mHealth最新文献

{"title":"Capturing the trend of mHealth research using text mining.","authors":"Hyejin Park, Min Sook Park","doi":"10.21037/mhealth.2019.09.06","DOIUrl":"https://doi.org/10.21037/mhealth.2019.09.06","url":null,"abstract":"Background\u0000With the increasing development and use of mobile technologies, an increasing amount of research on mobile health is being conducted. The purpose of the study was to capture the trends in mHealth research by mining terms related to medical conditions, interventions, study populations, and the relationships between these terms.\u0000\u0000\u0000Methods\u0000This study analyzed 5,600 journal articles published in Web of Science from 2008 to 2018. Using text mining techniques, a total of 39,292 terms extracted from the titles and abstracts of the journal articles were independently reviewed to identify meaningful terms related to medical conditions, interventions, and study populations.\u0000\u0000\u0000Results\u0000A total of 48 different types of medical conditions were identified in the dataset. Mood disorders appeared to be the most frequently identified medical condition in mHealth research. Thirty interventions were identified. Cell phone-, SMS-, and Internet-based interventions appeared to be the most prominent types, and \"female\" appeared to be the most frequently identified term related to the studied population. Females appeared to have been studied in the widest range of medical conditions, including pregnancy issues, overnutrition, neoplasms, and AIDS. Older adults were the least studied population in mHealth.\u0000\u0000\u0000Conclusions\u0000Knowledge gaps that have not been explored in previous studies in mHealth research were identified, which should be addressed by researchers.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 1","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2019-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.09.06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47781112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to HIV care and adherence for young people living with HIV in Zambia and mHealth.","authors":"Natalie St Clair-Sullivan, C. Mwamba, J. Whetham, Carolyn Bolton Moore, Mary Darking, J. Vera","doi":"10.21037/mhealth.2019.09.02","DOIUrl":"https://doi.org/10.21037/mhealth.2019.09.02","url":null,"abstract":"Background\u0000The control of HIV/AIDS has been a contemporary public health success story however, whilst infection rates are falling and people are living longer due to antiretroviral therapy, adolescents and young people remain disproportionally affected. Infection rates and AIDS-related deaths continue to increase in these age groups in some areas globally. This has been primarily attributed to structural barriers including HIV-services not being youth friendly with opening hours conflicting with school time, fears around unintended disclosure and confidentiality, and the attitudes of healthcare professionals-but research targeting these specific age groups remains limited. Early mHealth (i.e., the use of mobile and wireless devices to assist in achieving health objectives) projects have been shown to improve health outcomes in other disease areas and health settings however, amongst people living with HIV, current research is limited. The aim of this study was to explore barriers to HIV care and the acceptability and feasibility of using mHealth to improve retention into care and ART adherence for young people living with HIV (16-24 years old) in Lusaka, Zambia.\u0000\u0000\u0000Methods\u0000Qualitative in-depth interviews and focus group discussions were carried out in four CIDRZ-supported health facilities in Lusaka, Zambia. Six interviews were carried out with nurses and peer-support workers working with young people living with HIV and three focus groups with a total of 24 young people. Recruitment was via purposive sampling. Interviews and focus groups were recorded, translated and transcribed and entered into NVivo for thematic analysis.\u0000\u0000\u0000Results\u0000Twenty-four of the young persons interviewed had access to mobile phones and reported using them for social networking, information gathering and regular communication. Barriers to HIV care and adherence were largely underpinned by stigma. Participants described healthcare facilities as not being conducive for confidentiality and therefore were reluctant to be seen attending or collecting medication from the pharmacy due to possible unintended disclosure and consequential HIV-related stigma. Clinic opening and waiting times and experiences with healthcare professionals also served as barriers. It was felt unanimously by participants that mHealth would be beneficial in improving retention into care and ART adherence in young people living with HIV.\u0000\u0000\u0000Conclusions\u0000HIV-related stigma remains a barrier to care. With growing access to mobile phones and internet, and a growing population of adolescents who are already using their phones to support each other and seek information, mHealth appears to be both a feasible and acceptable tool to support retention, provide young people with information, and potentially reduce time spent at health facilities via appointment reminders and electronic drug refill requests.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 1","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.09.02","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43605897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Bumps and BaBies Longitudinal Study (BaBBLeS): a multi-site cohort study of first-time mothers to evaluate the effectiveness of the Baby Buddy app.","authors":"Toity Deave,&nbsp;Samuel Ginja,&nbsp;Trudy Goodenough,&nbsp;Elizabeth Bailey,&nbsp;Lukasz Piwek,&nbsp;Jane Coad,&nbsp;Crispin Day,&nbsp;Samantha Nightingale,&nbsp;Sally Kendall,&nbsp;Raghu Lingam","doi":"10.21037/mhealth.2019.08.05","DOIUrl":"https://doi.org/10.21037/mhealth.2019.08.05","url":null,"abstract":"<p><strong>Background: </strong>Health mobile applications (apps) have become very popular, including apps specifically designed to support women during the ante- and post-natal periods. However, there is currently limited evidence for the effectiveness of such apps at improving pregnancy and parenting outcomes. This study aims to assess the effectiveness of a pregnancy and parenting app, Baby Buddy, in improving maternal self-efficacy at 3 months post-birth.</p><p><strong>Methods: </strong>Participants were 16 years old or over, first-time mothers, 12-16 weeks gestation, recruited by midwives from five English study sites. The Tool to Measure Parenting Self-Efficacy (TOPSE) (primary outcome) was used to compare mothers at 3 months post-birth who had downloaded the Baby Buddy app with those who had not downloaded the app, controlling for confounding factors.</p><p><strong>Results: </strong>Four hundred and eighty-eight participants provided valid data at baseline (12-16 weeks gestation), 296 participants provided valid data at 3 months post-birth, 114 (38.5%) of whom reported that they had used the Baby Buddy app. Baby Buddy app users were more likely to use pregnancy or parenting apps (80.7% <i>vs</i>. 69.6%, P=0.035), more likely to have been introduced to the app by a healthcare professional (P=0.005) and have a lower median score for perceived social support (81 <i>vs</i>. 83, P=0.034) than non-app users. The Baby Buddy app did not elicit a statistically significant change in TOPSE scores from baseline to 3 months post-birth [adjusted odds ratio (OR) 1.12, 95% confidence interval (CI): 0.59 to 2.13, P=0.730]. Finding out about the Baby Buddy app from a healthcare professional appeared to grant no additional benefit to app users compared to all other participants in terms of self-efficacy at 3 months post-birth (adjusted OR 1.16, 95% CI: 0.60 to 2.23, P=0.666). There were no statistically significant differences in the TOPSE scores for the in-app data, in terms of passive use of the app between high and low app users (adjusted OR 0.82, 95% CI: 0.21 to 3.12, P=0.766), nor in terms of active use (adjusted OR 0.47, 95% CI: 0.12 to 1.86, P=0.283).</p><p><strong>Conclusions: </strong>This study is one of few, to date, that has investigated the effectiveness of a pregnancy and early parenthood app. No evidence for the effectiveness of the Baby Buddy app was found. New technologies can enhance traditional healthcare services and empower users to take more control over their healthcare but app effectiveness needs to be assessed. Further work is needed to consider: (I) how we can best use this new technology to deliver better health outcomes for health service users and, (II) methodological issues of evaluating digital health interventions.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 ","pages":"42"},"PeriodicalIF":0.0,"publicationDate":"2019-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.08.05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41222816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A human centered approach to design a diet app for patients with metabolic syndrome.","authors":"A. Joshi, Chioma Amadi, Harleigh Schumer, Leah Galitzdorfer, A. Gaba","doi":"10.21037/mhealth.2019.08.13","DOIUrl":"https://doi.org/10.21037/mhealth.2019.08.13","url":null,"abstract":"Background\u0000The objective of this study was to utilize a human-centered approach in designing a diet app that would assist in management of patients with metabolic syndrome.\u0000\u0000\u0000Methods\u0000A convenience sample of 10 dietetic interns (DIs) who were attending their informatics rotation at the City University of New York School of Public Health and Health Policy (CUNY GSPHHP) were recruited during October 2017. The study was conducted in two phases. In phase 1, the DIs received a tutorial on the use of human-centered approach in designing mobile health applications. In phase 2, the DIs were provided a case study for which they designed an app for patients to manage metabolic syndrome using a human centered approach. The goal of phase 2 was to identify the features that were believed to be most important when designing this metabolic syndrome app. An initial questionnaire was administered to the DIs to gather information on their socio-demographics, prior training in nutrition, smart phone usage, perceptions about food logs, and calorie intake calculations. Subsequent questionnaires gathered information from the DIs on their preferred diet app components, app features, rankings of the features, and mock representations of the diet app with the selected features.\u0000\u0000\u0000Results\u0000The DIs were enrolled in the supervised practice component of their training to be Registered Dietitian Nutritionists (RDNs). Fifty percent of them had previously worked in a nutrition-related field. One-third of them were currently using a nutrition app. The top five features of the proposed diet app which the DIs identified as very important included (I) personalization of the app based on user preferences (80%, n=8); (II) disease specific education tips (90%, n=9); (III) ability to track progress (80%; n=8); (IV) reminders (70%, n=7) and (V) reinforcement based on user feedback (50%, n=5). In translating the identified features into functional requirements, majority of the DIs felt that the five key features identified should incorporate the following components: (I) personalization of the app should comprise information on medical factors, personal information, personal preferences, and recording weights; (II) disease specific educational tips should comprise information on food selections, low sodium options, and recipes for diabetes; (III) tracking progress should comprise features for storing audio files, viewing previous logs and uploading photos into a library; (IV) reminders should comprise daily messages to the users from the app; and (V) reinforcement should comprise provisions to enter motivational messages.\u0000\u0000\u0000Conclusions\u0000Our study lends support to the need for utilizing human-centered design (HCD) approaches in developing e-health dietary apps as well other non-diet related apps. App developers are encouraged to incorporate user characteristics, needs and preferences using a HCD framework that will allow for reproducibility, tailoring, user satisfaction, and effectiveness as","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 1","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"2019-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.08.13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48145900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supervision and support in surgical practice using mobile platform: a case of mass hydrocele surgeries in remote regions.","authors":"L. Akoko, A. Mwanga, M. Chikawe, Evelyne W. Lutainulwa, Deogratius Ngoma, Andreas Nshalla, U. Mwingira","doi":"10.21037/mhealth.2019.09.05","DOIUrl":"https://doi.org/10.21037/mhealth.2019.09.05","url":null,"abstract":"Background\u0000Globally, nearly 19 million people with Lymphatic filariasis (LF) who require surgery have not been attended. To reach them needs the scaling up and expansion of surgical services. In Tanzania, hydrocele is more prevalent in the coastal belt, where surgical workforce is also scarce. Thus, scaling up hydrocele surgery services would require the use of non-physician clinicians (NPCs) that are currently based there by offering procedure specific training. With new technique of partial sac excision, constant support and mentorship would be required. We therefore sought to test if use of mobile platform would be an adjunct to supervision and support to practicing non surgeon clinicians in Tanzania.\u0000\u0000\u0000Methods\u0000This was a prospective cohort study done in Mtwara and Lindi regions during the period of 2014-2015. Training model followed the West African Morbidity Management protocol for hydrocele followed by practical sessions in the operating room in each locality. Subsequently, patients were screened and discussed by sharing pictures on WhatsApp created to link the hydrocele teams and the two consultant surgeons. Patients with simple hydrocele not to require scrotoplasty and with non-coexistent of hernia were recruited. Data collected included: number of cases performed, time spent per procedure, hematoma formation and adherence to local anesthesia. Descriptive statistics was used to summarize the findings.\u0000\u0000\u0000Results\u0000Fifteen NPCs were successfully trained and mentored throughout the study period and were subsequently able to perform 1,337 hydrocelectomies in 1,250 patients with 387 having bilateral hydrocele. The use of local anesthesia was successful in nearly all the patients and case selection was appropriate as can be seen with only 7/1,250 requiring additional procedures other than hydrocelectomy. The mean procedure duration was 50.2±0.24 minutes and complications rates were low at 2.16%.\u0000\u0000\u0000Conclusions\u0000Mobile platform with instant photo and video sharing capacity can be a reliable tool in offering support and supervision in surgical service provision.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 1","pages":"41"},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.09.05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47594397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the utility of an IoS application in the perioperative care of spine surgery patients: the NeuroPath Pilot study.","authors":"Gregory Glauser, Zarina S Ali, D. Gardiner, Ashwin G. Ramayya, Rachel Pessoa, M. Grady, W. Welch, E. Zager, E. Sim, Virginia Haughey, B. Wells, M. Restuccia, G. Tait, G. Fala, N. Malhotra","doi":"10.21037/mhealth.2019.09.01","DOIUrl":"https://doi.org/10.21037/mhealth.2019.09.01","url":null,"abstract":"Background\u0000In an attempt to improve care while decreasing costs and postoperative pain, we developed a novel IoS mobile health application, NeuroPath. The objective of this innovative app is to integrate enhanced recovery after surgery (ERAS) principles, patient education, and real-time pain and activity monitoring in a home setting with unencumbered two-way communication.\u0000\u0000\u0000Methods\u0000The NeuroPath application was built over 18 months, with support from Apple, Medable, the Department of Information-Technology and the Department of Neurosurgery. Target areas addressed by NeuroPath include patient prep for surgery, perioperative risk mitigation, activity monitoring, wound care, and opioid use management. These target areas are monitored through a provider app, which is downloaded to the care providers IPad Mini. The provider app permits real time viewing of wound healing (patient incision photographs), activity levels, pain levels, and narcotic usage. Participants are given a daily To-Do list, via the Care Card section of the interface. The To-Do list presents the patient with specific tasks for exercise, instructions to wash incision area, pre-operative instructions, directions for discussing medication with care team, among other patient specific recommendations.\u0000\u0000\u0000Results\u0000Of the 30 patients enrolled in the pilot study, there was a range of activity on the app. Patients with high involvement in the app logged in nearly every day from a week pre-op to >45 days post-op. Data for patients that utilized the app and uploaded regularly show trends of appropriately healing wounds, decreasing levels of pain, increasing step counts, and discontinuation of narcotics.\u0000\u0000\u0000Conclusions\u0000This pilot study of the NeuroPath app demonstrates its potential utility for improving quality of patient care without increased costs. Participants who regularly used the app showed consistent improvement throughout the post-operative recovery period (increasing ambulation, decreasing pain and guided reduction in narcotic usage).","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 1","pages":"40"},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.09.01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44971430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Video communication as a tool for psychosocial support for people recovering from severe mental disorder: social workers' experiences.","authors":"C. Oestergaard, B. Dinesen","doi":"10.21037/mhealth.2019.08.09","DOIUrl":"https://doi.org/10.21037/mhealth.2019.08.09","url":null,"abstract":"Background\u0000This paper focuses on a Danish social tele-rehabilitation project, which uses video technologies to support mentally ill citizens in their recovery process in their homes. The aim of the study is to explore how social workers experience using video communication as part of a tele-social-rehabilitation program aimed at citizens discharged from a psychiatric hospital and lives in their own home with mental disorders recovering from a mental illness.\u0000\u0000\u0000Methods\u0000The research strategy in this study is the case study method. Data collection techniques for the case study were based on triangulation of several data sources, such as analysis of relevant documents, participant observation and qualitative interviews with clients and with social workers assisting citizens in their recovery process.\u0000\u0000\u0000Results\u0000The social workers stated that video technology gave them the opportunity to make changes in their working practices with the citizens. They also felt they were better able to meet the citizens' need to improve their everyday lives. The social workers found that video technology was less intrusive than a physical visit to the citizen's home. The technology helps to promote the client's recovery process.\u0000\u0000\u0000Conclusions\u0000The social workers who used video technology in a tele-social-rehabilitation program experienced a community of practice, changes in their work routine and changes in the way they carried out social rehabilitation for clients in their recovery following discharge from mental hospital.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 1","pages":"38"},"PeriodicalIF":0.0,"publicationDate":"2019-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.08.09","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41848843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the ability of the Fitbit Charge 2 to accurately predict VO2max.","authors":"K. Freeberg, Brett R Baughman, T. Vickey, J. Sullivan, Brandon J Sawyer","doi":"10.21037/mhealth.2019.09.07","DOIUrl":"https://doi.org/10.21037/mhealth.2019.09.07","url":null,"abstract":"Background\u0000The aim of this study was to assess the ability of the Fitbit Charge 2 (FBC2) to accurately estimate VO2max in comparison to both the gold standard VO2max test and a non-exercise VO2max prediction equation.\u0000\u0000\u0000Methods\u0000Thirty healthy subjects (17 men, 13 women) between the ages of 18 and 35 (age =21.7±3.1 years) were given a FBC2 to wear for seven days and followed instructions on how to obtain a cardio fitness score (CFS). VO2max was measured with an incremental test on the treadmill followed by a verification phase. VO2max was predicted via a non-exercise prediction model (N-Ex) using self-reported physical activity level.\u0000\u0000\u0000Results\u0000Measured VO2max was significantly lower than FBC2 predicted CFS (VO2max =49.91±6.83; CFS =52.53±8.43, P=0.03). N-Ex prediction was significantly lower than CFS but not significantly lower than measured VO2max (N-Ex =48.79±6.32; CFS vs. N-Ex: P=0.01; VO2max vs. N-Ex: P=0.54). Relationships between both VO2max vs. CFS and VO2max vs. N-Ex were good (ICC: VO2max vs. CFS=0.87, VO2max vs. N-Ex =0.87); Bland-Altman analysis indicated consistency of CFS measurement and lack of bias. The coefficient of variation (CV) and mean absolute percent error (MAPE) were greater with CFS than N-Ex (CV: CFS =6.5%±4.1%, N-Ex =5.6%±3.6%; MAPE: CFS =10.2%±6.7%, N-Ex =7.8%±5.0%). Heart rate (HR) estimated by the FBC2 was lower than estimated (Est) HR for pace based on HR extrapolation (FBC2 =155±18 bpm, Est =183±15 bpm, P<0.001). The difference in CFS and VO2max was inversely correlated with the difference in FBC2 HR and Estimated HR (r =-0.45, P<0.001).\u0000\u0000\u0000Conclusions\u0000The FBC2 shows consistent, unbiased measurement of CFS while overestimating VO2max in healthy men and women. The non-exercise VO2max prediction equation provides a similar, slightly more accurate, VO2max prediction than the CFS without the need for an exercise test or purchase of a Fitbit.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 1","pages":"39"},"PeriodicalIF":0.0,"publicationDate":"2019-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.09.07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44709202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing evidence-based digital health through an innovative research environment: an academic-industry collaboration case report.","authors":"K. Ford, Susan L. Moore, Shuo Zhou, M. Gore, J. Portz, Xuhong Zhang, R. Zane, J. Wiler, S. Bull","doi":"10.21037/mhealth.2019.08.08","DOIUrl":"https://doi.org/10.21037/mhealth.2019.08.08","url":null,"abstract":"The proliferation of technology enthuses clinicians, researchers, and entrepreneurs to revolutionize health care and care delivery. Intersecting in the field of digital health, academic-industry collaboration (AIC) play a critical role in advancing evidence-based innovations into real world application. AIC models vary, but historically have not included the strong emphasis on rapid research and discovery that the digital health field demands. Due to the voluminous availability of real time patient and client data, academic health centers offer a rich interdisciplinary environment to develop, pilot and evaluate innovations in pragmatic settings. Despite the opportunity between academic health centers and industry to advance digital health innovation through rapid research, limited evidence exists of such collaboration. The purpose of this case report is to examine an AIC facilitating research of new health technologies within an academic health center. This paper presents a case report involving collaboration between diverse technology industry partners and an academic health center that encompasses a university health system (UCHealth), a university technology transfer office (CU Innovations), an innovation center (CARE Innovation Center), and research collaborators (mHealth Impact Laboratory). Case assertions discuss the lessons learned and recommendations when implementing such collaboration in practice. The principal finding is that academic health centers offer an innovative environment for AIC in digital health. Collaborations between academia and industry provide much promise in ensuring health innovations are scientifically sound while meeting the needs of a rapidly evolving technical climate.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 1","pages":"37"},"PeriodicalIF":0.0,"publicationDate":"2019-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.08.08","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42772998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobile training and support (MOTS) service-using technology to increase Ebola preparedness of remotely-located community health workers (CHWs) in Sierra Leone.","authors":"P. Mc Kenna, Geoffrey Babughirana, M. Amponsah, Seth Gogo Egoeh, Evelyne Banura, Robert Kanwagi, Bobbi Gray","doi":"10.21037/mhealth.2019.09.03","DOIUrl":"https://doi.org/10.21037/mhealth.2019.09.03","url":null,"abstract":"Background\u0000The Ministry of Health in Sierra Leone has developed and operationalized the national Digital Health Strategy to guide integrated roll out of e-health/mobile health solutions. The goal is that \"by 2023 an effective and efficient ICT enabled system supports delivery of quality, accessible, affordable, equitable, and timely healthcare services and moves Sierra Leone closer to achieving universal health coverage\". Investing in digital platforms for the education of community health workers (CHWs) in Sierra Leone is a critical strategic approach to strengthening the country's readiness for future Ebola outbreaks. A new national curriculum for this target group is being implemented that is based upon classroom training approaches. In a country where many CHWs are remotely located, the use of technology can be an enabler to reach such individuals with key training content to repeat the most important messages. Here we describe the piloting of a mobile training and support (MOTS) service for CHWs using interactive voice response (IVR) technology in Bo district of Sierra Leone. This training platform delivers voice recorded training content in local languages on the topics of Vaccines and (Ebola) Disease Surveillance & Outbreak Response.\u0000\u0000\u0000Methods\u0000MOTS was developed in collaboration with the Sierra Leone Ministry of Health & Sanitation. Training content was customized in line with the national training curriculum and case reporting requirements. Local ethical approval was achieved and a test protocol involving recruitment of 125 consenting CHWs was implemented in Bo district of Sierra Leone. Two training modules-one covering vaccination and one covering outbreak response and disease surveillance were delivered to the mobile phones of participants as audio messages in the preferred local language. Knowledge change was assessed largely through pre- and post-quiz assessments also implemented through IVR.\u0000\u0000\u0000Results\u0000Knowledge acquisition was observed in the 123 CHWs completing this pilot assessment. The extent of knowledge acquired was higher with the Vaccine training module when compared to the (Ebola) Disease Surveillance & Outbreak Response module. The technology was readily accepted by this population and their engagement was such that they also provided important elements to be improved prior to further implementation. The order in which training modules are delivered as well as general fatigue of the IVR methodology for participating in the quiz assessments may be of importance and requires further investigation.\u0000\u0000\u0000Conclusions\u0000Technology should be considered when planning delivery of training to CHWs and can be positioned as a vehicle by which repetitive aspects of important training content can be reinforced without the need for additional classroom presence of the CHW community. Sustainability of such solutions requires cost containment and subsequent software accessibility for authorities in resource limited settings. Transparent partnersh","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"5 1","pages":"35"},"PeriodicalIF":0.0,"publicationDate":"2019-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/mhealth.2019.09.03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44385256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}