scholarly journals Development of a Digital Health Intervention for Rheumatoid Arthritis Symptom Management in a Biotechnology Industry Context: Application of a Human Centered Design Framework to Inform the Research Protocol (Preprint)

10.2196/16430 ◽  
2019 ◽  
Author(s):  
Robin C. Anthony Kouyate ◽  
Lisa Nugent ◽  
Shawna Jackson ◽  
Meredith Y. Smith
Keyword(s):  
Rheumatoid Arthritis ◽  
Symptom Management ◽  
Digital Health ◽  
Biotechnology Industry ◽  
Health Intervention ◽  
Design Framework ◽  
Research Protocol ◽  
Human Centered Design ◽  
Arthritis Symptom

Using Human-Centered Design Methods to Inform Digital Health Interventions: Development of a Framework (Preprint)

2019 ◽  
Author(s):  
Robin C. Anthony Kouyate ◽  
Lisa Nugent ◽  
Shawna Jackson ◽  
Meredith Y. Smith
Keyword(s):  
Rheumatoid Arthritis ◽  
Text Messaging ◽  
Digital Health ◽  
Smart Phone ◽  
Chronically Ill ◽  
Human Centered Design ◽  
Quality Healthcare ◽  
Intervention Impact ◽  
Chronically Ill Patients ◽  
Three Phases

BACKGROUND Involving chronically ill patients in the management of their health is widely recognized as a vital component of high-quality healthcare. In order to assume the role of informed participants, however, patients need both access to their health information as well as assistance in interpreting such data. Smart phone technology with text messaging (SMS) functionality offers a convenient and minimally demanding mechanism for providing such a dual capability to patients. To date, numerous such digital tools have been developed for use in various chronic and progressive disease conditions, including for rheumatoid arthritis. OBJECTIVE To describe the application of a human centered design (HCD) approach to inform the development of a framework for a digital health intervention to support symptom management and treatment adherence in rheumatoid arthritis. METHODS We reviewed the HCD approach which consists of three phases: understanding, ideation, and implementation. To develop our framework, methods were mapped to the objectives of each phase. RESULTS We developed a four-phase framework that was informed by an HCD approach. The first three phases in the framework, which consisted of understanding, ideation, and implementation, were consistent with the HCD approach. In addition, we added a fourth phase, post-implementation assessment, to enable evaluation of patient engagement and intervention impact on symptom self-management. CONCLUSIONS Applying HCD-based methods demands commitment to an iterative approach to intervention design. Each phase of our framework yields critical findings for ensuring that the final product is understandable, acceptable, and feasible, and provides value to the patient such that the intervention is both engaging and positively impacts patient outcomes. CLINICALTRIAL N/A

scholarly journals The effect of propolis supplementation on inflammatory factors and oxidative status in women with Rheumatoid arthritis: Design and research protocol of a double-blind, randomized controlled

2021 ◽  
pp. 100807
Author(s):  
Elyas Nattagh-Eshtivani ◽  
Mohammadhassan Jokar ◽  
Hamed Tabesh ◽  
Mohsen Nematy ◽  
Mohammad Safarian ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Oxidative Status ◽  
Inflammatory Factors ◽  
Research Protocol ◽  
Double Blind ◽  
Randomized Controlled

scholarly journals PARE0008 MOBILE APPLICATION “MOJRA” FOR MONITORING PATIENTS WITH RHEUMATOID ARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1290.1-1290 ◽  
Author(s):  
N. Teodorovic ◽  
S. Djordjevic ◽  
L. Vranic
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Care ◽  
Best Practice ◽  
Mobile Apps ◽  
Digital Health ◽  
Work Capacity ◽  
Learning Center ◽  
Approval Procedure ◽  
The Republic

Background:In Serbia, regular examinations with a rheumatologist are scheduled on average every 3 to 4 months. With this in mind, there is a real possibility that many patient data during this period may not be presented to the doctor during the examination, either because the patient forgets them or because they may focus on other issues and may not highlight key factsObjectives:To overcome this problem, the Association of Patients with Rheumatic Diseases of Serbia-ORS in cooperation with an IT firm developed the application “MojRA”, which was presented at the annual rheumatology congress of Serbia held in September 2019. The application “MojRA” is intended for patients suffering from rheumatoid arthritis - RA. The application enables efficient storage and systematization of data, allows doctors to monitor the condition of their patients between two examinations and have a medical history. “MojRA” is available for now from smartphones running the android operating system on the google play store. The privacy of patient information is guaranteed.Methods:Patients with RA will be able to record and store information about important moments during treatment in a simple and transparent way. At each subsequent visit they will be able to describe what happened to their illness in the meantime. The application can create different types of reports and views.At the same time, the doctor can use the app to inform the patient about her/his condition in real time, which will contribute to better and more meaningful communication. All this would improve the quality of health care, preserving work capacity and improving the quality of life.Results:In order to simplify biotherapy committee approval procedure for patients of RA, the “Charger” has been developed in association with ORS and URes. The “Charger” will connect data collected by MojRa to the registry of RA patients, making the whole approval procedure more efficient and transparent.Testing of the second version of this application is underway, meetings are held between the patients using the application and the IT company that created it.Plans are to expand the app to other types of arthritis in the near future, too, and will soon be completed for devices running Apple operating systems.Conclusion:In addition to being of great benefit to patients and doctors, it can in the future be of immeasurable importance for the savings in the overall health care system of the Republic of Serbia.References:[1]Mobile Apps for Rheumatoid Arthritis: Opportunities and Challenges, Mollard E, Michaud K, Rheum Dis Clin, May 2019, Volume 45, Issue 2, Pages 197–209[2]Apps for People With Rheumatoid Arthritis to Monitor Their Disease Activity: A Review of Apps for Best Practice and Quality, Rebecca Grainger, Hutt Hospital, JMIR Publications, Advancing Digital Health Research, Feb 27, 2017.[3]ACR Mobile Apps,https://www.rheumatology.org/Learning-Center/Apps,American College of Reumatology.Disclosure of Interests:None declared

scholarly journals EFFECTIVENESS OF A DIGITAL HEALTH INTERVENTION TO IMPROVE PHYSICAL ACTIVITY AMONG POSTPARTUM WOMEN WITH HYPERTENSIVE DISORDERS OF PREGNANCY

2021 ◽  
Vol 77 (18) ◽  
pp. 3059
Author(s):  
Jennifer Lewey ◽  
Samantha Murphy ◽  
Dazheng Zhang ◽  
Mary Putt ◽  
Mitesh S. Patel ◽  
...  
Keyword(s):  
Physical Activity ◽  
Digital Health ◽  
Health Intervention ◽  
Postpartum Women ◽  
Hypertensive Disorders Of Pregnancy ◽  
Hypertensive Disorders

scholarly journals mCARE, a digital health intervention package on pregnancy surveillance and care-seeking reminders from 2018 to 2027 in Bangladesh: a model-based cost-effectiveness analysis

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042553
Author(s):  
Youngji Jo ◽  
Amnesty Elizabeth LeFevre ◽  
Hasmot Ali ◽  
Sucheta Mehra ◽  
Kelsey Alland ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Home Visit ◽  
Digital Health ◽  
Status Quo ◽  
Health Intervention ◽  
Text Messages ◽  
Care Seeking ◽  
Intervention Package ◽  
The Status ◽  
The Cost

ObjectiveWe estimated the cost-effectiveness of a digital health intervention package (mCARE) for community health workers, on pregnancy surveillance and care-seeking reminders compared with the existing paper-based status quo, from 2018 to 2027, in Bangladesh.InterventionsThe mCARE programme involved digitally enhanced pregnancy surveillance, individually targeted text messages and in-person home-visit to pregnant women for care-seeking reminders for antenatal care, child delivery and postnatal care.Study designWe developed a model to project population and service coverage increases with annual geographical expansion (from 1 million to 10 million population over 10 years) of the mCARE programme and the status quo.Major outcomesFor this modelling study, we used Lives Saved Tool to estimate the number of deaths and disability-adjusted life years (DALYs) that would be averted by 2027, if the coverage of health interventions was increased in mCARE programme and the status quo, respectively. Economic costs were captured from a societal perspective using an ingredients approach and expressed in 2018 US dollars. Probabilistic sensitivity analysis was undertaken to account for parameter uncertainties.ResultsWe estimated the mCARE programme to avert 3076 deaths by 2027 at an incremental cost of $43 million relative to the status quo, which is translated to $462 per DALY averted. The societal costs were estimated to be $115 million for mCARE programme (48% of which are programme costs, 35% user costs and 17% provider costs). With the continued implementation and geographical scaling-up, the mCARE programme improved its cost-effectiveness from $1152 to $462 per DALY averted from 5 to 10 years.ConclusionMobile phone-based pregnancy surveillance systems with individually scheduled text messages and home-visit reminder strategies can be highly cost-effective in Bangladesh. The cost-effectiveness may improve as it promotes facility-based child delivery and achieves greater programme cost efficiency with programme scale and sustainability.

scholarly journals A technology-assisted life of recovery from psychosis

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Dror Ben-Zeev ◽  
Benjamin Buck ◽  
Sarah Kopelovich ◽  
Suzanne Meller
Keyword(s):  
Early Detection ◽  
Symptom Management ◽  
Digital Health ◽  
Digital Technologies ◽  
Clinical Population ◽  
Illness Management ◽  
Illness Management And Recovery ◽  
Health Technologies ◽  
Health Innovations ◽  
Schizophrenia Spectrum

Abstract Developments in digital health technologies have the potential to expedite and strengthen the path towards recovery for people with psychosis. This perspective piece provides a snapshot of how a range of digital technologies can be deployed to support a young adult’s efforts to cope with schizophrenia-spectrum illness. In conjunction with a day in the life of this individual, we provide examples of innovations in digital health research designed for this clinical population, as well as brief summaries of the evidence supporting the usability, feasibility, or effectiveness of each approach. From early detection to ongoing symptom management and vocational rehabilitation, this day-in-the-life vignette provides an overview of the ways in which digital health innovations could be used in concert to augment, scaffold, and enhance schizophrenia-spectrum illness management and recovery.

scholarly journals A retrospective analysis of digital health intervention addressing COVID-19 in China

2021 ◽  
Author(s):  
Mengji Chen ◽  
Shan Xu ◽  
Lewis Husain ◽  
Gauden Galea
Keyword(s):  
Retrospective Analysis ◽  
Digital Health ◽  
Health Intervention

scholarly journals What is an appropriate level of evidence for a digital health intervention?

The Lancet ◽  
2018 ◽  
Vol 392 (10165) ◽  
pp. 2665-2667 ◽  
Author(s):  
Felix Greaves ◽  
Indra Joshi ◽  
Mark Campbell ◽  
Samantha Roberts ◽  
Neelam Patel ◽  
...  
Keyword(s):  
Digital Health ◽  
Health Intervention ◽  
Level Of Evidence

scholarly journals Improved Glycemic Control With a Digital Health Intervention in Adults With Type 2 Diabetes: Retrospective Study (Preprint)

JMIR Diabetes ◽  
10.2196/28033 ◽  
2021 ◽  
Author(s):  
Gretchen Zimmermann ◽  
Aarathi Venkatesan ◽  
Kelly Rawlings ◽  
Michael Scahill
Keyword(s):  
Type 2 Diabetes ◽  
Retrospective Study ◽  
Glycemic Control ◽  
Digital Health ◽  
Health Intervention
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