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Scope of Mobile Phones in Mental Health Care in Low Resource Settings 低资源环境下移动电话在精神卫生保健中的应用范围
Pub Date : 2016-07-31 DOI: 10.7309/JMTM.5.2.5
M. Sood, R. Chadda, K. Deb, R. Bhad, A. Mahapatra, R. Verma, A. Mishra
Results: The study had 350 subjects, out of whom 307 (87.7%) reported using mobile phone on a regular basis. Mobile phone was used for phone calls, sending and receiving short text messages (SMS) recreation, and accessing social networking sites. Most of the users agreed that the mobile phone could be used as an aid in mental health service delivery, and expressed willingness to receive educational messages.
结果:该研究共有350名受试者,其中307人(87.7%)报告经常使用手机。手机被用来打电话、收发短信、娱乐和访问社交网站。大多数用户同意手机可以作为心理健康服务提供的辅助工具,并表示愿意接收教育信息。
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引用次数: 4
An integrated mHealth model for type 2 diabetes patients using mobile tablet devices 2型糖尿病患者使用移动平板设备的集成移动健康模型
Pub Date : 2016-07-31 DOI: 10.7309/JMTM.5.2.4
Sora Park, S. Burford, L. Hanlen, Paresh Dawda, P. Dugdale, Christopher J Nolan, J. Burns
DIABETES PATIENTS USING MOBILE TABLET DEVICES Sora Park, PhD, Sally Burford, PhD, Leif Hanlen, PhD, Paresh Dawda, MBBS/DRCOG, Paul Dugdale, PhD/FAFPHM, Christopher Nolan, MBBS/PhD, John Burns, Adjunct Professor News & Media Research Centre, University of Canberra, ACT, Australia; Data61, University of Canberra, Australian National University, ACT, Australia; Ochre Health Medical Centre, ACT, Australia; College of Medicine, Biology & Environment, Australian National University, ACT, Australia; College of Medicine, Biology & Environment, Australian National University, Canberra Hospital, ACT, Australia; University of Canberra, ACT, Australia Corresponding Author: sora.park@canberra.edu.au
Sora Park, PhD, Sally Burford, PhD, Leif Hanlen, PhD, Paresh Dawda, MBBS/DRCOG, Paul Dugdale, PhD/FAFPHM, Christopher Nolan, MBBS/PhD, John Burns,澳大利亚堪培拉大学新闻与媒体研究中心兼职教授;Data61,堪培拉大学,澳大利亚国立大学,澳大利亚ACT;澳大利亚首都领地Ochre保健医疗中心;澳大利亚国立大学医学、生物与环境学院,澳大利亚ACT;澳大利亚国立大学医学院、生物与环境学院,堪培拉医院,澳大利亚ACT;澳大利亚堪培拉大学通讯作者:sora.park@canberra.edu.au
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引用次数: 15
A Qualitative Study Exploring Stakeholder Perceptions of Video Directly Observed Therapy for Monitoring Tuberculosis Treatment in the US-Mexico Border Region 一项质性研究探索利益相关者对监控美墨边境地区结核病治疗的视频直接观察疗法的看法
Pub Date : 2016-07-31 DOI: 10.7309/JMTM.5.2.3
M. Zúñiga, K. Collins, F. Muñoz, K. Moser, G. Rangel, J. Cuevas-Mota, Maureen Clark, J. L. Burgos, R. Garfein
Author(s): Zuniga, Maria Luisa; Collins, Kelly; Munoz, Fatima; Moser, Kathleen; Rangel, Gudelia; Cuevas-Mota, Jazmine; Clark, Maureen; Burgos, Jose Luis; Garfein, Richard S
作者:Zuniga, Maria Luisa;柯林斯,凯利;穆尼奥斯,法蒂玛;莫泽,凯瑟琳;兰赫尔Gudelia;Cuevas-Mota Jazmine;克拉克,莫林;布尔戈斯,何塞·路易斯;Richard S . Garfein著
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引用次数: 11
Mobile and Wearable Device Features that Matter in Promoting Physical Activity. 移动和可穿戴设备在促进身体活动方面的重要功能。
Pub Date : 2016-07-01 DOI: 10.7309/jmtm.5.2.2
Julie B Wang, Janine K Cataldo, Guadalupe X Ayala, Loki Natarajan, Lisa A Cadmus-Bertram, Martha M White, Hala Madanat, Jeanne F Nichols, John P Pierce

Background: As wearable sensors/devices become increasingly popular to promote physical activity (PA), research is needed to examine how and which components of these devices people use to increase their PA levels.

Aims: (1) To assess usability and level of engagement with the Fitbit One and daily SMS-based prompts in a 6-week PA intervention, and (2) to examine whether use/ level of engagement with specific intervention components were associated with PA change.

Methods: Data were analyzed from a randomized controlled trial that compared (1) a wearable sensor/ device (Fitbit One) plus SMS-based PA prompts, and (2) Fitbit One only, among overweight/ obese adults (N = 67). We calculated average scores from Likert-type response items that assessed usability and level of engagement with device features (e.g., tracker, website, mobile app, and SMS-based prompts), and assessed whether such factors were associated with change in steps/day (using Actigraph GT3X+).

Results: Participants reported the Fitbit One was easy to use and the tracker helped to be more active. Those who used the Fitbit mobile app (36%) vs. those who did not (64%) had an increase in steps at 6-week follow-up, even after adjusting for previous web/app use: +545 steps/ day (SE = 265) vs. -28 steps/ day (SE = 242) (p = .04).

Conclusions: Level of engagement with the Fitbit One, particularly the mobile app, was associated with increased steps. Mobile apps can instantly display summaries of PA performance and could optimize self-regulation to activate change. More research is needed to determine whether such modalities might be cost-effective in future intervention research and practice.

背景:随着可穿戴传感器/设备在促进身体活动(PA)方面越来越受欢迎,需要研究人们如何以及使用这些设备的哪些组件来增加他们的PA水平。目的:(1)在为期6周的PA干预中评估Fitbit One和每日短信提示的可用性和参与水平;(2)检查特定干预组件的使用/参与水平是否与PA变化相关。方法:对来自一项随机对照试验的数据进行分析,该试验在超重/肥胖成年人(N = 67)中比较(1)可穿戴传感器/设备(Fitbit One)和基于短信的PA提示,以及(2)仅使用Fitbit One。我们计算了李克特式回答项目的平均得分,这些项目评估了可用性和与设备功能(例如,跟踪器、网站、移动应用程序和基于短信的提示)的互动程度,并评估了这些因素是否与每天的步数变化有关(使用Actigraph GT3X+)。结果:参与者报告Fitbit One易于使用,追踪器有助于更活跃。在6周的随访中,使用Fitbit移动应用程序的人(36%)比不使用Fitbit移动应用程序的人(64%)的步数有所增加,即使在调整了之前的网络/应用程序使用情况后:+545步/天(SE = 265)对-28步/天(SE = 242) (p = 0.04)。结论:使用Fitbit One的程度,特别是移动应用程序,与增加的步数有关。移动应用程序可以即时显示PA的表现摘要,并可以优化自我调节以激活变化。需要更多的研究来确定这些模式在未来的干预研究和实践中是否具有成本效益。
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引用次数: 66
Littmann Cardiology IIIe of the HeartBuds, an electronic smartphone listening device, compared to FDA approved Class I and Class II stethoscopes Littmann Cardiology iii的HeartBuds,一种电子智能手机听诊器,与FDA批准的I类和II类听诊器进行比较
Pub Date : 2016-03-31 DOI: 10.7309/JMTM.5.1.7
Ritesh S. Patel, J. Schwarz, V. Danesh, A. Einhorn, David Bello
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引用次数: 1
Ipad Usage and Impact on Pediatric Medical Students’ Learning and Patient Care Ipad使用对儿科医学生学习和病人护理的影响
Pub Date : 2016-03-31 DOI: 10.7309/JMTM.5.1.4
R. Riss, A. Manguvo, J. Quaintance, M. Radhi, Maria Dycoco
Background and Aims: The advent of mobile technologies has stimulated an academic shift in medical education from traditional methods to mobile teaching and learning. This study investigated medical students’ current and anticipated iPad usage as well as perceived impact of iPads on their learning and patient care. The ultimate purpose of the inquiry was to improve future implementation processes. Methods: Twenty-three iPads were loaded with applications including Cerner Citrix Receiver, question banks, review texts, DynaMed, and the iTunes U application that contained clerkship curriculum. Fifty-eight students used the iPads during a Pediatrics rotation and filled out a survey upon completion. Descriptive statistics were generated from quantitative responses while thematic analysis was used to summarize ideas from qualitative responses. An exploratory mixed methods approach was used to integrate qualitative and quantitative findings. T-tests were used to determine differential usage as a function of prior iPad ownership and experience. Results and Conclusions: Students variably used iPads to access question banks, didactics and review texts, conduct internet searches, and monitor patient information. IPads were most used compared to other electronic and print sources with cited advantages of portability, convenience, instant accessibility, enhancement of professional conduct, and time management. Respondents proposed other areas in which iPads could be used in the rotation. This highlighted the need to expand our iPad initiative to cover other aspects of learning. Given that prior iPad ownership and experience did not determine differences in usage, the observed variability in iPad usage suggests mere diversity of baseline needs.
背景和目的:移动技术的出现刺激了医学教育从传统方法到移动教学的学术转变。本研究调查了医学生目前和预期的iPad使用情况,以及iPad对他们学习和病人护理的影响。调查的最终目的是改进今后的执行进程。方法:在23台ipad上加载了应用程序,包括Cerner Citrix Receiver、题库、复习文本、DynaMed和包含文员课程的iTunes U应用程序。58名学生在儿科轮转期间使用了ipad,并在完成后填写了一份调查问卷。描述性统计是从定量回答中产生的,而专题分析用于从定性回答中总结观点。采用探索性混合方法整合定性和定量研究结果。使用t检验来确定差异使用作为先前iPad所有权和经验的函数。结果和结论:学生不同程度地使用ipad访问题库、教学和复习课文、进行互联网搜索和监测患者信息。与其他电子和印刷资源相比,ipad的使用率最高,因为它具有便携、方便、即时访问、增强专业行为和时间管理等优点。受访者提出了其他可以使用ipad进行轮换的领域。这凸显了我们需要将iPad计划扩展到学习的其他方面。考虑到之前的iPad拥有量和使用经验并不能决定使用的差异,观察到的iPad使用的可变性仅仅表明了基线需求的多样性。
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引用次数: 2
SMARTPHONE USE IN PAEDIATRIC PRACTICE: A NATIONAL SURVEY 智能手机在儿科实践中的使用:一项全国性调查
Pub Date : 2016-03-31 DOI: 10.7309/JMTM.5.1.2
A. Hadjipanayis, A. Klonis, O. Abdel-Mannan, A. Sutcliffe
Results: From a total of 78 randomly selected eligible participants, 75 (96%) paediatricians agreed to participate in the study. The majority of physicians reported that they owned a smartphone (n53, 71%) and the rest (n22, 29%) used a Symbian phone as their primary device. Of those who owned a smartphone, 40% (n21) reported using at least one app related to their clinical work. The mean number of applications used by these users was 3.5. The majority (44/53, 83%) responded that they did not use their smartphone as a tool for managing patient appointments, while 9 out of the 53 (17%) responded positively. Over 80% of participants used their smartphone to take or receive a picture or a video from their patients for professional purposes. Conclusion: This study found a high level of smartphone ownership and usage among medical Cypriot paediatricians, corroborating with previous literature for other specialties in other countries. Despite the benefits they offer, more rigorous validation practices regarding mobile medical apps need to be established to ensure they are used safely and appropriately.
结果:从78名随机选择的符合条件的参与者中,75名(96%)儿科医生同意参加本研究。大多数医生报告说他们拥有智能手机(53,71%),其余的(22,29%)使用塞班手机作为他们的主要设备。在拥有智能手机的人中,40% (n21)表示至少使用一款与临床工作相关的应用程序。这些用户使用的应用程序的平均数量为3.5个。大多数人(44/ 53,83%)表示,他们没有使用智能手机作为管理患者预约的工具,而53人中有9人(17%)表示肯定。超过80%的参与者出于专业目的使用智能手机拍摄或接收患者的照片或视频。结论:本研究发现塞浦路斯儿科医生的智能手机拥有率和使用率很高,这与其他国家其他专业的先前文献相吻合。尽管它们提供了好处,但需要建立更严格的关于移动医疗应用程序的验证实践,以确保它们被安全和适当地使用。
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引用次数: 3
The era of tailored mHealth 量身定制的移动医疗时代
Pub Date : 2016-03-31 DOI: 10.7309/jmtm.5.1.1
R. Chakrabarti
It is with great pleasure that we introduce the first issue of the fifth volume of the Journal with a diverse range of papers that illustrate the broad engagement of mobile health technologies to target the spectrum of socioeconomic groups in society. Currently the mHealth developers stand at the precipice of the greatest rate in growth of mHealth related apps. Results published in the mhealth App Developer Economics Survey in 2015 showed that the number of mHealth apps has now exceeded 165,000. However, with only 5 per cent of apps being developed from Africa and South America combined (compared to 72% from Europe and North America) there clearly remains a challenge in developing and implementing apps for low-resource settings.
我们非常高兴地介绍《华尔街日报》第五卷的第一期,其中有各种各样的论文,说明了移动卫生技术对社会中各种社会经济群体的广泛参与。目前,移动医疗开发者站在移动医疗相关应用程序增长速度最快的边缘。2015年发布的移动医疗应用开发者经济调查结果显示,移动医疗应用的数量现已超过16.5万个。然而,只有5%的应用程序是在非洲和南美开发的(相比之下,欧洲和北美的这一比例为72%),显然在低资源环境下开发和实施应用程序仍然存在挑战。
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引用次数: 0
A legal and practical guide to developing mobile medical applications (“apps”): navigating a potential minefield 开发移动医疗应用程序(“应用程序”)的法律和实用指南:导航潜在的雷区
Pub Date : 2016-03-31 DOI: 10.7309/JMTM.5.1.8
Megan E. Smith
Apple opened its App Store in July 2008. In the intervening years over 30 billion applications, or ‘‘apps’’, have been downloaded. Other manufacturers also have their App Store equivalents though Apple commands by far the biggest share of the market. Whilst the overall percentage of medical apps available for download from these app stores is relatively small, they are, due to the sheer size of the market, quite high in number. There are more than 30,000 ‘‘Medical and Healthcare & Fitness’’ apps on Apple’s App Store alone. The nature of these varies immensely, ranging from those which are purely fitness and exercise related to those which are tantamount to medical devices. It can be hard for healthcare professionals to identify which apps are appropriate for clinical use since they tend to be assigned an app store category dependent on the suggestion of the developer. This means that categorisation is at best superficial and at worst misleading. In addition, relatively little information about safety, quality control and regulatory compliance is provided. Until these systems catch up with technology, healthcare professionals should be wary of apps that make claims of medical or quasi-medical functionality but then seek to disclaim liability for such functionality in the small print of their user conditions. Allied to the phenomenal increase in the numberof medical apps available for use by healthcare professionals has been the use by them of mobile devices for the purposes of their work. In addition to the rate of increase in the use of medical apps’doctors and other healthcare professionals are designing their own apps for in-house and wider circulation. This innovation gives rise to a number of practical, legal and regulatory issues of which potential app developers ought to be aware. The aim of this article is to provide an accurate yet accessible account of the law and regulatory provisions relating to these issues for those without any formal legal training. Specifically, the following are considered in detail:
苹果于2008年7月开设了应用商店。在此期间,超过300亿的应用程序被下载。虽然苹果占据了最大的市场份额,但其他制造商也有类似的应用商店。虽然从这些应用商店中可供下载的医疗应用的总体比例相对较小,但由于市场的庞大规模,它们的数量相当高。仅苹果的应用商店就有3万多款“医疗、保健和健身”应用。这些设备的性质差别很大,从纯粹的健身和锻炼到等同于医疗设备的设备不等。医疗保健专业人员很难确定哪些应用程序适合临床使用,因为他们往往根据开发者的建议被分配到应用商店的类别。这意味着,这种分类往好里说是肤浅的,往坏里说是误导的。此外,提供的有关安全、质量控制和法规遵从性的信息相对较少。在这些系统赶上技术进步之前,医疗保健专业人员应该警惕那些声称具有医疗或准医疗功能,但随后又在用户条件的细则中寻求不承担此类功能责任的应用程序。与可供医疗专业人员使用的医疗应用程序数量的惊人增长相关联的是,他们使用移动设备来完成工作。除了使用医疗应用程序的速度增加之外,医生和其他医疗保健专业人员正在设计自己的应用程序,以供内部和更广泛的使用。这种创新带来了许多实际的、法律的和监管的问题,潜在的应用开发者应该意识到这些问题。本文的目的是为那些没有接受过任何正式法律培训的人提供有关这些问题的法律和监管规定的准确而易懂的说明。具体考虑如下:
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引用次数: 1
Developing Mobile Apps for Physical Activity in Low Socioeconomic Status Youth 为低社会经济地位青年开发体育活动移动应用程序
Pub Date : 2016-03-31 DOI: 10.7309/JMTM.5.1.6
Kacie C. A. Blackman, J. Zoellner, D. Scott McCrickard, J. Harlow, Woodrow W Winchester III, J. Hill, Wen You, P. Estabrooks
Kacie C.A. Blackman, PhD, Jamie Zoellner, PhD, RD, D. Scott McCrickard, PhD, Judith Harlow, MS, Woodrow W. Winchester III, PhD, Jennie L. Hill, PhD, Wen You, PhD, Paul A. Estabrooks, PhD Department of Preventive Medicine, University of Southern California Keck School of Medicine, Los Angeles, CA, USA; Department of Human Nutrition Foods, & Exercise, Virginia Tech, Blacksburg, VA, USA; Fralin Translational Obesity Research Center, Virginia Tech, Blacksburg, VA, USA; Department of Computer Science, Virginia Tech, Blacksburg, VA, USA; Department of Industrial & Systems Engineering, Virginia Tech, Blacksburg, VA, USA; Department of Systems & Industrial Engineering, Kennesaw State University, Kennesaw, GA, USA; Department of Agricultural & Applied Economics, Virginia Tech, Blacksburg, VA, USA; Department of Family Medicine, Virginia Tech Carilion Medical School, Roanoke, VA, USA Corresponding Author: kblackma@usc.edu
Kacie C.A. Blackman博士,Jamie Zoellner博士,RD, D. Scott McCrickard博士,Judith Harlow, MS, Woodrow . Winchester III博士,Jennie L. Hill博士,Wen You博士,Paul A. estrooks博士,南加州大学凯克医学院预防医学系,美国洛杉矶;弗吉尼亚理工大学人类营养食品与运动系,布莱克斯堡,弗吉尼亚州,美国;弗拉林转化肥胖研究中心,弗吉尼亚理工大学,布莱克斯堡,弗吉尼亚州,美国;弗吉尼亚理工大学计算机科学系,美国弗吉尼亚州布莱克斯堡;弗吉尼亚理工大学工业与系统工程系,美国弗吉尼亚州布莱克斯堡;美国肯尼索州立大学系统与工业工程系,乔治亚州肯尼索;弗吉尼亚理工大学农业与应用经济系,美国弗吉尼亚州布莱克斯堡;美国弗吉尼亚州罗阿诺克市弗吉尼亚理工大学卡里隆医学院家庭医学系通讯作者:kblackma@usc.edu
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引用次数: 6
期刊
Journal of mobile technology in medicine
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