mHealth最新文献

{"title":"Telehealth in home-based cancer pain management: a narrative review.","authors":"Zhenyu Zhang, Zhenzhen Chen, Jingyue Zhang, Yue Wang, Xin Zhang, Meiling Zhang, Hui Chen","doi":"10.21037/mhealth-2026-0023","DOIUrl":"10.21037/mhealth-2026-0023","url":null,"abstract":"<p><strong>Background and objective: </strong>Cancer pain, a common and debilitating symptom among patients with advanced malignancies, often necessitates sustained, individualized management that extends beyond the clinic. Home-based management is therefore a natural setting for continuous assessment and timely intervention. Traditional home-based pain management approaches serve various functions but fall short in terms of sufficient timeliness, intelligence and individualization. Recent advances in telehealth are reshaping this landscape by enabling proactive, individualized, and scalable support. In this context, this review was conducted to elucidate the recent progress on application of telehealth in home-based management of cancer pain, providing new insights and general principles for both providers and patients.</p><p><strong>Methods: </strong>A comprehensive literature search was performed on PubMed, Cochrane Library, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). The search included randomized and non-randomized trials, cohort or pre-post studies, and systematic reviews that evaluated telehealth interventions aimed at home management of cancer pain. Search terms encompassed relevant keywords for cancer pain, home-based, pain management and telehealth.</p><p><strong>Key content and findings: </strong>Telehealth has empowered cancer pain management through remote symptom monitoring, real-time assessment, personalized intervention, smart pain management and provider-patient empowerment. It facilitates the identification and documentation of pain intensity fluctuations, improves patient-reported outcomes (PROs) and may reduce safety risks such as opioid overdose. Owing to its advantages in transcending time and space, telehealth has gained broad acceptance among both providers and patients. However, the successful implementation of telehealth in the home setting depends on seamless integration with multiple factors and support from different dimensions while overcoming numerous challenges and limitations. This may entail enormous efforts and consideration from different groups. Looking ahead, the greatest opportunities lie in artificial intelligence (AI) driven predictive analytics, systems or platforms to forecast pain fluctuations, personalize treatment and proactively reduce safety risks. Another promising direction is hybrid healthcare models that combine remote monitoring and in‑person interventions.</p><p><strong>Conclusions: </strong>This narrative review combs through the promising empowerment of telehealth in the home-based cancer pain management, discussing its multifaceted benefits, characterizing current challenges and limitations while providing a general principle for future research and application directions in telehealth empowered home-based management of cancer pain.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"27"},"PeriodicalIF":3.3,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13466858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723934","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":"Changes in cognitive function among older adults aged 60-79 without dementia following use of the mHealth app \"Vitality Wellness Program\": a prospective single-group intervention trial.","authors":"Yuto Nakayama, Yuma Sonoda, Kouhei Masumoto, Kazuhiro Harada, Atsuhiko Uchida, Narihiko Kondo, Tomonori Harada, Toshio Sawada, Hisatomo Kowa, Toshihiro Akisue","doi":"10.21037/mhealth-2026-0018","DOIUrl":"10.21037/mhealth-2026-0018","url":null,"abstract":"<p><p>Increasing physical activity is important for reducing the risk of developing dementia. The Vitality Wellness Program (Vitality), an mHealth app designed to increase physical activity through rewards, has been shown to increase users' average step counts; however, its impact on health-related outcomes remains unclear. This study investigated the effects of a 12-week Vitality program on cognitive function among older adults. A total of 467 older adults aged 60-79, who lived or worked in Kobe City, Hyogo Prefecture, and owned a smartphone were recruited for this study. Participants underwent cognitive function testing prior to the intervention, followed by a 12-week intervention period during which they had unrestricted access to Vitality, and then underwent post-intervention cognitive function testing. Cognitive function, the primary outcome, was assessed using the Cogstate Brief Battery, with concentration and memory scores calculated; the number of rewards (up to 12) earned was also recorded as a secondary measure. The analysis included 314 older adults (mean age 67.6±4.9 years; 126 men) who completed pre- and post-intervention assessments. Following app use, significant improvements were observed in both concentration and memory scores (both P<0.001). However, no significant association was found between the number of rewards earned (7.3±4.2) and changes in cognitive function (Δconcentration score: P=0.32; Δmemory score: P=0.20). In conclusion, participation in Vitality contributed to improvements in cognitive function among older adults; however, these improvements could not be explained by rewards earned through the app.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"26"},"PeriodicalIF":3.3,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13466880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725814","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":"Leveraging social media to promote targeted advertisements and key messaging for optimal recruitment into clinical research.","authors":"Carson J Peters, Quynh C Nguyen, Xin He, Héctor E Alcalá, James Butler, Noah S Triplett, Elizabeth M Norell","doi":"10.21037/mhealth-2026-0011","DOIUrl":"10.21037/mhealth-2026-0011","url":null,"abstract":"<p><strong>Background: </strong>Social media, a strategy that embeds transformative technology and targeted messaging, is promising for optimizing recruitment in the clinical research enterprise. This study aimed to evaluate recruitment rates and outcomes of Facebook advertisements, a social media-based platform, and explored targeted recruitment messaging among a key population.</p><p><strong>Methods: </strong>A convergent parallel mixed-methods design, with secondary data analysis of Facebook advertisements and in-depth, semi-structured interviews (N=15) with recruiters, was conducted. The quantitative analysis included descriptive statistics and bivariate analyses between the conditions of targeted versus general advertisements. The qualitative analysis utilized a five-step reflexive thematic analysis approach. Data analyses were integrated through a joint display.</p><p><strong>Results: </strong>The recruitment rate among those exposed to the targeted advertisements (35%) was higher compared to the general advertisements (27%). A similar trend followed for the interest rate, with targeted advertisements (44%) having higher interest rates than the general advertisements (41%). The thematic analysis generated two themes related to tailored communication and accessible language for recruitment messaging. The integrated joint display elucidated that higher resonance with targeted messaging resulted in better recruitment outcomes.</p><p><strong>Conclusions: </strong>Targeted advertisements resulted in a modestly higher recruitment and interest rate compared to general advertisements on Facebook. Targeted advertisements were nearly twice as cost-effective in recruitment and expressed interest compared to general advertisements. Integrated joint display suggests that targeted advertisements and messaging, with tailored language, enhance recruitment and interest in clinical research with practical significance. Optimizing recruitment strategies is relevant for investigators to reduce obstacles in the clinical research enterprise. Findings suggest this strategy optimizes recruitment for a key population, offering promise for advancing efficient and representative clinical research that can benefit research investigators.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"24"},"PeriodicalIF":3.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13466809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723972","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":"Season-specific associations between electricity-based frailty risk and life-space mobility, health-related quality of life, and physical function in older adults.","authors":"Ryo Tsujinaka, Yumi Higuchi, Aki Gen, Tetsuya Ueda, Haruka Adachi","doi":"10.21037/mhealth-2026-0013","DOIUrl":"10.21037/mhealth-2026-0013","url":null,"abstract":"<p><strong>Background: </strong>Seasonal variations in physical and mental functioning among older adults have been widely reported; however, whether frailty risk exhibits season-specific patterns and associations with health-related outcomes remains unclear. This exploratory study aimed to examine season-specific associations between electricity-based frailty risk and health-related outcomes among community-dwelling older adults.</p><p><strong>Methods: </strong>Older adults living alone in apartment complexes in Osaka City, Japan were recruited. Monthly frailty risk indices, based on patterns of daily living behaviors such as wake-up time, bedtime, and time spent outside the home, were derived from household electricity consumption data collected over a 12-month period from October 2023 to September 2024. Life-space mobility, health-related quality of life (HRQoL), and physical function were assessed once via a face-to-face survey conducted between October and November 2024 using the Life-Space Assessment (LSA), the EuroQol 5-Dimension 5-Level questionnaire (EQ-5D-5L), and the Timed Up and Go (TUG) test, respectively. Seasonal mean frailty risk indices were classified according to the seasonal definitions provided by the Japan Meteorological Agency. Bayesian correlation and linear regression analyses were conducted separately for each season, and exploratory linear mixed-effects models were performed using the monthly Frailty Risk Index values.</p><p><strong>Results: </strong>Of the 18 individuals who participated, 14 [median age: 81.0 years, interquartile range (IQR), 10.3 years; 86% women] were included in the analysis. In winter, Bayesian analyses supported negative correlations between the Frailty Risk Index and the LSA [Bayes factor (BF₁₀) =6.285, 95% credible interval (CrI): -0.857 to -0.146] and EQ-5D-5L (BF₁₀ =13.95, 95% CrI: -0.885 to -0.237), whereas no sufficient evidence supported an association with physical function assessed by the TUG test. In Bayesian regression analyses, the winter model including both the LSA and EQ-5D-5L showed the highest posterior support (BF_M =2.089, R²=0.603), although this finding should be interpreted cautiously owing to the small sample size. No sufficient evidence of an association was observed in spring, summer, or autumn.</p><p><strong>Conclusions: </strong>In this exploratory pilot study of 14 older adults living alone, electricity-based frailty risk was associated with life-space mobility and HRQoL, with associations observed for winter Frailty Risk Index values. However, the small sample size, single-time assessment of health-related outcomes, and potential residual confounding preclude definitive conclusions regarding season-specific effects. Larger longitudinal studies with repeated health assessments are needed to validate these findings.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"25"},"PeriodicalIF":3.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13466668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727892","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":"Beyond accessibility: co-designing mHealth to bridge the physical activity gap for people with disabilities.","authors":"James A Haley, Amy Bodde, Brian C Helsel, Daehyoung Lee","doi":"10.21037/mhealth-2026-0003","DOIUrl":"10.21037/mhealth-2026-0003","url":null,"abstract":"","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"15"},"PeriodicalIF":3.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990175","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 systematic review assessing mobile health (mHealth) physical activity interventions in older adults with and without chronic health conditions.","authors":"Maria V Goodwin, Katelynn Slade, Emily Urry, David W Maidment","doi":"10.21037/mhealth-2025-67","DOIUrl":"10.21037/mhealth-2025-67","url":null,"abstract":"<p><strong>Background: </strong>Engaging in regular physical activity is a key protective factor for reducing the risk of developing chronic health conditions associated with ageing. However, physical activity declines markedly with increasing age. The aim of this prospectively registered systematic review was to evaluate the effectiveness of mobile health (mHealth) physical activity interventions, and the behaviour change techniques (BCTs) they employ, in older adults.</p><p><strong>Methods: </strong>This review was registered in the International Prospective Register of Systematic Reviews (PROSPERO), CRD42022342016. Eight databases (APA PsycINFO, ClinicalTrials.gov, Cochrane Library, Medline, PubMed, Scopus, SPORTDiscus, Web of Science) were searched up to February 2025. Eligible studies were randomised controlled trials (RCTs) evaluating mHealth interventions (e.g., smartphone apps, wearable devices) designed to increase physical activity in community-dwelling older adults (≥65 years) living with and without chronic health conditions. Primary outcomes included measures of physical activity (both objective and self-reported), functional fitness, and adverse effects. Secondary outcomes were physiological health, psychosocial wellbeing, and cognition. Risk of bias was assessed using the Cochrane Risk of Bias tool version 2, and certainty of the evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.</p><p><strong>Results: </strong>Nine RCTs were included, assessing mHealth interventions such as wearable devices, smartphone apps, or virtual coaching. Due to methodological heterogeneity across studies, meta-analyses were not possible. A narrative synthesis revealed limited or inconsistent findings for all primary and secondary outcomes. Interventions incorporated a limited number of the 93 available BCTs, with the most frequently used being self-monitoring of behaviour, information about antecedents, and feedback on behaviour. There was substantial variation in the number and combination of BCTs employed across studies, limiting the ability to evaluate their individual or combined effectiveness. Due to insufficient data, it was not possible to compare the effectiveness of mHealth interventions between healthy older adults and those living with chronic ill-health.</p><p><strong>Conclusions: </strong>The current review highlights that further research in this area is needed, as well as a requirement to optimise the design of mHealth physical activity interventions that incorporate suitable BCTs so that they can adequately address the complex needs of those living with and without chronic health conditions.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"22"},"PeriodicalIF":3.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989989","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":"mHealth apps for maternal mental well-being among pregnant and postpartum women: a systematic review.","authors":"Syed Niaz Mohtasim, Faiza Omar Arpita, Istiaq Ahmed, Ashraful Islam, M Ashraful Amin, Beenish Moalla Chaudhry","doi":"10.21037/mhealth-2025-72","DOIUrl":"10.21037/mhealth-2025-72","url":null,"abstract":"<p><strong>Background: </strong>Maternal mental well-being during and after pregnancy is often overlooked, posing serious long-term risks to mothers and children. This systematic review aims to synthesize research on mobile health (mHealth) applications (apps) designed to support perinatal and postpartum mental well-being, with a focus on their design characteristics, intervention approaches, and reported effectiveness.</p><p><strong>Methods: </strong>We conducted a systematic review following the PRISMA 2020 guidelines. PubMed and Scopus were searched up to August 2025. Studies were included if they reported original research on mHealth apps targeting maternal mental well-being during or after pregnancy with a diagnostic or intervention component for mental health. Review papers, conference abstracts, and studies without an mHealth component were excluded.</p><p><strong>Results: </strong>From 2,127 articles, 15 met the inclusion criteria. These studies, published between 2017 and 2024, evaluated 13 distinct mHealth apps targeting primarily anxiety (12 studies), depression (8 studies), and stress (4 studies). Across all 15 studies, 24 screening methods were reported. Apps delivered interventions including mindfulness and guided meditation (7 studies) and cognitive behavioral therapy (CBT)-based tools and mood tracking (7 studies). Six app feature categories were identified: mental health screening, physical and mental well-being exercises and meditation, health education, visual design elements, healthcare support, and additional support features. Usability and engagement were most commonly evaluated using questionnaires and surveys (4 studies) and the Mobile Application Rating Scale (MARS) (3 studies). Six studies reported positive outcomes for depression symptoms. Common methodological limitations included small sample sizes, high dropout rates, and lack of long-term follow-up, constraining the generalizability of findings.</p><p><strong>Conclusions: </strong>This review demonstrates the potential of mHealth apps as accessible tools for supporting maternal mental well-being during pregnancy and the postpartum period. Clinicians should regard these tools as supplementary rather than standalone interventions until larger-scale efficacy trials are available. App developers are encouraged to design solutions that span both prenatal and postnatal periods, address multiple mental health conditions simultaneously, integrate validated screening methods, and combine health education, therapeutic, and behavioral support within a single platform. Future research should prioritize robust, longitudinal trials with diverse populations and standardized outcome measures to establish the evidence base needed for broader integration of mHealth into perinatal care.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"23"},"PeriodicalIF":3.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990252","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 cross-sectional analysis of low-cost non-cancer registry recruitment sources for a hybrid type 2 trial evaluating a digital intervention for melanoma survivors.","authors":"Alexis Schaefer, Sharon L Manne, Carolyn J Heckman, Sara Frederick, Justin Solleder, Shou-En Lu","doi":"10.21037/mhealth-25-61","DOIUrl":"10.21037/mhealth-25-61","url":null,"abstract":"<p><strong>Background: </strong>Traditionally, cancer survivorship behavioral intervention research has recruited from cancer registries, which can be costly and time intensive. Over the last decade, the advent of social media recruitment, hospital electronic medical record portals, and large provider networks has offered the possibility of non-paid recruitment sources to recruit cancer survivors cost-effectively. In this study, we used three non-cancer registry recruitment sources for a digital intervention to improve skin self-exams and sun protection among melanoma survivors. The objective of this study is to address critical knowledge gaps in melanoma research recruitment by comparing enrollment rates and participant demographics across digital and clinical sources, including social media, electronic health messaging, and dermatology practice network outreach.</p><p><strong>Methods: </strong>Adults aged 18-89 with a prior stage 0-III melanoma diagnosis, 3 months to 5 years post-surgery, no current disease, and nonadherent to thorough skin self-exams were eligible for this study. Recruitment occurred through paid Facebook advertisements targeted at high-melanoma-incidence cities, unpaid social media influencer outreach, EHR messages, and a national dermatology practice network. An online eligibility screener was disseminated across all sources, with safeguards to prevent fraudulent entries. Individuals deemed eligible were contacted to confirm eligibility and completed oral and digital consent before enrollment. Enrollment rates and demographics were calculated.</p><p><strong>Results: </strong>Of 230 participants enrolled from non-cancer registry sources, 122 participants (53.0%) came from a dermatology provider network, 56 participants (24.3%) came from social media, 46 participants (20.0%) came from EHR messaging, and 6 participants (2.6%) came from other sources. Social media recruitment yielded younger, predominantly female, more frequently employed and privately insured participants, and a higher proportion diagnosed at higher stages, compared with other sources. Despite recruitment success, over 1,700 fraudulent entries were detected and removed.</p><p><strong>Conclusions: </strong>Non-cancer registry sources can support enrollment for digital intervention research, but each approach carries unique trade-offs. Provider networks delivered high volumes of eligible participants with minimal burden, while social media provided broad reach but required intensive fraud monitoring and additional safeguards. These findings suggest that combining provider-based outreach with carefully managed social media efforts may offer an effective balance between reach and data integrity when recruiting cancer survivors.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"19"},"PeriodicalIF":3.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990019","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":"Acceptability of an adolescent lifestyle mHealth app: a qualitative study using focus groups and interviews.","authors":"Parijat Ghosh, Richelle J Koopman, Jaya Ghosh, K Taylor Bosworth, Emma Montgomery, Amy S Braddock","doi":"10.21037/mhealth-2025-76","DOIUrl":"10.21037/mhealth-2025-76","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Although many studies have evaluated behavioral mobile health (mHealth) usability in adults, far fewer have examined acceptability among adolescents, particularly regarding sustained engagement for lifestyle and behavior change. Adolescents have distinct developmental needs and design preferences, yet most mHealth tools are adapted from adult models, contributing to low adoption and limited continued use. In adolescent mHealth, understanding acceptability among adolescents, caregivers, and clinicians is essential to ensure interventions are developmentally appropriate and feasible for clinical integration. Given the complex social and contextual factors shaping adolescent health behaviors, qualitative methods are well-suited to capturing stakeholder experiences beyond usability. This study examines the acceptability of CommitFit&lt;sup&gt;SM&lt;/sup&gt;, an adolescent lifestyle mHealth app, to generate actionable insights for sustained engagement strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Two sequential assessments evaluated CommitFit&lt;sup&gt;SM&lt;/sup&gt; acceptability using the seven domains of the Theoretical Framework of Acceptability (TFA; affective attitude, burden, ethicality, intervention coherence, opportunity costs, perceived effectiveness, and self-efficacy), guided by theory-informed, stakeholder-refined questions assessing anticipated and experienced acceptability. In Study 1 (prospective design phase), 6 adolescents, 7 caregivers, and 12 clinicians participated in focus groups using a static prototype of the gamified app; discussions surfaced expectations, concerns, and perspectives essential for early-stage development. Participants were purposively selected to represent key roles: adolescents as end users, caregivers as family decision makers, and clinicians as system-level stakeholders evaluating workflow fit and implementation feasibility. In Study 2 (retrospective post-development phase), 10 adolescents used the full app for 2 weeks and completed individual interviews to provide personal experiences, usability feedback, and engagement patterns not evident in group settings. Data from both phases were analyzed using an abductive, Grounded Theory-informed approach.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Analysis demonstrated high acceptability across adolescents, caregivers, and clinicians. Two additional themes-intervention motivational aspects and stakeholder endorsement-emerged as critical determinants of adolescent engagement and sustained use. Findings reflected input from a socio-demographically diverse cohort varying by race, gender, household income, and rurality, as well as clinicians from family medicine, pediatrics, and psychology. Consistency in perceived acceptability across stakeholder groups and design and post development phases underscores the value of inclusive, multi-stakeholder involvement in developing clinically relevant adolescent mHealth interventions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Using the sev","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"20"},"PeriodicalIF":3.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990148","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 peer-2-peer electronic health record system streamlining healthcare delivery during short-term medical mission clinics.","authors":"Sze Ee Josher Lo, Lai Gwen Chan","doi":"10.21037/mhealth-2026-0002","DOIUrl":"10.21037/mhealth-2026-0002","url":null,"abstract":"<p><p>Short-term medical missions (STMMs) provide resource-limited regions with immediate healthcare services and can play a helpful role in bridging critical gaps in healthcare access, providing essential services, and contributing to capacity building in underserved communities. However, STMM teams have the potential to cause harm due to unfamiliarity with the patient population, culture, and disease epidemiology. Specifically, mobile primary care clinics run by STMMs are run in isolation and are not linked with any existing electronic health record (EHR) system, creating room for potential medical errors. To date, there have been limited attempts to tailor EHRs to STMM mobile clinics and existing systems remain in early developmental stages. We aim to develop an EHR system suited for STMMs that does not depend on internet connectivity, improves patient safety and patient care processes, and has longer-term sustainable applications. Traditional STMM clinic processes are described, and historical post-trip feedback were retrieved. Brainstorming with stakeholders was conducted to determine the essential features of the EHR system. A solution was chosen which involved the decentralisation of data over a peer-2-peer network functioning over a local area network (LAN) provided by any portable router. The process of development, implementation, troubleshooting of this EHR during an STMM in Timor-Leste over 5 days in both urban and rural locations is described. Post-implementation qualitative feedback has been encouraging especially in the aspect of clinic process, medication safety and ease of data access, analysis, and sharing. While this EHR has been useful, there are limitations such as the need for a stable power supply to the router and the lack of unique identifiers for patients in some settings that prohibits the linking of data across databases. Nonetheless, the development of our EHR is an important step in the right direction.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"12 ","pages":"21"},"PeriodicalIF":3.3,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990058","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}