scholarly journals Evaluating Asthma Mobile Apps to Improve Asthma Self-Management: User Ratings and Sentiment Analysis of Publicly Available Apps (Preprint)

2019 ◽  
Author(s):  
Marlene Camacho-Rivera ◽  
Huy Vo ◽  
Xueqi Huang ◽  
Julia Lau ◽  
Adeola Lawal ◽  
...  
Keyword(s):  
Sentiment Analysis ◽  
Mobile Apps ◽  
Asthma Management ◽  
Ease Of Use ◽  
Self Management ◽  
Average Rating ◽  
Study Results ◽  
Key Features ◽  
User Ratings

BACKGROUND The development and use of mobile health (mHealth) apps for asthma management have risen dramatically over the past two decades. Asthma apps vary widely in their content and features; however, prior research has rarely examined preferences of users of publicly available apps. OBJECTIVE The goals of this study were to provide a descriptive overview of asthma mobile apps that are publicly available and to assess the usability of asthma apps currently available on the market to identify content and features of apps associated with positive and negative user ratings. METHODS Reviews were collected on June 23, 2020, and included publicly posted reviews until June 21, 2020. To characterize features associated with high or low app ratings, we first dichotomized the average user rating of the asthma app into 2 categories: a high average rating and a low average rating. Asthma apps with average ratings of 4 and above were categorized as having a high average rating. Asthma apps with average ratings of less than 4 were categorized as having a low average rating. For the sentiment analysis, we modeled both 2-word (bi-gram) and 3-word (tri-gram) phrases which commonly appeared across highly rated and lowly rated apps. RESULTS Of the 10 apps that met the inclusion criteria, a total of 373 reviews were examined across all apps. Among apps reviewed, 53.4% (199/373) received high ratings (average ratings of 4 or 5) and 47.2% (176/373) received low ratings (average ratings of 3 or less). The number of ratings across all apps ranged from 188 (AsthmaMD) to 10 (My Asthma App); 30% (3/10) of apps were available on both Android and iOS. From the sentiment analysis, key features of asthma management that were common among highly rated apps included the tracking of peak flow readings (n=48), asthma symptom monitoring (n=11), and action plans (n=10). Key features related to functionality that were common among highly rated apps included ease of use (n=5). Users most commonly reported loss of data (n=14) and crashing of app (n=12) as functionality issues among poorly rated asthma apps. CONCLUSIONS Our study results demonstrate that asthma app quality, maintenance, and updates vary widely across apps and platforms. These findings may call into question the long-term engagement with asthma apps, a crucial factor for determining their potential to improve asthma self-management and asthma clinical outcomes.

scholarly journals Evaluating Asthma Mobile Apps to Improve Asthma Self-Management: User Ratings and Sentiment Analysis of Publicly Available Apps

10.2196/15076 ◽  
2020 ◽  
Vol 8 (10) ◽  
pp. e15076 ◽  
Author(s):  
Marlene Camacho-Rivera ◽  
Huy Vo ◽  
Xueqi Huang ◽  
Julia Lau ◽  
Adeola Lawal ◽  
...  
Keyword(s):  
Sentiment Analysis ◽  
Mobile Apps ◽  
Asthma Management ◽  
Ease Of Use ◽  
Self Management ◽  
Average Rating ◽  
Study Results ◽  
Key Features ◽  
User Ratings

Background The development and use of mobile health (mHealth) apps for asthma management have risen dramatically over the past two decades. Asthma apps vary widely in their content and features; however, prior research has rarely examined preferences of users of publicly available apps. Objective The goals of this study were to provide a descriptive overview of asthma mobile apps that are publicly available and to assess the usability of asthma apps currently available on the market to identify content and features of apps associated with positive and negative user ratings. Methods Reviews were collected on June 23, 2020, and included publicly posted reviews until June 21, 2020. To characterize features associated with high or low app ratings, we first dichotomized the average user rating of the asthma app into 2 categories: a high average rating and a low average rating. Asthma apps with average ratings of 4 and above were categorized as having a high average rating. Asthma apps with average ratings of less than 4 were categorized as having a low average rating. For the sentiment analysis, we modeled both 2-word (bi-gram) and 3-word (tri-gram) phrases which commonly appeared across highly rated and lowly rated apps. Results Of the 10 apps that met the inclusion criteria, a total of 373 reviews were examined across all apps. Among apps reviewed, 53.4% (199/373) received high ratings (average ratings of 4 or 5) and 47.2% (176/373) received low ratings (average ratings of 3 or less). The number of ratings across all apps ranged from 188 (AsthmaMD) to 10 (My Asthma App); 30% (3/10) of apps were available on both Android and iOS. From the sentiment analysis, key features of asthma management that were common among highly rated apps included the tracking of peak flow readings (n=48), asthma symptom monitoring (n=11), and action plans (n=10). Key features related to functionality that were common among highly rated apps included ease of use (n=5). Users most commonly reported loss of data (n=14) and crashing of app (n=12) as functionality issues among poorly rated asthma apps. Conclusions Our study results demonstrate that asthma app quality, maintenance, and updates vary widely across apps and platforms. These findings may call into question the long-term engagement with asthma apps, a crucial factor for determining their potential to improve asthma self-management and asthma clinical outcomes.

Incompatible Images

2009 ◽  
pp. 186-200 ◽  
Author(s):  
Michel J. Sassene
Keyword(s):  
Health System ◽  
Health Systems ◽  
Clinical Evidence ◽  
Asthma Management ◽  
Self Management ◽  
Management Systems ◽  
Use Of Self ◽  
Per Se

This chapter investigates asthmatics’ reasons for not adopting an e-health system for asthma selfmanagement. An understanding of these reasons is particularly relevant, because clinical evidence indicates that, if used, such systems lead to better asthma management. The investigated asthma system is, however, based on a taken-for-granted image of asthmatics as, per se, striving to be symptom-free. This image is incompatible with interviewed asthmatics’ day-to-day performances of their asthma, and renders invisible (a) that their asthma performances emphasize an economy of good passages and of feeling capable, (b) that they achieve the objective of feeling capable in quite different ways, and (c) that feeling capable does not per se equal being symptom-free all the time. To attain long-term use of self-management systems and other patient-centred e-health systems, such systems must acknowledge and link into the manifold performances that comprise users’ ways of living with their disease.

scholarly journals Managing and Controlling Stress Using mHealth: Systematic Search in App Stores (Preprint)

2017 ◽  
Author(s):  
David Blázquez Martín ◽  
Isabel De La Torre ◽  
Begonya Garcia-Zapirain ◽  
Miguel Lopez-Coronado ◽  
Joel Rodrigues
Keyword(s):  
Stress Management ◽  
Mobile Apps ◽  
Ease Of Use ◽  
Self Management ◽  
Fully Integrated ◽  
System P ◽  
Online Stores ◽  
Professional Assistance ◽  
The Moment ◽  
Mhealth Apps

BACKGROUND Traditional stress management techniques have been proven insufficient to tackle the needs of today’s population. Computational-based techniques and now mobile health (mHealth) apps are showing promise to enable ease of use and access while educating end users on self-management. OBJECTIVE The main aim of this paper was to put forward a systematic review of mHealth apps for stress management. METHODS The scenario chosen for this study consists of a sample of the most relevant mHealth apps found on the British and Spanish online stores of the two main mobile operating systems: iOS and Android. The apps have been categorized and scored base on their impact, presence, number of results, language, and operating system. RESULTS A total of 433 different mobile apps for stress management was analyzed. Of these apps, 21.7% (94/433) belonged to the “relaxing music” category, 10.9% (47/433) were in the “draw and paint” category, 1.2% (5/433) belonged to the “heart rate control” category, and 1.2% (5/433) fell under “integral methodology.” Only 2.0% (8/433) of the apps qualified as high or medium interest while 98.0% were low interest. Furthermore, 2.0% (8/433) of the apps were available on both iOS and Android, and 98% of apps ran on only one platform (iOS or Android). CONCLUSIONS There are many low-value apps available at the moment, but the analysis shows that they are adding new functionalities and becoming fully integrated self-management systems with extra capabilities such as professional assistance services and online support communities.

scholarly journals Evaluation of Efficacy of Marma Therapy with Janu Basti in the Management of Janu Sandhigata Vata (Osteoarthritis of Knee)

2020 ◽  
Vol 15 ◽  
pp. 29-45
Author(s):  
Alka Mishra ◽  
Vandana Shrivastava
Keyword(s):  
Self Management ◽  
Complete Relief ◽  
Self Administration ◽  
Mean Values ◽  
Osteoarthritis Of Knee ◽  
Study Results ◽  
Significant Efficacy ◽  
Repeated Use

Background: Janu Sandhigata Vata (Osteoarthritis of knee) is one of the most disabling musculoskeletal disorder. It is a type of Vata-vyadhi (Vata disorder), involving the Janu Sandhi (knee joint), whose symptoms include Shoola (pain), Shotha (swelling), Stabdhata (stiffness), and Atopa (crepitus). Ayurvedic texts recommend repeated use of Snehana (oleation) and Swedana (sudation) therapies for its management. In recent years, Marma Therapy has also been used for the management of various Vata disorders. Methodology: The present study explores the efficacy of Marma Therapy (on four Marma points of the legs, i.e. Kshipra, Gulpha, Indravasti and Janu) with Janu Basti (with Ksheerbala Taila) in the management of Janu Sandhigata Vata. The therapeutic procedure was administered for 9 days, with a followup of one month, when the patients did self-administration of Marma Therapy and massage at home. Twenty patients completed the study. Results: Significant improvement was observed in all the subjective parameters (Shoola, Shotha, Stabdhata, and Atopa) and objective parameters (WOMAC Index, Range of Motion, Walking Time) analyzed during the study. Mean values of all the parameters decreased continuously during the study period, including intervention time and follow-up. Verbal feedback taken about six months after the completion of the study period indicated almost complete relief for 4 patients (pursuing Marma Therapy regularly), and self-management by 10 others through regular Marma Therapy and massage. Conclusion: The present study illustrates the significant efficacy of the administered therapeutic intervention in the management of Janu Sandhigata Vata, both with regards to short-term relief, and long-term self-management.

scholarly journals Digital Technologies for Children and Parents Sharing Self-Management in Childhood Chronic or Long-Term Conditions: A Scoping Review

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1203
Author(s):  
Jill Edwards ◽  
Jenny Waite-Jones ◽  
Toni Schwarz ◽  
Veronica Swallow
Keyword(s):  
Scoping Review ◽  
Mobile Apps ◽  
Digital Technologies ◽  
Self Management ◽  
Management Skills ◽  
Long Term Conditions ◽  
Future Technology ◽  
Parents And Children ◽  
Children And Parents

Worldwide, the prevalence of chronic (or long-term) conditions in children and young people from birth to 18 years (children) is increasing. Promoting competent and effective self-management skills early in the trajectory is important to improve adherence to treatment and optimise quality of life. Successful self-management, therefore, requires parents and children who are developmentally able to develop a range of complex skills, including the use of digital technologies. This scoping review aimed to identify primary research investigating digital technologies for children and parents sharing self-management in childhood chronic illnesses. A comprehensive search of electronic databases was conducted. Nineteen papers were included, assessed for quality and methodological rigour using the Hawker tool and thematically analysed. Three themes were identified: (i) the feasibility and acceptability of using technology, (ii) the usability of technologies and (iii) the effect of technologies on adherence and self-management skills. The results indicate that technologies such as mobile apps and websites can assist the management of long-term conditions, are an acceptable method of delivering information and can promote the development of effective self-management skills by parents and children. However, future technology design must include children and parents in all stages of development.

scholarly journals Facilitators and Solutions for Practicing Optimal Guided Asthma Self-Management: The Physician Perspective

2013 ◽  
Vol 20 (4) ◽  
pp. 285-293 ◽  
Author(s):  
Alexandrine J Lamontagne ◽  
Sandra Peláez ◽  
Roland Grad ◽  
Lucie Blais ◽  
Kim L Lavoie ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Asthma Management ◽  
Patient Characteristics ◽  
Physician Attitudes ◽  
Self Management ◽  
Optimal Care ◽  
Physician Behaviour ◽  
Management Plans ◽  
Guideline Dissemination

OBJECTIVE: To identify key solutions that facilitate the prescription of long-term asthma controller and provision of written self-management plans by physicians.METHODS: One hour individualized semistructured interviews were conducted with physicians. Interviews were transcribed verbatim and analyzed independently by two trained qualitative researchers. A taxonomy of facilitators (contemplated solutions) and experienced solutions was achieved by consensus within the research team.RESULTS: Forty-two physicians (family physicians, pediatricians, emergency physicians, pulmonologists and allergists) were interviewed. The 867 facilitators and solutions, grouped in 10 categories, addressed three physician needs: support physicians in delivering optimal care (guideline dissemination, workplace culture, physician training and experience, physician attitudes toward optimal practice, tools and resources supporting physicians’ decision making); assist patients with following recommendations (patient characteristics, experiences and attitudes; physician behaviour; and tools and resources supporting patient self-management); and offer efficient services (reorganization of care; interprofessional patient management). Suggestions pertaining to the latter two categories were most frequently cited to optimize asthma management and use of self-management plans (eg, access to self-management plans; education by allied health care professionals). The most cited suggestions to support prescribing long-term controller pertained to physician behaviour (eg, involvement in patient education, personalization of prescriptions, feedback to patients of the benefits of long-term controller). The distribution of facilitators and solutions varied across specialties.CONCLUSIONS: Physicians proposed multiple facilitators and solutions to support optimal practice, leading to the development of a novel taxonomy. Key suggestions varied across physician specialties and behaviours sought, emphasizing the need to carefully select the most promising knowledge translation interventions.

scholarly journals Apps to Support Self-Management for People With Hypertension: Content Analysis (Preprint)

2018 ◽  
Author(s):  
Chi Yan Hui ◽  
Emily Creamer ◽  
Hilary Pinnock ◽  
Brian McKinstry
Keyword(s):  
Blood Pressure ◽  
Mobile Apps ◽  
Blood Pressure Monitoring ◽  
Home Blood Pressure ◽  
Self Management ◽  
Dietary Advice ◽  
Management Support ◽  
App Development ◽  
The United Kingdom ◽  
User Ratings

BACKGROUND Home blood pressure monitoring (HBPM) is one component of effective supported self-management, which may potentially be mediated by mobile apps. OBJECTIVE The aim of this study was to identify the self-management features (HBPM and broader support strategies) offered by currently available apps and to determine the features associated with download frequency and user ratings. METHODS We searched Google Play store, Apple App store, National Health Services Apps Library and myhealthapps.net (first search on February 1, 2018; updated August 18, 2018). We included high blood pressure apps available in the United Kingdom and extracted their features, number of downloads, and the average users’ rating from the app stores. We mapped the features to the holistic Practical Reviews In Self-Management Support (PRISMS) taxonomy of self-management support. We employed a regression analysis to determine if any features were associated with download frequency or user rating. RESULTS We included 151 apps. The 3 most common features were as follows: monitoring blood pressure (BP) and charting logs; lifestyle (exercise or dietary) advice; and providing information about hypertension. The other 11 components of the PRISMS taxonomy were rarely featured. There was little evidence to support associations between specific features and the download statistics and rating scores, with only 2 uncommon features achieving borderline significant associations. The presence of social support features, such as a forum, was weakly but significantly (R2=.04, P=.02) correlated with the number of downloads. Apps designed specifically for particular BP monitors/smart watches were weakly associated with a higher rating score (R2=.05, P<.001). Apps with more ratings were associated with more downloads (R2=.91, P<.001). CONCLUSIONS The functionality of currently available apps is limited to logging BP, offering lifestyle advice, and providing information about hypertension. Future app development should consider broadening the remit to produce a system that can respond flexibly to the diversity of support that enables people to self-manage their hypertension.

Russian Federalism at the Critical Stage of Development

2008 ◽  
pp. 70-83 ◽  
Author(s):  
E. Bukhvald
Keyword(s):  
Economic Development ◽  
Social Processes ◽  
Self Management ◽  
Intergovernmental Fiscal Relations ◽  
Critical Stage ◽  
Municipal Reform ◽  
Stage Of Development ◽  
Social And Economic Development ◽  
Basic Course

Transformations in the sphere of federal relations concern the most important directions of the reforming processes in the country. However, not all proposed and actually developing components of the federal reform seem well-argued and corresponding to long-term, strategic interests of the Russian statehood. The basic course of reform should meet the objective requirements of further decentralization of governing economic and social processes and the need to ensure strengthening the responsibility of RF subjects’ executive bodies and local self-management for steady social and economic development of their territories. The solution of these problems calls for a new model of federal policy of regional development, specification of some important components of the municipal reform as well as inserting certain amendments into the system of intergovernmental fiscal relations in order to stir up their stimulating function.

日本における抑うつ症状に対する心理学的介入を目的とした スマートフォン用アプリケーション・プログラムのレビュー

2020 ◽  
Author(s):  
Hikari Takashina ◽  
Kengo Yokomitsu
Keyword(s):  
Depressive Symptoms ◽  
Daily Life ◽  
Behavioral Therapy ◽  
Mobile Apps ◽  
Evaluation Model ◽  
Ease Of Use ◽  
Background Information ◽  
Evidence Based ◽  
Privacy And Security ◽  
Current State

There are thousands of mobile apps delivering information and offering support and intervention in situations of daily life. The aim of this study was to identify the current state of apps for depressive symptoms or prevention of depression within the official Android and iOS app stores in Japan. The 47 apps for depression available for download from the app stores were evaluated by the App Evaluation Model regarding background information, risk/ privacy and security, evidence, ease of use, and interoperability. Also, we evaluated their primary purpose, technology components, and cognitive-behavioral therapy components. The results suggest that in general few apps have been developed that are evidence-based, secure, and provide the services that users expect. In the future, it will be necessary to develop a framework for developing and disseminating more effective apps. This study is the first review of apps for depression available in Japan and seeks to help create a framework for such apps.

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