mHealth最新文献

{"title":"Mobile app development in health research: pitfalls and solutions.","authors":"Aaron J Siegler,&nbsp;Justin Knox,&nbsp;José A Bauermeister,&nbsp;Jesse Golinkoff,&nbsp;Lisa Hightow-Weidman,&nbsp;Hyman Scott","doi":"10.21037/mhealth-19-263","DOIUrl":"https://doi.org/10.21037/mhealth-19-263","url":null,"abstract":"<p><p>Mobile app health research presents myriad opportunities to improve health, and simultaneously introduces a new set of challenges that are non-intuitive and extend beyond typical training received by researchers. Informed by our experiences with app development for health research, we discuss some of the most salient pitfalls when working with emerging technology as well as potential strategies to avoid or resolve these challenges. To address challenges at the project level, we suggest strategies that researchers can use to future-proof their research, such as using theory and involving those with app development expertise as part of a research team. At the structural level, we include a new model to characterize the relationship between technology- and research-timelines, and provide ideas regarding how to best address this challenge. Given that screen-based time now predominates our lived experiences, it is important that health researchers have the capacity and structural support to develop interventions that utilize these technologies, assess them rigorously, and ensure their timely and equitable dissemination.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"7 ","pages":"32"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8063010/pdf/mh-07-19-263.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9454858","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":"\"It closes the gap when the ball is dropped\": patient perspectives of a novel smartphone app for regional care coordination after hospital encounters.","authors":"A. Guzman, Tiffany L. Brown, D. Liss","doi":"10.21037/mhealth-21-49","DOIUrl":"https://doi.org/10.21037/mhealth-21-49","url":null,"abstract":"Background\u0000Despite the broad adoption of electronic health records (EHRs) for inpatient and outpatient care, and wide availability of EHR-linked portals, these tools are not always effective in informing primary care teams about patients' emergency department (ED) visits or inpatient admissions, leading to persistent gaps in care coordination. The objective of this study was to understand how patients with limited patient portal use in a safety net setting engaged with a smartphone app that used location tracking to detect and notify care teams about patients' hospital use in order to stimulate care coordination and follow-up care.\u0000\u0000\u0000Methods\u0000We recruited English- and Spanish-speaking adults at high risk of hospital use from a Federally Qualified Health Center (FQHC). The app detected when patients visited the hospital and asked them to confirm a hospital visit. When confirmed, the app notified the primary care team about the visit, and the care team followed up with patients according to the FQHC protocols for care coordination. We collected qualitative data on app experience from participants who used the app for four months and used a general inductive approach to identify recurring themes.\u0000\u0000\u0000Results\u0000Participants generally reported a positive app experience, as it helped solve the problem of poor follow-up care. \"I liked the goal of the app…Ultimate goal of it was comforting\", recounted one participant when describing her app experience. Participants thought the app push notifications could be refined and the app itself could be modernized. Participants also suggested improvements to the push notifications they received from the app and the visit information they entered into the app for care teams to receive. Some participants also suggested improvements to the FQHC's care coordination workflows facilitated by the app, like an immediate connection to the patient's primary care team.\u0000\u0000\u0000Conclusions\u0000The app was well received by low-income patients at high risk of ED/inpatient visits. Future research is needed to determine feasibility of implementation in other settings.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"8 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43735350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ongoing HIV epidemic in American youth: challenges and opportunities.","authors":"Lao-Tzu Allan-Blitz,&nbsp;Leandro A Mena,&nbsp;Kenneth H Mayer","doi":"10.21037/mhealth-20-42","DOIUrl":"https://doi.org/10.21037/mhealth-20-42","url":null,"abstract":"<p><p>The incidence of human immunodeficiency virus (HIV) infection has been decreasing in the United States overall, except among youth, and in particular among Black and Latinx young men who have sex with men (MSM). In this review we summarize key drivers of the HIV epidemic among youth, as well as novel interventions geared specifically towards combating the epidemic among high-risk populations. Many factors driving the HIV epidemic among youth are related to systemic inequities, including lack of access to healthcare, inadequate education, and internalized and experience homophobia and racism. Developmentally, youth may feel that they are invulnerable and be willing to engage in risks. Moreover, HIV is often invisible for youth given advances in treatment and community stigma, limiting open discussion of risk and new preventive modalities. Outcomes from the HIV treatment cascade suggest that youth are less likely to be aware of their HIV infection status, less likely to link to and be engaged in care, and less likely to be virologically suppressed than older MSM and other populations of people living with HIV. Importantly, pre-exposure prophylaxis (PrEP) has been shown to be an effective tool for prevention of HIV infection that also appears to have disproportionately poor uptake among youth. Barriers to PrEP utilization appear to be quite heterogeneous, and include patient-, provider-, and structural-level barriers. Interventions important in improving HIV prevention will thus have to be multipronged and developed for culturally diverse populations. Cognitive behavioral therapy-based interventions are promising strategies as they are able to address a diverse array of barriers. New formulations of PrEP will also likely be instrumental in improving adherence. Since youth spend considerable amounts of time accessing digital media, the deployment of apps and other mobile phone-based interfaces offer unique opportunities to increase education and to facilitate HIV prevention for at risk youth. Multiple studies are underway to better inform the optimal delivery of treatment and prevention services for this complex and diverse population, and include novel sociobiological interventions and new modes of medication delivery that may lend themselves to overcoming obstacles specific to youth.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"7 ","pages":"33"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8063015/pdf/mh-07-20-42.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9438760","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":"Adapting technology-based HIV prevention and care interventions for youth: lessons learned across five U.S. Adolescent Trials Network studies.","authors":"Danielle Giovenco,&nbsp;Kathryn E Muessig,&nbsp;Casey Horvitz,&nbsp;Katie B Biello,&nbsp;Albert Y Liu,&nbsp;Keith J Horvath,&nbsp;Jesse M Golinkoff,&nbsp;Cathy J Reback,&nbsp;Lisa Hightow-Weidman","doi":"10.21037/mhealth-20-43","DOIUrl":"https://doi.org/10.21037/mhealth-20-43","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;U.S. sexual and gender minority youth experience individual, interpersonal, and structural-level barriers to HIV prevention and care. Innovative, youth-driven approaches to mobile and electronic interventions that support use of new biomedical prevention, testing, and treatment options may address these barriers. Adapting evidence-based interventions for youth must balance core intervention components with responsiveness to the distinct needs of end-users.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The UNC/Emory Center for Innovative Technology (iTech) adapts and evaluates technology-based interventions for youth living with or at risk for HIV. We analyzed formative research (focus groups and individual usability sessions) across five iTech studies: two apps promoting HIV testing and pre-exposure prophylaxis (PrEP), one app promoting behavioral risk reduction and PrEP, one PrEP adherence app, and one mobile-optimized website for increasing viral suppression, with the aim of informing best practices for technology-based intervention development. Each study presented prototypes of adapted mHealth interventions to samples of their target end-user population for use and/or evaluation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;One hundred and thirty-eight youth across seven geographically diverse sites provided feedback during the intervention adaptation process. We found high interest in and acceptability of all five intervention prototypes. Cross-study themes included: (I) Desire for multiple privacy protections (e.g., password, fingerprint) to keep HIV status, sexual identity, and sexual behavior confidential. (II) Strong but varied preferences for the look and feel of platforms. Imagery should be discrete but representative. Participants valued customizable platforms and positive themes, motivational language, and humor. Youth wanted information presented using multiple modalities (e.g., text, video, image) to increase engagement. (III) Youth preferred engagement features and functions consistent with familiar platforms (e.g., Snapchat, Instagram). Gamification features that resulted in tangible versus virtual rewards were predicted to increase engagement. Intervention messaging functions were perceived as useful; customization was desired as a way to control frequency, mode (e.g., SMS, in-app message, push notification), and content. (IV) Youth voiced varied preferences for platform content including: featuring young role models from the lesbian, gay, bisexual, transgender, queer and/or questioning (LGBTQ) community, incorporating mental health resources, and maintaining a holistic health-focus (not HIV-centric).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;We found high acceptability and consistent feedback in youths' evaluations of these mHealth interventions; divergence was most commonly found in preferred content versus features and functions. Identifying broadly accepted aspects of mHealth interventions for youth supports the feasibility o","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"7 ","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8063021/pdf/mh-07-20-43.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9454854","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":"Engaging youth in mHealth: what works and how can we be sure?","authors":"Lisa B Hightow-Weidman,&nbsp;Keith J Horvath,&nbsp;Hyman Scott,&nbsp;Jonathan Hill-Rorie,&nbsp;Jose A Bauermeister","doi":"10.21037/mhealth-20-48","DOIUrl":"https://doi.org/10.21037/mhealth-20-48","url":null,"abstract":"<p><strong>Background: </strong>Youth participating in mobile health (mHealth) intervention trials often engage with the technologies [e.g., applications (app) or mobile-optimized websites] only partially, often prematurely discontinuing use altogether. Limited engagement can impact the interventions effect on behavior change and compromise researchers' ability to test and estimate the true efficacy of their interventions. While mHealth interventions have been shown to be feasible and acceptable to youth, across diverse health conditions, strategies to increase engagement have been less well studied. Specifically, within HIV prevention and care mHealth interventions, there is not consensus as to which components represent the \"key ingredients\" to support maximal engagement of youth. Further, successful intervention evaluation requires the ability to systematically track users' engagement with intervention components (i.e., paradata) to evaluate its effects on behavior change.</p><p><strong>Methods: </strong>As part of the Adolescent Medicine Trials Network UNC/Emory Center for Innovative Technology (iTech) portfolio of HIV/AIDS Interventions, we present diverse strategies used across five mHealth protocols seeking to promote youth engagement, track and measure engagement through paradata, and incorporate these components into mHealth intervention evaluations.</p><p><strong>Results: </strong>We describe the importance of defining and measuring engagement using case studies from iTech to illustrate how different research teams select mHealth features to promote youth engagement over time, taking into account features embedded in the technology design, key mechanisms of change and trial outcomes (e.g., HIV testing, pre-exposure prophylaxis uptake and adherence, HIV treatment adherence). Finally, we discuss how the research teams plan to evaluate engagement's role on their intervention's outcomes.</p><p><strong>Conclusions: </strong>Based on this synthesis, we discuss strategies to enhance mHealth engagement during intervention development and design, ensure its monitoring and reporting throughout the trial, and evaluate its impact on trial outcomes.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"7 ","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8063019/pdf/mh-07-20-48.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9454855","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":"Apps on Google Play Store to assist in self-management of hypertension in Indian context: features analysis study.","authors":"Mahima Kaur, Harpreet Kaur, S. Rathi, Manikyarao Ashwitha, Jenifer Joanna, Srinitya Reddy, Batul Idris, Persis Myrtle, Sarvani Kandamuru, Sara Fatima, A. Joshi","doi":"10.21037/mhealth-21-25","DOIUrl":"https://doi.org/10.21037/mhealth-21-25","url":null,"abstract":"Background\u0000A large number of individuals with hypertension are turning to the Internet and m-health technologies for assistance. There is a need to study the content of smartphone applications on hypertension. The study aimed to review and investigate the functional and analytical characteristics of apps related to the self-management of hypertension available on Google Play Store.\u0000\u0000\u0000Methods\u0000Search was conducted in February 2021 in India using the Google Play Store database to identify currently available Android-based apps related to self-management of hypertension/high blood pressure (BP). Keywords used were: 'Hypertension', 'High blood pressure', 'DASH diet', 'Hypertension diet', and 'Blood pressure diet'. A total of 822 apps were screened based on the duplicates, inclusion, and exclusion criteria. A total of 210 were included for further analysis.\u0000\u0000\u0000Results\u0000Eighteen percent (n=37) of the apps had an overall rating of 4.5 or above. About 41% of the apps belonged to the medical category and 41% of the apps were characterized in the health and fitness category. Feature of logging/recording the BP measurement was seen in 73% of the apps. In-app graphing to analyze BP trends was reported in 64 % of the included apps. A few apps focused on tracking medication (n=19), sodium intake (n=2), and calorie intake (n=4).\u0000\u0000\u0000Conclusions\u0000The features were common across all the included apps and were focusing only on recording the BP, providing statistics and trends of BP, and providing educational information. App developers should now aim to provide other components of self-management techniques to help individuals tackle hypertension.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"8 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44269675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective evaluation of a pilot eHealth/mHealth telewellness program for people with disabilities: Mindfulness, Exercise, and Nutrition To Optimize Resilience (MENTOR).","authors":"J. Rimmer, Jereme D. Wilroy, Pierre Galea, Amanda Jeter, Byron W. Lai","doi":"10.21037/mhealth-21-34","DOIUrl":"https://doi.org/10.21037/mhealth-21-34","url":null,"abstract":"Background\u0000People with disabilities have few options to participate in wellness programs that are tailored to their health, functional level, specific interests/needs, and available in the comfort of their home. To address this need, we evaluated a mobile health wellness program for people with physical disabilities.\u0000\u0000\u0000Methods\u0000Retrospective pilot evaluation of MENTOR (Mindfulness, Exercise, and Nutrition To Optimize Resilience), an 8-week, 40-hour online telewellness program adapted from the peer reviewed literature on wellness. The three core wellness domains-mindfulness, exercise, and nutrition-were delivered via Zoom to groups of participants with a disability. Each group met weekly with an assigned health coach who responded to Q&A about the program and presented new material on several additional wellness domains that could impact their health (e.g., relationships, contribution to society/community, spending outdoor time in nature). Pre/post measures included the Godin Leisure-Time Exercise Questionnaire (GLTEQ) and the UAB/Lakeshore Wellness Assessment (LWA). Participants were also interviewed and provided feedback after the program, which was thematically analyzed.\u0000\u0000\u0000Results\u0000A total of 154 people from 15 states enrolled in the MENTOR program and 135 completed it (87.7% completers). Data were analyzed from a subset of participants (n=53) who were asked to complete a pre/post assessment and had complete data. Participants who were physically inactive at baseline improved their GLTEQ total activity (P=0.002; effect size =0.56) and moderate-to-vigorous activity scores (P=0.005; effect size =0.53). LWA results demonstrated that participants increased their exercise behavior (P=0.006; effect sizes =0.39) and contribution to society/community (P=0.013; effect size =0.37). Participants with low overall wellness (mental, physical & emotional health) at baseline had statistically significant improvements in exercise, nutrition, sleep, core values, self-care, hobbies, contribution to society/community, relationships, and overall wellness (all P<0.05 with effect sizes ranging from 0.43 to 1.07). Resultant qualitative themes were: (I) lifestyle transformation occurred through new positive experiences, physical and mental health benefits, and adoption of healthy behaviors; and (II) engagement through accessible online bonding through enjoyable and professional experiences.\u0000\u0000\u0000Conclusions\u0000A pilot telewellness program for people with disabilities is feasible and potentially effective in improving several domains of wellness. There is a need for precision-based mobile health (mHealth) programs that are tailored for people with disabilities and that can be accessed from various portable devices including their phone and/or tablet.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"8 1","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48625435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of telehealth interventions for managing anxiety and depression in African American adults.","authors":"Terika McCall,&nbsp;Clinton S Bolton,&nbsp;Rebecca Carlson,&nbsp;Saif Khairat","doi":"10.21037/mhealth-20-114","DOIUrl":"https://doi.org/10.21037/mhealth-20-114","url":null,"abstract":"<p><strong>Background: </strong>Although the difference in prevalence of mental illness is less than 7%, African American adults utilize mental health services at less than half the rate of their white counterparts. Evidence from past studies showed that telehealth interventions for anxiety and depression are effective in reducing symptoms. The objective of this systematic review is to survey the available peer-reviewed literature for studies that used telehealth interventions, specifically tailored for African American adults, to reduce anxiety or depression, and determine their effectiveness.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted using the PubMed, PsycINFO, Scopus, and Web of Science electronic databases for relevant articles published from January 1970 to December 2019.</p><p><strong>Results: </strong>Three independent studies were identified. The findings showed significant reduction of depressive symptoms post-intervention (all P<0.05). However, effectiveness of telehealth intervention compared to face-to-face was not determined. None of the studies assessed the effectiveness of telehealth interventions to reduce anxiety.</p><p><strong>Conclusions: </strong>The results highlight the need for additional research into the effectiveness of using telehealth modalities to manage anxiety and depression in African American adults. This systematic review has been registered in the PROSPERO international prospective register of systematic reviews (registration number: CRD42018104469; registration date: 09 August 2018).</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"7 ","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8063009/pdf/mh-07-20-114.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9249076","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":"Value-based modeling for mobile health application development.","authors":"M. Lipscomb, Alhefdi Mohammad, Alharthi Abdulrahman, L. Jololian","doi":"10.21037/mhealth-21-32","DOIUrl":"https://doi.org/10.21037/mhealth-21-32","url":null,"abstract":"Background\u0000In this paper is presented the use of value-based modeling, traditionally a business development tool, for the improvement of mobile health app design. The conceptual foundations for this work are design science, which is the scientific study and creation of artifacts, and convergence, which is a research method that in this case combines engineering with medicine. Relevant previous work done by the research team included the modeling of a case management system using process-based and information-based modeling techniques.\u0000\u0000\u0000Methods\u0000Value-based modeling represents actors who are exchanging with each other things of economic value, including service outcomes. The focus is on how value objects are offered, accepted, and exchanged in a network. Value-based models do not describe how transactions occur, but rather the net value of those transactions. This technique was applied to the design development of a mobile application system for the improvement of access to health services.\u0000\u0000\u0000Results\u0000Significant value-based modeling was performed. These models highlighted the importance in healthcare delivery of effective value exchanges.\u0000\u0000\u0000Conclusions\u0000The results revealed a limitation on the net value of services delivery. These were related to constraints of time, cost, and responsibility. A design improvement was proposed: The development of an automated decision-making subsystem within the machine learning component of the app system. This subsystem would recommend between-visit micro adjustments to the plan of care based upon protocols established by the healthcare provider. Such would provide an agile response to the patient's changing needs as well as an amelioration to the challenges of access to services.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"8 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44185376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A brief analysis of challenges in implementing telehealth in a rural setting.","authors":"V. Gurupur, Zhuqi Miao","doi":"10.21037/mhealth-21-38","DOIUrl":"https://doi.org/10.21037/mhealth-21-38","url":null,"abstract":"Available literature clearly indicates that successful implementation of telemedicine and telehealth has been a challenge. This challenge is further amplified if the reader must consider this implementation in a rural setting. In this article the authors discuss some of the key challenges associated with this implementation. The article sheds light on a few key studies and commentaries associated with the use of telehealth in a rural setting. Critically, the article summarizes these critical findings; thereby, informing the reader on the bottlenecks associated with the use of telehealth in a geographically rural area. Also, briefly summarizing the existing body of knowledge on this topic of study. Furthermore, a case study briefly narrating the use of telemedicine and telehealth for rural Oklahoma is presented to advance our understanding of the situation in this field. Some of the critical details associated with this case study provides insights on some of the key challenges associated with the implementation of telehealth in a rural setting. This case study also provides insights on key workflow processes that helped the implementation of telehealth. Finally, the authors summarize the key challenges in the implementation of telehealth based on their perspective. Here it is important to inform the readers that this article is not a scientific review on the topic instead presents an opinion backed by facts and existing literature. Overall, the authors present a key discussion that can lead to advances in research and required innovations that might help in providing easy access to healthcare through telehealth.","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"8 1","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42519335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}