Protocol for Remote Assessment of Lung Disease and Impact on Physical and Mental Health (RALPMH) (Preprint)

2021 ◽  
Author(s):  
Yatharth Ranjan ◽  
Malik Althobiani ◽  
Joseph Jacob ◽  
Michele Orini ◽  
Richard Dobson ◽  
...  
Keyword(s):  
Mental Health ◽  
Data Collection ◽  
Real Time ◽  
Remote Monitoring ◽  
Wearable Devices ◽  
Physical And Mental Health ◽  
Disease Trajectory ◽  
Passive Data ◽  
Active Data ◽  
Finger Pulse

BACKGROUND Chronic Lung disorders like COPD and IPF are characterised by exacerbations which are a significant problem: unpleasant for patients, and sometimes severe enough to cause hospital admission (and therefore NHS pressures) and death. Reducing the impact of exacerbations is very important. Moreover, due to the COVID-19 pandemic, the vulnerable populations with these disorders are at high risk and hence their routine care cannot be done properly. Remote monitoring offers a low cost and safe solution of gaining visibility into the health of people in their daily life. Thus, remote monitoring of patients in their daily lives using mobile and wearable devices could be useful especially in high vulnerability groups. A scenario we consider here is to monitor patients and detect disease exacerbation and progression and investigate the opportunity of detecting exacerbations in real-time with a future goal of real-time intervention. OBJECTIVE The primary objective is to assess the feasibility and acceptability of remote monitoring using wearable and mobile phones in patients with pulmonary diseases. The aims will be evaluated over these areas: Participant acceptability, drop-out rates and interpretation of data, Detection of clinically important events such as exacerbations and disease progression, Quantification of symptoms (physical and mental health), Impact of disease on mood and wellbeing/QoL and The trajectory-tracking of main outcome variables, symptom fluctuations and order. The secondary objective of this study is to provide power calculations for a larger longitudinal follow-up study. METHODS Participants will be recruited from 2 NHS sites in 3 different cohorts - COPD, IPF and Post hospitalised Covid. A total of 60 participants will be recruited, 20 in each cohort. Data collection will be done remotely using the RADAR-Base mHealth platform for different devices - Garmin wearable devices, smart spirometers, mobile app questionnaires, surveys and finger pulse oximeters. Passive data collected includes wearable derived continuous heart rate, SpO2, respiration rate, activity, and sleep. Active data collected includes disease-specific PROMs, mental health questionnaires and symptoms tracking to track disease trajectory in addition to speech sampling, spirometry and finger Pulse Oximetry. Analyses are intended to assess the feasibility of RADAR-Base for lung disorder remote monitoring (include quality of data, a cross-section of passive and active data, data completeness, the usability of the system, acceptability of the system). Where adequate data is collected, we will attempt to explore disease trajectory, patient stratification and identification of acute clinically interesting events such as exacerbations. A key part of this study is understanding the potential of real-time data collection, here we will simulate an intervention using the Exacerbation Rating Scale (ERS) to acquire responses at-time-of-event to assess the performance of a model for exacerbation identification from passive data collected. RESULTS RALPMH study provides a unique opportunity to assess the use of remote monitoring in the study of lung disorders. The study is set to be started in mid-May 2021. The data collection apparatus, questionnaires and wearable integrations have been set up and tested by clinical teams. While waiting for ethics approval, real-time detection models are currently being constructed. CONCLUSIONS RALPMH will provide a reference infrastructure for the use of wearable data for monitoring lung diseases. Specifically information regarding the feasibility and acceptability of remote monitoring and the potential of real-time remote data collection and analysis in the context of chronic lung disorders. Moreover, it provides a unique standpoint to look into the specifics of novel coronavirus without burdensome interventions. It will help plan and inform decisions in any future studies that make use of remote monitoring in the area of Respiratory health. CLINICALTRIAL https://www.isrctn.com/ISRCTN16275601

A Design of the Environment Monitoring System

2015 ◽  
Vol 730 ◽  
pp. 195-198
Author(s):  
Chun Yan Xie
Keyword(s):  
Data Collection ◽  
Environmental Monitoring ◽  
Real Time ◽  
Monitoring System ◽  
Remote Monitoring ◽  
Environment Monitoring ◽  
Long Distance ◽  
Distance Control ◽  
Environmental Monitoring System ◽  
Gsm Network

In order to improve the deficiency of environmental monitoring system in real-time, remote monitoring and other aspects, this paper designs an environmental monitoring system based on MCU and GSM network. It designs the struture diagram of the system and analyzes the procedure of data collection and transmission. This system achieves net control and long-distance control of the environmental monitoring.

Research about Agricultural Monitoring Based on the 3G Technology & Embedded System

2012 ◽  
Vol 610-613 ◽  
pp. 1126-1129
Author(s):  
Yong Li Ma
Keyword(s):  
Data Collection ◽  
Embedded System ◽  
Real Time ◽  
Software Design ◽  
Remote Monitoring ◽  
Field Data ◽  
Agricultural System ◽  
Agricultural Field ◽  
Complex Situation ◽  
Field Data Collection

Aiming to the agricultural system environment complex situation, this article proposed a design about agricultural monitor based on the 3G technology and embedded system, introduces the system hardware and software design. The system makes use of monitoring terminal completed field data collection and processing, image and data signals access Internet through the 3G wireless network, realize remote monitoring center real-time monitoring agricultural field.

scholarly journals Implementation Determinants and Outcomes of a Technology-Enabled Service Targeting Suicide Risk in High Schools: Mixed Methods Study

10.2196/16338 ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. e16338
Author(s):  
Molly Adrian ◽  
Jessica Coifman ◽  
Michael D Pullmann ◽  
Jennifer B Blossom ◽  
Casey Chandler ◽  
...  
Keyword(s):  
Mental Health ◽  
Data Collection ◽  
Suicide Prevention ◽  
Suicide Risk ◽  
School Setting ◽  
Usability Testing ◽  
School Personnel ◽  
Relative Advantage ◽  
Implementation Outcomes ◽  
Passive Data

Background Technology-enabled services (TESs), which integrate human service and digital components, are popular strategies to increase the reach and impact of mental health interventions, but large-scale implementation of TESs has lagged behind their potential. Objective This study applied a mixed qualitative and quantitative approach to gather input from multiple key user groups (students and educators) and to understand the factors that support successful implementation (implementation determinants) and implementation outcomes of a TES for universal screening, ongoing monitoring, and support for suicide risk management in the school setting. Methods A total of 111 students in the 9th to 12th grade completed measures regarding implementation outcomes (acceptability, feasibility, and appropriateness) via an open-ended survey. A total of 9 school personnel (school-based mental health clinicians, nurses, and administrators) completed laboratory-based usability testing of a dashboard tracking the suicide risk of students, quantitative measures, and qualitative interviews to understand key implementation outcomes and determinants. School personnel were presented with a series of scenarios and common tasks focused on the basic features and functions of the dashboard. Directed content analysis based on the Consolidated Framework for Implementation Research was used to extract multilevel determinants (ie, the barriers or facilitators at the levels of the outer setting, inner setting, individuals, intervention, and implementation process) related to positive implementation outcomes of the TES. Results Overarching themes related to implementation determinants and outcomes suggest that both student and school personnel users view TESs for suicide prevention as moderately feasible and acceptable based on the Acceptability of Intervention Measure and Feasibility of Intervention Measure and as needing improvements in usability based on the System Usability Scale. Qualitative results suggest that students and school personnel view passive data collection based on social media data as a relative advantage to the current system; however, the findings indicate that the TES and the school setting need to address issues of privacy, integration into existing workflows and communication patterns, and options for individualization for student-centered care. Conclusions Innovative suicide prevention strategies that rely on passive data collection in the school context are a promising and appealing idea. Usability testing identified key issues for revision to facilitate widespread implementation.

scholarly journals Data Collection and Labeling of Real-Time IoT-Enabled Bio-Signals in Everyday Settings for Mental Health Improvement

2021 ◽  
Author(s):  
Ali Tazarv ◽  
Sina Labbaf ◽  
Amir M. Rahmani ◽  
Nikil Dutt ◽  
Marco Levorato
Keyword(s):  
Mental Health ◽  
Data Collection ◽  
Real Time ◽  
Health Improvement

scholarly journals Impact of Removing Nonprescription Codeine in Australia: Protocol for a Prospective Cohort Study

10.2196/15540 ◽  
2020 ◽  
Vol 9 (3) ◽  
pp. e15540
Author(s):  
Jacqui McCoy ◽  
Suzanne Nielsen ◽  
Raimondo Bruno
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Data Collection ◽  
Health Service ◽  
Prospective Cohort ◽  
Service Use ◽  
Community Education ◽  
Health Service Use ◽  
Physical And Mental Health ◽  
The Impact

Background On February 1, 2018, Australia rescheduled codeine to a prescription-only medication. Many concerns were associated with this change, including increased financial costs, reduced service accessibility, the potential for poorer pain management, and a decline in physical and mental health if codeine could not be accessed. In the research literature, there is limited knowledge about the long-term consequences of rescheduling pharmaceutical opioids and, as Australia has followed many countries in implementing a restriction on codeine, further study of these consequences is critical. Objective The goal of this study was to examine the impact of rescheduling codeine from an over-the-counter (OTC) product to a prescription-only medicine on the primary measures of codeine use and dependence in a prospective cohort of people who are frequent consumers of OTC codeine. Secondary measures included pain and self-efficacy, health service use, and mental health. Methods The Codeine Cohort study aimed to recruit 300 participants in Australia who regularly (at least a few times per week for the past 6 months) used OTC codeine. Using an online survey, participants were followed up at three time points (February 2018, June 2018, and February 2019) after codeine was rescheduled. Results All four waves of data collection are complete, with the final round of data collection finalized in August 2019. Data analyses are yet to be completed. Information on demographics, codeine use and dependence, physical and mental health, medication use, and health service use will be analyzed using mixed models. Conclusions Results of this study will provide insight into the effectiveness of regulatory restriction in curtailing nonmedical use of and harms associated with codeine. Additionally, results will explore positive and negative outcomes of codeine rescheduling for individual patients, which informs health professionals who support patients who use codeine and further community education. International Registered Report Identifier (IRRID) DERR1-10.2196/15540

scholarly journals A study on assessment of effects of electronic gadgets on mental and physical health among medical students in Central India

2021 ◽  
Author(s):  
Priyesh Marskole ◽  
Rashmi Yadav ◽  
Soumitra Sethia ◽  
Sachin Parmar ◽  
Rinku Bhagora ◽  
...  
Keyword(s):  
Mental Health ◽  
Data Collection ◽  
Age Groups ◽  
Central India ◽  
Cross Sectional Study ◽  
Study Data ◽  
Physical And Mental Health ◽  
Laptop Computer ◽  
Cross Sectional ◽  
Waking Up

Background: Human race has witnessed enormous technological advancements especially in last few decades. Electronic gadgets are part of everyday lives of all individuals in all age groups. On one side they make our lives easier and convenient and on the other side their excessive usage is harmful. These gadgets effect physical as well as mental health. Present study was conducted to see the effects of electronic gadgets on physical and mental health of medical students.Methods: A cross-sectional study was conducted among MBBS students of Central India. Students who were present on the time of data collection were included in the study. For the study, data collection tool was a pre-designed, semi structured questionnaire, collected data was compiled in excel sheet and relevant analysis was done.Results: About 70% have habit of waking up between 6 to 8 AM. 95.5% of subjects were using smartphones, 61.5% of subjects using laptop/computer. 58% were spending time with gadgets less than 4 hours while 6.5% were spending more than 10 hours. We found out that 54% had ophthalmic health effects and 46.5% participants accepted feeling anxious, irritated or restless without their gadgets. The study revealed health problems of participants as headache (30%), migraine (1%), depression (7%) and other problems like backache, weakness, joint pain and others.Conclusions: The current and exiting data so far suggest that gadget have definite risk and adverse effects on the health of the general population.

scholarly journals Impact of Removing Nonprescription Codeine in Australia: Protocol for a Prospective Cohort Study (Preprint)

2019 ◽  
Author(s):  
Jacqui McCoy ◽  
Suzanne Nielsen ◽  
Raimondo Bruno
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Data Collection ◽  
Health Service ◽  
Prospective Cohort ◽  
Service Use ◽  
Community Education ◽  
Health Service Use ◽  
Physical And Mental Health ◽  
The Impact

BACKGROUND On February 1, 2018, Australia rescheduled codeine to a prescription-only medication. Many concerns were associated with this change, including increased financial costs, reduced service accessibility, the potential for poorer pain management, and a decline in physical and mental health if codeine could not be accessed. In the research literature, there is limited knowledge about the long-term consequences of rescheduling pharmaceutical opioids and, as Australia has followed many countries in implementing a restriction on codeine, further study of these consequences is critical. OBJECTIVE The goal of this study was to examine the impact of rescheduling codeine from an over-the-counter (OTC) product to a prescription-only medicine on the primary measures of codeine use and dependence in a prospective cohort of people who are frequent consumers of OTC codeine. Secondary measures included pain and self-efficacy, health service use, and mental health. METHODS The Codeine Cohort study aimed to recruit 300 participants in Australia who regularly (at least a few times per week for the past 6 months) used OTC codeine. Using an online survey, participants were followed up at three time points (February 2018, June 2018, and February 2019) after codeine was rescheduled. RESULTS All four waves of data collection are complete, with the final round of data collection finalized in August 2019. Data analyses are yet to be completed. Information on demographics, codeine use and dependence, physical and mental health, medication use, and health service use will be analyzed using mixed models. CONCLUSIONS Results of this study will provide insight into the effectiveness of regulatory restriction in curtailing nonmedical use of and harms associated with codeine. Additionally, results will explore positive and negative outcomes of codeine rescheduling for individual patients, which informs health professionals who support patients who use codeine and further community education. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/15540

scholarly journals M107. EXPLORING REAL-TIME VARIABILITY IN PSYCHOLOGICAL, PSYCHOPHYSIOLOGICAL, AND BEHAVIOURAL RISK FACTORS FOR AGGRESSION: A NOVEL APPROACH COMBINING ACTIVE AND PASSIVE REMOTE MONITORING

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S176-S176
Author(s):  
Ben Greer ◽  
Matteo Cella ◽  
Til Wykes
Keyword(s):  
Mental Health ◽  
Real Time ◽  
Remote Monitoring ◽  
Spectrum Disorder ◽  
Time Variability ◽  
Service Users ◽  
Schizophrenia Spectrum Disorder ◽  
Schizophrenia Spectrum ◽  
Multi Level ◽  
Behavioural Factors

Abstract Background Most service users diagnosed with a schizophrenia-spectrum disorder are not aggressive, but this behaviour does occur in inpatient mental health services worldwide. Aggression is difficult to predict and is influenced by a combination of changeable psychological, psychophysiological, and behavioural factors. Current assessment methods are limited to observable behaviours, conducted relatively infrequently, and demonstrate poor predictive accuracy. Advances in active (experience sampling methodology) and passive (wearable psychophysiological sensors) remote monitoring enable monitoring of psychological, psychophysiological, and behavioural parameters in real-time. Monitoring real-time variability in these parameters could identify concerning changes earlier than is currently possible and enable support to be provided sooner. This study aimed to examine real-time variability psychological, psychophysiological, and behavioural factors among an inpatient sample, and relationship with behavioural incidents. Methods Service users (N=40) with a diagnosis of schizophrenia-spectrum disorder and/or antisocial personality disorder were recruited from a medium-secure inpatient forensic mental health service in the UK. Participants completed a blended active and passive remote monitoring study for seven consecutive days. Participants rated 20 psychological and behavioural items at random periods seven times per day, while wearing a passive remote monitoring device which simultaneously collected measurements of electrodermal activity, heart rate variability, and physical activity. Behavioural incidents occurring during the study were recorded from staff-completed behaviour rating scales, and participants’ electronic hospital records. Multi-level models were constructed to examine the role of psychophysiological, psychological, and behavioural factors in predicting behavioural incidents, controlling for covariates such as physical movement and medication. Results The findings demonstrate the within- and between-participant variability in psychological, psychophysiological, and behavioural parameters occurring in real-time, with high ecological validity. Multi-level modelling enabled the predictive ability of these changes in relation to behavioural incidents to be examined, in addition to the timeframe over which this predictive relationship exists. Discussion To our knowledge this is the first study to examine real-time change in psychological, psychophysiological, and behavioural parameters in relation to behavioural incidents. This blended active and passive remote monitoring approach can offer a temporally precise method of assessing change in these parameters, which participants regarded as acceptable. This novel method could assist in identifying concerning change in these parameters earlier and delivering timely support for service users experiencing difficulties, which could be explored in future research.

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