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A narrative review of digital health literacy within cystic fibrosis telehealth: are we considering it? 囊性纤维化远程医疗中数字健康素养的叙述性回顾:我们是否在考虑它?
IF 2.2
mHealth Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-66
Tamara Vagg, Sarah Twohig, Kevin F Deasy, Hisham I S Ibrahim, Barry J Plant
{"title":"A narrative review of digital health literacy within cystic fibrosis telehealth: are we considering it?","authors":"Tamara Vagg, Sarah Twohig, Kevin F Deasy, Hisham I S Ibrahim, Barry J Plant","doi":"10.21037/mhealth-24-66","DOIUrl":"https://doi.org/10.21037/mhealth-24-66","url":null,"abstract":"<p><strong>Background and objective: </strong>With the increased adoption of digital health solutions, such as telehealth, there is a need to consider current practices and considerations towards digital health Literacy. The objective of this review is to explore what digital health literacy considerations have been detailed in cystic fibrosis telehealth papers.</p><p><strong>Methods: </strong>The found papers published from a recent systematic review exploring telehealth within cystic fibrosis care were taken and analysed. These papers were obtained from PubMed, Web of Science, and Scopus databases and included any paper written in English up to May 2021. Data pertaining to Health Literacy, Digital Literacy/Competency, Digital Health Literacy, Training, Readiness Assessments, and Sustained Use were extrapolated using Elicit AI Research Assistant 2024.</p><p><strong>Key content and findings: </strong>From the 26 papers, the data of interest was sparse and mostly unavailable for this review. This may be due to several reasons; however the implication of this mitigation is discussed with reference to the digital divide, health in-equalities, and safety.</p><p><strong>Conclusions: </strong>This review highlights that a structured approach to assess digital health literacy of care teams and people with cystic fibrosis is critical to the future success of safe telehealth use, and other digital health solutions.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"20"},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061647","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}
引用次数: 0
Refining a digital phenotyping app for measurement of suicidal behavior among minoritized youth and caregivers in a community health system. 改进数字表现型应用程序,用于测量社区卫生系统中少数族裔青年和护理人员的自杀行为。
IF 2.2
mHealth Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-39
Nicholas J Carson, Dharma E Cortés, Peyton Williams, Varshini Odayar, Lecsy Gonzalez, Eric Schlossberg, Lily Xie, Katie E Holmes, Michelle D Holmes, David R Williams, Todd G Reid
{"title":"Refining a digital phenotyping app for measurement of suicidal behavior among minoritized youth and caregivers in a community health system.","authors":"Nicholas J Carson, Dharma E Cortés, Peyton Williams, Varshini Odayar, Lecsy Gonzalez, Eric Schlossberg, Lily Xie, Katie E Holmes, Michelle D Holmes, David R Williams, Todd G Reid","doi":"10.21037/mhealth-24-39","DOIUrl":"https://doi.org/10.21037/mhealth-24-39","url":null,"abstract":"<p><strong>Background: </strong>Youth from racial and ethnic minoritized groups have experienced an increase in suicidal thoughts and behaviors (STBs) in recent years. Mobile health technology (mHealth) and digital phenotyping hold promise as means to measure STBs and related risk factors in these groups. Such tools are more likely to be successful when designed with input from the youth and caregivers who will use the technology. This study aimed to refine a digital phenotyping smartphone application, GeoMood, customized to measure STBs and relevant risk factors, such as family conflict and experiences of discrimination. The app was designed to collect passive data from smartphones (e.g., location, phone usage), as well as short-response survey data via ecological momentary assessments (EMAs) to further understand digital phenotypes of STBs.</p><p><strong>Methods: </strong>We conducted semi-structured qualitative interviews with five youths of color and five caregivers to obtain feedback and refine the smartphone application, GeoMood. The ultimate goal of the interviews was to assess the app's potential acceptability from the two sets of users for whom the app was developed. Both youth and caregivers reviewed the youth version, which differs from the caregiver version content by the inclusion of items addressing suicidal behavior. Interviews were analyzed using a qualitative manifest analytic approach.</p><p><strong>Results: </strong>Youth found the app to be an acceptable tool for measuring STBs. Caregivers were concerned about assessing self-injury explicitly.</p><p><strong>Conclusions: </strong>Youth and caregiver feedback confirms openness by participating youth to using mHealth tools for measurement of STBs, but caregivers experience hesitation with the direct questions of such tools. Feedback was useful in refining the mobile tool and suggests multimodal assessment (text and emoji prompts) may appeal to users. Results from this study may improve the acceptability of future apps designed to measure and address disparities among particularly vulnerable groups of youth.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"15"},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045841","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}
引用次数: 0
Variation in subsequent viral load testing and outcomes by visit type patterns in the first year of the COVID-19 pandemic at a large academic medical center in North Carolina. 在北卡罗莱纳州一家大型学术医疗中心,COVID-19大流行第一年,随后的病毒载量检测和按就诊类型模式的结果的变化。
IF 2.2
mHealth Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-69
Valerie Yelverton, Jan Ostermann, Michael E Yarrington, Yuliya V Lokhnygina, Andrew K Weinhold, Nathan M Thielman
{"title":"Variation in subsequent viral load testing and outcomes by visit type patterns in the first year of the COVID-19 pandemic at a large academic medical center in North Carolina.","authors":"Valerie Yelverton, Jan Ostermann, Michael E Yarrington, Yuliya V Lokhnygina, Andrew K Weinhold, Nathan M Thielman","doi":"10.21037/mhealth-24-69","DOIUrl":"https://doi.org/10.21037/mhealth-24-69","url":null,"abstract":"<p><p>While telehealth was widely used to provide human immunodeficiency virus (HIV) care during the coronavirus disease 2019 (COVID-19) pandemic, research evaluating viral suppression by visit type is conflicting. This study assessed variation in viral load (VL) testing and outcomes by visit type for routine HIV care visits among people living with HIV (PWH) at a large academic health center in central North Carolina (NC). Electronic health records (EHRs) data from the Duke University Infectious Disease (ID) Clinic in NC were extracted in aggregated form. Pearson's Chi-square (χ<sup>2</sup>) tests were used to examine variation in VL testing and virologic suppression (VS) in 2022 by visit type patterns in the first year of the pandemic. Tipping point (TP) sensitivity analyses were conducted. EHR data from 1,835 PWH were included. Between March 16, 2020 and March 15, 2021, 53% of PWH received in-person HIV care only, 32% received a combination of telehealth and in-person care, and 15% received telehealth care only. About 20% of PWH did not have any VL test recorded in 2022. Among PWH with a VL test, 90% were virologically suppressed at all tests in 2022. Visit type was significantly associated with VL testing (P<0.001). The proportion of people who had no VL test in 2022 was larger among telehealth only users (31%) as compared to in-person only or PWH who received a combination (19% and 18%, respectively). VS in 2022 did not differ by visit type pattern in the first year of the pandemic (P=0.36) among PWH with a VL test in 2022. TP analyses identified that the proportion of unsuppressed VL tests among PWH without any VL test in 2022 would need to be multiplied by 2.1 to result in a statistically significant difference in VS by visit type (P=0.045). Our findings indicate that VL outcomes among telehealth users who had VL testing results documented in EHR at least one year later did not differ from in-person HIV care users. However, VL testing uptake was lower among telehealth only users suggesting the need for strategies such as remote VL testing to ensure regular VL testing among PWH who use telehealth HIV care.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"18"},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059476","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}
引用次数: 0
A randomized controlled trial to assess the effectiveness of a mobile application-based lifestyle change program (FASTer Way) on body composition, biochemical and hematological health markers, body image, and self-esteem in overweight women. 一项随机对照试验,旨在评估基于移动应用程序的生活方式改变计划(FASTer Way)对超重女性身体成分、生化和血液健康指标、身体形象和自尊的有效性。
IF 2.2
mHealth Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-62
Charlie R Ottinger, Raad H Gheith, Matthew H Sharp, Justine M Davis, Ryan P Lowery, Jacob M Wilson
{"title":"A randomized controlled trial to assess the effectiveness of a mobile application-based lifestyle change program (FASTer Way) on body composition, biochemical and hematological health markers, body image, and self-esteem in overweight women.","authors":"Charlie R Ottinger, Raad H Gheith, Matthew H Sharp, Justine M Davis, Ryan P Lowery, Jacob M Wilson","doi":"10.21037/mhealth-24-62","DOIUrl":"https://doi.org/10.21037/mhealth-24-62","url":null,"abstract":"<p><strong>Background: </strong>Numerous mobile phone applications have been developed with the goal of producing behavior changes that lead to weight loss and enhanced health. However, the evidence basis for these applications is often lacking, which renders them ineffective for altering health behaviors. Therefore, the purpose of this study was to examine the potential benefits of a novel mobile application, The FASTer Way to Fat Loss<sup>®</sup> (FW).</p><p><strong>Methods: </strong>Forty-two overweight, but otherwise healthy women were recruited for this parallel study and randomly assigned to an exercise and nutrition education only control (CON, n=21) or an integrated mobile application group (FW, n=21), which included exercise training and dietary modifications that were overseen by an individually assigned coach. Both groups were assessed at baseline and 6 weeks post-intervention for body composition, blood health indices, and multiple questionnaires for self-esteem and body image. Absolute mean differences within and between groups were measured using unpaired <i>t</i>-tests with statistical significance set at P<0.05.</p><p><strong>Results: </strong>Compared to the CON group (0.56±1.54 kg), the FW group significantly reduced total mass (-1.21±1.82 kg; P=0.002), fat mass (0.42±1.38 <i>vs</i>. -1.45±1.23 kg; P<0.001), body fat percentage (0.23%±1.33% <i>vs</i>. -1.24%±1.32%; P=0.001), and body mass index (0.24±0.59 <i>vs</i>. -0.46±0.60 kg/m<sup>2</sup>; P<0.001); whereas no significant between-group differences were detected for lean body mass (P=0.86). Additionally, total cholesterol was significantly reduced in the FW group (-5.2±14.9 mg/dL) compared to the CON group (8.7±22.8 mg/dL; P=0.03). There were no other significant between-group differences in blood lipid profiles, blood health indices, or subjective measures of self-esteem and body image.</p><p><strong>Conclusions: </strong>An integrated, multifactorial smartphone application (FASTer Way<sup>®</sup>) elicited positive changes in body composition and total cholesterol in six-weeks. Future research should investigate these effects in other populations to better generalize these results.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT05813548.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"13"},"PeriodicalIF":2.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059449","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}
引用次数: 0
A debate on integrative vs. interventional approaches to chronic pain: does telemedicine play a role? 关于综合治疗与介入治疗慢性疼痛的争论:远程医疗是否起作用?
IF 2.2
mHealth Pub Date : 2025-03-18 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-53
Kush Patel, Leena Mathew, Alopi Patel
{"title":"A debate on integrative <i>vs</i>. interventional approaches to chronic pain: does telemedicine play a role?","authors":"Kush Patel, Leena Mathew, Alopi Patel","doi":"10.21037/mhealth-24-53","DOIUrl":"https://doi.org/10.21037/mhealth-24-53","url":null,"abstract":"<p><p>The biopsychosocial model of pain acknowledges that pain experiences are shaped by an interplay between biological, psychological, and socio-environmental factors. In clinical practice, two disparate avenues for addressing pain include the widespread interventional paradigm and the rapidly growing holistic model of lifestyle medicine. Traditional pain management often emphasizes pharmacological and invasive approaches. In contrast, lifestyle medicine focuses on optimizing factors such as nutrition, exercise, sleep, stress management, avoidance of toxic substances, and social connectedness to reduce the pain experience. Within the paradigm of lifestyle medicine, specific nutrition plans may help mitigate inflammation, physical activity can alleviate symptoms of chronic pain conditions, and improved sleep can improve pain thresholds. Avoidance of toxic substances like tobacco and illicit drugs, utilization of mind-body stress reduction techniques, and fostering social connections are crucial for enhancing overall well-being and decreasing pain perception. However, there may be some drawbacks to the lifestyle medicine approach. The perception of time investment, the specialized training required for physicians, and the financial aspect can pose significant barriers. Lifestyle medicine is typically more time-intensive, requires more consultation time from physicians and the healthcare team, necessitates stronger adherence from patients, and involves more coaching and follow-up from healthcare providers. The services, treatment, and coaching are often not covered by insurance, which is a financial barrier to providing this kind of care. Despite these challenges, lifestyle medicine offers promising benefits for chronic pain management. Addressing its limitations through telemedicine and integrating it with interventional methods, affords the potential for a comprehensive approach to managing chronic pain in the future.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"21"},"PeriodicalIF":2.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061634","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}
引用次数: 0
Adherence and self-efficacy of pregnant women to perform pelvic floor muscle training through a health education application: a feasibility study. 孕妇通过健康教育应用进行盆底肌训练的依从性和自我效能感:可行性研究
IF 2.2
mHealth Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-40
Carolina Angélico, Ana Jéssica Dos Santos Sousa, Jéssica Gabriela de Godoi Fernandes, Ingrid da Costa Vilela, Vanessa Santos Pereira Baldon, Patricia Driusso
{"title":"Adherence and self-efficacy of pregnant women to perform pelvic floor muscle training through a health education application: a feasibility study.","authors":"Carolina Angélico, Ana Jéssica Dos Santos Sousa, Jéssica Gabriela de Godoi Fernandes, Ingrid da Costa Vilela, Vanessa Santos Pereira Baldon, Patricia Driusso","doi":"10.21037/mhealth-24-40","DOIUrl":"https://doi.org/10.21037/mhealth-24-40","url":null,"abstract":"<p><strong>Background: </strong>Pelvic floor muscle training (PFMT) is a treatment that can be used during pregnancy. The main aim of this study was to evaluate adherence to PFMT and self-efficacy using a mobile application (app) named GoMAP. The secondary objective was to evaluate the correlation between self-efficacy and adherence of participants who used the GoMAP app.</p><p><strong>Methods: </strong>This is a feasibility study. The participants were pregnant women who underwent an 8-week PFMT protocol, provided through a previously validated GoMAP app. To assess self-efficacy, the Self-Efficacy Scale for practicing Pelvic Floor Exercises was applied four times-every two weeks after starting the PFMT program on the GoMAP app. Adherence was evaluated daily by a frequency questionnaire that was completed as the participant performed the exercise program. The data are expressed as mean ± standard deviation and percentage, and the Pearson correlation test was performed between quantitative variables. A 5% significance level was adopted.</p><p><strong>Results: </strong>Eighteen pregnant women completed the 8-week exercise protocol. The mean Self-Efficacy Scale after eight weeks of PFMT was 75.8±14.8 and the average adherence of pregnant women to the protocol was 30.4±14.0 days. The adherence and self-efficacy variables showed a strong correlation after eight weeks of PFMT (r=0.79, P<0.001).</p><p><strong>Conclusions: </strong>Women who used the GoMAP app demonstrated good adherence and self-confidence when performing the PFMT exercises. The app could be an important therapeutic resource when conducting a PFMT program for pregnant women.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"17"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054886","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}
引用次数: 0
Factors driving the use of mobile health app: insights from a survey. 推动移动健康应用使用的因素:来自调查的见解。
IF 2.2
mHealth Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-44
Nur Farahin Mohd Johari, Nazlena Mohamad Ali, Mohamad Hidir Mhd Salim, Nor Aniza Abdullah
{"title":"Factors driving the use of mobile health app: insights from a survey.","authors":"Nur Farahin Mohd Johari, Nazlena Mohamad Ali, Mohamad Hidir Mhd Salim, Nor Aniza Abdullah","doi":"10.21037/mhealth-24-44","DOIUrl":"https://doi.org/10.21037/mhealth-24-44","url":null,"abstract":"<p><strong>Background: </strong>Mobile health (mHealth) offers easy accessibility to healthcare information and services, promoting positive behaviour change. However, user engagement to mHealth diminishes over time, resulting in significant dropout rates. This study aims to investigate the factors contributing to the discontinuation of mHealth use and examine how persuasive elements influence users' intention to continue using mHealth. It also seeks to identify the key motivators and barriers affecting mHealth engagement.</p><p><strong>Methods: </strong>A survey was conducted to assess persuasive elements, motivators, and barriers related to mHealth usage. The survey included measures to evaluate users' perceived persuasiveness of mHealth, the factors influencing their intention to continue using it, and both the motivators and barriers to its sustained use.</p><p><strong>Results: </strong>The analysis revealed that unobtrusiveness had the strongest positive correlation with the intention to continue using mHealth. Additionally, a positive association was found between users' perception of mHealth's persuasiveness and their intention to continue using it. The study also identified key motivators that encourage mHealth adoption and several barriers that hinder long-term engagement.</p><p><strong>Conclusions: </strong>These findings highlight the importance of developing strategies to enhance the long-term adoption of mHealth solutions and reduce dropout rates. Future research is needed to explore effective interventions for sustaining mHealth usage and addressing the barriers that lead to disengagement.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"12"},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047836","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}
引用次数: 0
Tele-exercise in individuals with spinal cord injury: a systematic review. 脊髓损伤患者的远程运动:系统综述。
IF 2.2
mHealth Pub Date : 2025-03-13 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-50
Rodrigo Rodrigues Gomes Costa, Beatriz Lucena Ramos, Frederico Ribeiro Neto, Ciro Winckler
{"title":"Tele-exercise in individuals with spinal cord injury: a systematic review.","authors":"Rodrigo Rodrigues Gomes Costa, Beatriz Lucena Ramos, Frederico Ribeiro Neto, Ciro Winckler","doi":"10.21037/mhealth-24-50","DOIUrl":"https://doi.org/10.21037/mhealth-24-50","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic has seen the emergence of tele-exercise as a mean of remotely providing physical activity. This is particularly crucial given that individuals with spinal cord injury (SCI), often engage in lower levels of physical activity due to barriers such as transportation issues and financial limitations. Given the potential the tele-exercise for individuals with SCI, this study aims to characterize research on tele-exercise interventions in this population focusing on the approach (synchronous, asynchronous, or hybrid), platform, intervention details, duration, adherence, outcomes, and improvements.</p><p><strong>Methods: </strong>A review was conducted using the Embase, Scopus, and PubMed databases, adhering to the PRISMA reporting checklist. Studies on \"tele-exercise\" and \"teleexercise\", without specifying SCI in the search terms were screened. Inclusion criteria were limited to English-language articles published up to April 2024. Articles in poster or editorial format and grey literature were excluded. The decision was made to exclude gray literature and focus solely on studies published in peer-reviewed scientific journals. Two reviewers (B.L.R. and R.R.G.C.) independently screened the titles and abstracts of the initially retrieved articles, and then discussed them to ensure agreement.</p><p><strong>Results: </strong>The review identified twelve articles (seven studies with intervention, three studies as projects, one study as cross-sectional analysis and 1 study as theorical framework). Most studies (58.3%) employed synchronous tele-exercise interventions, with Zoom software being the most prevalent platform (41.7%). Interventions primarily focused on muscle strength (75.0%) and aerobic training (75.0%), with a median duration of 8.0 weeks. The mean (standard deviation) adherence was 67.3% (18.7), with variations observed between sex and approaches (synchronous, asynchronous, or hybrid). The most commonly assessed outcomes included physical activity levels (58.3%), adherence (33.3%), pain (25.0%), and physical activity behavior (25.0%). Significant improvements were noted in health status, physical capacity, and tele-exercise implementation.</p><p><strong>Conclusions: </strong>Tele-exercise interventions, predominantly utilizing synchronous methods and emphasizing muscle strength and aerobic training, are effective and feasible for individuals with SCI. These interventions contribute to improved health outcomes and increased exercise adherence, establishing them as a viable option for promoting physical activity among individuals with SCI. However, the results should be interpreted with caution as the quality of the studies was not considered in this review.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"19"},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065324","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}
引用次数: 0
Telehealth in the US for patients with end-stage kidney disease: its utilization and impact on social, economic and health outcomes. 美国终末期肾病患者的远程医疗:其利用及其对社会、经济和健康结果的影响
IF 2.2
mHealth Pub Date : 2025-03-10 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-61
Susie Q Lew, Neal Sikka, Kevin F Erickson
{"title":"Telehealth in the US for patients with end-stage kidney disease: its utilization and impact on social, economic and health outcomes.","authors":"Susie Q Lew, Neal Sikka, Kevin F Erickson","doi":"10.21037/mhealth-24-61","DOIUrl":"https://doi.org/10.21037/mhealth-24-61","url":null,"abstract":"<p><p>The use of telehealth in the United States accelerated in 2020 when a coronavirus disease of 2019 (COVID-19) related public health emergency (PHE) was declared. Centers for Medicare and Medicaid Services issued emergency waivers that relaxed restrictions imposed by regulations on geographic locations, originating and distant sites, audio-video-conferencing technology and re-imbursement. This review focuses on the history of telehealth usage for patients with end-stage kidney disease. Patients who receive home dialysis gained widespread access to telehealth in 2019, following passage of the Bipartisan Budget Act of 2018, Sec 50302 by the US Congress. For the first time in telehealth application, the patient's home could be an originating site without geographic restrictions for telemedicine. These earlier regulations will continue even after the PHE expires. While they made telemedicine possible for many patients receiving home dialysis, in practice, the uptake of telemedicine in the home setting may have been sluggish following the 2018 law. Rules governing the frequency of telemedicine visits and other stipulations for home dialysis that were specified in the 2018 law were relaxed in the setting of the COVID-19 waivers, further facilitating the use of telemedicine for home dialysis care. Meanwhile, the in-center dialysis unit became an originating site for the first time during the COVID-19 PHE, with a corresponding sharp increase in the use of telemedicine for in-center hemodialysis care. The waivers enabling the use of telemedicine for patients who receive in-center hemodialysis and further facilitating the use of telemedicine in home dialysis, expire with the end of the COVID-19 PHE unless Congress passes new legislation. Comparisons among the periods before, during and after the PHE can illustrate telehealth's impact and some of its challenges. Most of the literature on telehealth represents observational data. Future studies on telehealth, including clinical trials, could provide information on outcomes and cost savings.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"22"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044747","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}
引用次数: 0
Visualizing user demands through storyboarding in the mHealth app development for pregnant women: a conceptual framework. 通过故事板可视化孕妇移动健康应用程序开发中的用户需求:一个概念框架。
IF 2.2
mHealth Pub Date : 2025-03-10 eCollection Date: 2025-01-01 DOI: 10.21037/mhealth-24-46
Xinxin Yu, Saiful Hasley Ramli, Habibah Abdul Hamid, Noris Mohd Norowi, Siti Suhaily Surip, Ziming Li, Donggui You, Ganfeng Yu, Qingqing Chu
{"title":"Visualizing user demands through storyboarding in the mHealth app development for pregnant women: a conceptual framework.","authors":"Xinxin Yu, Saiful Hasley Ramli, Habibah Abdul Hamid, Noris Mohd Norowi, Siti Suhaily Surip, Ziming Li, Donggui You, Ganfeng Yu, Qingqing Chu","doi":"10.21037/mhealth-24-46","DOIUrl":"https://doi.org/10.21037/mhealth-24-46","url":null,"abstract":"<p><p>In the co-design process of mHealth apps, the intuitiveness of user experience (UE) and user demands (UDs) are very important to the stakeholders. However, there is little research on how UE and UD are visually presented to stakeholders. Similar literature related to the design perspective of pregnant women is rare. Therefore, there is a need to propose a conceptual framework from a design perspective to visualize UD for stakeholders to enhance their communication efficiency and engage their creativity. In the research, we attempt to propose a storyboarding strategy for developing mHealth apps to visualize UDs for stakeholders. This article presents a systematic literature review synthesis process on selected literature on identifying the best storyboarding strategy of mHealth apps for pregnant women that could visualize UDs. Results from the study found the potential application of a storyboarding strategy for visualizing pregnant ladies' demands in developing the mHealth app's early design phase. This study contributes to proposing a conceptual framework for cartoon-like storyboarding in the early design phase of mHealth app development to visualize pregnant ladies' demands to foster user health behavior. This study is significant for integrating UDs into developing mHealth apps for pregnant women. Future studies are recommended to determine the characteristics of storyboarding in developing mHealth apps for pregnant women.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"23"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055536","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}
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