Smartphone Apps
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2021 ◽  
pp. 1-12
Author(s):  
Ann E. Perreau ◽  
Richard S. Tyler ◽  
Victoria Frank ◽  
Alexandra Watts ◽  
Patricia C. Mancini

Purpose Smartphone apps for tinnitus relief are now emerging; however, research supporting their use and effectiveness is lacking. Research has shown that Tinnitus Therapy sounds intended for individuals with acoustic hearing provide relief to some patients using cochlear implants (CIs) with tinnitus. Here, we evaluated the use and acceptability of a smartphone app to help CI patients with tinnitus. Method Participants completed a laboratory trial ( n = 19) and an at-home trial ( n = 14) using the ReSound Tinnitus Relief app to evaluate its acceptability and effectiveness in reducing their tinnitus. During the laboratory trial, participants selected a sound that was most acceptable in managing their tinnitus (termed chosen sound ). Word recognition scores in quiet were obtained before and after sound therapy. Participants were randomly assigned to one of two groups for the at-home trial, that is, AB or BA, using (A) the chosen sound for 2 weeks and (B) the study sound (i.e., broadband noise at hearing threshold) for another 2 weeks. Ratings were collected weekly to determine acceptability and effectiveness of the app in reducing tinnitus loudness and annoyance. Results Results indicated that some, but not all, participants found their chosen sound to be acceptable and/or effective in reducing their tinnitus. A majority of the participants rated the chosen sound or the study sound to be acceptable in reducing their tinnitus. Word recognition scores for most participants were not adversely affected using the chosen sound; however, a significant decrease was observed for three participants. All 14 participants had a positive experience with the app during the at-home trial on tests of sound therapy acceptability, effectiveness, and word recognition. Conclusions Sound therapy using a smartphone app can be effective for many tinnitus patients using CIs. Audiologists should recommend a sound and a level for tinnitus masking that do not interfere with speech perception.


2021 ◽  
Vol 9 (3) ◽  
pp. 39-49 ◽  
Author(s):  
Eric Lettkemann ◽  
Ingo Schulz-Schaeffer

The article presents an analytical concept, the Constitution of Accessibility through Meaning of Public Places (CAMPP) model. The CAMPP model distinguishes different manifestations of public places according to how they facilitate and restrict communication between urbanites. It describes public places along two analytical dimensions: their degree of perceived accessibility and the elaboration of knowledge necessary to participate in place-related activities. Three patterns of communicative interaction result from these dimensions: civil inattention, small talk, and sociability. We employ the CAMPP model as an analytical tool to investigate how digital annotations affect communicative patterns and perceptions of accessibility of public places. Based on empirical observations and interviews with users of smartphone apps that provide digital annotations, such as Foursquare City Guide, we observe that digital annotations tend to reflect and reinforce existing patterns of communication and rarely evoke changes in the perceived accessibility of public places.


2021 ◽  
Author(s):  
Julia Bland Manning ◽  
Ann Blandford ◽  
Julian Edbrooke-Childs ◽  
Paul Marshall

BACKGROUND There are thousands of digital companions (DC) designed for emotional wellbeing and stress, including interactive websites, wearables and smartphone apps. Although public evaluation frameworks and ratings exist, they do not facilitate DC choice based on contextual or individual information such as occupation or personal management strategies. OBJECTIVE The aim of this study was to establish a process of creating a taxonomy to support systematic choice of DCs for teachers’ stress self-management. METHODS We employed a 4-step study design. In step 1, we identified the dimension of stress self-management and strategic classifications. In step 2 we identified the dimension of digital techniques and conceptual descriptions. In step 3 we created six criteria for inclusion of DCs. In step 4 we used the taxonomy framework created by steps 1 and 2 and populated it with DCs for stress self-management as identified in step 3. RESULTS First, in the dimension of stress self-management we identified 4 classes of strategies: educational, physiological, cognitive and social. Second, in the digital techniques dimension we derived 4 conceptual descriptions of DCs’ mechanisms of action: fostering reflection, suggesting treatment, peer-to-peer support and entertainment. Third, we created 6 criteria for DC inclusion in the taxonomy: suitability, availability, evaluation, security, validity and cost. Using the taxonomy framework and criteria, we populated it with DCs for stress management ahead of presentation to teachers in a stress study workshop. CONCLUSIONS We believe elements of our approach will generalise as principles for the creation of taxonomies for other occupations or conditions. Taxonomies such as this could be a valuable resource for individuals understanding what DC could be of help in their personal context.


2021 ◽  
Vol 5 (4) ◽  
pp. 381
Author(s):  
Shaorin Tanira

Background: From health monitoring to health education and from behaviour change to falls sensing and health alerts to the simple pleasure of communication and connectedness, the mobile technologies (smartphone applications) are changing the lives of older adults.Objective: To examine current evidence of use of smartphones by older adults for health purposes (including communication, education, and health monitoring), and understand gaps and challenges in order to inform the design of future systems given the ubiquity of mobile phone technology.Methods: MEDLINE, CINAHL and Google scholar databases were searched from October 2016 to January 2017. Keywords used include ‘smartphone apps’, ‘mobile phone’, ‘chronic disease’, ‘chronic condition’, ‘older adults’ and ‘elderly’. A total of 12 articles were selected for quality assessment and grading of evidence.Results: Twelve different articles were found and categorized into nine different clinical domains with specific health related interventions. Articles were focused on diabetes care (2 articles), followed by COPD (2 articles), heart disease (1 article), Alzheimer’s/dementia Care (2 articles), osteoarthritis and pain management (1 article), fall prevention (1 article), colon cancer (1 article), palliative care (1 article), chronic kidney disease (1 article). Areas of interest studied included feasibility, acceptability, functionality and thereby determining their effectiveness. There were many different clinical domains; however, most of the studies were pilot studies. Current work in using mobile phones for older adult use are spread across a variety of clinical domains. Findings from different studies indicate that the use of mobile phone interventions has the potential to support successful management of chronic conditions and health behaviour change in older adults.Conclusion: Perceived benefits and willingness to use the smartphone apps are high; however, technical training and cost are main concerns. A common problem with elderly users was their reluctance to press buttons due to the fear of breaking something which has been resolved by touch screen technology of the smartphones. However, the advanced user clicked around the screen until he found what he was looking for, while the others spent a lot of time observing the screen and trying to determine the correct step. Promotion of user-friendly apps are expected especially for older adults having a diminished physical and cognitive abilities.International Journal of Human and Health Sciences Vol. 05 No. 04 October’21 Page: 381-387


Author(s):  
Aparna Mete Sawant

Smartphones have hit every side and every house nowadays. As a result, people use useful smartphone apps to make their daily lives simpler. The number of smartphone apps relating to physical fitness and the goal of maintaining a healthy daily routine is increasing. In order to provide an accessible health care infrastructure, this paper focuses on designing a smartphone application. By using this app the users can get numerous features/benefits such as login or sign up, medicine reminder, nearest ambulance booking feature, doctor’s appointment, search for a specialist, separate medical folder for a patient. The application has two interfaces - Patient side and the Doctors side. The doctor side has features like the- My Patients, Appointments, Profile, Patient’s Request, Doctors Calendar. The Patient’s side contains - a search doctors, medical folder, my doctors, patient’s profile and doctors appointment. Firebase is used as the backend with Authentication for email and password whereas the real time database is used to keep the track of the ambulance which takes latitude and longitude as parameters.


Author(s):  
Felix Beierle ◽  
Johannes Schobel ◽  
Carsten Vogel ◽  
Johannes Allgaier ◽  
Lena Mulansky ◽  
...  

Physical and mental well-being during the COVID-19 pandemic is typically assessed via surveys, which might make it difficult to conduct longitudinal studies and might lead to data suffering from recall bias. Ecological momentary assessment (EMA) driven smartphone apps can help alleviate such issues, allowing for in situ recordings. Implementing such an app is not trivial, necessitates strict regulatory and legal requirements, and requires short development cycles to appropriately react to abrupt changes in the pandemic. Based on an existing app framework, we developed Corona Health, an app that serves as a platform for deploying questionnaire-based studies in combination with recordings of mobile sensors. In this paper, we present the technical details of Corona Health and provide first insights into the collected data. Through collaborative efforts from experts from public health, medicine, psychology, and computer science, we released Corona Health publicly on Google Play and the Apple App Store (in July 2020) in eight languages and attracted 7290 installations so far. Currently, five studies related to physical and mental well-being are deployed and 17,241 questionnaires have been filled out. Corona Health proves to be a viable tool for conducting research related to the COVID-19 pandemic and can serve as a blueprint for future EMA-based studies. The data we collected will substantially improve our knowledge on mental and physical health states, traits and trajectories as well as its risk and protective factors over the course of the COVID-19 pandemic and its diverse prevention measures.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Katarina Åsberg ◽  
Marcus Bendtsen

Abstract Background Evidence suggests that unhealthy lifestyle behaviours are modifiable risk factors for postoperative complications. Digital behaviour change interventions (DBCIs), for instance text messaging programs and smartphone apps, have shown promise in achieving lifestyle behaviour change in a wide range of clinical populations, and it may therefore be possible to reduce postoperative complications by supporting behaviour change perioperatively using digital interventions. This scoping review was conducted in order to identify existing research done in the area of perioperative DBCIs for reducing alcohol consumption, improving dietary intake, increasing physical activity and smoking cessation. Main text This scoping review included eleven studies covering a range of surgeries: bariatric, orthopaedic, cancer, transplantation and elective surgery. The studies were both randomised controlled trials and feasibility studies and investigated a diverse set of interventions: one game, three smartphone apps, one web-based program and five text message interventions. Feasibility studies reported user acceptability and satisfaction with the behaviour change support. Engagement data showed participation rates ranged from 40 to 90%, with more participants being actively engaged early in the intervention period. In conclusion, the only full-scale randomised controlled trial (RCT), text messaging ahead of bariatric surgery did not reveal any benefits with respect to adherence to preoperative exercise advice when compared to a control group. Two of the pilot studies, one text message intervention, one game, indicated change in a positive direction with respect to alcohol and tobacco outcomes, but between group comparisons were not done due to small sample sizes. The third pilot-study, a smartphone app, found between group changes for physical activity and alcohol, but not with respect to smoking cessation outcomes. Conclusion This review found high participant satisfaction, but shows recruitment and timing-delivery issues, as well as low retention to interventions post-surgery. Small sample sizes and the use of a variety of feasibility outcome measures prevent the synthesis of results and makes generalisation difficult. Future research should focus on defining standardised outcome measures, enhancing patient engagement and improving adherence to behaviour change prior to scheduled surgery.


10.2196/25866 ◽  
2021 ◽  
Vol 23 (7) ◽  
pp. e25866
Author(s):  
Joseph E Glass ◽  
Theresa E Matson ◽  
Catherine Lim ◽  
Andrea L Hartzler ◽  
Kilian Kimbel ◽  
...  

Background Digital interventions, such as websites and smartphone apps, can be effective in treating drug use disorders (DUDs). However, their implementation in primary care is hindered, in part, by a lack of knowledge on how patients might like these treatments delivered to them. Objective This study aims to increase the understanding of how patients with DUDs prefer to receive app-based treatments to inform the implementation of these treatments in primary care. Methods The methods of user-centered design were combined with qualitative research methods to inform the design of workflows for offering app-based treatments in primary care. Adult patients (n=14) with past-year cannabis, stimulant, or opioid use disorder from 5 primary care clinics of Kaiser Permanente Washington in the Seattle area participated in this study. Semistructured interviews were recorded, transcribed, and analyzed using qualitative template analysis. The coding scheme included deductive codes based on interview topics, which primarily focused on workflow design. Inductive codes emerged from the data. Results Participants wanted to learn about apps during visits where drug use was discussed and felt that app-related conversations should be incorporated into the existing care whenever possible, as opposed to creating new health care visits to facilitate the use of the app. Nearly all participants preferred receiving clinician support for using apps over using them without support. They desired a trusting, supportive relationship with a clinician who could guide them as they used the app. Participants wanted follow-up support via phone calls or secure messaging because these modes of communication were perceived as a convenient and low burden (eg, no copays or appointment travel). Conclusions A user-centered implementation of treatment apps for DUDs in primary care will require health systems to design workflows that account for patients’ needs for structure, support in and outside of visits, and desire for convenience.


2021 ◽  
pp. 105566562110285
Author(s):  
KH Alisha ◽  
Puneet Batra ◽  
Sreevatsan Raghavan ◽  
Karan Sharma ◽  
Aditya Talwar

Background: Nonradiographic 3-D assessment of soft tissue facial structures is an ideal tool to measure 3-D facial change and smartphone apps like Bellus 3D have brought these technologies to our doorsteps. Although this app works well for adults, it doesn’t do so well with infants as their stabilization is difficult thus proper alignment becomes problematic often leading to distortion. This seriously hampers the repeatability and reliability of the whole process. Material and Method: A stainless steel rod of 150-cm length is curved into a semicircle of a radius of 42.5 cm. Bases are fabricated at both the ends to firmly hold the stand on the table. A Teflon ring of one inch is made for adjusting the diameter of the camera holder. A camera holder is then attached to the Teflon ring. The mobile holder mounted is free to move within the arc. A 3-D facial scan of a single patient was carried out with the camera mounted on the frame and once without the frame. The same was compared using side-by-side comparison and superimposition of the .STL files from the frontal, profile, and worm’s eye view. Result and Conclusion: It was found that considerable distortion was noted around the nasal and paranasal areas when the scan was performed without the frame as compared to the one that was taken with the frame. This technique avoided distortion and the difficulty in turning the baby’s head to record the lateral portion of the face.


2021 ◽  
Vol 14 (3) ◽  
pp. 1-40
Author(s):  
Al Majed Khan ◽  
Dr Marilyn Dunlop ◽  
Dr Marilyn Lennon ◽  
Dr Mateusz Dubiel

Performing daily independent activities can be a challenge for people with Down's Syndrome (DS). This article investigates how to better support these activities with smart devices based on three cycles of a collaborative participatory action research (PAR) process. The first cycle involved semi-structured interviews ( n = 4 ) with parents and an online survey ( n = 39 ) with people with DS and their parents to explore barriers and opportunities for independent activities. This cycle highlighted that travelling independently was a common challenge among discussed barriers to independent activities for young adults with DS, an issue that smart devices have the potential to overcome. The second cycle involved seven focus group discussions ( n = 20 ) with parents ( n = 13 ) and young adults with DS ( n = 7 ) for gaining deeper insights into barriers to independent travel. We explored key barriers to independent travel and gathered design requirements for smartphone apps to overcome these barriers. In the third cycle, we designed a digital prototype based on participant recommendations and conducted seven focus group meetings ( n = 19 ) with caregivers ( n = 12 ) and individuals with DS ( n = 7 ). This final cycle reviewed the proposed digital prototype and validated the key barriers found in the second cycle. Overall, our studies confirmed that mobile technology can support people with DS in performing daily life activities that increase social inclusion. The studies resulted in identified barriers and requirements along with co-designed solutions for independent travel apps.


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