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Task effectiveness, usability, and acceptability of mHealth technologies among older adults at risk for cardiovascular disease: a feasibility study. 在有心血管疾病风险的老年人中,移动健康技术的任务有效性、可用性和可接受性:可行性研究
IF 2.8 Q2 MEDICAL INFORMATICS Pub Date : 2025-05-01 Epub Date: 2025-04-23 DOI: 10.1007/s12553-025-00969-5
Andrew Thomas Reyes, Dion Candelaria, Reimund Serafica, Janett A Hildebrand, Marysol Cacciata, Axel Santa Maria, Jung-Ah Lee, Anna Strömberg, Lorraine S Evangelista

Purpose: New research shows the benefits of mobile health (mHealth) interventions for older adults. However, older adults adopt digital technology less than younger ones. This study measures the task effectiveness, perceived usability, and acceptability of a mHealth intervention (i.e., Get FIT +) consisting of a wearable activity tracker, access to the MyFitnessPal app, and personalized text messages to promote healthy behaviors in older adults.

Methods: Participants used the Get FIT + intervention for 12 weeks and engaged in monthly clinic visits with an advanced practice nurse (APRN) to monitor their progress. The monthly sessions instructed them to use the think-aloud process while doing specific tasks (e.g., using the app). Participants also completed the USABILITY Survey and provided feedback on the intervention's acceptability after the 12-week trial.

Results: Thirty older adults (mean age 66.6 ± 5.9 years, 60% female, 60% married, 50% Asian, 37% White, and 13% Hispanic) participated in this sub-analysis. Participants were able to complete the assigned tasks efficiently. The usability satisfaction assessment suggests a high level of satisfaction. The participants responded positively to Get FIT + and successfully incorporated it into their routines.

Conclusions: Our findings show that Get FIT + technologies, including smartphones, smartphone-based applications, and integrated sensors, are practical, usable, and acceptable for older adults at risk for cardiovascular disease. These scalable, low-cost technologies offer methods to monitor and promote a healthy lifestyle and enhance overall well-being.

目的:新的研究显示了移动医疗(mHealth)干预措施对老年人的益处。然而,老年人比年轻人更少使用数字技术。本研究测量了移动健康干预(即Get FIT +)的任务有效性、感知可用性和可接受性,该干预包括可穿戴活动跟踪器、MyFitnessPal应用程序的访问和个性化短信,以促进老年人的健康行为。方法:参与者使用Get FIT +干预12周,并与高级执业护士(APRN)每月进行门诊访问,以监测其进展。每月的课程指导他们在做特定任务时(例如,使用应用程序)使用有声思维过程。参与者还完成了可用性调查,并在12周的试验后对干预的可接受性提供了反馈。结果:30名老年人(平均年龄66.6±5.9岁,60%为女性,60%为已婚,50%为亚洲人,37%为白人,13%为西班牙裔)参与了这一亚组分析。参与者能够有效地完成分配的任务。可用性满意度评估表明了高水平的满意度。参与者对Get FIT +反应积极,并成功地将其纳入日常生活中。结论:我们的研究结果表明,Get FIT +技术,包括智能手机、基于智能手机的应用程序和集成传感器,对于有心血管疾病风险的老年人来说是实用、可用和可接受的。这些可扩展的低成本技术提供了监测和促进健康生活方式并提高整体福祉的方法。
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引用次数: 0
The role of AI in mitigating the impact of radiologist shortages: a systematised review. 人工智能在缓解放射科医生短缺影响中的作用:系统回顾。
IF 3.1 Q2 MEDICAL INFORMATICS Pub Date : 2025-01-01 Epub Date: 2025-04-25 DOI: 10.1007/s12553-025-00970-y
Nebil Achour, Tomas Zapata, Yousef Saleh, Barbara Pierscionek, Natasha Azzopardi-Muscat, David Novillo-Ortiz, Cathal Morgan, Mafaten Chaouali

Purpose: This study aims to explore the application of Artificial intelligence (AI) systems in radiology departments and the role they play in the shortage of radiologists. It examines the ethical and legal considerations for uptake of AI both in relation to patient safety and for the profession of radiology.

Methods: A systematised review was selected for this research study to collect maximum relevant evidence that provides a comprehensive overview of AI application in radiology specifically in terms of addressing radiologist shortages in hospitals. The search was complemented by grey literature to fill potential gaps.

Results: Findings suggest that AI can read and interpret images more effectively and faster than radiologists and that it could be more widely used to reduce the impact of the global radiologist shortage, leading to better patient outcomes and safety. However, there are potential challenges predominantly ethical and legal. Concerns over complete radiologist replacement by AI do not currently seem likely, but rather the use of AI to complement radiologists in their work.

Conclusions: AI cannot replace radiologists, instead radiology services will need the input of radiologists, AI systems and radiographers to provide a safe healthcare for all patients, therefore they are complementary. Radiologist jobs will most probably change to reduce repetitive tasks that can be conducted by AI. Radiologists and radiographers play a role in the provision of quality care in both normal day-to-day events and during times of disaster. Their role in diagnosing and prognosing diseases provides guidance during preparedness, response and recovery.

目的:本研究旨在探讨人工智能(AI)系统在放射科的应用及其在放射科医师短缺中的作用。它审查了在患者安全和放射学专业方面采用人工智能的伦理和法律考虑。方法:本研究选择了一项系统的综述,以收集最大限度的相关证据,全面概述人工智能在放射学中的应用,特别是在解决医院放射科医生短缺方面。该研究还补充了灰色文献,以填补潜在的空白。结果:研究结果表明,人工智能可以比放射科医生更有效、更快地读取和解释图像,并且可以更广泛地用于减少全球放射科医生短缺的影响,从而改善患者的治疗效果和安全性。然而,潜在的挑战主要是道德和法律方面的。目前似乎不太可能担心人工智能完全取代放射科医生,而是使用人工智能来补充放射科医生的工作。结论:人工智能不能取代放射科医生,相反,放射服务将需要放射科医生、人工智能系统和放射科医生的投入,为所有患者提供安全的医疗保健,因此它们是互补的。放射科医生的工作很可能会发生变化,以减少人工智能可以执行的重复性任务。放射科医生和放射技师在正常的日常事件和灾难期间都发挥着提供高质量护理的作用。它们在疾病诊断和预后方面的作用为防备、应对和恢复提供了指导。
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引用次数: 0
Health disparity in digital health technology design 数字医疗技术设计中的健康差距
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2024-01-10 DOI: 10.1007/s12553-024-00814-1
Yanting Wu, Yawen Li, Andrius Baskys, J. Chok, Janice Hoffman, Don Roosan
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引用次数: 0
COVID-19 vaccine prediction based on an interpretable CNN-LSTM model with three-stage feature engineering 基于三阶段特征工程的可解释 CNN-LSTM 模型的 COVID-19 疫苗预测
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2024-01-09 DOI: 10.1007/s12553-023-00797-5
Lubna Altarawneh, Hao Wang, Yu Jin
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引用次数: 0
Training protocol for driving power wheelchairs using virtual environment: preliminary results from a pilot study 利用虚拟环境驾驶电动轮椅的培训方案:试点研究的初步结果
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2024-01-09 DOI: 10.1007/s12553-023-00811-w
Caroline Valentini, F. Martins, A. A. D. de Sá, E. Naves
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引用次数: 0
Detection of Cardio Vascular abnormalities using gradient descent optimization and CNN 利用梯度下降优化和 CNN 检测心血管异常
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2024-01-05 DOI: 10.1007/s12553-023-00807-6
Ninni Singh, Vinit Kumar Gunjan, F. Shaik, Sudipta Roy
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引用次数: 0
Unsupervised machine learning for disease prediction: a comparative performance analysis using multiple datasets 用于疾病预测的无监督机器学习:使用多个数据集的性能比较分析
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2023-12-29 DOI: 10.1007/s12553-023-00805-8
Haohui Lu, S. Uddin
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引用次数: 0
Preliminary results of performance testing in diagnostic radiology facilities: Implementation of harmonized IAEA protocol for Africa 放射诊断设施性能测试的初步结果:在非洲实施国际原子能机构统一议定书
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2023-12-28 DOI: 10.1007/s12553-023-00808-5
F. Hasford, Nadia Khelassi-Toutaoui, Ehab Attalla, Theophilus Sackey, Mohammed Talbi, Alsadeg Ahmed, Abir Darsalih, Ahmad Refaat Thabet, Peter Knoll, Virginia Tsapaki
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引用次数: 0
A zero trust architecture for health information systems 卫生信息系统的零信任架构
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2023-12-26 DOI: 10.1007/s12553-023-00809-4
Onome Christopher Edo, David Ang, Praveen Billakota, Johnny C. Ho
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引用次数: 0
The underuse of AI in the health sector: Opportunity costs, success stories, risks and recommendations 人工智能在卫生部门的应用不足:机会成本、成功案例、风险和建议
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2023-12-12 DOI: 10.1007/s12553-023-00806-7
U. Pagallo, S. O’Sullivan, Nathalie Nevejans, Andreas Holzinger, Michael Friebe, Fleur Jeanquartier, Claire Jean-Quartier, Arkadiusz Miernik
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引用次数: 0
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