mHealth最新文献

{"title":"Telemedicine adoption in Ecuador: an assessment of physician perceptions and knowledge towards its benefits and limitations.","authors":"Ivan Cherrez-Ojeda, Emanuel Vanegas, Miguel Felix, María José Farfán Bajaña, Geovanny Alvarado-Villa, Hans Mautong, Fernando Espinoza, Zouina Sarfraz, Azza Sarfraz, Karla Robles-Velasco, Jack Michel, Abdelilah Lahmar, Luc J I Zimmermann, Antonio W D Gavilanes","doi":"10.21037/mhealth-24-92","DOIUrl":"10.21037/mhealth-24-92","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine (TM) is a growing field with the potential to improve healthcare delivery; however, it is important for proper implementation to understand how physicians perceive the benefits and limitations related to their use. With this study, our aim is to assess the perceptions and knowledge of TM among a sample of Ecuadorian healthcare providers.</p><p><strong>Methods: </strong>We conducted a cross-sectional online survey-based study where participants answered a 12-item survey assessing their knowledge and perceptions towards TM. Demographic variables were analyzed applying descriptive statistics, and a chi-square goodness-of-fit test was used to assess the observed frequencies of each of the survey's queries. Multiple linear regression was performed to evaluate predictors of overall attitude regarding TM.</p><p><strong>Results: </strong>In total, 382 participants completed the survey with an average age of 51.3 years [standard deviation (SD) 11.4]. Around half of the participants expressed low to very low familiarity with TM technology [χ² (4) =88.497, P<0.001]. Most of them considered to a high extent that TM is effective in reducing costs of patient care in hospitals [32.5%; n=124; χ² (4) =78.812, P<0.001]. Finally, 8 out of 10 participants expressed that a framework should be created to prevent breaches of data confidentiality when using TM [χ² (4) =250.749, P<0.001].</p><p><strong>Conclusions: </strong>In this study, we identified a significant proportion of physicians who reported limited familiarity with TM, despite recognizing its potential benefits for patient care. Concerns regarding data confidentiality breaches and the risk of malpractice were highlighted as primary issues necessitating a framework to mitigate these risks. Future research is required to address the perceived technological barriers to ensure the safe and efficient implementation of TM in healthcare settings.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"53"},"PeriodicalIF":2.2,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484146","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":"Translation and validation of the traditional Chinese Mobile App Rating Scale (MARS-TW) for evaluating mHealth apps.","authors":"Shih-Ting Chen, Yi-Ting Lu, Stoyan Stoyanov, Pei-Ching Liu, King-Jen Chang, I-Ching Hou","doi":"10.21037/mhealth-25-10","DOIUrl":"10.21037/mhealth-25-10","url":null,"abstract":"<p><strong>Background: </strong>Mobile health (mHealth) applications are widely used in Taiwan, yet their quality remains unregulated. The Mobile App Rating Scale (MARS) is a validated tool for assessing mHealth app quality, but a Traditional Chinese version has not been developed and validated. This study aimed to translate and validate the traditional Chinese version of MARS (MARS-TW) and assess its reliability and validity using a cross-cultural adaptation framework.</p><p><strong>Methods: </strong>A three-phase cross-sectional study was conducted: (I) conceptual and item equivalence were evaluated by three experts; (II) semantic equivalence was assessed through forward and backward translation; (III) operational, measurement, and functional equivalence were tested on 44 mHealth apps related to cancer care (CC) and hypertension self-management (HTM), rated independently by two reviewers.</p><p><strong>Results: </strong>The expert review confirmed conceptual and item equivalence. Semantic equivalence was achieved through iterative refinements. Reliability testing demonstrated good internal consistency (Cronbach's α ≥0.80) and inter-rater reliability [intraclass correlation coefficient (ICC) ≥0.76]. Convergent validity was supported by strong correlations within subscales [item-subscale (I-S) correlation >0.3, item-total (I-T) correlation >0.2], while divergent validity was acceptable (subscale correlations <0.70, P<0.05).</p><p><strong>Conclusions: </strong>MARS-TW is a reliable and valid tool for evaluating Traditional Chinese mHealth apps. Future research should explore its applicability across broader health-related app categories.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"55"},"PeriodicalIF":2.2,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483776","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":"Identifying behavior mediators influencing caregivers of infants participating in an mhealth intervention: qualitative evaluation of the Baby-Feed trial through interviews.","authors":"Alayne Gatto, Madison Moore, Jean Hannan, Cristina Palacios","doi":"10.21037/mhealth-25-40","DOIUrl":"10.21037/mhealth-25-40","url":null,"abstract":"<p><strong>Background: </strong>There are only a few online infant nutrition interventions based on a behavior change theory, and none have used a thematic analysis to understand which constructs may have contributed to behavioral change. We developed an online infant nutrition education web platform (Baby-Feed) based on the Social Cognitive Theory (SCT). This qualitative study aimed to identify among participants of the Baby-Feed intervention arm, which SCT behavior mediators (self-efficacy, outcome expectations, observational learning, and incentive motivation) influenced them to move them from intention into action to improve feeding behaviors.</p><p><strong>Methods: </strong>This qualitative study employed semi-structured interviews with 20 caregivers from the intervention arm of the Baby-Feed trial. The Baby-Feed online trial was a randomized, controlled, parallel trial that tested an educational website providing real-time feedback on infant feeding and weight gain among 155 caregivers with infants less than 4 months old and followed them until their infant completed the scheduled 9-month well-baby visit. Participants completed an interview with five questions (one or two per construct of the SCT: self-efficacy, outcome expectations, observational learning, and incentive motivation). Methods associated with deductive and inductive analysis were utilized to develop key themes on early feeding practices.</p><p><strong>Results: </strong>Among first-time mothers (n=10), 100% reported that their confidence either slightly or greatly increased with the use of Baby-Feed. Caregivers (n=11; 55%) reported that they found the \"Educational Resources by Nutrition Experts\" to be very helpful in their food choices and for modeling infant feeding behaviors. Some (n=3; 15%) also reported that they shared their newly acquired knowledge with others (i.e., friends, spouse, and grandparents), reinforcing the value of the information and that it would benefit others.</p><p><strong>Conclusions: </strong>Caregivers found the Baby-Feed website to be a helpful tool to increase their confidence in feeding their baby.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"61"},"PeriodicalIF":2.2,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484173","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 web-based intervention to promote healthy lifestyles in women under 45 years: a randomized controlled trial (RCT) for breast cancer prevention.","authors":"Rubén Martin-Payo, Claudia Leiros-Diaz, Amalia Ureña-Lorenzo, Judit Cachero-Rodriguez, Lucía Fernandez-Arce, María Del Mar Fernandez-Alvarez","doi":"10.21037/mhealth-25-2","DOIUrl":"10.21037/mhealth-25-2","url":null,"abstract":"<p><strong>Background: </strong>Dietary and physical activity behaviors can influence the development of breast cancer. This study aimed to evaluate the effectiveness of a web-app-based intervention in improving diet and physical activity among women aged 25-45 years residing in northern Spain.</p><p><strong>Methods: </strong>A randomized experimental study was conducted with two groups: an intervention group (IG) and a control group (CG). The Motiva.Diaf questionnaire was used to evaluate the impact of a web-app-based intervention on dietary and physical activity behaviors (range: 0= lowest adherence, 12= highest adherence to healthy behaviors). Women in the IG participated in a 12-week intervention based on the Behavior Change Wheel Model. The web-app provided information on both behaviors.</p><p><strong>Results: </strong>A total of 289 women completed the study (IG =101; CG =188). Considering the combined behaviors for IG (diet and physical activity), between PRE-intervention [8.12; standard deviation (SD) =2.51] and POST-intervention (8.46; SD =2.53), the score was significantly higher in POST [P=0.001; 95% confidence interval (CI): -0.546 to -0.140]. Similarly, significant improvements were observed in specific behavioral recommendations within the IG, with higher scores in dietary behaviors (P<0.001; 95% CI: -0.419 to -0.141), and in physical activity between IG and CG at POST (P=0.04; 95% CI: -0.531 to -0.014). Previous adherence to recommendations was a predictor of POST-intervention adherence to healthy behaviors (Standardized β =0.645; 95% CI: 0.773-0.886; R² =67%).</p><p><strong>Conclusions: </strong>The intervention has proven effective in improving adherence to healthy dietary and physical activity behaviors. Policymakers should prioritize the development of these digital interventions as they can play a crucial role in addressing challenges faced by healthcare systems and meeting societal demands. Therefore, healthcare professionals can implement them.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT05267171.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"54"},"PeriodicalIF":2.2,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483961","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":"Exploring health literacy, perceived needs, information preferences and acceptability of smartphone-based messaging interventions among individuals with obstructive sleep apnoea in Hong Kong: a mixed-method approach.","authors":"Agnes Yuen-Kwan Lai, Asa Ching-Man Choi, Macy Mei-Sze Lui, Hannah Wing-Hang Tsoi, Tyrone Tai-On Kwok, Yuying Sun, Mary Sau-Man Ip","doi":"10.21037/mhealth-25-26","DOIUrl":"10.21037/mhealth-25-26","url":null,"abstract":"<p><strong>Background: </strong>The role of technology in disease management has gained significant attention, mobile health technology for obstructive sleep apnea (OSA) remains underdeveloped, with limited research exploring its applications. This study explored OSA individuals' health literacy, perceived needs for improvement, information preferences, and acceptance of smartphone-based messaging interventions.</p><p><strong>Methods: </strong>The study comprised two parts. Part 1 was a cross-sectional, self-administered online survey using non-probability convenience sampling conducted in the inpatient ward and outpatient clinic of Queen Mary Hospital, Hong Kong, from May to July 2020. The questionnaire assessed health literacy, perceived needs, and views on smartphone-based messaging interventions to enhance self-management of OSA. Written consent was obtained, and the survey took approximately 10 minutes to complete. Part 2 involved a focus group interview in August 2020 with nine randomly selected participants from Part 1, exploring their views on perceived needs and smartphone-based messaging interventions.</p><p><strong>Results: </strong>A total of 108 participants (82% men; 40.7% aged ≥60 years) were included. Participants self-reported their OSA severity as mild (21.3%), moderate (17.6%), and severe (23.1%), while 38% were unaware of their severity. The results showed low OSA-related health literacy among participants, with no significant differences by age or years since diagnosis. Most participants (76.8%) expressed a strong desire to improve their health. High demand for OSA-related information was reported, including sleep quality (83.3%), OSA-related knowledge (82.4%), weight control (81.5%), habit improvement (78.7%), and emotional management (66.7%). The messaging intervention was well accepted, with high feasibility (82.4%) and usability (72.2%).</p><p><strong>Conclusions: </strong>This study highlights low OSA-related health literacy and a strong demand for authoritative health information. Most found that the messaging intervention was feasible and useful in improving health-related habits and OSA management. The study underscores the need for tailored health education, personalized interventions targeting perceived needs, and innovative messaging solutions to enhance treatment adherence and self-management in OSA individuals.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"44"},"PeriodicalIF":2.2,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484031","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":"Telemedicine-supported penicillin allergy delabeling in low-risk patients.","authors":"Sylwia Smolinska, Cristina Boccabella, Tito-Rodriguez Bouza, Krzysztof Jurkiewicz, Florin-Dan Popescu","doi":"10.21037/mhealth-24-89","DOIUrl":"10.21037/mhealth-24-89","url":null,"abstract":"<p><p>The advancement of telemedicine (TM) practices has enabled greater access for allergists to assess suspected drug allergies. While penicillin allergy delabeling by drug challenges may not seem suitable for TM due to the need for close patient observation and rapid access to emergency care, it is important not to shy away from discussing the potential for initial drug hypersensitivity assessments and even direct amoxicillin oral provocation in low-risk patients under TM conditions. Through an extensive literature analysis, this narrative review discusses clinical practices, eligibility criteria, and safety considerations regarding virtual care for safe penicillin allergy delabeling in such patients. Emphasis is placed on risk stratification using recently validated clinical tools and expert opinion strategies, such as PEN-FAST [penicillin (PEN) allergy, an occurrence of five or fewer years ago (F), anaphylaxis or angioedema (A), severe cutaneous adverse reaction/SCAR (S), and treatment required for allergic reaction (T)] score and European Academy of Allergy and Clinical Immunology (EAACI)/European Network on Drug Allergy (ENDA) practical recommendations, to identify the low-risk patients suitable for remote assessment and TM-supported amoxicillin challenges, if necessary, which may be performed in outpatient departments, long-term care facilities or other remote settings, including the patient's home. The clinical practice review summarizes initial evaluation protocols, virtual monitoring procedures in case of low-risk oral provocations, and post-challenge follow-up, underlining the importance of informed consent, patient education, and caregiver presence. Oral H1 antihistamines are recommended for symptomatic relief if needed, and the benefits of acquiring an epinephrine autoinjector solely for the challenge represent a juncture for shared decision-making. While TM offers promising avenues to expand access to penicillin allergy delabeling in low-risk individuals, it is not a substitute for in-person evaluation in high- or intermediate-risk cases. The review also highlights technological, ethical, and legal challenges, serving only as an informational resource.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"66"},"PeriodicalIF":2.2,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484131","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":"Factors impacting medical students' behavioral intentions and use behavior to use mobile applications for health care escort services (MA-HCES) in Chengdu, China.","authors":"Min Shen, Yu Zhao, Ziyi Qin, Xu Jia","doi":"10.21037/mhealth-25-27","DOIUrl":"10.21037/mhealth-25-27","url":null,"abstract":"<p><strong>Background: </strong>Mobile applications for health care escort services (MA-HCES) have emerged as an innovative solution to assist patients during hospital visits and improve service delivery efficiency. Despite their growing presence, their adoption among specific populations such as medical students remains understudied. This research aimed to evaluate the effects of perceived ease of use, perceived usefulness, attitudes, facilitating conditions and perceived behavioral control on behavioral intention and the utilization of MA-HCES among medical college students.</p><p><strong>Methods: </strong>Employing a quantitative research design, data were collected through questionnaires distributed to the target population of medical college students. The data were analyzed and the research hypotheses were tested via the item-objective congruence (IOC) index, pilot test, confirmatory factor analysis (CFA), and structural equation modeling (SEM) methods.</p><p><strong>Results: </strong>Findings indicated that perceived usefulness exerted the most significant influence on the behavioral intention to utilize MA-HCES. Additionally, perceived ease of use, attitudes, facilitating conditions and perceived behavioral control had positive effects on college students' behavioral intention to use MA-HCES. Consequently, behavioral intention was found to significantly influence actual use behavior.</p><p><strong>Conclusions: </strong>A survey was conducted among 511 medical college students to collect data, and a SEM was used to test the research model. The findings suggest that perceived ease of use, attitudes, facilitating conditions, and perceived behavioral control positively influence college students' intention to utilize MA-HCES. Therefore, behavioral intention has a substantial effect on use behavior. This study introduces a novel model that can accurately forecast the behavioral intentions of medical college students to use MA-HCES, making valuable contributions to both practical application and theoretical understanding.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"60"},"PeriodicalIF":2.2,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484147","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":"Mitigating the digital divide: exploring moderation and mediation effects on eHealth performance in a comparative study of Europe and Southeast Asia.","authors":"Chih-Hung Chen","doi":"10.21037/mhealth-24-67","DOIUrl":"10.21037/mhealth-24-67","url":null,"abstract":"<p><strong>Background: </strong>The digital divide significantly influences healthcare accessibility and outcomes, particularly regarding eHealth technologies. Disparities in eHealth adoption between Europe and Southeast Asia underscore the impact of E-government development on eHealth performance. This study focuses on digital literacy as a mediating factor and religious beliefs as a moderating variable, recognizing that these elements can shape the effectiveness of eHealth initiatives.</p><p><strong>Methods: </strong>A quantitative analysis was conducted using secondary data from 31 geographically diverse countries, representing both developed and emerging economies, spanning the years 2019 to 2022. This period was chosen due to the coronavirus disease 2019 (COVID-19) pandemic, which exacerbated the digital divide in eHealth adoption and accessibility. The analysis examined the relationships between E-government development, digital literacy, religious beliefs, and eHealth performance.</p><p><strong>Results: </strong>The findings indicate that E-government development positively influences eHealth performance, with digital literacy playing a significant mediating role in this relationship. Additionally, religious beliefs, particularly Atheism, were found to moderate the relationship between E-government development and eHealth performance. Regions with lower levels of religiosity demonstrated a greater receptiveness to eHealth technologies, suggesting that cultural factors significantly affect technology adoption.</p><p><strong>Conclusions: </strong>The results underscore the necessity of integrating digital literacy initiatives alongside E-government development to enhance eHealth performance effectively. Policymakers should consider the cultural and religious landscape when designing eHealth strategies to ensure equitable access to healthcare resources. By addressing both technological and cultural barriers, it is possible to improve healthcare accessibility and outcomes for diverse populations, ultimately bridging the digital divide in healthcare.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"51"},"PeriodicalIF":2.2,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484117","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":"MyGauch^TM: a patient-centered digital health app for Gaucher disease.","authors":"Majdolen Istaiti, Elena Shulman, Tama Dinur, Dafna Frydman, Linda Harnevo, Moshe Farin, Ari Zimran, Shoshana Revel-Vilk","doi":"10.21037/mhealth-24-100","DOIUrl":"10.21037/mhealth-24-100","url":null,"abstract":"<p><strong>Background: </strong>Gaucher disease (GD) is a rare genetic disorder caused by variants in the <i>GBA1</i> gene, leading to a deficiency of β-glucocerebrosidase. This enzyme deficiency results in glucocerebroside accumulation in macrophages, forming \"Gaucher\" cells and causing symptoms such as hepatosplenomegaly, anemia, thrombocytopenia, and severe bone issues like osteonecrosis. While enzyme replacement therapy (ERT) and substrate reduction therapy (SRT) have improved the management of non-neuronopathic GD, type 1 Gaucher disease (GD1), patients still face significant challenges. Digital health technologies offer potential solutions by enabling continuous patient monitoring, treatment adherence, and patient-reported outcome measures. The aim of this study was to evaluate the use of a GD-specific app in adults with GD1.</p><p><strong>Methods: </strong>With input from GD experts and patient groups, the INTEGRA^TM platform was customized to meet the needs of patients with GD, resulting in the development of the MyGauch^TM v1.0 app. This app, integrated with the INTEGRA^TM platform, facilitated patient care through the capture of genetic, clinical, laboratory, and biomarker data and secure data transmission. The app included components for tracking pain, fatigue, physical activity, nutrition, and medication adherence. It featured a structured GD-specific patient-reported outcome measurements (PROMs) questionnaire assessing disease burden and treatment satisfaction. Additional tools included medication reminders, communication with the Gaucher clinic, access to lab results, and educational resources. All components were integrated into a centralized dashboard. Adults (≥18 years) with GD1, access to a mobile phone, and receiving ERT or SRT at enrollment were eligible for the study. Improvement in satisfaction with GD treatment was assessed using a question on treatment satisfaction from the electronic PROMs questionnaire.</p><p><strong>Results: </strong>The study enrolled 90 adults with GD1 who received ERT or SRT and had access to the necessary technology. The improvement in satisfaction with the medical management of the GD with the use of MyGauch^TM was modest and not associated with demographic, disease, or treatment-related factors. The high non-participation rate, limited use of the app's features, and lack of personalized feedback on physical activity and nutrition were noted as limitations.</p><p><strong>Conclusions: </strong>Although the development of MyGauch^TM v1.0 represents a novel approach, low user engagement highlights the need for a newer app with improved features and patient education that would enhance patient's health. Future research should prioritize understanding and overcoming obstacles to successfully adopting digital tools in rare disease management and creating more comprehensive self-management solutions tailored to patient behaviors and needs.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"58"},"PeriodicalIF":2.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484200","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":"The impact of an online personal health platform on lifestyle and anthropometric factors related to type 2 diabetes risk and management.","authors":"Craig McNulty, Justin Holland","doi":"10.21037/mhealth-24-87","DOIUrl":"10.21037/mhealth-24-87","url":null,"abstract":"<p><strong>Background: </strong>Type 2 diabetes mellitus (T2DM) presents a significant global health challenge due to its complex aetiology and widespread impact on various bodily systems. Its prevalence and associated mortality rates have been steadily rising, imposing substantial economic burdens and deteriorating quality of life. With the advent of mobile and computer applications (apps), there has been growing interest in utilizing technology to promote healthier lifestyles among T2DM patients. The Shae platform, an online platform, takes a personalized approach to lifestyle recommendations. This study aims to evaluate the impact of engagement with Shae on T2DM risk using the Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK) tool and associated lifestyle and anthropometric values, highlighting the potential of targeted and personalized health apps in improving health outcomes and user adherence.</p><p><strong>Methods: </strong>Participants for this study were drawn from those engaging with the Shae online platform from May 2014 to March 2018, totalling 1,690 participants after accounting for exclusion criteria. Measures included anthropometric data, survey responses, and AUSDRISK risk score calculations. Statistical analysis involved paired sample <i>t</i>-tests and generalized additive model adjusting for relevant variables.</p><p><strong>Results: </strong>The data primarily comprises females, constituting 86.9% (1,468 individuals), with males making up 13.1% (222 individuals). Notably, both female and male participants showed reductions in average AUSDRISK scores from baseline to follow-up. Female participants saw a decrease from 8.95 to 7.87, while male participants experienced a decrease from 10.82 to 9.79. Additionally, improvements were observed in average anthropometric measures such as body mass index (BMI), body fat index (BFI), and waist-to-height ratio (WHt) across both genders.</p><p><strong>Conclusions: </strong>While improvements were noted in diabetes risk and anthropometric measures, challenges in reducing sedentary behavior were evident, emphasizing the need for targeted interventions. Reductions in BMI and WHt suggest positive shifts in body composition, crucial for mitigating metabolic risks. Integrating mobile health platforms into diabetes prevention strategies holds promise for enhancing outcomes and empowering individuals to manage their health effectively.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"11 ","pages":"56"},"PeriodicalIF":2.2,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483771","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}