, mobile phone applications have been used for the surveillance and reporting of infectious diseases such as malaria, measles, polio, and other notifiable diseases as mandated by the WHO. A good example is the early warning alert and response system. We developed an eight-question triage tool using the Nigerian Centre for Disease Control surveillance case definitions for new coronavirus disease. Based on the assessed risk level we offered advice and guidance on the next steps. A user-administered tool such as this is vital to COVID19 control. It is also significant in relieving the burden on health systems, providing information on national health guidelines for prevention and control, fostering the participation of citizens, and giving them the next steps, pandemic control efforts become more effective.
      Citation: DIGITAL HEALTH
      PubDate: 2021-02-21T03:56:15Z
      DOI: 10.1177/2055207621996876
      Issue No: Vol. 7 (2021)
       
  • Workforce challenges in digital health implementation: How are clinical
           psychology training programmes developing digital competences'

    • Authors: Helen Pote, Annabel Rees, Charley Holloway-Biddle, Emma Griffith
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectivesDigital practice in psychological services is a rapidly expanding and innovative area which is supporting continuation of clinical provision during the COVID-19 pandemic. Training the workforce to deliver safe and effective online psychological provision is key to service success and relies on accurate mapping of competences and current training needs. This paper discusses the initial stage for developing the first digital mental health competence framework for applied psychology in the UK. It reports on the digital training currently provided nationally and barriers/facilitators to acquiring these competencies.MethodsEighteen of the thirty UK Clinical Psychology Doctoral training programmes completed a 16-item survey. This mapped current digital health teaching and skills acquisition for trainee Clinical Psychologists throughout their 3-year pre-registration training. Furthermore, potential barriers and facilitators to developing these digital skills for both trainee and qualified Clinical Psychologists were investigated.ResultsThe quantitative analysis highlighted the majority of respondents viewed developing digital mental health competencies with importance, but were not integrating this into teaching or clinical placements activity. The qualitative, inductive content analysis revealed seven key themes influencing the development of digital mental health skills, with the majority of respondents identifying with two themes; the need for practice guidelines (50% of respondents) and opportunities for digital mental health experience.ConclusionsThe findings suggest the need for a greater focus on developing the digital health knowledge, skills, and confidence across trainee and qualified Clinical Psychologists. Strategic analysis indicated the need to develop a framework for digital mental health competences across the curriculum and placement experience. Easily accessible learning packages may support the implementation of training nationally.
      Citation: DIGITAL HEALTH
      PubDate: 2021-02-12T06:08:19Z
      DOI: 10.1177/2055207620985396
      Issue No: Vol. 7 (2021)
       
  • COVID-19 shapes the future for management of patients with chronic cardiac
           conditions

    • Authors: Chantal F Ski, Bettina Zippel-Schultz, Lieven De Maesschalck, Thom Hoedemakers, Katharina Schütt, David R Thompson, Hans-Peter Brunner La-Rocca
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.

      Citation: DIGITAL HEALTH
      PubDate: 2021-02-09T04:13:02Z
      DOI: 10.1177/2055207621991711
      Issue No: Vol. 7 (2021)
       
  • Reviewer List 2020

    • Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.

      Citation: DIGITAL HEALTH
      PubDate: 2021-02-05T05:19:32Z
      DOI: 10.1177/2055207621994022
      Issue No: Vol. 7 (2021)
       
  • Combining ecological momentary assessment, wrist-based eating detection,
           and dietary assessment to characterize dietary lapse: A multi-method study
           protocol

    • Authors: Stephanie P Goldstein, Adam Hoover, E Whitney Evans, J Graham Thomas
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectivesBehavioral obesity treatment (BOT) produces clinically significant weight loss and health benefits for many individuals with overweight/obesity. Yet, many individuals in BOT do not achieve clinically significant weight loss and/or experience weight regain. Lapses (i.e., eating that deviates from the BOT prescribed diet) could explain poor outcomes, but the behavior is understudied because it can be difficult to assess. We propose to study lapses using a multi-method approach, which allows us to identify objectively-measured characteristics of lapse behavior (e.g., eating rate, duration), examine the association between lapse and weight change, and estimate nutrition composition of lapse.MethodWe are recruiting participants (n = 40) with overweight/obesity to enroll in a 24-week BOT. Participants complete biweekly 7-day ecological momentary assessment (EMA) to self-report on eating behavior, including dietary lapses. Participants continuously wear the wrist-worn ActiGraph Link to characterize eating behavior. Participants complete 24-hour dietary recalls via structured interview at 6-week intervals to measure the composition of all food and beverages consumed.ResultsWhile data collection for this trial is still ongoing, we present data from three pilot participants who completed EMA and wore the ActiGraph to illustrate the feasibility, benefits, and challenges of this work.ConclusionThis protocol will be the first multi-method study of dietary lapses in BOT. Upon completion, this will be one of the largest published studies of passive eating detection and EMA-reported lapse. The integration of EMA and passive sensing to characterize eating provides contextually rich data that will ultimately inform a nuanced understanding of lapse behavior and enable novel interventions.Trial registration: Registered clinical trial NCT03739151; URL: https://clinicaltrials.gov/ct2/show/NCT03739151
      Citation: DIGITAL HEALTH
      PubDate: 2021-02-03T06:44:44Z
      DOI: 10.1177/2055207620988212
      Issue No: Vol. 7 (2021)
       
  • The use of eHealth interventions among persons experiencing homelessness:
           A systematic review

    • Authors: Alexia Polillo, Sophia Gran-Ruaz, John Sylvestre, Nick Kerman
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      ObjectiveeHealth interventions are being developed to meet the needs of diverse populations. Despite these advancements, little is known about how these interventions are used to improve the health of persons experiencing homelessness. The aim of this systematic review was to examine the feasibility, effectiveness, and experience of eHealth interventions for the homeless population.MethodsFollowing PRISMA guidelines, a systematic search of PsycINFO, PubMed, Web of Science, and Google Scholar was conducted along with forward and backward citation searching to identify relevant articles.ResultsEight articles met eligibility criteria. All articles were pilot or feasibility studies that used modalities, including short message service, mobile apps, computers, email, and websites, to deliver the interventions. The accessibility, flexibility, and convenience of the interventions were valued by participants. However, phone retention, limited adaptability, a high level of human involvement, and preference for in-person communication may pose future implementation challenges.ConclusionseHealth interventions are promising digital tools that have the potential to improve access to care and service delivery. eHealth interventions are feasible and usable for persons experiencing homelessness. These interventions may have health benefits by augmenting existing services and if implementation challenges are addressed. Further evaluation of the effectiveness of eHealth interventions is needed before widespread implementation. Those with lived experience should also be engaged in developing and evaluating these interventions.
      Citation: DIGITAL HEALTH
      PubDate: 2021-02-03T06:44:39Z
      DOI: 10.1177/2055207620987066
      Issue No: Vol. 7 (2021)
       
  • Effectiveness and organizational conditions of effectiveness of
           telemedicine in nursing homes. A study protocol of a comparative
           prospective cohort (EFFORT study)

    • Authors: Nathalie Salles, Florence Saillour-Glénisson, Matthieu Sibe, Emmanuel Langlois, Marion Kret, Jessica Durrieu, Nora Arditi, Maelys Abraham, Frederic Perry
      Abstract: DIGITAL HEALTH, Volume 7, Issue , January-December 2021.
      IntroductionThe profile of nursing home (NH) residents has changed over the past decade with more dependency, more severe chronic diseases and more treatments prescribed. For residents, the major consequence is the higher risk of unplanned hospitalization. French guidelines recommend the development of interactive telemedicine (InT) in NHs in order to improve access to care, and to decrease the rate of avoidable unplanned hospitalizations.Methods and analysis: The aim of this study is to analyze the impact of an InT protocol delivered in NHs on the rate of unplanned hospitalizations, and on the quality of life at work and the organizational conditions of effectiveness of telemedicine in NHs. We will perform a mixed methods study combining a cluster non-randomized controlled trial in two matched parallel arms (telemedicine group and control group) and qualitative analysis of the evolution of organizational and professional contexts in NHs.Ethics and dissemination: The study protocol was approved and sponsored by the French Ministry of Health. The study received ethical approval from the Bordeaux University Hospital Institutional Review Board. We will communicate the final results to the public via conferences and results will also be submitted for publication in international peer-reviewed scientific journals.Trial registration number NCT03486977
      Citation: DIGITAL HEALTH
      PubDate: 2021-01-25T04:59:07Z
      DOI: 10.1177/2055207620982422
      Issue No: Vol. 7 (2021)
       
 
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