mHealth最新文献

{"title":"A qualitative study of provider feedback on the feasibility and acceptability of virtual patient simulations for suicide prevention training.","authors":"Kimberly H McManama O'Brien,&nbsp;Kristen Quinlan,&nbsp;Laura Humm,&nbsp;Andrea Cole,&nbsp;Warren Jay Pires,&nbsp;Ariel Jacobs,&nbsp;Julie Goldstein Grumet","doi":"10.21037/mhealth-22-15","DOIUrl":"https://doi.org/10.21037/mhealth-22-15","url":null,"abstract":"<p><strong>Background: </strong>Healthcare organizations are often committed to preventing suicide among their patients, but they can struggle to adequately train providers and implement strategies grounded in evidence-based suicide prevention practices. Virtual patient simulations (VPS) offer the opportunity for providers at healthcare organizations and educational institutions to learn suicide prevention strategies using a realistic and risk-free environment. The purpose of this study was to gather feedback from leaders in the healthcare field regarding the feasibility and acceptability of VPS for their organizations.</p><p><strong>Methods: </strong>Participants (N=9) included administrators, managers, and educators from a variety of health care settings. They were invited to independently test the VPS and participate in a subsequent focus group to provide feedback. Participants were asked about VPS acceptability, satisfaction, potential fit within the intended context, feasibility of delivery, motivation to use, and likelihood of adoption. Responses were audio recorded and transcribed for coding and thematic analysis.</p><p><strong>Results: </strong>Themes emerged regarding perceived benefits of the VPS, considerations related to cost, barriers to implementation, and suggestions for improvement. Participants reported VPS trainings were acceptable and feasible, filling an important gap in the field especially around suicide safety planning, particularly for newer clinicians and students in training. Participants felt that this type of virtual training was particularly feasible given the recent increase in need for online trainings. Suggested improvements included the need to normalize the trial-and-error nature of the VPS for trainees prior to the start of the training, and to consider shortening the duration of the simulation due to learners not being able to bill for time while training.</p><p><strong>Conclusions: </strong>VPS may help to fill an important training need in the field of suicide prevention. The training suite may be best suited for certain settings, such as educational institutions, and most useful for populations including students and new clinicians. VPS may be particularly feasible for organizations that already utilize remote options for work and training.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":" ","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9b/42/mh-08-22-15.PMC9634202.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40668421","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":"Stakeholder engagement, proper planning and modular design for mHealth apps: lessons from QuestExplore and working toward standards for mHealth app design.","authors":"Amanda K Johnson,&nbsp;Sung Won Choi","doi":"10.21037/mhealth-22-28","DOIUrl":"https://doi.org/10.21037/mhealth-22-28","url":null,"abstract":"With the exponential growth of technology over the past century, individuals engaging with some form of technology in their daily lives is fairly ubiquitous. A subset of the broader technology advancements involves the growth of mobile health (mHealth) applications (apps) that typically engage individuals in learning about, tracking and/or managing some aspect of their health and wellness. The rate of mHealth app creation and engagement has outpaced regulatory management, creating dead-end or one-hit wonder apps that are specific for a certain population and time, lacking malleability and iterative plans for future versions of those apps (1). Additionally, without much regulatory guidance, questions and concerns regarding the privacy and security of data recorded in mHealth apps are often raised (1). The rapid pace of mHealth app development and release has been known for over a decade with almost 6,000 health and wellness apps in 2010 and nearly tripling to 17,000 health and wellness apps in 2013 (2). More recent estimates cite 350,000 mHealth apps that are currently available to consumers (3). Subramaniam and colleagues took advantage of a longneeded opportunity by completing and subsequently outlining a rigorous qualitative approach of their app’s development in the recent mHealth article “Careful considerations for mHealth app development: lessons learned from QuestExplore (1).” Additionally, they review how the app they developed could be modified for future use and further adapted or scaled in different populations (1). Their iterative development process highlights the importance of engagement with an interdisciplinary team of stakeholders, heavy planning and beta testing phases, and modular app design (1). Using this approach as guidance for the creation of future mHealth apps will make mHealth apps more standardized in their development, improve data safety and security, and allow for broader use (1).","PeriodicalId":74181,"journal":{"name":"mHealth","volume":" ","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/92/mh-08-22-28.PMC9634206.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40668419","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":"Patient and provider experiences using a site-to-site telehealth model for medication abortion.","authors":"Samantha P Ruggiero,&nbsp;Jane W Seymour,&nbsp;Terri-Ann Thompson,&nbsp;Julia E Kohn,&nbsp;Jennifer L Snow,&nbsp;Daniel Grossman,&nbsp;Laura Fix","doi":"10.21037/mhealth-22-12","DOIUrl":"https://doi.org/10.21037/mhealth-22-12","url":null,"abstract":"<p><strong>Background: </strong>In the site-to-site telehealth for medication abortion model, patients visit a health center to meet with a remote clinician using telehealth technology. This model is safe, effective, and acceptable to patients and providers. The objective of this study was to document the experiences of patients and providers using telehealth for medication abortion in Planned Parenthood health centers across different geographical contexts in the United States.</p><p><strong>Methods: </strong>We conducted in-depth interviews with Planned Parenthood medication abortion patients who either met with a clinician at the clinic via telehealth or in-person about their experiences receiving care. We also interviewed Planned Parenthood staff members about their experiences implementing telehealth for medication abortion at their health center.</p><p><strong>Results: </strong>We interviewed 29 patients who received care at Planned Parenthood health centers in five states. Both telehealth and in-person patients described positive interactions with health center staff and clinicians. The vast majority of telehealth patients said that they felt comfortable speaking with the clinician over telehealth and had no trouble using the telehealth technology. We interviewed 12 providers, including clinicians and administrative staff, who worked in seven states. Providers largely thought that telehealth for medication abortion expanded access to medication abortion.</p><p><strong>Conclusions: </strong>Across different locations, our findings indicate that patients found telehealth for medication abortion services to be highly acceptable and providers found that telehealth services may help improve medication abortion access. As the use of telehealth for medication abortion expands, future research should include additional measures of quality to ensure that services are acceptable across different identities and experiences, including age, race, gender, and income level.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":" ","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/a1/mh-08-22-12.PMC9634192.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40668420","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":"Addressing and evaluating health literacy in mHealth: a scoping review.","authors":"Margaret R Emerson, Sydney Buckland, Maxwell A Lawlor, Danae Dinkel, David J Johnson, Maria S Mickles, Louis Fok, Shinobu Watanabe-Galloway","doi":"10.21037/mhealth-22-11","DOIUrl":"10.21037/mhealth-22-11","url":null,"abstract":"<p><strong>Background: </strong>Recent surveys have revealed many adults have basic or below basic health literacy, which is linked to medical errors, increased illness, and compromised public health. Health literacy as a concept is multi-faceted extending beyond the individual to include social structures and the context in which health information is being accessed. Delivering health information via mobile devices (mHealth) expands the amount of information available while presenting challenges to ensuring these materials are suitable for a variety of literacy needs. The aims of this study are to discover how health literacy is addressed and evaluated in mHealth app development.</p><p><strong>Methods: </strong>A scoping review of 5 peer-reviewed databases was conducted. Eligible articles were written in English, addressed general literacy or mHealth/digital/eHealth literacy, and collected literacy information in order to incorporate literacy into the design and/or modification of an app or collected literacy information to describe the population being studied. The \"Health Literacy Online\" (HLO) United States (U.S.) government guide was used as a framework.</p><p><strong>Results: </strong>Thirty-two articles were reviewed. Articles included health literacy recommendations for all HLO categories and some recommendations not aligned with these categories. Most articles addressed health literacy using specific HLO categories though none incorporated every HLO category. The most common categories addressed engagement and testing of mHealth content. Though several studies addressed health literacy through a formal assessment tool, most did not. Evaluation of health literacy in mHealth was end-user focused and did not extensively evaluate content for fit to a variety of individuals with limited health literacy.</p><p><strong>Conclusions: </strong>The recommendations seen consistently in our results in conjunction with formal HLO categories can act as beginning steps towards development of a health literacy evaluation tool for mHealth apps themselves. It is clear efforts are being made to reduce barriers to using mHealth for those with literacy deficits, however, it was also clear that this space has room to be more pragmatic in evaluation of mHealth tools for literacy. End user engagement in design and testing is necessary in future mHealth literacy tool development.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"8 ","pages":"33"},"PeriodicalIF":2.2,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0d/33/mh-08-22-11.PMC9634204.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9328441","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":"Assessment of shoulder range of motion using a commercially available wearable sensor-a validation study.","authors":"Li Yi Tammy Chan,&nbsp;Chong Shan Chua,&nbsp;Siaw Meng Chou,&nbsp;Ren Yi Benjamin Seah,&nbsp;Yilun Huang,&nbsp;Yue Luo,&nbsp;Lincoln Dacy,&nbsp;Hamid Rahmatullah Bin Abd Razak","doi":"10.21037/mhealth-22-7","DOIUrl":"https://doi.org/10.21037/mhealth-22-7","url":null,"abstract":"<p><strong>Background: </strong>Our study aims to validate a commercially available inertial measurement unit (IMU) system against a standard laboratory-based optical motion capture (OMC) system for shoulder measurements in a clinical context.</p><p><strong>Methods: </strong>The validation analyses were conducted on 19 healthy male volunteers. Twelve reflective markers were placed on each participant's trunk, scapula and across the arm and one IMU was attached via a self-adhesive strap on the forearm. A single tester simultaneously collected shoulder kinematic data for four shoulder movements: flexion, extension, external rotation, and abduction. Agreement between OMC system and IMU measurements was assessed with Bland-Altman analyses. Secondary analysis included mean biases, root mean square error (RMSE) analysis and Welch's <i>t</i>-test.</p><p><strong>Results: </strong>Bland-Altman limits of agreement (LoA) exceeded the acceptable range of mean difference for 95% of the population (-22.27°, 11.31°). The mean bias showed high levels of agreement within 8° for all four movements. More than 60% of participants demonstrated mean bias less than 10° between methods. Statistically significant differences were found between measurements for abduction (P<0.001) and flexion (P=0.027) but not for extension and external rotation (P≥0.05).</p><p><strong>Conclusions: </strong>Our study shows preliminary evidence for acceptable accuracy of a commercially available IMU against an OMC system for assessment of shoulder movements by a single tester. The IMU also exhibits similar whole degree of error compared to a standard goniometer with potential for application in remote rehabilitation.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":" ","pages":"30"},"PeriodicalIF":0.0,"publicationDate":"2022-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/55/4f/mh-08-22-7.PMC9634209.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40668418","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":"Increased motivation for and use of digital services in heart failure patients participating in a telerehabilitation program: a randomized controlled trial.","authors":"Helle Spindler,&nbsp;Anne-Kirstine Dyrvig,&nbsp;Cathrine Skov Schacksen,&nbsp;Danny Anthonimuthu,&nbsp;Lars Frost,&nbsp;Josefine Dam Gade,&nbsp;Sissel Højsted Kronborg,&nbsp;Kiomars Mahboubi,&nbsp;Jens Refsgaard,&nbsp;Birthe Dinesen,&nbsp;Malene Hollingdal,&nbsp;Lars Kayser","doi":"10.21037/mhealth-21-56","DOIUrl":"https://doi.org/10.21037/mhealth-21-56","url":null,"abstract":"<p><strong>Background: </strong>eHealth literacy (eHL) may be an important factor in the adoption of telerehabilitation. However, little is known about how telerehabilitation affects patients' eHL. The current study evaluated changes over time in eHL for heart failure (HF) patients in a telerehabilitation program (the Future Patient Program) compared to a traditional rehabilitation program.</p><p><strong>Methods: </strong>As part of a randomized controlled trial comparing telerehabilitation with traditional rehabilitation, 137 HF patients completed the eHealth Literacy Questionnaire (eHLQ) at 6 and 12 months of their respective rehabilitation programs.</p><p><strong>Results: </strong>At 6 months, the telerehabilitation group indicated higher levels of 'using technology to process health information' and 'motivated to engage with digital services'. This difference was consistent over time, and we found no other differences between groups or over time with regard to eHL.</p><p><strong>Conclusions: </strong>Providing a digital toolbox for processing health information to HF patients may aid in increasing their eHL, motivation, and ability to engage with digital services in HF patients. Especially, if the technology is designed to support patient needs in terms of the educational content of the program. Preferably technology should be provided early on in the rehabilitation process to ensure optimal outcome.</p><p><strong>Trial registration: </strong>The study was registered in ClinicalTrials.gov (NCT03388918).</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":" ","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/74/mh-08-21-56.PMC9343969.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40682798","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 for transgender and gender-expansive youth: an update on COVID, venture capital, and the cultural in/congruence of revenue-driven sustainability models.","authors":"Simone J Skeen, Demetria Cain","doi":"10.21037/mhealth-22-10","DOIUrl":"10.21037/mhealth-22-10","url":null,"abstract":"","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"8 ","pages":"28"},"PeriodicalIF":2.2,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9f/9c/mh-08-22-10.PMC9344201.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9104243","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 video gaming for human papillomavirus vaccination among college men-qualitative inquiry for development.","authors":"Gabrielle Darville-Sanders,&nbsp;Charkarra Anderson-Lewis,&nbsp;Michael Stellefson,&nbsp;Yu Hao Lee,&nbsp;Jann MacInnes,&nbsp;R Morgan Pigg,&nbsp;Rebeccah Mercado,&nbsp;Cheryl Gaddis","doi":"10.21037/mhealth-21-29","DOIUrl":"https://doi.org/10.21037/mhealth-21-29","url":null,"abstract":"<p><strong>Background: </strong>Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. Persistent infection with HPV can cause various cancers; however, HPV vaccination can prevent infections associated with high risk, cancerous strains of the virus. As it relates to HPV, college age men have been identified as one of the catch-up vaccination groups. Among college age men, gaming is an extremely popular extracurricular activity. Further, video games have emerged as a popular public health intervention tool. Therefore, this study aims to collect qualitative data on how to develop, implement and evaluate the effectiveness of a gaming intervention to increase HPV risk perceptions, improve self-efficacy and increase intention to receive the HPV vaccine among male college students (18-26 years old).</p><p><strong>Methods: </strong>Four focus group sessions ranging from eight to ten individuals were conducted among male college students from one large research-intensive university in the South. Using grounded theory, data from focus group interviews were coded using NVivo software to identify emergent themes.</p><p><strong>Results: </strong>Participants emphasized that although customization was not viewed as important by college aged males, the ability to tailor in game experiences or experience different things each time they played (creative freedom) was more important. They encouraged that the digital game be created on a mobile platform, incorporate health messages, and be informative to reach their population. Furthermore, they suggested innovative way to disseminate the game, which included having health department/health care providers prescribe the game to patients as an end of clinical interaction strategy.</p><p><strong>Conclusions: </strong>College age men, are natural avid gamers, enjoy game play, and can engage in learning online or offline. While platform preference varies among gamer type, college age men in our study emphasized that mobile based gaming is the most advantageous way to increase knowledge/awareness and encourage positive in game behavior which can impact out of game behaviors such as vaccination. Because of the level of access and natural disposition of mHealth technology seen as an \"extension of the self\", games for health developers should consider the mobile platform as the ideal for the target demographic.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":" ","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/c3/mh-08-21-29.PMC9343976.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40602966","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":"Careful considerations for mHealth app development: lessons learned from QuestExplore.","authors":"Arvind Subramaniam,&nbsp;Elizabeth Hensley,&nbsp;Rebecca Stojancic,&nbsp;Jacqueline Vaughn,&nbsp;Nirmish Shah","doi":"10.21037/mhealth-21-51","DOIUrl":"https://doi.org/10.21037/mhealth-21-51","url":null,"abstract":"<p><strong>Background: </strong>Mobile health (mHealth) applications (app) have proven to be useful in gathering symptom data for a variety of populations living with chronic and serious illnesses. These mHealth tools have been built for a variety of populations but can quickly lose their novelty over time due to the lack of changes and engagement between the mHealth tool and the user. High costs, constantly changing timelines, and difficulties in building compliant data storage systems are some of the reasons why mHealth development and implementation can be a challenge.</p><p><strong>Methods: </strong>Our team's tool, QuestExplore (QE), was built in collaboration with healthcare providers, child-life specialists, a music therapist, mobile app developers, data specialists, cyber security specialists, researchers, and children living with chronic illnesses alongside their families. Through this process, our team learned various ways to reduce costs, streamline the app development process, and build compliant data storage systems. In addition, our frequent interactions with stakeholders provided us with the ability to continuously make improvements, to build an engaging mHealth app.</p><p><strong>Results: </strong>Based upon our findings, our team needed to include prompting, condensing, gamification, data visualizations, and an engaging user design in the remodel of QE. Through a three-stage process of redesigning our previous symptom monitoring apps, QE was developed to better communicate between our users and their providers, with the overall hope of improving symptom management of these children.</p><p><strong>Conclusions: </strong>In the paper, we aim to explain how our team developed QE with feedback from our stakeholders, while also continuously improving our development process through the lessons we gained through the app's development. QE is now being used in both Duke University and the University of North Carolina at Chapel Hill and will soon be implemented in Amsterdam University Medical Center.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":" ","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/77/mh-08-21-51.PMC9343977.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40682802","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":"Transition to wellness: developing a telehealth wellness program to address student fieldwork challenges during the COVID-19 pandemic.","authors":"Gavin R Jenkins,&nbsp;Deek Cunningham,&nbsp;Maya F Barcelli,&nbsp;Jordan Gray Meoli","doi":"10.21037/mhealth-21-35","DOIUrl":"https://doi.org/10.21037/mhealth-21-35","url":null,"abstract":"<p><p>The Transition to Wellness Program is an occupational therapy (OT) based program that was developed in response to the COVID-19 pandemic. For OT students, fieldwork is a required element of their training. In March 2020, these were being halted due to lockdowns and the risk to students in healthcare settings. Facing significant delays to graduation for 60 students, including some unable to be placed into healthcare settings due to underlying conditions, the development of a telehealth program was conceived to address this, while still meeting the accreditation clinical/health/wellness standards for OT fieldwork. A group of students, with faculty oversight, developed the theoretical basis, tools, policies and procedures for the program. An incremental launch allowed testing and refinement of the program to meet the educational needs of the students and the wellness needs of the clients. At its launch, the program supported 10 of that cohorts' 60 students to continue to meet the required academic standards and progress through their fieldwork towards graduation. Each student got to experience the \"telehealth\" model in providing OT wellness interventions to individuals in the local community. Future work will focus on continuing to broaden the reach of the program and measure the outcomes.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":" ","pages":"27"},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/99/ec/mh-08-21-35.PMC9343972.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40682800","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}