BMC digital health最新文献

{"title":"Acceptability of wearable technology for the early detection of dementia-causing diseases: perspectives from the CODEC II cohort.","authors":"Sarah Wilson, Emily Beswick, Rachel Morrell, Sharandeep Bhogal, Clare Tolley, Tim Whitfield, Kieran Wing, Riona Mc Ardle, Nehal Hassan, Zuzana Walker, Sarah Slight","doi":"10.1186/s44247-025-00191-3","DOIUrl":"10.1186/s44247-025-00191-3","url":null,"abstract":"<p><strong>Background: </strong>The global prevalence of dementia is increasing exponentially. Early detection of dementia-causing diseases could support therapeutic intervention to decelerate disease progression. Wearable digital technologies can be used to identify early signs of such diseases and remotely monitor disease progression. However, technologies must be acceptable to users. This study explored the perspectives of participants on the acceptability of various wearable technologies for early detection.</p><p><strong>Method: </strong>Participants from the Cognitive Decline using Digital Devices (CODEC-II) cohort used four different wearables (smartwatch, electroencephalographic [EEG] headband, active and passive smartphone apps) for two weeks every three months over a year. A subgroup participated in semi structured interviews after two weeks to discuss their experiences and acceptance of the devices. Data was analysed using the framework analysis approach, aided by N-Vivo (v14.23.2).</p><p><strong>Results: </strong>Twenty-one participants were interviewed, including individuals with subjective cognitive decline (<i>n</i> = 10), mild cognitive impairment (MCI) (<i>n</i> = 7), dementia with Lewy bodies (<i>n</i> = 1), and three caregivers. Five key themes were identified, including ease of use, wearability, usefulness, transparency, and behavioral intention. Many participants relied on the research team to help set up the technology for them due to high levels of digital anxiety. Individuals with MCI particularly struggled with cognitive testing games in the active smartphone app, which they experienced increased awareness of their own cognitive impairments. Participants preferred wrist-worn over head-worn devices due to familiarity and impact on their appearance. While some participants enjoyed using the wearables, others questioned their accuracy for medical purposes. There was also a lack of understanding around what data were being collected from the wearables and how it was being collected, with some expressing concerns about data disclosure. Participants with professional or caregiving responsibilities described how their busy lifestyles hindered daily use of the wearables.</p><p><strong>Conclusion: </strong>These findings highlight the importance of using an inclusive design approach to meet users' needs and support digital inclusivity, and an effective communication strategy to increase transparency and reduce data disclosure concerns. Future research is needed to explore the effectiveness of implementing current recommendations to support digital health equity and codesign a communication strategy with users to ensure the information is understandable.</p><p><strong>Trial registration: </strong>CODEC-II was retrospectively registered as a clinical trial under the registry ClinicalTrials.gov (trial registration number: NCT07051408, date of registration: 3rd June 2025).</p><p><strong>Supplementary information: </strong>The online v","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":"3 1","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980691","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":"Validity of digital measurement of visual acuity and contrast sensitivity in Parkinson's disease.","authors":"Julia Das, Gillian Barry, Rodrigo Vitório, Richard Walker, Yunus Celik, Claire McDonald, Rosie Morris, Samuel Stuart","doi":"10.1186/s44247-025-00195-z","DOIUrl":"10.1186/s44247-025-00195-z","url":null,"abstract":"<p><strong>Purpose: </strong>The Senaptec Sensory Station (SSS) is a device that can measure visual acuity (VA) and contrast sensitivity (CS), but validity has not been established in clinical populations. Therefore, we examined analytical and initial clinical validation of VA and CS measured via the SSS in Parkinson's disease (PD).</p><p><strong>Methods: </strong>SSS was used in 34 PD (aged 69.6 (SD = 9.4) years old) to measure VA (via visual clarity outcome) and CS (via SSS-CS6 and SSS-CS18 outcomes). Analytical validation was performed through comparison to reference VA and CS eye-charts (ETDRS VA, MARS CS), and clinical validation was performed through correlation with clinical measures.</p><p><strong>Results: </strong>Difference in VA LogMar score between the reference eye chart and the SSS was - 0.03 (0.23); e.g., approximately a single letter on the eye chart. There was moderate agreement between the SSS and eye chart VA measurement in PD (ICC = 0.42). Additionally, there was moderate correlation between SSS and eye chart (0.8 cpd) CS measurement in PD, specifically for SSS-CS6 (6 cpd) (<i>r</i> = 0.46). However, there was poor correlation between eye chart and SSS-CS18 (18 cpd). SSS VA and CS measures correlated moderately with cognitive function, disease duration and severity, providing clinical validation evidence.</p><p><strong>Conclusion: </strong>VA and CS can be measured with SSS in PD with moderate comparability to reference eye charts (dependent on cpd for CS), and digital outcomes may provide clinically meaningful outcomes to use in PD trials. A range of human, technological and protocol factors may impact validity of VA and CS measurement via SSS, which should be further examined in future studies.</p>","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":"3 1","pages":"66"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214564","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":"Implementation evaluation of biometric fingerprint scanning for monitoring HIV care engagement: acceptability, feasibility, and fidelity among peripartum women living with HIV in Lilongwe, Malawi.","authors":"Wiza Kumwenda, Sophie Lazar, Shaphil Wallie, Madelyn Frey, Denzel Matiya, Michael Owino, Victor Mwapasa, Mina Hosseinipour, Angela M Bengtson","doi":"10.1186/s44247-025-00162-8","DOIUrl":"10.1186/s44247-025-00162-8","url":null,"abstract":"<p><strong>Background: </strong>Sustained HIV care engagement is essential for pregnant women living with HIV (PWLHIV) on lifelong antiretroviral therapy (ART). However, transferring clinics, missed HIV visits, and disengagement from HIV care can make monitoring engagement challenging. This study evaluated the acceptability, feasibility, and fidelity of a biometric fingerprint scanning (BFS) system to monitor women's engagement in HIV care across a network of large, urban clinics in Malawi using a cloud-based BFS system. Differences in BFS coverage compared to the standard of care monitoring (SOC) system were also examined.</p><p><strong>Methods: </strong>PWLHIV aged ≥18 years, attending their first antenatal visit, and residing in Lilongwe District, Malawi, were enrolled and followed through 9-months postpartum at 5 clinics. An implementation evaluation survey was administered at 9-month postpartum to evaluate BFS acceptability and feasibility. BFS recorded attendance at each study and routine HIV visit, with daily data uploads to facilitate participant identification across sites. SOC attendance data were abstracted for fidelity assessment and comparison of BFS coverage. Descriptive statistics assessed acceptability, feasibility, and fidelity. Using the Conceptual framework of Implementation Fidelity, the composite score for the four fidelity aspects (Coverage, Consistency, Duration, Content) was calculated and categorized as \"high\" (≥ 80%), \"moderate\" (50%-79%), and \"low adherence\" (<50%). Chi-square tests and Poisson regression with generalized estimating equations and robust variance were used to assess differences in BFS coverage, with statistical significance set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Of 399 participants, 91% completed a 9-month postpartum visit. Acceptability was high, with 83% comfortable using BFS and 98% finding it easy to use. Feasibility was high, with 99% recommending it. Fidelity was moderate, with a composite score of 68%. BFS was operational for 88% of 612 working days, used consistently at a median of 50% (IQR 30, 70) of HIV visits, and 75% of participants reported using it as trained. BFS captured 52% of 3,554 visits compared to 48% with SOC (PR = 1.06, 95% CI: 1.04-1.09).</p><p><strong>Conclusion: </strong>BFS was acceptable and feasible for monitoring HIV visits across clinics, showing better coverage compared to the SOC system despite moderate fidelity. Further research is needed to identify barriers and facilitators to BFS implementation.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1186/s44247-025-00162-8.</p>","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":"3 1","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12185647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499627","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":"Mobile-application-based performance feedback improves physical activity behaviour compared to education alone: a randomised controlled trial.","authors":"Uchechukwu Martha Chukwuemeka, Peace Ogechukwu Chukwu, Anthony Chinedu Anakor, Francis Sena Kwaku Nuvey, Ifeoma Adaigwe Amaechi, Bruno Enagnon Lokonon, Janeth Laurean, Ignatius Uche Nwankwo, Uchenna Prosper Okonkwo, Ebele Stella Nwokoye, Gilbert Fokou, Fatai Adesina Maruf, Clemence Esse-Diby, Bassirou Bonfoh","doi":"10.1186/s44247-025-00206-z","DOIUrl":"10.1186/s44247-025-00206-z","url":null,"abstract":"<p><strong>Background: </strong>Mobile-health-applications demonstrate potential for reducing physical inactivity, yet evidence of their effectiveness in delivering performance feedback, particularly in workplace settings, remains limited. This 12-week randomised controlled trial evaluated the effects of mobile-application-based performance feedback (MABPF) on physical activity (PA) levels and sedentary time (ST) among 150 staff (aged 47.11 ± 6.46 years) of Nnamdi Azikiwe University, Nigeria. Participants were randomly allocated to three groups: MABPF with hourly reminders (<i>n</i> = 52), MABPF only (<i>n</i> = 50), and control group (<i>n</i> = 48). All groups received education on cardiovascular risk factors and physical activity benefits. PA and sedentary time was assessed at baseline, 6, and 12 weeks using the International Physical Activity Questionnaire-short form. Also, PA was objectively measured using pedometer, and Google Fit. Primary outcomes included step counts, PA levels, and ST.</p><p><strong>Results: </strong>At baseline, 14% of participants demonstrated low PA levels, with no significant between-group differences. Both MABPF intervention groups showed significant improvements in pedometer step counts, Google Fit metrics, walking scores, moderate and vigorous PA, total PA, and ST reduction (<i>p</i> < 0.05 for all comparisons). Between-group analyses revealed that MABPF with hourly reminders was significantly more effective than both MABPF-only and control groups for pedometer step counts (F = 7.336, significantly greater ST reduction compared to control (F = 3.405, <i>p</i> = 0.038).</p><p><strong>Conclusion: </strong>MABPF interventions, particularly when combined with hourly reminders, significantly improved PA behaviours and reduced ST among university staff. These findings support the potential of theory-informed mobile health interventions for promoting PA in workplace settings.</p><p><strong>Clinical trial registration: </strong>Pan African Clinical Trial Registry number, PACTR202405808298188 on 24 May, 2024.</p>","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":"3 1","pages":"65"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139370","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":"Potential sources of inaccuracy in the Apple watch series 4 energy expenditure estimation algorithm during wheelchair propulsion","authors":"Marius Lyng Danielsson, Roya Doshmanziari, Berit Brurok, M. Wouda, J. Baumgart","doi":"10.1186/s44247-024-00101-z","DOIUrl":"https://doi.org/10.1186/s44247-024-00101-z","url":null,"abstract":"","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141801601","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":"From an idea to the marketplace: identifying and addressing ethical and regulatory considerations across the digital health product-development lifecycle","authors":"E. Largent, Jason Karlawish, Anna Wexler","doi":"10.1186/s44247-024-00098-5","DOIUrl":"https://doi.org/10.1186/s44247-024-00098-5","url":null,"abstract":"","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":"47 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141805081","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":"Efficacy of digital interventions on physical activity promotion in individuals with noncommunicable diseases: an overview of systematic reviews","authors":"Mohammadhossein Kardan, Andres Jung, Mehvish Iqbal, Saeed Keshtkar, W. Geidl, Klaus Pfeifer","doi":"10.1186/s44247-024-00097-6","DOIUrl":"https://doi.org/10.1186/s44247-024-00097-6","url":null,"abstract":"","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141814209","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":"Software symptomcheckR: an R package for analyzing and visualizing symptom checker triage performance","authors":"Marvin Kopka, Markus A. Feufel","doi":"10.1186/s44247-024-00096-7","DOIUrl":"https://doi.org/10.1186/s44247-024-00096-7","url":null,"abstract":"","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":"33 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815432","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":"Introduction and content analysis of \"Nurse's voice\" WhatsApp group during COVID-19 pandemic: a qualitative study","authors":"Maryam Nekoolaltak, Alireza Nikbakht Nasrabadi, Nasim Hatefimoadab","doi":"10.1186/s44247-024-00095-8","DOIUrl":"https://doi.org/10.1186/s44247-024-00095-8","url":null,"abstract":"","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":" 38","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141827354","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":"Ethnic representation within virtual reality: a co-design study in a forensic youth care setting","authors":"Renée E Klein Schaarsberg, Levi van Dam, Guy A. M. Widdershoven, Ramón J L Lindauer, Arne Popma","doi":"10.1186/s44247-024-00081-0","DOIUrl":"https://doi.org/10.1186/s44247-024-00081-0","url":null,"abstract":"","PeriodicalId":72426,"journal":{"name":"BMC digital health","volume":"82 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141123019","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}