PP081 Relation Between Pain And Treatment/Activity Based On Mobile App Data

2017 ◽  
Vol 33 (S1) ◽  
pp. 108-109
Author(s):  
Tomomi Takeshima ◽  
Kosuke Iwasaki ◽  
Hideki Inoue ◽  
Takeru Hiki
Keyword(s):  
Mobile Apps ◽  
Mobile App ◽  
Self Management ◽  
Time Points ◽  
Physical Conditions ◽  
Consecutive Time ◽  
The Mean ◽  
Regression Towards The Mean ◽  
The Relationship ◽  
Treatment Activity

INTRODUCTION:Recently, a number of mobile apps to record symptoms and medication by patients themselves have been developed. These apps are expected to improve the patients' symptoms through self-management, and to enable a smooth decision making through effective communication between doctors and patients. “Itami Renrakucho” (Pain Diary, Welby Inc.) is one of these apps that records body pain, medication, physical conditions, and activity in life. We examined the relationship between pain and medication/activity based on its data.METHODS:Data between 25 December 2015 and 9 December 2016 were used. Medication and degree of pain (0-10, low < high) were recorded at morning, daytime, evening, and bedtime. Of ninteen activities, up to three were recorded about whether they could or could not do them. We compared the degree of pain among different frequency/timing of medication, or activities that they could or could not do.RESULTS:Data included 708 individuals. Among 561 individuals who answered about pain, the mean (Standard Deviation, SD) degree was 5.0 (2.3). The mean degree in individuals taking 0, 1, 2, 3, and 4 times medication a day were 4.6, 5.0, 5.4, 5.5, and 6.2, respectively. Regarding medication timing and degree of pain in two consecutive time points (t0, t1), regression towards the mean occurred for individuals without medication in both time points. The degree changed more for individuals taking medicine only at t0, but not for those taking at both time points. Weaker pain was reported when they could do hanging laundry and rising early than when they could not, but they could do shopping, strolling and light exercise even having stronger pain.CONCLUSIONS:We showed a tendency of relationship between pain and medication/activity based on the data from the app. More data and connecting to claims will help us to show characteristics of patients and diseases, select a treatment, and evaluate a medicine.

Abstract 12926: Transition Readiness Assessment in Adolescents and Young Adults With Heart Disease: Can We Improve the Outcome?

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Karen Uzark ◽  
Cynthia Smith ◽  
Sunkyung Yu ◽  
Janet Donohue ◽  
Katherine Afton ◽  
...  
Keyword(s):  
Young Adults ◽  
Heart Disease ◽  
Self Efficacy ◽  
Self Management ◽  
Transition Readiness ◽  
Knowledge Deficit ◽  
The Mean ◽  
Knowledge Deficits ◽  
The Relationship

Objective: Transition is defined as “the process by which adolescents and young adults with chronic childhood illnesses are prepared to take charge of their lives and their health in adulthood”. We previously reported common knowledge deficits and lack of transition readiness (TR) in 13-25 year olds with congenital or acquired heart disease. The aims of this study were to re-evaluate TR in these patients at follow-up (F/U) and to examine the relationship between changes in TR and quality of life (QOL). Methods: Patients (n=106) completed the TR Assessment and Pediatric Quality of Life Inventory (PedsQL) utilizing an e-tablet, web-based format at a routine F/U clinic visit. Changes from initial to F/U scores were evaluated. Results: Median patient age was 18.7 yrs at a median F/U time of 1.02 yrs. Average perceived knowledge deficit score (% of items with no knowledge) at F/U was 18.0 ± 15.2%, decreased from 24.7 ± 16.5%, p<.0001. On a 100-point scale, the mean score for self-efficacy increased from 71.4 ± 17.0 to 76.7 ± 18.2 (p=.004) and for self-management increased from 47.9 ± 18.4 to 52.0 ± 20.7 (p=.0004). While physical QOL did not change, the mean psychosocial QOL score increased significantly from 80.2 ± 13.3 to 82.5 ± 12.0, p=.02. A decrease in knowledge deficit score at F/U was significantly associated with an increased psychosocial QOL score, p=.03. An increase in self-efficacy score was associated with an increase in psychosocial QOL score (p=.04), especially social QOL (p=.02). Among patients who reported receiving specific information after initial TR assessment, knowledge deficits decreased related to medication (p=.002), symptoms to call for (p=.02), how to contact heart doctor (p=.02), and health insurance (p=.10). Self-efficacy scores improved in patients reporting receipt of information regarding how to contact the heart doctor (p=.06) and how to communicate with healthcare team (p=.05). Conclusion: While deficits in knowledge and self-management skills persist, TR assessment and recognition of deficits can improve transition readiness with improved psychosocial QOL. Routine TR assessment is important to identify transition needs. Further studies are needed to examine the relationship between TR and outcomes in young adults with heart disease.

scholarly journals What Drives the Adoption of Smart Travel Planning Apps? The Relationship between Experiential Consumption and Mobile App Acceptance

2019 ◽  
Author(s):  
Ree C. Ho . ◽  
Muslim Amin
Keyword(s):  
Mobile Apps ◽  
Hotel Industry ◽  
Mobile App ◽  
Integrative Model ◽  
Travel Planning ◽  
Experiential Consumption ◽  
Use Of Technology ◽  
Personal Consumption ◽  
Usage Behavior ◽  
The Relationship

The increased use of the smart travel planning apps as a new tool in hospitality and hotel industry has changed the way travelers make their travel plans. The apps users obtained their preferred tour itinerary and subsequently determine the choice of theirs tour destinations. Therefore, the objective of this study is to investigate the effects of itinerary plans developed by smart travel planning apps on the choiceof tour destination. The underpinning theories were unified theory of acceptance and use of technology model and experiential consumption(UTAUT).The study was conducted in Malaysia and the sample consisted of 307 travelers who are familiar with apps usage. Variance-based-PLS technique was used to analyze and test the hypotheses. The resultconfirmedthatUTAUTdimensionshavesignificantrelationshipwiththeintention to use the itinerary. Both hedonic and utilitarian values from personal consumption perspectivesignificantlymotivatetravelers’behavioralintentiontousethesmarttravel apps. This study contributes to the research on the intention and usage behavior of mobile apps technologies by developing an integrative model to explain the intentions and usage behavior of the tour itinerary.

Abstract 16296: Heart Failure-Smart Life: Effects of a Mobile-based Education and Self-management Program for Patients With Heart Failure

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Jeong-Ah Ahn ◽  
Eui-Young Choi ◽  
Jin-Sun Park
Keyword(s):  
Heart Failure ◽  
Diastolic Function ◽  
Management Program ◽  
Functional Class ◽  
Mobile App ◽  
Self Management ◽  
Left Ventricular Ejection ◽  
Control Group ◽  
The Mean ◽  
Experimental Group

Introduction: It is considered an important strategy to support heart failure (HF) patients for lifetime self-management. However, some programs for HF patients made them difficult to revisit the hospital or due to economic burden. Therefore, a practical alternative to a comprehensive and user-friendly self-management program for HF patients is needed. Purpose: The aim of this study was to develop a mobile App program for HF patients, and to identify the impact of the program on patients with HF. Methods: We developed a mobile App program, named “HF-Smart Life”. This App installed the configurations and functions of educational materials using pictures and animations, daily health (blood pressure and body weight) check-up diary, Q & A, and 1:1 chat considering user’s convenience. Regarding the experimental study, we employed a quasi-experimental design to evaluate the effects of the program in 74 patients with HF. The experimental group participated to use the mobile App program, including education, feedbacks on self-management, and monitoring in their daily life, for 3 months. Results: Participants of the program (n=36) exhibited significantly improved NYHA functional class and cardiac diastolic function (E/Ea ratio measured by echocardiogram) than the control group (n=38) after 3 months. The mean NYHA function class of the experimental group changed from 2.14 to 1.82, and that of the control group changed from 2.66 to 2.38 (F=9.260, p=.003). Also, the mean E/Ea ratio decreased from 12.24 to 11.35 in the experimental group, whereas that of the control group increased from 14.70 to 16.42 (F=5,280, p=.024). However, there was no significant difference between the groups with cardiac systolic function (left ventricular ejection fraction measured by echocardiogram) and quality of life. Conclusions: This mobile App program showed effectively improvements in HF patients' symptom (functional) class and cardiac diastolic function. Future study is needed to investigate the long-term effects of the mobile-based education and self-management program in HF population. Funding: This research was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (NRF-2017R1C1B1007090 & 2019R1F1A1063148).

scholarly journals Young People�s, Parents�, and Professionals� Views on Required Components of Mobile Apps to Support Self-Management of Juvenile Arthritis: Qualitative Study (Preprint)

2017 ◽  
Author(s):  
Jennifer M Waite-Jones ◽  
Rabiya Majeed-Ariss ◽  
Joanna Smith ◽  
Simon R Stones ◽  
Vanessa Van Rooyen ◽  
...  
Keyword(s):  
Social Support ◽  
Young People ◽  
Health Care Professionals ◽  
Mobile Apps ◽  
Developmentally Appropriate ◽  
Mobile App ◽  
Juvenile Arthritis ◽  
Mobile Technologies ◽  
Self Management ◽  
Framework Approach

BACKGROUND There is growing evidence that supporting self-management of Juvenile Arthritis can benefit both patients and professionals. Young people with Juvenile Arthritis and their healthy peers increasingly use mobile technologies to access information and support in day-to-day life. Therefore, a user-led, rigorously developed and evaluated mobile app could be valuable for facilitating young people’s self-management of Juvenile Arthritis. OBJECTIVE The objective of this study was to seek the views of young people with Juvenile Arthritis, their parents or carers, and health care professionals (HCPs) as to what should be included in a mobile app to facilitate young people’s self-management of chronic Juvenile Arthritis. METHODS A qualitative approach was adopted with a purposeful sample of 9 young people aged 10-18 years with Juvenile Arthritis, 8 parents or carers, and 8 HCPs involved in their care. Data were gathered through semi-structured focus group and individual interviews with young people and their parents or carers and HCPs. Interview discussion was facilitated through demonstration of four existing health apps to explore participants’ views on strengths and limitations of these, barriers and facilitators to mobile app use, preferred designs, functionality, levels of interaction, and data sharing arrangements. Data were analyzed using the framework approach. RESULTS Analysis revealed three interlinked, overarching themes: (1) purpose, (2) components and content, and (3) social support. Despite some differences in emphasis on essential content, general agreement was found between young people with Juvenile Arthritis their parents or carers, and professionals that a mobile app to aid self-management would be useful. Underpinning the themes was a prerequisite that young people are enabled to feel a sense of ownership and control of the app, and that it be an interactive, engaging resource that offers developmentally appropriate information and reminders, as well as enabling them to monitor their symptoms and access social support. CONCLUSIONS Findings justify and pave the way for a future feasibility study into the production and preliminary testing of such an app. This would consider issues such as compatibility with existing technologies, costs, age, and cross-gender appeal as well as resource implications.

scholarly journals Quality, Functionality, and Features of Chinese Mobile Apps for Diabetes Self-Management: Systematic Search and Evaluation of Mobile Apps

10.2196/14836 ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e14836 ◽  
Author(s):  
Enying Gong ◽  
Zongmuyu Zhang ◽  
Xurui Jin ◽  
Yishan Liu ◽  
Lumin Zhong ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Behavior Change ◽  
Rating Scales ◽  
Mobile Apps ◽  
Mobile App ◽  
Systematic Search ◽  
Self Management ◽  
Average Score ◽  
Inclusion Criteria

Background The emergence and advancement of mobile technologies offer a promising opportunity for people with diabetes to improve their self-management. Despite the proliferation of mobile apps, few studies have evaluated the apps that are available to the millions of people with diabetes in China. Objective This study aimed to conduct a systematic search of Chinese mobile apps for diabetes self-management and to evaluate their quality, functionality, and features by using validated rating scales. Methods A systematic search was conducted to identify Chinese apps for diabetes self-management in the four most popular Chinese language mobile app stores. Apps were included if they were designed for diabetes self-management and contained at least one of the following components: blood glucose management, dietary and physical activity management, medication taking, and prevention of diabetes-related comorbidities. Apps were excluded if they were unrelated to health, not in Chinese, or the targeted users are health care professionals. Apps meeting the identified inclusion criteria were downloaded and evaluated by a team of 5 raters. The quality, functionalities, and features of these apps were assessed by using the Mobile App Rating Scale (MARS), the IMS Institute for Healthcare Informatics Functionality score, and a checklist of self-management activities developed based on the Chinese diabetes self-management guideline, respectively. Results Among 2072 apps searched, 199 were eligible based on the inclusion criteria, and 67 apps were successfully downloaded for rating. These 67 apps had an average MARS score of 3.42 out of 5, and 76% (51/67) of the apps achieved an acceptable quality (MARS score >3.0). The scores for the four subdomains of MARS were 3.97 for functionality, 3.45 for aesthetics, 3.21 for information, and 3.07 for engagement. On average, reviewed apps applied five out of the 19 examined behavior change techniques, whereas the average score on the subjective quality for the potential impact on behavior change is 3 out of 5. In addition, the average score on IMS functionality was 6 out of 11. Functionalities in collecting, recording, and displaying data were mostly presented in the reviewed apps. Most of the apps were multifeatured with monitoring blood glucose and tracking lifestyle behaviors as common features, but some key self-management activities recommended by clinical guidelines, such as stress and emotional management, were rarely presented in these apps. Conclusions The general quality of the reviewed apps for diabetes self-management is suboptimal, although the potential for improvement is significant. More attention needs to be paid to the engagement and information quality of these apps through co-design with researchers, public health practitioners, and consumers. There is also a need to promote the awareness of the public on the benefit and potential risks of utilizing health apps for self-management.

scholarly journals Mobile Apps for Blood Pressure Monitoring: Systematic Search in App Stores and Content Analysis (Preprint)

2018 ◽  
Author(s):  
Hussein Jamaladin ◽  
Tom H van de Belt ◽  
Lianda CH Luijpers ◽  
Falco R de Graaff ◽  
Sebastian JH Bredie ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care Providers ◽  
Rating Scale ◽  
Mobile Apps ◽  
Blood Pressure Monitoring ◽  
Mobile App ◽  
Self Management ◽  
Care Providers ◽  
Pressure Monitoring

BACKGROUND Using a mobile app for self-management could make it easier for patients to get insight into their blood pressure patterns. However, little is known about the availability, quality, and features of mobile apps targeting blood pressure. OBJECTIVE The goal of the research was to determine the availability, functionality, and quality of mobile apps that could be used for blood pressure monitoring purposes. METHODS A systematic app search was performed based on the standards for systematic reviews. We searched the Dutch official app stores for Android and iOS platforms using predefined keywords and included all English and Dutch mobile apps targeting blood pressure. Two independent assessors determined eligibility and quality of the apps using the 5-point Mobile App Rating Scale (MARS). Quality scores of the apps with and without 17 a priori selected characteristics were compared using independent sample t tests. RESULTS A total of 184 apps (104 Android, 80 iOS) met the inclusion criteria. The mean overall MARS score was 2.63 (95% CI 2.55-2.71) for Android and 2.64 (95% CI 2.56-2.71) for iOS. The apps Bloeddruk (4.1) and AMICOMED BP (3.6) had the highest quality scores on the Android and iOS platforms, respectively. Of the app characteristics recorded, only pricing, in-app advertisements, and local data storage were not associated with the quality scores. In only 3.8% (7/184) of the apps, involvement of medical experts in its development was mentioned, whereas none of the apps was formally evaluated with results published in a peer-reviewed journal. CONCLUSIONS This study provides an overview of the best apps currently available in the app stores and important key features for self-management that can be used by health care providers and patients with hypertension to identify a suitable app targeting blood pressure monitoring. However, the majority of the apps targeting blood pressure monitoring were of poor quality. Therefore, it is important to involve medical experts in the developmental stage of health-related mobile apps to improve the quality of these apps.

scholarly journals Correction: Mobile App-Based Interventions to Support Diabetes Self-Management: A Systematic Review of Randomized Controlled Trials to Identify Functions Associated with Glycemic Efficacy (Preprint)

2017 ◽  
Author(s):  
Yuan Wu ◽  
Xun Yao ◽  
Giacomo Vespasiani ◽  
Antonio Nicolucci ◽  
Yajie Dong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Mobile App ◽  
Self Management ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
The Mean

UNSTRUCTURED In “Mobile App-Based Interventions to Support Diabetes Self-Management: A Systematic Review of Randomized Controlled Trials to Identify Functions Associated with Glycemic Efficacy” (JMIR Mhealth Uhealth 2017;5(3):e35), there was an error in Table 2. The “Mean (SD) HbA1c, %: baseline; end; change” for “Rossi 2013[1]” should read “I: 8.4 (NR); 7.9 (NR); –0.5 (NR); C: 8.5 (NR); 8.1 (NR); –0.5 (NR)” instead of “I: 8.4 (0.1); 7.9 (0.1); –0.5 (0.1); C: 8.5 (0.1); 8.1 (0.1); –0.5 (0.1)”. As a result, data were slightly changed as follows:

scholarly journals Development and preliminary evaluation of a theory-based web and mobile application for self-management of Diabetes type 2 (Preprint)

2020 ◽  
Author(s):  
Raheleh Salari ◽  
Sharareh R.Niakan Kalhori ◽  
Marjan GhaziSaeedi ◽  
Marjan Jeddi ◽  
Mahin Nazari ◽  
...  
Keyword(s):  
Information And Communication Technologies ◽  
Remote Monitoring ◽  
User Satisfaction ◽  
Behavioral Change ◽  
Mobile Apps ◽  
Healthcare Providers ◽  
Mobile App ◽  
Self Management ◽  
Preliminary Evaluation

BACKGROUND As the use of smartphones and mobile apps is increasing, mobile health (mHealth) can be used as a cost-effective option to provide behavioral interventions aimed at educating and promoting self-management for chronic diseases such as diabetes. Although the goal of many existing programs is the same, they usually do not follow the guidelines suggested for evidence-based practices and lack a theoretical foundation. Therefore, this study seizes this increasing demand to develop a self-management program for people with type 2 diabetes and provide a program in Farsi according to the extracted requirements. OBJECTIVE This paper describes the development and preliminary evaluation of a mobile-based diabetes self-management system, which was designed to help people with behavior change and also enable their remote monitoring by healthcare providers. METHODS The development of the system involved: (1) exploring the best mobile apps and papers related to mHealth diabetes self-management (2) conducting an overview with experts and determine the essential capabilities of system (3) selecting which behavioral change and structural theories to be used in the system and (4) developing the mobile app and website (6) evaluating the system with people with diabetes and healthcare providers. RESULTS The developed mobile app includes modules which support several features. Person’s data can be entered or collected, and overviewed in the form of graphs and tables. The foundation of behavioral intervention is Transtheoretical model. Persons were able to receive customized messages based on behavioral change preparation stage using the Kreuter’s tailoring messages algorithm. The developed web site dedicated to healthcare providers which include same capabilities. The results of the preliminary evaluations revealed overall user satisfaction with the system. CONCLUSIONS Information and communication technologies, especially mobile and wearable technologies which use a behavioral theories, can be utilized as a useful tool for facilitating the modification of self-management behaviors and facilitation remote monitoring. However, further research is needed to report the effectiveness of the system in practice.

scholarly journals A systematic review of dialectical behavior therapy mobile apps for content and usability

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Chelsey R. Wilks ◽  
Kyrill Gurtovenko ◽  
Kevin Rebmann ◽  
James Williamson ◽  
Josh Lovell ◽  
...  
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Rating Scale ◽  
Mobile Apps ◽  
Skills Training ◽  
Mobile App ◽  
Star Rating ◽  
Content Quality ◽  
The Mean ◽  
Google Play

Abstract Background The gap between treatment need and treatment availability is particularly wide for individuals seeking Dialectical Behavior Therapy (DBT), and mobile apps based on DBT may be useful in increasing access to care and augmenting in-person DBT. This review examines DBT based apps, with a specific focus on content quality and usability. Methods All apps referring to DBT were identified in Google Play and iOS app stores and were systematically reviewed for app content and quality. The Mobile App Rating Scale (MARS) was used to evaluate app usability and engagement. Results A total of 21 free to download apps were identified. The majority of apps (71%) included a component of skills training, five apps included a diary card feature. Most (76.19%) apps were designed to function without help from a therapist. The average user “star” rating was 4.39 out of 5. The mean overall MARS score was 3.41, with a range of 2.15 to 4.59, and 71.43% were considered minimally ‘acceptable,’ as defined by a score of 3 or higher. The average star rating was correlated with the total MARS score (r = .51, p = .02). Estimates of app usage differed substantially between popular and unpopular apps, with the three most popular apps accounting for 89.3% of monthly active users. Conclusions While the present study identified many usable and engaging apps in app stores designed based on DBT, there are limited apps for clinicians. DBT based mobile apps should be carefully developed and clinically evaluated.

The Benefits and Challenges of Using Mobile-Based Tools in Self-Management and Care

2016 ◽  
pp. 1-13 ◽  
Author(s):  
Rupananda Misra
Keyword(s):  
Health Management ◽  
Mobile Apps ◽  
Mobile App ◽  
Self Management ◽  
User Privacy ◽  
Positive Health ◽  
Doctor Visits ◽  
Hospitalization Costs ◽  
The Us ◽  
Positive Health Outcomes

An effective intervention tool in self-management and care is the patients' use of mobile-based devices. This tool reflects a paradigm shift in many areas of health management from healthcare professionals to the patients themselves. These mobile devices contribute to a growing public interest in self-care. This new use will save patients not only expensive hospitalization costs and doctor visits but will also save the US treasury millions of dollars. To successfully empower the patients who use these mobile-based tools to manage their own health as well as to see positive health outcomes, Mobile app developers need to consider many things when developing these mobile apps such as an engaging and easy-to-use interface, relevant content, and more. In addition, the developers must secure patient data and ensure user privacy.

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