OHP-002 Health professional participation in mobile applications related to multiple sclerosis

BACKGROUND Gestational diabetes mellites (GDM) is a type of diabetes that commonly occur in the second part of the pregnancy and usually goes away once the baby is born. Maternal risk associated with GDM are pre-eclampsia, caesarean delivery, perineal trauma, post-partum haemorrhage and delayed breastfeeding. Possible neonatal risk also included macrosomia growth restriction, birth injuries, respiratory distress, hypoglycaemia and jaundice. Dietary advice and blood glucose monitoring and glucose-lowering therapy should be offered to diagnosed patients. The increasing ownership of mobile phones and advances in mobile applications (apps) provide an innovative personalised management among women with GDM. Numerous mobile phone apps are available for women to gain access via app stores, however to our knowledge, no review has documented both health professional and patient’s perception of those apps. The use of telemedicine was convincingly shown to result in better glucose control, but reduced costs to the health system or patients, and patient or health-carer acceptability were not clearly demonstrated due to limited data. OBJECTIVE This review was aimed to discover patient and health professional’s perception of mobile apps available for managing GDM via both app stores and 5 relevant electronic databases. METHODS Two separate searches were conducted, i.e. app stores (iTunes and Google Play store), electronic databases CINAHL, Cochrane library, Medline, PsycINFO and PubMed using major key words: patient, health professional, perception, mobile application and gestational diabetes. RESULTS Seven studies were included in the final analysis. We categorised articles under two themes: 1) patient’s experiences of available mobile apps focused on GDM and 2) health professional’s feedback on mobile apps focused on GDM. Only two studies focused on both patient and health professional’s perception on mobile apps to manage GDM. CONCLUSIONS There is a limited body of research on mobile apps in relation to both patient and health professional’s perception of GDM management. Mobile apps can be an effective way to manage GDM, but apps should not be restricted to collecting and providing information only. Collected data should be shared as a communication platform for both patients and health professional to be utilised as an active tool to update GDM treatment plans. CLINICALTRIAL N/A

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Encouraging physical activities at home for people with multiple sclerosis with mHealth tools: A literature review

Technology and Disability ◽

10.3233/tad-200315 ◽

2021 ◽

pp. 1-10

Author(s):

Clémence Chassan ◽

Céline Jost ◽

Marc Sévène ◽

Olivier Cras ◽

Thomas De Broucker ◽

...

Keyword(s):

Multiple Sclerosis ◽

Literature Review ◽

Digital Libraries ◽

Mobile Applications ◽

Neurological Disease ◽

Mobile Application ◽

Rehabilitation Program ◽

Physical Activities ◽

Physical Exercises ◽

At Home

BACKGROUND: Multiple sclerosis (MS) is a chronic degenerative neurological disease with visual, sensitive, motor, or cognitive symptoms. Physical activities are recommended for people with MS (pwMS) who are at home instead of in a rehabilitation program, to help them to maintain their autonomy. Since a lack of motivation appears to be the principal barrier for pwMS to practice exercises, it is necessary to evaluate whether mobile health (mHealth) tools can offer a solution to stimulate their motivation. OBJECTIVE: This literature review analyzes papers to investigate to how a mobile application can motivate pwMS to practice physical activities and manage their fatigue. METHODS: We performed an automatic query from digital libraries and analyzed the studies. RESULTS: We selected seven articles that responded to our criteria. These studies tested mobile applications that used different strategies to motivate pwMS to practice physical exercises at home and manage their fatigue. A lack of motivation was the main obstacle, but depending on the type of exercises chosen, some application settings seemed to resolve this issue. CONCLUSIONS: Studies in this area are limited, although this literature review highlights the need for mHealth tools in which pwMS and their therapists contribute to their use and conception.

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