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Digital Health Technologies and Innovations
Published in Kelly H. Zou, Lobna A. Salem, Amrit Ray, Real-World Evidence in a Patient-Centric Digital Era, 2023
Kelly H. Zou, Mina B. Riad, Shaantanu Donde, Joan van der Horn, Tarek A. Hassan
RWD can be gathered immediately out of wearables and sensors (Kim et al., 2019). They can jointly be used to collect RWD for a clear diagnosis. Patients do not need to visit their doctors, but instead speak on the phone with them or schedule a tele-visit and the facility will ship sensors and devices to collect health data from the patients (Tuominen et al., 2019).
Structured Exercise, Lifestyle Physical Activity, and Cardiorespiratory Fitness in the Prevention and Treatment of Chronic Diseases
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Barry A. Franklin, Thomas F. O’Connell
Digital tools such as social media, mobile games on smart phones and tablets, varied apps that promote PA, and activity trackers may assist in reducing barriers to structured exercise by helping patients with planning, increasing access to health-fitness programs, and providing daily goal reminders (Chaddha et al., 2017). Self-monitoring techniques, devices (e.g. pedometers, accelerometers, personalized activity intelligence (Nes et al., 2017), heart rate monitors), or apps can be helpful in this regard. Counseling and reinforcement can be handled over the phone, in Zoom chats, or via the Internet. Active-play video gaming can also be used to promote healthy weight and regular PA in children and adolescents, middle-aged and older adults, and patients with chronic disease (Lieberman et al., 2011). One report, in healthy adults, noted that the aerobic requirements for Wii Sports and Wii Fit Plus game activities approximated 1.3 to 5.6 METs, which correspond to the energy expenditure associated with very slow (<1 mph) to extremely fast walking (~4.0 mph) (Miyachi et al., 2010). Others have suggested that using active-play video gaming, which can be readily accessible, highly competitive, and reinforcing (i.e., winning against an opponent), may serve as a gateway to structured exercise regimens. In aggregate, these data suggest that using technology, a contributor to the physical inactivity epidemic, can also be part of the solution (Chaddha et al., 2017).
Medical-Legal
Published in Salvatore Volpe, Health Informatics, 2022
Telehealth also applies not just to telephonic or video conferences, but with additional equipment it can transmit blood glucose levels, blood pressure, simple ECGs, photographs taken with a smartphone of a skin condition, heart rate and heart sounds through a stethoscope, pulse, O2, and so forth. Some smartphones even have the capability to determine if it appears a patient has fallen, and if they do not respond to a phone call, GPS emergency services can be dispatched.
Effectiveness of mobile health interventions for pregnant women with gestational diabetes mellitus: a systematic review and meta-analysis
Published in Journal of Obstetrics and Gynaecology, 2023
Hui Xin Wei, Yi Ling Yang, Ting Yu Luo, Wei Qiang Chen
However, outpatient management not only increases the cost of transportation for patients, but also leads to excessive investment in hospital manpower. This study indicated that mHealth interventions have a positive effect on improving patients’ blood glucose levels. The mHealth platform can provide dynamic and whole-process standardised blood glucose management for GDM patients, which is conducive to reinforcing patients’ awareness and attention to reasonable and scientific control of blood glucose, thereby mobilising their initiative to participate in blood glucose management, as well as blood glucose monitoring. Additionally, it was found from the subgroup analysis that WeChat combined phone call interventions were more effective than other types of mHealth tools on FBG. Currently, WeChat is widely used in daily life and easy to use. Patients can record and upload their blood glucose data, realise mutual communication and discussion, obtain professional guidance, reduce psychological burden and acquire more health information in various forms (Chen, Zhou, et al. 2020). Therefore, mobile phone reminders further strengthen patients’ compliance with self-monitoring of blood glucose.
Telemedicine beyond the pandemic: challenges in the pediatric immunology clinic
Published in Expert Review of Clinical Immunology, 2023
Aarti Pandya, Sonya Parashar, Morgan Waller, Jay Portnoy
On 30 January 2023, the Biden administration announced its intent to end the National Emergency related to the COVID-19 pandemic on 11 May 2023. In anticipation of this, congress has enacted several acts that affect telemedicine waivers [52]. Among these are an extension through 31 December 2024, of the ability to provide telemedicine care to patients in any geographic area. In addition, patients can remain in their homes for telemedicine visits, the visit can be delivered via smart phone even if video capability is not available and the expanded list of covered services can continue to be provided. This list is extensive and includes such items as the ability to bill for a telehealth originated facility fee, telephone visits and inpatient care and specialty consults by telemedicine [53].
Aiding Adherence to Glaucoma Medications: A Systematic Review
Published in Seminars in Ophthalmology, 2022
Kristen L. Buehne, Jullia A. Rosdahl, Kelly W. Muir
More traditional reminder systems include timed texts, emails, or phone calls to the patients’ phone or computer device. Lim 201337 used monthly telephone calls to remind their participants to take their drops. Boland 201414 saw improved adherence with daily texts or voice calls. Apps for smartphones have modernized this approach by sending daily alerts from the user’s smart phone. One, the EyePhone app (discussed in Leshno 2021,36) additionally provides a recommended treatment regimen for each drug based on how many times the drug should be taken and at what time. Another, the Wills Eye Glaucoma App developed by Wiasbourd 201660 includes educational videos, eye drop and appointment reminders, medical and ocular data storage, visual field tutorial, and an IOP tracker.