Clinical pathways on a mobile device

Clinical pathways have been successfully implemented in the primary care setting in New Zealand, Australia and the UK. Despite wide adoption and decreased costs, these pathways have yet to translate evidence into clinical practice while also saving providers time—an important barrier for the translation of evidence at the point of care. The goal of this project was to determine if future development of a point-of-care mobile application should be undertaken with design principles using the theoretical framework of Hick’s law. Three new-to-practice providers participated in three plan-do-study-act cycles using these pathways installed on mobile devices to determine if they were a feasible, efficient and useful method to implement evidence. The project was a success with all three participants wishing to continue using the pathways after project completion. Participants felt the digital clinical pathways were the next evolution of the popular UpToDate software platform and helped them apply the latest evidence better than other available tools. While these results are promising, there were also limitations. Participants felt the lack of chart integration coupled with time constraints made full integration challenging and suggested launching the platform using a variety of delivery systems. The project’s findings suggest that future application development using the developed design principles would be worth further consideration. If this mobile application ultimately proved successful, the application framework could be implemented on a larger scale, thus improving patient outcomes and saving providers time.

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Mobile Health and Wellness Application Framework

Methods of Information in Medicine ◽

10.3414/me9113 ◽

2008 ◽

Vol 47 (03) ◽

pp. 217-222 ◽

Cited By ~ 27

Author(s):

J. Leppänen ◽

J. Lähteenmäki ◽

A. Nummiaho ◽

T. Laakko

Keyword(s):

Health Information ◽

Mobile Application ◽

Network Connectivity ◽

Cost Effective ◽

Mobile Terminal ◽

Application Framework ◽

Health And Wellness ◽

Application Development ◽

Wide Range ◽

Effective Development

Summary Objectives: There is an increasing need for userfriendly and interoperable mobile applications in health and wellness domain. The objective of this work has been to provide support for rapid and cost-effective development of such applications. Methods: We have introduced an application framework which provides a generic tool for mobile application designers. We have demonstrated the usage of the application framework by providing an example implementation and demonstrating its usage in a Tele-ECG use case. In order to support interoperability we propose a solution compatible with clinical document standards such as the HL7 CDA. Results: A new mobile platform applicable for a wide range of telemedicine and wellness applications is introduced. The platform provides connectivity between healthcare professionals, patients and measurement devices. It is based on an open application framework that provides interfaces for measurement, user interface, database and network connectivity implementations. Conclusions: Mobile application development based on the application framework was demonstrated successfully. The developed UPHIAC platform adopts a new technical approach using a local database solution for caching of information at the mobile terminal. The platform applies a document-based approach providing a versatile and reliable way of sharing and collabora - tively complementing of health information including standard information model documents (HL7/CDA), and integration with health information systems and personal storages. The implemented mobile tele-ECG case demonstrates the overall function of the platform. The platform can be used as a basis for developing new applications for specific purposes.

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Implementation of persuasive design principles in mobile application development: a qualitative study

Indonesian Journal of Electrical Engineering and Computer Science ◽

10.11591/ijeecs.v18.i3.pp1464-1473 ◽

2020 ◽

Vol 18 (3) ◽

pp. 1464

Author(s):

Nor Afifah Shafin ◽

RD Rohmat Saedudin ◽

Nor Hazana Abdullah

Keyword(s):

Mobile Applications ◽

Mobile Application ◽

Design Principles ◽

User Engagement ◽

Structured Interviews ◽

Application Development ◽

Mobile Application Development ◽

Persuasive Systems ◽

The Impact ◽

Different Levels

<span>Persuasive design principles (PDP) of persuasive system features framework have shown impressive results from the context of user engagement and acceptance as well as continuous usage towards the persuasive systems involved. Yet, available literatures do not thoroughly address the implementation of these design principles specifically in mobile applications and there is insufficient discussion on the impact of the principles in relation to the overall achievement of mobile applications. Hence, this research was conducted with the aim to qualitatively explore the way PDP were implemented across three different levels of mobile applications’ attainment. For this study, seven semi-structured interviews were conducted with the involvement of fifteen (15) Android mobile applications in the area of utilities category. These mobile applications were then categorized into three categories which is successful, partially successful and less successful based on their numbers of mobile applications downloaded for three consecutive years. The results from the content analysis revealed that each of the PDP were implemented in many ways yet the most common applied principles are reduction, tailoring and personalization. However, the analysis also shows low numbers of implementation from the system credibility and social support category. <span>In addition, most of the mobile applications of the successful category have implemented a lot more PDP as compared to the other two mobile application categories. The results from this study has provide significance towards developers, practitioners as well as the scholars from the contextual perspective of persuasive system framework also the practical values of the principles specifically the implementation in mobile application development.</span></span>

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Young people’s experiences with clinical care and preferences for delivery of new point-of-care tests for STIs in England

10.31235/osf.io/25y36 ◽

2019 ◽

Cited By ~ 1

Author(s):

Hannah McCulloch ◽

Agata Pacho ◽

Rebecca Geary ◽

Syed Tariq Sadiq ◽

Sebastian Fuller

Keyword(s):

Young People ◽

Clinical Pathways ◽

Point Of Care ◽

Clinical Care ◽

Sex With Men ◽

Sexual Health Clinics ◽

The Uk ◽

Point Of Care Tests ◽

Implementation Plans ◽

Precise Study

BackgroundYoung people in the UK are at high risk for sexually transmitted infections (STIs), despite STI testing being freely and confidentially available. Given multiple barriers they may face for attending sexual health clinics (SHCs), young people should be consulted regarding changes to care. Studies have shown that point-of-care tests (POCTs) for STIs, which can accurately diagnose and treat patients in one clinical visit, have potential for individual and public health benefits, yet patient opinions of changes to clinical practice associated with POCT implementation are less understood.MethodsThe Precise study explored patient experiences of UK SHC services and their opinions of POCT implementation plans; here we focus on young participants within the Precise study. Male and female attendees of three SHCs in England were purposively sampled and then invited to participate in a qualitative in-depth interview. Interviews were conducted one-on-one, in person or via telephone, were audio-recorded and transcribed. NVivo (V10) was used to organise data for our content-based analysis.ResultsTen young people aged 17-22 years, including: three women-who-have-sex-with-men, four men-who-have-sex-with-women and three men-who-have-sex-with-men were interviewed between June 2015 and February 2016. Participants reported SHCs as the best place to receive results because treatment could be stared immediately, with advice and information available. Participants discussed the potential for POCTs to reduce anxiety currently felt waiting for laboratory results. POCTs were found broadly acceptable, and were generally regarded as an innovation to improve SHC experiences. Participants with less previous SHC experience raised concerns that implementation of POCTs could negatively affect the amount and quality of time patients spend in consultations with clinicians and that changes to pathways may cause confusion in clinic.ConclusionsWe advise POCT implementation be accompanied by SHC staff communicating changes in clinical pathways to patients, including method and timeline for receiving results. Our participants valued face-to-face counselling and advice currently experienced in SHCs; these findings emphasise that POCT implementation plans safe-guard these aspects of care. Our findings suggest that POCT implementation in SHCs has potential to improve young people’s clinical experiences, which may facilitate attendance.

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A Tracer Study of ICT Graduate Students at Mzuzu University, Malawi

Mousaion ◽

10.25159/2663-659x/5227 ◽

2019 ◽

Vol 36 (3) ◽

Author(s):

Chimango Nyasulu ◽

Winner Chawinga ◽

George Chipeta

Keyword(s):

Language Processing ◽

Mobile Application ◽

First Century ◽

Application Development ◽

Job Requirements ◽

Level Of Satisfaction ◽

Information And Communication ◽

Quantitative Design ◽

The Right ◽

The University

Governments the world over are increasingly challenging universities to produce human resources with the right skills sets and knowledge required to drive their economies in this twenty-first century. It therefore becomes important for universities to produce graduates that bring tangible and meaningful contributions to the economies. Graduate tracer studies are hailed to be one of the ways in which universities can respond and reposition themselves to the actual needs of the industry. It is against this background that this study was conducted to establish the relevance of the Department of Information and Communication Technology at Mzuzu University to the Malawian economy by systematically investigating occupations of its former students after graduating from the University. The study adopted a quantitative design by distributing an online-based questionnaire with predominantly closed-ended questions. The study focused on three key objectives: to identify key employing sectors of ICT graduates, to gauge the relevance of the ICT programme to its former students’ jobs and businesses, and to establish the level of satisfaction of the ICT curriculum from the perspectives of former ICT graduates. The key findings from the study are that the ICT programme is relevant to the industry. However, some respondents were of the view that the curriculum should be strengthened by revising it through an addition of courses such as Mobile Application Development, Machine Learning, Natural Language Processing, Data Mining, and LINUX Administration to keep abreast with the ever-changing ICT trends and job requirements. The study strongly recommends the need for regular reviews of the curriculum so that it is continually responding to and matches the needs of the industry.

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Development of “My Retainers” mobile application: Triangulation of two qualitative methods (Preprint)

10.2196/preprints.14687 ◽

2019 ◽

Author(s):

Dalya Al-Moghrabi ◽

Fiorella Beatriz Colonio-Salazar ◽

Ama Johal ◽

Padhraig Seamus Fleming

Keyword(s):

Behaviour Change ◽

Mobile Applications ◽

Visual Information ◽

Mobile Application ◽

Behavioural Change ◽

Patient Experiences ◽

Application Development ◽

Participant Preferences ◽

Orthodontic Retainers ◽

Purposive Sample

BACKGROUND Diligent wear of removable orthodontic retainers requires prolonged compliance and is invariably necessary to preserve optimal results. Patient-informed behaviour-change interventions represent a promising and novel means of enhancing compliance with retainer wear. OBJECTIVE To describe the development of a patient-informed mobile application aimed to enhance retainer wear. METHODS Four aspects were considered during mobile application development: participant preferences; analysis of publicly-available retainer-related posts on Twitter; available interventions; and behaviour-change theories. Audio-recorded one-to-one interviews were conducted with a subset of participants to account for patient preferences in terms of features, design and content. A criterion-based purposive sample of participants wearing vacuum-formed retainers for at least 4 years was used. Thematic analysis of transcribed data was undertaken. RESULTS The need to facilitate communication with the treating clinician, responsive reminder and tracking systems, and access to useful and engaging written and visual information, in addition to other personalised and interactive features were considered important. Concerns related to retainer wear shared on Twitter informed an exhaustive list of frequently-asked questions. Application features were mapped to relevant theoretical constructs. Determinants of existing behavioural change theories were used to link application features to expected outcomes. CONCLUSIONS A holistic process involving both patient and professional input can be useful in informing the development of mobile applications. The orthodontic application (“My Retainers”) will undergo further scrutiny in relation to its effectiveness in inducing behavioural change and concerning patient experiences prior to finalisation.

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Google Play Content Scraping and Knowledge Engineering using Natural Language Processing Techniques with the Analysis of User Reviews

Journal of Intelligent Systems ◽

10.1515/jisys-2019-0197 ◽

2020 ◽

Vol 30 (1) ◽

pp. 192-208 ◽

Cited By ~ 1

Author(s):

Hamza Aldabbas ◽

Abdullah Bajahzar ◽

Meshrif Alruily ◽

Ali Adil Qureshi ◽

Rana M. Amir Latif ◽

...

Keyword(s):

Logistic Regression ◽

Language Processing ◽

Mobile Application ◽

Knowledge Engineering ◽

Machine Learning Algorithms ◽

Application Development ◽

User Reviews ◽

N Gram ◽

Logistic Regression Algorithm ◽

Google Play

Abstract To maintain the competitive edge and evaluating the needs of the quality app is in the mobile application market. The user’s feedback on these applications plays an essential role in the mobile application development industry. The rapid growth of web technology gave people an opportunity to interact and express their review, rate and share their feedback about applications. In this paper we have scrapped 506259 of user reviews and applications rate from Google Play Store from 14 different categories. The statistical information was measured in the results using different of common machine learning algorithms such as the Logistic Regression, Random Forest Classifier, and Multinomial Naïve Bayes. Different parameters including the accuracy, precision, recall, and F1 score were used to evaluate Bigram, Trigram, and N-gram, and the statistical result of these algorithms was compared. The analysis of each algorithm, one by one, is performed, and the result has been evaluated. It is concluded that logistic regression is the best algorithm for review analysis of the Google Play Store applications. The results have been checked scientifically, and it is found that the accuracy of the logistic regression algorithm for analyzing different reviews based on three classes, i.e., positive, negative, and neutral.

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