Leveraging mobile health technology and research methodology to optimize patient education and self-management support for advanced cancer pain

2021 ◽  
Author(s):  
Desiree R. Azizoddin ◽  
Rosalind Adam ◽  
Daniela Kessler ◽  
Alexi A. Wright ◽  
Benjamin Kematick ◽  
...  
Keyword(s):  
Patient Education ◽  
Cancer Pain ◽  
Advanced Cancer ◽  
Mobile Health ◽  
Research Methodology ◽  
Health Technology ◽  
Self Management ◽  
Management Support ◽  
Mobile Health Technology

Abstract NS1: Mobile Health Technology Is Feasible And Effective For Self-management Support Among Underserved Stroke Survivors

Stroke ◽  
2022 ◽  
Vol 53 (Suppl_1) ◽  
Author(s):  
Jane Anderson ◽  
Barbara Kimmel ◽  
Shubhada Sansgiry ◽  
Gina Evans-Hudnall ◽  
Anette Ovalle ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mobile Health ◽  
Goal Attainment ◽  
Community Integration ◽  
Health Technology ◽  
Self Management ◽  
Stroke Survivors ◽  
Management Support ◽  
Mobile Health Technology ◽  
Stroke Knowledge

Background and Purpose: Self-management Support (SMS) helps stroke survivors control risk factors to prevent second stroke. Little is known about feasibility and effectiveness of using mobile health technology (MHT) for SMS among underserved stroke survivors. The investigators studied feasibility and effectiveness of using a video teleconference mobile application to deliver a SMS program to underserved, hard to reach stroke survivors. Methods: The Video teleconference Self-management TO Prevent stroke (V-STOP) program was evaluated using longitudinal design with measurements at baseline, immediately post intervention (6 weeks), intermediate (12 weeks), and at study end (18 weeks). Medically underserved stroke survivors with uncontrolled stroke risk factors were included. Feasibility was assessed as time in intervention, telehealth satisfaction, stroke knowledge and SMS effectiveness were measured as psychological (depression, PHQ-8; anxiety, GAD-7), social (community integration questionnaire), and stroke self-management (goal attainment) outcomes. Generalized estimating equations were used with site and time in intervention as covariates. Results: V-STOP was successfully delivered to 106 participants using MHT over 2 years. Mean age was 59.3 (±10.9), majority were white (82.1%), males (54.3%), not living alone (85.9%), married (52.8%), with low annual income (<$25,000) ( 58.5%), and health insurance (59.4%). Program feasibility indicated mean number of V-STOP sessions were 4.6 (±1.8), with 4.4 (±2.0) hours of total time for the intervention. Overall satisfaction at 6 weeks with V-STOP (4.8(±0.5)) and telehealth (4.7(±0.5)) was high. Stroke knowledge was high at 12 weeks (9.6(±0.7)). SMS effectiveness indicated improvement in psychological outcomes at 6, 12, and 18 weeks from baseline; depression (18 weeks - β = 0.64 (CI 0.49-0.84)) and anxiety (18 weeks - β = 0.66 (CI 0.51-0.85)). Community integration improved by 18 weeks - β = 1.08 (CI 1.01-1.16) and stroke self-management also improved long term at 12 and 18 weeks (β = 0.92 (CI 0.84-0.99). Conclusion: MHT is feasible to deliver SMS to underserved stroke survivors. It improves psycho-social and self-management goal setting and goal attainment outcomes.

scholarly journals Promise of Mobile Health Technology to Reduce Disparities in Patients With Cancer and Survivors

2018 ◽  
pp. 1-9 ◽  
Author(s):  
Brian D. Gonzalez
Keyword(s):  
Quality Of Life ◽  
Access To Care ◽  
Mobile Health ◽  
Cancer Control ◽  
Health Technology ◽  
Self Management ◽  
Patient Access ◽  
Mobile Health Technology ◽  
Patients With Cancer

Despite recent advances in cancer control, numerous disparities exist in the areas of patient access to care, self-management, and quality of life. However, mobile health technology shows promise as a tool to reduce disparities among patients with cancer and cancer survivors by overcoming such barriers as limited access to providers, difficulty communicating with providers, and inadequate communication between patients and providers regarding symptoms. This narrative review draws on the literature in cancer and noncancer populations to identify factors that create or maintain disparities and to describe opportunities for mobile health technology to reduce disparities.

The neuroethical future of wearable and mobile health technology

2017 ◽  
Author(s):  
Karola V. Kreitmair ◽  
Mildred K. Cho
Keyword(s):  
Mobile Health ◽  
Ethical Issues ◽  
Health Technology ◽  
The Self ◽  
Ethical Challenges ◽  
Mobile Health Technology ◽  
Healthcare Settings ◽  
Healthcare It ◽  
Mobile Mental Health ◽  
Privacy And Confidentiality

Wearable and mobile health technology is becoming increasingly pervasive, both in professional healthcare settings and with individual consumers. This chapter delineates the various functionalities of this technology and identifies its different purposes. It then addresses the ethical challenges that this pervasiveness poses in the areas of accuracy and reliability of the technology, privacy and confidentiality of data, consent, and the democratization of healthcare. It also looks at mobile mental health apps as a case study to elucidate the discussion of ethical issues. Finally, the chapter turns to the question of how this technology and the associated “quantification of the self” affect traditional modes of epistemic access to and phenomenological conceptions of the self.

Perceptions of Mobile Health Technology in Elective Surgery

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Nikhil Panda ◽  
Robert Sinyard ◽  
Judy Margo ◽  
Natalie Henrich ◽  
Christy E. Cauley ◽  
...  
Keyword(s):  
Mobile Health ◽  
Elective Surgery ◽  
Health Technology ◽  
Mobile Health Technology
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