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Background: Research increasingly supports the role of electronic health technology in improving cognitive function. However, individuals with mild cognitive impairment or dementia often show low compliance with electronic health technology. To understand the barriers and facilitators for this group, this study was conducted. Methods: This study used the Joanna Briggs Institute (JBI) umbrella review method, searching relevant English articles in PubMed, Embase, Cochrane, Scopus, MEDLINE, Web of Science, and CINAHL from inception to May 2023. Two researchers independently selected articles based on predefined criteria, assessed study quality using Meta-QAT and A Measurement Tool to Assess Systematic Reviews (AMSTAR), and determined confidence in the evidence using GRADE-CERQual. The Unified Theory of Acceptance and Use of Technology (UTAUT) model was employed to analyze factors related to electronic health technology, and Behavior Change Techniques (BCTs) were used to develop implementation strategies. Results: This study included 21 reviews, covering 535 primary studies, identifying 13 factors. The three most impactful factors on engagement were Perceived Behavioral Control, Relative Advantage, and Social Factors. Six implementation strategies were formulated based on BCT: enhancing targeted approaches, adapting to existing contexts, involving care organizations, accommodating family involvement, accessing virtual community resources, and recognizing patient variability. Conclusions: This umbrella review underscores the need for a multi-level stakeholder approach and a holistic perspective in developing targeted implementation strategies. Using the UTAUT framework, key influential factors have been identified, offering valuable insights for future interventions and enhancing participation in electronic health interventions. Registration: This study was registered with the PROSPERO (CRD42023429410). [ABSTRACT FROM AUTHOR]

To explore the views of Greek citizens regarding the knowledge, use and usefulness of electronic applications and health services, as well as their readiness to use these services and their intention to do so in the future. To investigate the views of Greek citizens regarding the knowledge, use and usefulness of electronic health applications and services, as well as their readiness to use these services and their intention to do so in the future. METHOD A structured questionnaire on e-Health and citizens' views based on previous surveys was used and was answered electronically by 361 people in the last quarter of 2022. RESULTS The survey showed that the level of citizens' knowledge of e-Health applications was higher than their levels of use. Higher usage was positively correlated with higher knowledge of e-Health services, higher perceived usefulness of such services and higher ease of use. It also showed that this familiarity was more related to gov.gr applications. Respondents considered that e-Health contributes to better scheduling of examinations and appointments (mean 3.94/5), cost savings (mean 3.73/5), better doctor-patient communication (mean 3.54/5) and faster service (mean 3.44/5). CONCLUSIONS The survey highlighted the importance of using e-Health tools to improve health services and the value of training and informing the public about existing systems and applications. [ABSTRACT FROM AUTHOR]

Abstract Background Research increasingly supports the role of electronic health technology in improving cognitive function. However, individuals with mild cognitive impairment or dementia often show low compliance with electronic health technology. To understand the barriers and facilitators for this group, this study was conducted. Methods This study used the Joanna Briggs Institute (JBI) umbrella review method, searching relevant English articles in PubMed, Embase, Cochrane, Scopus, MEDLINE, Web of Science, and CINAHL from inception to May 2023. Two researchers independently selected articles based on predefined criteria, assessed study quality using Meta-QAT and A Measurement Tool to Assess Systematic Reviews (AMSTAR), and determined confidence in the evidence using GRADE-CERQual. The Unified Theory of Acceptance and Use of Technology (UTAUT) model was employed to analyze factors related to electronic health technology, and Behavior Change Techniques (BCTs) were used to develop implementation strategies. Results This study included 21 reviews, covering 535 primary studies, identifying 13 factors. The three most impactful factors on engagement were Perceived Behavioral Control, Relative Advantage, and Social Factors. Six implementation strategies were formulated based on BCT: enhancing targeted approaches, adapting to existing contexts, involving care organizations, accommodating family involvement, accessing virtual community resources, and recognizing patient variability. Conclusions This umbrella review underscores the need for a multi-level stakeholder approach and a holistic perspective in developing targeted implementation strategies. Using the UTAUT framework, key influential factors have been identified, offering valuable insights for future interventions and enhancing participation in electronic health interventions. Registration This study was registered with the PROSPERO (CRD42023429410).

Heart failure is a cardiovascular disease that poses a serious health risk to the global population and is characterised by a chronic and prolonged disease course. Effective management centered on home care is essential for controlling symptoms and improving patient prognosis. Electronic health (e-health) technology is one of the hotspots in the research field of home management of heart failure, with the advantage of overcoming temporal and spatial barriers, and can achieve continuous monitoring, intelligent assessment, and dynamic management of the health status of patients at home. This paper systematically sorts out the related research on e-health in home management of patients with heart failure, and discusses its application value in drug management, exercise rehabilitation, symptom management, risk profile, and other aspects of patients with heart failure. It also analyzes and prospects the limitations of the e-health system such as poor digital inclusion, imperfect operation system, and risk of data security. The purpose of this study is to provide reference for the innovation of home management model for patients with heart failure.

Objective: We evaluated the usability and acceptability of My-Hip Fracture (My-HF), a web application that assists providers in delivering individualized prognostic information to patients hospitalized for hip fracture (HF). Methods: We observed a sample of 16 clinicians as they navigated My-HF. We then administered a structured questionnaire and conducted semi-structured interviews to explore participants' opinions about the app's content and the feasibility of incorporating the app into clinical workflows. Results: Clinicians required a median of 2-min and 45 s to navigate through the app. Nearly all participants indicated that My-HF was easy to use and would be useful for their practice. About half of participants had suggestions for additional useful peri-operative content. A few expressed concerns about communicating mortality risk. About half expressed concerns about how My-HF might be integrated into existing clinical workflows. Conclusions: Though clinicians rated My-HF high on usefulness in a structured usability questionnaire, qualitative interviews identified a number of suggestions for optimizing integration into clinical practice. Creating shared goals, establishing a decision coach, and developing a framework of communication across care settings could facilitate integration of My-HF by the multidisciplinary HF team. Innovation: My-Hip Fracture is a unique web application which provides personalized prognostic information to patients and families after HF. My-HF has potential to facilitate informed decision-making between clinicians and patients, but adaptations will be necessary to enhance its usability.

Background: Lifestyle interventions (LIs) are the cornerstone for obesity management. The Mayo Clinic Diet (MCD) offers two approaches for LIs: the In-Person LI (IPLI) and the Digital Enhanced LI (DELI). The IPLI includes a 2-day in-person program with monthly follow-ups, whereas the DELI provides on-demand digital tools. The comparative efficacy of these approaches is currently unknown. Methods: This retrospective study included two cohorts of adults with a body mass index (BMI) of ≥25 kg/m2 and weight metrics at least 3 months after starting either the IPLI or DELI program. The primary endpoint was the total body weight loss percentage (TBWL%) at 6 months. Results: The study included 133 participants in the IPLI cohort (mean age 46.3 years, 65.4 % female, BMI 36.4) and 9603 in the DELI cohort (mean age 60.1 years, 85.0 % female, BMI 33.1). The DELI group achieved superior TBWL% at 1, 3, and 6 months compared to the IPLI group (3.4 % vs. 1.5 %, 4.7 % vs. 2.4 %, 5.3 % vs. 2.9 %, respectively; p 5 % TBWL at 6 months (OR 1.66; 95 % CI [1.08, 2.55], p

Digital innovation can significantly enhance public health services, environmental sustainability, and social welfare. To this end, the European Digital Innovation Hub (EDIH) initiative was funded by the European Commission and national governments aiming to facilitate the digital transformation on various domains (including health) via the setup of relevant ecosystems consisting of academic institutions, research centres, start-ups, small and medium-sized enterprises, larger companies, public organizations, technology transfer offices, innovation clusters, and financial institutions. The ongoing goal of the EDIHs initiative is to bridge the gap between high-tech research taking place in universities and research centres and its deployment in real-world conditions by fostering innovation ecosystems. In this context, the smartHEALTH EDIH started its operation in Greece in 2023, offering technical consultation services to companies and public sector organizations to accelerate digitalization in precision medicine and innovative e-health services by utilizing key technologies such as artificial intelligence, high-performance computing, cybersecurity, and others. During its first 20 months of operation, over 50 prospective recipients have applied for consulting services, mainly seeking “test-before-invest” services. This paper aims to provide insights regarding the smartHEALTH initiative, preliminary outcomes and lessons learned during this first period of operation. To this end, this paper outlines smartHEALTH’s approach to attracting recipients and providing expert guidance on utilizing state-of-the-art technologies for innovative services, product development, and process creation to accelerate digital transformation.

Telemedicine is considered to be the result of the combination of rapid developments in the two specialized fields of information technology and medicine, and observing the favorable and rapid effects of this technology has encouraged the managers of health systems in many countries, including Iran, to expand it. However, despite the advantages that this technology can have for a country like Iran, this technology did not have the expected expansion in Iran, and for this reason, the current research sought to formulate a model for the expansion of telemedicine in the field of treatment. Previous researches, with much more limited areas, have focused more on Davis's technology acceptance model and the theory of logical action. In this research, which was conducted with a user-centred approach, using the opinions of experts and the fuzzy Delphi method (in the first part) and the validation of the resulting model by operational experts (in the second part), finally, a model for expanding this technology with 4 main factors effective and 14 components of those factors were obtained and the validity of the resulting model was also confirmed by several different criteria, including the goodness of fit criterion. The results showed that the component of resistance to use among cultural and social factors has the most significant impact on the development of this technology, and this resistance was observed mostly on the side of doctors and treatment service providers. After that, the amount and type of allocation of financial resources and government policies are in the next ranks. The least significant impact was attributed to the perceived risk. The results showed that the components of attitude and the expected performance had no significant effect on the development of telemedicine and the most important factors affecting the development of this technology are in the area of authority of the government and policymakers of the health system. [ABSTRACT FROM AUTHOR]

Shengchao Hou,1,2 Xiubo Wang,1 Zizhao Zhao,1 Yongqiang Ma,1 Jing Liu,3 Ziyun Zhang,2 Jingdong Ma1 1School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China; 2Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China; 3Administrative Office, Yuebei People’s Hospital, Shaoguan, People’s Republic of ChinaCorrespondence: Jingdong Ma, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, No. 13 Hangkong Road, Wuhan, 430030, People’s Republic of China, Email jdma@hust.edu.cnPurpose: Advancements in electronic health (eHealth) technology have profoundly impacted patient engagement. This study aimed to develop and validate the Electronic Patient Engagement Behavior (EPEB) scale to measure the conceptual and underlying framework of patient engagement behaviors in an eHealth context.Patients and Methods: Initial measurement items were generated based on a literature review and qualitative research. Two rounds of surveys, a pilot survey and validation survey, were conducted to evaluate the psychometric properties of the scale.Results: The EPEB scale consists of 15 items in four dimensions: disease information search, physician-patient interaction, social interaction between patients, and disease self-monitoring. In the pilot survey, the exploratory factor analysis revealed a four-factor model, explaining 69.411% of variance. In the validation survey, the Cronbach’s α coefficient of each sub-scale was 0.865, 0.904, 0.904, and 0.900 respectively. The Spearman-Brown split coefficient of the scale was 0.963. The results of the cross-sex measurement equivalence test indicate that all fit indices met the measurement criteria. The confirmatory factor analysis indicated second-order 4-factor model fit the data well. The EPEB has a good reliability and validity.Conclusion: The EPEB scale provides a reliable tool for measuring patient engagement behaviors in the eHealth context. The utilization of this scale may yield valuable insights into strategies for enhancing patient engagement and optimizing health outcomes.Keywords: patient engagement behaviors, electronic health, scale development, evaluation, validation

Background: Physical activity (PA) can improve the physical and psychosocial health of individuals with cancer, yet PA levels remain low. Technology may address PA maintenance barriers in oncology, though the intervention effectiveness to date remains mixed. Qualitative research can reveal the nuances of using technology-based PA maintenance tools. The present study aimed to understand the perspectives of individuals with cancer on using an app to support PA maintenance. Methods: Individuals were interviewed after using a self-monitoring app for 24 weeks, asking about their app use, ease of use, and perceived value for supporting PA. Analyses were guided by an interpretive description. Results: Eighteen individuals were interviewed. The participants were 37–75 years old; lived in seven Canadian provinces/territories; identified as White, South Asian, or Indigenous; and had eight different cancers. Four themes were developed: some did not need the app to stay physically active, some valued the app for helping them maintain their PA, the user experience ranged from intuitive to confusing, and the time burden of app use ranged from acceptable to overwhelming. Conclusions: The participants provided insights on using a self-monitoring app to improve PA maintenance in oncology. Work is needed to capture additional perspectives and apply findings to the development of technology-based PA maintenance tools.

This article discusses the role of technology in disseminating education to patients with chronic kidney disease (CKD). The study surveyed 200 CKD patients and found that while they had high access to technology and were generally receptive to education through electronic means, they still preferred face-to-face education. Older participants were less likely to be receptive to electronic education, while those with higher eHealth literacy were more likely to be receptive. The study suggests that an integrated approach combining in-person counseling with the use of electronic media may be the most effective mode of education for CKD patients. [Extracted from the article]

Objectives: This review aimed to synthesize the best available evidence concerning the effectiveness of electronic health, mindfulness-based interventions (eHealth-MBIs) on anxiety, depression, mindfulness and quality of life (QoL) among cancer patients/survivors. Methods: Published and unpublished studies were retrieved from 10 electronic databases. Two independent authors screened and selected articles, extracted data using a standardized form and appraised the studies with the Cochrane risk of bias assessment tool. Meta-analyses were performed using a random-effect model with Review Manager (REVMAN). Standardized mean differences (SMDs) were used to determine intervention effects. Narrative syntheses were conducted for studies not suitable for meta-analyses. Heterogeneity was identified through I 2 and chi-square statistics. Subgroup analyses were performed based on types of controls, age groups and gender. The Grading of Recommendations Assessment, Development and Evaluation approach was used to assess overall quality. Results: In total, 18 studies were included. The eHealth-MBIs improved primary outcomes of anxiety (SMD = −0.28) and depression (SMD = −0.24), among cancer patients/survivors with small effect sizes. Effects for the secondary outcomes of QoL (SMD = 0.25) and mindfulness (SMD = 0.29) were observed at short-term follow-up assessments but not at post-intervention. Overall quality was rated as low for the primary and very low for the secondary outcomes. Conclusion: The eHealth-MBIs can be offered as a cost-effective and accessible alternative for cancer patients and survivors in healthcare settings. Future research may further explore the effectiveness of eHealth-MBIs based on different types of MBIs, cancer types, modes of delivery and other outcomes such as stress and post-traumatic growth. [ABSTRACT FROM AUTHOR]

Introduction: Medication nonadherence continues to be challenging for allogeneic hematopoietic cell transplant (HCT) recipients. The risk and severity of chronic graft-versus-host disease (GVHD) are associated with low immunosuppressant concentrations (which can be improved with model-informed precision dosing (MIPD)) and with immunosuppressant nonadherence (which can be improved with acceptable interventions). Methods: With the goals of improving adherence and achieving therapeutic concentrations of immunosuppressants to eliminate GVHD, we characterized the feasibility of using the Medication Event Monitoring (MEMS®) Cap in adult HCT recipients. Results: Of the 27 participants offered the MEMS® Cap at the time of hospital discharge, 7 (25.9%) used it, which is below our a priori threshold of 70%. These data suggest the MEMS® Cap is not feasible for HCT recipients. The MEMS® Cap data were available for a median of 35 days per participant per medication (range: 7–109 days). The average daily adherence per participant ranged from 0 to 100%; four participants had an average daily adherence of over 80%. Conclusions: MIPD may be supported by MEMS® technology to provide the precise time of immunosuppressant self-administration. The MEMS® Cap was used by only a small percentage (25.9%) of HCT recipients in this pilot study. In accordance with larger studies using less accurate tools to evaluate adherence, immunosuppressant adherence varied from 0% to 100%. Future studies should establish the feasibility and clinical benefit of combining MIPD with newer technology, specifically the MEMS® Button, which can inform the oncology pharmacist of the time of immunosuppressant self-administration. [ABSTRACT FROM AUTHOR]

Background: Physical activity (PA) can improve the physical and psychosocial health of individuals with cancer, yet PA levels remain low. Technology may address PA maintenance barriers in oncology, though the intervention effectiveness to date remains mixed. Qualitative research can reveal the nuances of using technology-based PA maintenance tools. The present study aimed to understand the perspectives of individuals with cancer on using an app to support PA maintenance. Methods: Individuals were interviewed after using a self-monitoring app for 24 weeks, asking about their app use, ease of use, and perceived value for supporting PA. Analyses were guided by an interpretive description. Results: Eighteen individuals were interviewed. The participants were 37–75 years old; lived in seven Canadian provinces/territories; identified as White, South Asian, or Indigenous; and had eight different cancers. Four themes were developed: some did not need the app to stay physically active, some valued the app for helping them maintain their PA, the user experience ranged from intuitive to confusing, and the time burden of app use ranged from acceptable to overwhelming. Conclusions: The participants provided insights on using a self-monitoring app to improve PA maintenance in oncology. Work is needed to capture additional perspectives and apply findings to the development of technology-based PA maintenance tools. [ABSTRACT FROM AUTHOR]

The study supplies a conceptual framework for the development and use of eHealth literacy in digital health management, as well as in government and international eHealth management activities. This study aims to gain a deep understanding and analysis of eHealth literacy measurement trends through a systematic review and analysis of articles published (from January 2006 to January 2023) in PubMed, Web of Science, and Scopus. There are fifteen original and high-quality validation studies found in the systematic literature review on measuring eHealth literacy. The study found three stages in the development of eHealth literacy measurement, which are characterized by a suitable set of skills. eHLS-Web 3.0 has high internal and external consistency scores, and eHEALS and HLS-EU-Q-16 have higher reliability for the basic development of an international eHealth literacy measurement instrument in digital health management. This study is a research program to guide future study and help knowledge accumulation and creation on eHealth Literacy instruments and their implementation in digital health management. The result of the study was supplied eHealth instruments for the implementation and training of eHealth Literacy in information systems. Future research themes in eHealth literacy will include the standardization of eHealth assessment instruments and the development of health strategies for different target audiences of various levels of management. And, to encourage further progress in the development of methodology and the application of eHealth literacy in information systems.

Introduction: Trauma registries are a means for improving trauma care in low- and middle-income countries, though a number of challenges for the sustainability of these trauma registries exist. Mobile health applications represent a promising technology for low- and middle-income country trauma registries. The development, implementation and evaluation of a mobile application trauma registry for use at the Mbarara Regional Referral Hospital, Uganda is demonstrated. Methods: A paper-based trauma registry was implemented at the Mbarara Regional Referral Hospital. Based on feedback from local stakeholders, this was developed into an open-source mobile application version of the trauma registry. The mobile application was evaluated by 17 healthcare workers using a modified Unified Theory of Acceptance and Use of Technology questionnaire and qualitative analysis. Results: Unified Theory of Acceptance and Use of Technology scores showed the majority of participants responding positively to the major constructs of Performance Expectancy, Effort Expectancy, Social Influence and Facilitating Conditions, with mean Likert scores (out of 7) of 6.41 (±1.43), 6.25 (±1.41), 5.44 (±1.43) and 5.32 (±1.99), respectively. There was also a young average user age (29.1 years). Qualitative analysis identified response themes of ease of use, efficiency and potential for future research and clinical use; users also suggested expansion of the type of platforms the application was available on. Conclusion: Though a number of challenges exist for sustaining trauma registries in low- and middle-income countries, substantial involvement of local stakeholders and responsiveness to feedback should be used to facilitate the use of these technologies in developing countries. This study demonstrates a potential methodology for developing and evaluating trauma registry technologies for use in low- and middle-income countries. [ABSTRACT FROM AUTHOR]

Background: Though widely used, resting heart rate (RHR), as measured by a wearable device, has not been previously evaluated in a large cohort against a variety of important baseline characteristics. Objective: This study aimed to assess the validity of the RHR measured by a wearable device compared against the gold standard of ECG (electrocardiography), and assess the relationships between device-measured RHR and a broad range of clinical characteristics. Methods: The Project Baseline Health Study (PHBS) captured detailed demographic, occupational, social, lifestyle, and clinical data to generate a deeply phenotyped cohort. We selected an analysis cohort within it, which included participants who had RHR determined by both ECG and the Verily Study Watch (VSW). We examined the correlation between these simultaneous RHR measures and assessed the relationship between VSW RHR and a range of baseline characteristics, including demographic, clinical, laboratory, and functional assessments. Results: From the overall PBHS cohort (N=2502), 875 (35%) participants entered the analysis cohort (mean age 50.9, SD 16.5 years; n=519, 59% female and n=356, 41% male). The mean and SD of VSW RHR was 66.6 (SD 11.2) beats per minute (bpm) for female participants and 64.4 (SD 12.3) bpm for male participants. There was excellent reliability between the two measures of RHR (ECG and VSW) with an intraclass correlation coefficient of 0.946. On univariate analyses, female and male participants had similar baseline characteristics that trended with higher VSW RHR: lack of health care insurance (both P <.05), higher BMI (both P <.001), higher C-reactive protein (both P <.001), presence of type 2 diabetes mellitus (both P <.001) and higher World Health Organization Disability Assessment Schedule (WHODAS) 2.0 score (both P <.001) were associated with higher RHR. On regression analyses, within each domain of baseline characteristics (demographics and socioeconomic status, medical conditions, vitals, physical function, laboratory assessments, and patient-reported outcomes), different characteristics were associated with VSW RHR in female and male participants. Conclusions: RHR determined by the VSW had an excellent correlation with that determined by ECG. Participants with higher VSW RHR had similar trends in socioeconomic status, medical conditions, vitals, laboratory assessments, physical function, and patient-reported outcomes irrespective of sex. However, within each domain of baseline characteristics, different characteristics were most associated with VSW RHR in female and male participants. Trial Registration: ClinicalTrials.gov NCT03154346; https://clinicaltrials.gov/study/NCT03154346 [ABSTRACT FROM AUTHOR]

Background: Chatbots, or conversational agents, have emerged as significant tools in health care, driven by advancements in artificial intelligence and digital technology. These programs are designed to simulate human conversations, addressing various health care needs. However, no comprehensive synthesis of health care chatbots' roles, users, benefits, and limitations is available to inform future research and application in the field. Objective: This review aims to describe health care chatbots' characteristics, focusing on their diverse roles in the health care pathway, user groups, benefits, and limitations. Methods: A rapid review of published literature from 2017 to 2023 was performed with a search strategy developed in collaboration with a health sciences librarian and implemented in the MEDLINE and Embase databases. Primary research studies reporting on chatbot roles or benefits in health care were included. Two reviewers dual-screened the search results. Extracted data on chatbot roles, users, benefits, and limitations were subjected to content analysis. Results: The review categorized chatbot roles into 2 themes: delivery of remote health services, including patient support, care management, education, skills building, and health behavior promotion, and provision of administrative assistance to health care providers. User groups spanned across patients with chronic conditions as well as patients with cancer; individuals focused on lifestyle improvements; and various demographic groups such as women, families, and older adults. Professionals and students in health care also emerged as significant users, alongside groups seeking mental health support, behavioral change, and educational enhancement. The benefits of health care chatbots were also classified into 2 themes: improvement of health care quality and efficiency and cost-effectiveness in health care delivery. The identified limitations encompassed ethical challenges, medicolegal and safety concerns, technical difficulties, user experience issues, and societal and economic impacts. Conclusions: Health care chatbots offer a wide spectrum of applications, potentially impacting various aspects of health care. While they are promising tools for improving health care efficiency and quality, their integration into the health care system must be approached with consideration of their limitations to ensure optimal, safe, and equitable use. [ABSTRACT FROM AUTHOR]

Background: eHealth can help replicate the benefits of conventional surgical prehabilitation programs and overcome organizational constraints related to human resources and health care–related costs. Objective: We aimed to assess the impact of an optimized perioperative program using a personalized mobile app designed for preparation and recovery after radical prostatectomy (RP). Methods: We report on a series of 122 consecutive robot-assisted RP before and after the implementation of the betty.care app (cohort A: standard of care, n=60; cohort B: optimized program, n=62). The primary end point was continence recovery, defined as "0 or 1 safety pad per day" at 6 weeks after surgery. Secondary end points were length of stay, same-day discharge, complications, readmissions, and number of days alive and out of hospital within 30 days from surgery. Results: Both cohorts were comparable in terms of age, prostate-specific antigen, prostate volume, and disease aggressiveness. Intraoperative parameters (lymph node dissection, operative time, and bilateral nerve-sparing surgery) were comparable in both groups, except for blood loss, which was significantly higher in cohort B (182 vs 125 cc; P =.008). The 6-week continence rate was improved in cohort B in both univariable and multivariable analyses (92% vs 75%; P =.01). There were trends favoring cohort B for all secondary end points with a minimal 30% benefit compared with cohort A. Grade 2 or more complications occurred less frequently in cohort B (13% vs 3.2%; P =.042). Same-day discharge and readmission rates were 35% and 53% (P =.043), and 3.3% and 1.6% (P =.54) in cohorts A and B, respectively. Mean length of stay was reduced by 0.2 days in cohort B (0.58 vs 0.78 days; P =.10). The main limitation was the absence of randomization. Conclusions: The implementation of a mobile app that provides a holistic approach to the perioperative period, integrating prehabilitation, rehabilitation, and remote monitoring, could lead to the improvement of important functional outcomes after RP and could replicate an on-site prehabilitation program. Multicenter validation is needed. [ABSTRACT FROM AUTHOR]

Introduction: Patients with primary glomerular disease (GN) have unique management needs. We describe the design of a user-centered, patient-facing electronic health (eHealth) tool to support GN management. Methods: We surveyed patients and GN expert nephrologists on disease management tasks, educational needs, and barriers and facilitators of eHealth tool use. Results were summarized and presented to patients, nephrologists, engineers, and a behavioral and implementation science expert in stakeholder meetings to jointly design an eHealth tool. Key themes from the meetings are described using rapid qualitative analysis. Results: Sixty-six patients with minimal change disease, focal segmental glomerulosclerosis, IgA nephropathy, and membranous nephropathy responded to the survey, as well as 25 nephrologists from the NIH-funded Cure Glomerulonephropathy study network. Overall, patients performed fewer management tasks and acknowledged fewer informational needs than recommended by nephrologists. Patients were more knowledgeable about eHealth tools than nephrologists. Nine patient stakeholders reflected on the survey findings and noted a lack of awareness of key recommended management tasks and receiving little guidance from nephrologists on using eHealth. Key themes and concepts from the stakeholder meetings about eHealth tool development included the need for customizable design, trustworthy sources, seamless integration with other apps and clinical workflow, and reliable data tracking. The final design of our eHealth tool, the UrApp System, has 5 core features: "Profile" generates personalized data tracking, educational information, facilitation with provider discussions and inputting other preferences; "Data Tracking" displays patient health data with the ability to communicate important trends to patients and nephrologists; "Resources" provides trusted education information in a personalized manner; "Calendar" displays key events and generate reminders; and "Journal" facilitates information documentation using written or audio notes. Conclusion: Our theory- and evidenced-based, stakeholder-engaged design process created designs for an eHealth tool to support the unique needs of patients with GN, optimized for effectiveness and implementation. [ABSTRACT FROM AUTHOR]

The rapidly developing Information and Communication Technologies (ICT) introduce a wide range of digital applications in the field of health, in the context of electronic health (e-health) and aim at the prolepsis, diagnosis and management of various diseases. Electronic prescribing is a basic e-health service. However, the digitalization, elaboration and data transfer relating to physical condition and health of citizens lurks the risk of their malicious use. Greek legislation has been harmonized with the General Data Protection Regulation (GDPR) established by the European Union to protect individuals against these risks. The present study describes the applications of e-health and attempts to highlight the improvements that electronic prescribing is amenable to the context of its evolution. In addition, it focuses on problems faced by Greek medical institutions in the implementation of the GDPR and classifies them in general issues, which concern organizational and institutional deficiencies and specifically refer to the need to develop consent forms. [ABSTRACT FROM AUTHOR]

The measures adopted during the COVID-19 pandemic to reduce the health crisis led to the implementation of a new service in current medical practice - telemedicine. In the post-pandemic period, telemedicine continued to be practiced around the world. This is the premise from which this article starts. The proposed goal is to carry out a comparative study between the evolution of telemedicine in Romania and the level of development in the European Union. Achieving the goal required, as a first objective, knowledge of the development of telemedicine in Romania, followed by a comparative analysis with the level of development of telemedicine in the European Union. For the first objective, the method of researching the collectives that have the necessary information for the study was used. A survey was carried out, using as methods for data collection, the method of direct survey research and online research by accessing the websites of institutions responsible for the practice of telemedicine. The comparative study was carried out through a parallel between telemedicine services in the European Union and those in Romania. Through the combined analysis of the results of the two investigations, the opportunities for development and the constraints of the telemedicine sector in Romania were identified.

The Internet of Things (IoT) also has a huge impact on dramatically lowering healthcare expenses and increasing treatment outcomes. The only ways that patients could communicate with doctors before the Internet of Things were in person, over the phone, or via text. There was no feasible way for healthcare providers to assess patients' health and offer advice continuously. IoT-enabled technological equipment has made remote monitoring possible in the healthcare industry, opening opportunities to keep patients safe and healthy and empowering medical professionals to provide the best treatment possible. This review provides a comprehensive study of the literature on IoT's impact (negative or positive) on healthcare delivery and why it is difficult to implement despite its enormous benefits. Search engines (journal publishing databases) like Google Scholar, PubMed, and ScienceDirect were used to find studies on the impact of IoT-based healthcare delivery. Data were extracted from papers found, and the quality of studies that qualified for inclusion and exclusion was assessed and reported. It includes the proposed technologies' validation as well as their clinical effectiveness. The review found that the lack of government commitment to financing IoT projects is a challenge to its implementation in healthcare delivery since it involves huge capital at the beginning and its maintenance. In addition, some medical professionals are still acquainted with the old-fashioned (manual) ways of delivering their services, hence avoiding the technological approach. Despite the challenges, one noted the positive effect of IoT in healthcare delivery is that doctor-patient interactions have gotten simpler and more effective; it has also raised patient participation and satisfaction. Furthermore, remote patient monitoring shortens hospital stays and avoids readmissions by monitoring patients' health. [ABSTRACT FROM AUTHOR]

OBJECTIVE: Technology innovation emerged in diabetic care and management during COVID-19. To tackle emerging opportunities, this scoping review aims to analyze current technology used for diabetic care by employing WHO technology initiatives to reveal technology use potentials for future research and development. MATERIALS AND METHODS: We conducted a review following PRISMA. We initiated a search of related terms for peer -reviewed publications in PubMed and Web of Science, including those themed in diabetic care and management and published in English. RESULTS: We reviewed 42 articles following the guidance of WHO technology conceptualization, including mHealth (12%), eHealth (76%), and dHealth (12%). These initiatives are used to reveal six areas of technology utilization for diabetes care during the pandemic, including (1) social media; (2) sensor; (3) teleconference; (4) virtual care; (5) artificial intelligence; and (6) data mining. DISCUSSION: Based on the identified dimensions related to technology and health, we presented seven diabetes -related health events and their associations with technologies. Implications such as technology's association with diabetes disease progression, technology diagramming for interdisciplinary collaboration, and technology features for health outcomes provide direction for future research and development. CONCLUSION: This review illustrates current technology utilization in diabetes care during the pandemic. It also uncovers innovation opportunities across technology and diabetic healthcare domains and provides direction for future pursuits in academia and practice. [ABSTRACT FROM AUTHOR]

Introduction: The notion of electronic mental health care is suggested in today's world. With the aid of this care, people's talents are no longer limited by time or location, and those in need of mental health care can get these services by downloading and installing software on their mobile devices. The Cognogene application software has been created to provide electronic mental health services on the smartphone platform. This study aimed to measure the impact of the mobile app “Cognogene” on university students' communication skills. Method: The statistical population of this study included 104 students studying at Tehran University in the winter semester (2021-2022). They were randomly divided into two 54-member groups (experimental and control). The experimental group received electronic psychological education (consisting of short video clips, daily homework, motivational letters, etc.) in 21 sessions, while the control group did not. To collect data, Queen Dom's communication skills questionnaire was used in two stages: pre-test and post-test. The data were analyzed using the one-way analysis of variance. Results: Results showed that the intervention made a significant difference in the mean score of all components of the study of communication skills except the components of "receiving and sending messages" and "emotional control". Conclusion: This finding suggests that training through the Cognogene application can be used as a complement to other training methods to improve communication skills

Copyright of Die Orthopädie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Exacta is the property of Exacta - Engenharia de Producao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The measures adopted during the COVID-19 pandemic to reduce the health crisis led to the implementation of a new service in current medical practice - telemedicine. In the post-pandemic period, telemedicine continued to be practiced around the world. This is the premise from which this article starts. The proposed goal is to carry out a comparative study between the evolution of telemedicine in Romania and the level of development in the European Union. Achieving the goal required, as a first objective, knowledge of the development of telemedicine in Romania, followed by a comparative analysis with the level of development of telemedicine in the European Union. For the first objective, the method of researching the collectives that have the necessary information for the study was used. A survey was carried out, using as methods for data collection, the method of direct survey research and online research by accessing the websites of institutions responsible for the practice of telemedicine. The comparative study was carried out through a parallel between telemedicine services in the European Union and those in Romania. Through the combined analysis of the results of the two investigations, the opportunities for development and the constraints of the telemedicine sector in Romania were identified. [ABSTRACT FROM AUTHOR]

After a long-standing delay, the onset of eHealth in Bulgaria was finally set by implementing the first modules of the National Health Information System. The general practitioners were the first health specialists who use new functionalities. The present study aims to compare the general practitioners' attitudes regarding eHealth before and after National Health Information System's implementation. The results of two questionnaire surveys on the attitudes of general practitioners in 2020 and 2022 were used. Respectively, the opinions of 66 and 77 respondents were analyzed and compared. The software product SPSSv.19 was used for statistical processing. The results show a sharp drop in the positive attitudes of general practitioners in 2022 compared to 2020 following the use of the National Health Information System modules. The administrative relief expected from digital functionalities actually turned out to be an additional burden and time commitment. [ABSTRACT FROM AUTHOR]

Background Consistent application of self-management is important in efforts to improve the quality of life and health status of hypertensive patients. Electronic health is here to facilitate self-management of hypertensive patients and provide health information to health workers in real time and promote lifestyle modifications. The purpose of this study was to analyze the influence of electronic health-based self-management on blood pressure control in hypertensive patients. Subjects and Method: : This study is a meta-analysis using PICO namely Population: Hypertensive patients; Intervention: Self-management based on electronic health; Comparison: No selfmanagement based on electronic health; Outcome: Systolic and diastolic blood pressure. This study uses articles from several databases, i.e Pubmed, Google Scholar, Science Direct and the Cochrane Library using the following keywords “Hypertension” OR “Hypertensive” OR “Blood Pressure” OR “High Blood Pressure” AND “Self Management” OR “Self Care” OR “Self Monitoring” AND “Electronic Health” OR “eHealth” OR “Telemedicine” OR “Telehealth” OR “mHealth” OR “Mobile Health” OR “Mobile Application” OR “Message Text” OR “Phone Calls”. Articles included in the research are articles that use English with an RCT study design whose publication is within the period of 2012- 2022. The steps in the systematic review are carried out based on the PRISMA flow diagram guidelines. Quantitative analysis was carried out using Review Manager (Revman) 5.3. Results: There were 9 articles from South Africa, America, South Korea, Spanish, England, Scotland, and Honduras, with a sample size of 3,071 hypertensive patients concluded that electronic health-based self-management could reduce systolic blood pressure by 0.38 units and was statistically significant (SMD= -0.38; 95% CI = -0.55 to -0.20; p<0.001 ). The meta-analysis synthesized 9 studies with a total sample size = 2.095 hypertensive patients concluded that electronic healthbased self-management could reduce diastolic blood pressure by 0.21 units and was statistically significant (SMD= -0.21; 95% CI = -0.29 to -0.12; p< 0.001). Conclusion: Electronic health-based self-management can reduce systolic and diastolic blood pressure control in hypertensive patients. [ABSTRACT FROM AUTHOR]

The Internet of Things (IoT) also has a huge impact on dramatically lowering healthcare expenses and increasing treatment outcomes. The only ways that patients could communicate with doctors before the Internet of Things were in person, over the phone, or via text. There was no feasible way for healthcare providers to assess patients’ health and offer advice continuously. IoT-enabled technological equipment has made remote monitoring possible in the healthcare industry, opening opportunities to keep patients safe and healthy and empowering medical professionals to provide the best treatment possible. This review provides a comprehensive study of the literature on IoT’s impact (negative or positive) on healthcare delivery and why it is difficult to implement despite its enormous benefits. Search engines (journal publishing databases) like Google Scholar, PubMed, and ScienceDirect were used to find studies on the impact of IoT-based healthcare delivery. Data were extracted from papers found, and the quality of studies that qualified for inclusion and exclusion was assessed and reported. It includes the proposed technologies’ validation as well as their clinical effectiveness. The review found that the lack of government commitment to financing IoT projects is a challenge to its implementation in healthcare delivery since it involves huge capital at the beginning and its maintenance. In addition, some medical professionals are still acquainted with the old-fashioned (manual) ways of delivering their services, hence avoiding the technological approach. Despite the challenges, one noted the positive effect of IoT in healthcare delivery is that doctor-patient interactions have gotten simpler and more effective; it has also raised patient participation and satisfaction. Furthermore, remote patient monitoring shortens hospital stays and avoids readmissions by monitoring patients’ health.

ObjectivesDriven by beneficial patient-centered outcomes associated with patient portal use and the Affordable Care Act, portal implementation has expanded into safety nets-health systems that offer access to care to a large share of uninsured, Medicaid, and other vulnerable populations. However, little attention has been paid to the factors that affect portal accessibility by the vulnerable patients served by these health systems-including those who are limited English proficient (LEP).Materials and methodsThe Los Angeles County Department of Health Services (LAC DHS), the second-largest safety net system in the nation, launched its first patient portal, and one of the few bilingual English-Spanish interfaces in existence, in March of 2015. To explore portal awareness and perceptions, we conducted focus groups with LAC DHS patients, in English and Spanish (LEP). The Technology Acceptance Model was used to guide thematic analysis of focus group data.ResultsOf the 46 participants, 37 were patients and 9 were caretakers; 23 were English-speaking and 23 Spanish-speaking LEP. All patients had diabetes or hypertension. Over half had an annual household income

Mobile eHealth apps are becoming increasingly important tools in healthcare management, capable of providing education and support at any time. There is little knowledge about surgical patients' appreciation and use of these apps. The objective of this study was to develop and evaluate a user-friendly medical app (PIA; Patient Information Assistant) for providing individual patient information before and after inpatient urological surgery. Twenty-two patients aged 35 to 75 years were provided with timely information, push notifications, and personalized agendas (e.g., date of presentation, time of surgery, time of doctor's consultation, imaging appointment) via the PIA app. Of the 22 patients, 19 evaluated the PIA app in terms of usage and usability, benefits, and potential for improvement. Of the study participants, 95% did not need any assistance to use the app, 74% confirmed that the PIA app made them feel better informed and more satisfied with their hospital stay, and 89% stated that they would like to re-use the PIA app and support the general use of medical apps in healthcare. Thus, we created an innovative digital health information tool, allowing targeted support for doctor–nurse–patient communication and offering great potential for patient support before and after surgery. Our study revealed that use of an app during the surgical hospital stay is readily accepted and benefits patients by acting as an additional informative tool. [ABSTRACT FROM AUTHOR]

eHealth or digital health innovations expanded tremendously during the COVID-19 pandemic. Innovation and digitalization offer creative solutions to build up a healthy society. The eHealth technologies are quickly taken up by Southeast Asia countries and continue to flourish to alleviate the burden of healthcare challenges. This study is the first review exploring and analyzing the whole literature of eHealth, specifically in the Southeast Asia region. The objective of this study is to document the size, growth trajectory, and geographical distribution of eHealth in Southeast Asia research, identify high-impact authors and documents, explore the intellectual knowledge structure, and analyze the topical trends of the field. The bibliometric analysis was used to analyze a data set of 1405 Scopus-indexed documents between 1976 and 2021. Descriptive analysis, citation, co-citation, and keyword co-occurrence analyses were conducted to gain insights into eHealth in the Southeast Asia knowledge base. The growth rate of literature has rocketed up since 2018, reflecting the significant increase in demand for eHealth in Southeast Asia. Among the eleven Southeast Asian countries, Indonesia, Malaysia, Singapore, and Thailand were the top four countries where the most eHealth-related research was conducted. The intellectual structure of eHealth in Southeast Asia literature comprises four schools of thought (i.e., four groups of similar theoretical perspectives and research interests): (1) analysis and adoption of hospital information system/eHealth records, (2) user intention and acceptance of information technology, (3) technology for healthcare and disease management, and (4) mobile health technology (m-Health). Mobile applications, social networks, the COVID-19 pandemic, patient referral, follow-up, self-care, quality of life, psychology, diabetes mellitus, and hypertension are the recent emerging research themes in the field of study. The eHealth development should consider long-term sustainable management along with the rapid evolution of the field. Additionally, eHealth systems should be holistic and pay attention to technology adoption, data security, and ethical issues involved in medical practices. This bibliometric review delivers reference points for scholars interested in Southeast Asia eHealth, reveals the emerging intellectual structure of this interdisciplinary field, and provides guidance to future research on this domain. [ABSTRACT FROM AUTHOR]

Background and Aims: Considering the rapid spread and transmission of COVID‐19 and its high mortality rate, self‐care practices are of special importance during this pandemic to prevent and control the spread of the virus. In this regard, electronic health systems can play a major role in improving self‐care practices related to coronavirus disease. This study aimed to review the electronic health technologies used in each of the constituent elements of the self‐care (self‐care maintenance, self‐care monitoring, and self‐care management) during the COVID‐19 pandemic. Methods: This scoping review was conducted based on Arksey and O'Malley's framework. In this study, the specific keywords related to "electronic health," "self‐care," and "COVID‐19" were searched on PubMed, Web of Science, Scopus, and Google. Results: Of the 47 articles reviewed, most articles (27 articles) were about self‐care monitoring and aimed to monitor the vital signs of patients. The results showed that the use of electronic health tools mainly focuses on training in the control and prevention of coronavirus disease during this pandemic, in the field of self‐care maintenance, and medication management, communication, and consultation with healthcare providers, in the field of self‐care management. Moreover, the most commonly used electronic health technologies were mobile web applications, smart vital signs monitoring devices, and social networks, respectively. Conclusion: The study findings suggested that the use of electronic health technologies, such as mobile web applications and social networks, can effectively improve self‐care practices for coronavirus disease. In addition, such technologies can be applied by health policymakers and disease control and prevention centers to better manage the COVID‐19 pandemic. [ABSTRACT FROM AUTHOR]

The future of healthcare delivery keeps evolving and mobile phone technology may have a huge role to play. Mobile health (mHealth) is a facet of Electronic Health (eHealth) that involves the use of mobile phones and other wireless devices in medical practice. The effectiveness of mHealth has been proven in different studies as well as in different aspects of medicine and dentistry. Text messaging has made significant progress in delivering health education for maintaining oral hygiene, especially for orthodontic patients as well as tobacco cessation counseling. Mobile phone applications incorporate various features like gaming, audio, and video messages to engage smokers in several behavioural change strategies. Mobile health technology has made an immense contribution to contact tracing, screening, and tele-consultation during the Novel Coronavirus Disease-19 (COVID-19) pandaemic. Given that mHealth is a low cost, easily accessible, and widely available means of communication, it has the potential to play a significant role in public health dentistry.

Abstract Background and Aims Considering the rapid spread and transmission of COVID‐19 and its high mortality rate, self‐care practices are of special importance during this pandemic to prevent and control the spread of the virus. In this regard, electronic health systems can play a major role in improving self‐care practices related to coronavirus disease. This study aimed to review the electronic health technologies used in each of the constituent elements of the self‐care (self‐care maintenance, self‐care monitoring, and self‐care management) during the COVID‐19 pandemic. Methods This scoping review was conducted based on Arksey and O'Malley's framework. In this study, the specific keywords related to “electronic health,” “self‐care,” and “COVID‐19” were searched on PubMed, Web of Science, Scopus, and Google. Results Of the 47 articles reviewed, most articles (27 articles) were about self‐care monitoring and aimed to monitor the vital signs of patients. The results showed that the use of electronic health tools mainly focuses on training in the control and prevention of coronavirus disease during this pandemic, in the field of self‐care maintenance, and medication management, communication, and consultation with healthcare providers, in the field of self‐care management. Moreover, the most commonly used electronic health technologies were mobile web applications, smart vital signs monitoring devices, and social networks, respectively. Conclusion The study findings suggested that the use of electronic health technologies, such as mobile web applications and social networks, can effectively improve self‐care practices for coronavirus disease. In addition, such technologies can be applied by health policymakers and disease control and prevention centers to better manage the COVID‐19 pandemic.

Background: Rapid advancements in eHealth and mobile health (mHealth) technologies have driven researchers to design and evaluate numerous technology-based interventions to promote smoking cessation. The evolving nature of cessation interventions emphasizes a strong need for knowledge synthesis. Objective: This systematic review and meta-analysis aimed to summarize recent evidence from randomized controlled trials regarding the effectiveness of eHealth-based smoking cessation interventions in promoting abstinence and assess nonabstinence outcome indicators, such as cigarette consumption and user satisfaction, via narrative synthesis. Methods: We searched for studies published in English between 2017 and June 30, 2022, in 4 databases: PubMed (including MEDLINE), PsycINFO, Embase, and Cochrane Library. Two independent reviewers performed study screening, data extraction, and quality assessment based on the GRADE (Grading of Recommendations, Assessment, Development, and Evaluations) framework. We pooled comparable studies based on the population, follow-up time, intervention, and control characteristics. Two researchers performed an independent meta-analysis on smoking abstinence using the Sidik-Jonkman random-effects model and log risk ratio (RR) as the effect measurement. For studies not included in the meta-analysis, the outcomes were narratively synthesized. Results: A total of 464 studies were identified through an initial database search after removing duplicates. Following screening and full-text assessments, we deemed 39 studies (n=37,341 participants) eligible for this review. Of these, 28 studies were shortlisted for meta-analysis. According to the meta-analysis, SMS or app text messaging can significantly increase both short-term (3 months) abstinence (log RR=0.50, 95% CI 0.25-0.75; I2 =0.72%) and long-term (6 months) abstinence (log RR=0.77, 95% CI 0.49-1.04; I2 =8.65%), relative to minimal cessation support. The frequency of texting did not significantly influence treatment outcomes. mHealth apps may significantly increase abstinence in the short term (log RR=0.76, 95% CI 0.09-1.42; I2 =88.02%) but not in the long term (log RR=0.15, 95% CI −0.18 to 0.48; I2 =80.06%), in contrast to less intensive cessation support. In addition, personalized or interactive interventions showed a moderate increase in cessation for both the short term (log RR=0.62, 95% CI 0.30-0.94; I2 =66.50%) and long term (log RR=0.28, 95% CI 0.04-0.53; I2 =73.42%). In contrast, studies without any personalized or interactive features had no significant impact. Finally, the treatment effect was similar between trials that used biochemically verified or self-reported abstinence. Among studies reporting outcomes besides abstinence (n=20), a total of 11 studies reported significantly improved nonabstinence outcomes in cigarette consumption (3/14, 21%) or user satisfaction (8/19, 42%). Conclusions: Our review of 39 randomized controlled trials found that recent eHealth interventions might promote smoking cessation, with mHealth being the dominant approach. Despite their success, the effectiveness of such interventions may diminish with time. The design of more personalized interventions could potentially benefit future studies. Trial Registration: PROSPERO CRD42022347104; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=347104 [ABSTRACT FROM AUTHOR]

Copyright of Saúde e Sociedade is the property of Universidade de Sao Paulo, Faculdade de Saude Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The use of mobile phones in the field of medicine is rapidly increasing in developed and developing countries. This study aimed to evaluate the performance of the top mobile applications based on superiority from the user's point of view and medical content. Methods: Information of each app was recorded in a Google Forms, especially designed for this purpose. The Bazaar App Store, which has two main categories for health: medicine and health and fitness, was used as a source for Persian-language Android applications. The apps of these two domains were installed, and our experts reviewed and rated them in terms of content and technical performance. Results: From a total of 3500 applications available in the App Store, 112 apps were selected. Of these, 76.8% were in the field of medicine and 23.2% in the field of health and fitness. The developers of the app consisted of four main groups: (1) nonhealth-care organization, (2) individual app developers, (3) health-care organization, and (4) university or academic research group. The top five major areas of services were: (1) general medical services, (2) addressing medical centers and online appointments, (3) drug information, (4) physical activity and (5) patient follow-up. Conclusion: The review of users' scores and comparing it with the scores of specialists showed that although people tend to use telemedicine services, since there is still no formally approved framework for design and scientific content of these applications, most apps operate in the field of general information and services.

Background: Digital health technologies are emerging as promising technologies to advance clinical care. This study aimed to assess providers' perceptions and acceptability of digital health interventions (DHIs) in the clinical care and treatment of tuberculosis (TB) and HIV in Addis Ababa, Ethiopia. Methods: This was a multi-center, facility-based, mixed-method, cross-sectional study that included 14 government health-care facilities. The participants were health-care providers (HCPs) who provide TB and HIV clinical care. Using a tool framed by the unified theory of acceptance and use of technology model, data were collected. A linear regression model was used to assess the relationship between dependent and independent variables. Results: There were 76 HCPs actively engaged in HIV/TB clinical care services in the selected 14 study sites, of whom 60 met the inclusion criteria and participated in this study. The major factors that influence HCPs' willingness to use different technologies were educational level (β = 0.097, t = 3.784, P = 0.006), age (β = −0.227, t = −1.757, P = 0.027), work experience (β = −0.366, t = −2.855, P = 0.016). The strongest facilitator of their acceptance and the use of the digital adherence technology were perceptions of positive performance expectancy. Conclusion: Many public healthcare facilities in Addis Ababa have already begun the process of implementing various DHIs and the level of acceptability of these technologies by HCPs was found to be high.

Depresi postpartum merupakan gangguan kesehatan mental yang terjadi pada 10-15% wanita. Manifestasi dari depresi postpartum diantaranya sedih berlebihan, isolasi sosial, dan pemikiran untuk menyakiti bayi. Perawatan berkelanjutan merupakan kunci pencegahan dan penaganan depresi postpartum. Perkembangan teknologi kesehatan (electronic health) menjawab tantangan tenaga kesehatan untuk melaksanakan perawatan berkelanjutan kepada ibu postpartum dengan akses yang lebih mudah dan efisien. Tinjauan literatur ini bertujuan untuk memberikan gambaran terkait efektivitas penggunaan eHealth terhadap penurunan tingkat depresi postpartum. Adapun konten yang ditelaah adalah jenis eHealth dan intervensi spesifik untuk mengurangi tingkat depresi postpartum. Metode yang digunakan adalah metode PRISMA. Penelusuran literatur menggunakan empat basis data, yaitu ProQuest, Science Direct, Scopus, dan Springerlink. Hasil tinjauan literatur ini menyimpulkan bahwa aplikasi seluler, telehealth menggunakan telepon, email, dan aplikasi komunikasi, serta penggunaan website terbukti efektif dalam menurunkan tingkat depresi postpartum. Sedangkan intervensi yang paling efektif menurunkan tingkat depresi postpartum adalah intervensi Cognitive Behavioural Therapy, dukungan sebaya, dan psikoedukasi.

Objective: This article systematically reviews the empirical literature examining the efficacy of digital headache management interventions for patients with a primary headache disorder. Background: Digital headache management interventions provide opportunities to improve access to behavioral headache interventions to underserved groups. Methods: A systematic search of PubMed, Scopus, and EBSCO (PsycInfo, Education Research Complete, ERIC, Health Source: Nursing/Academic Edition, Psychology and Behavioral Sciences Collection) and reference review was conducted. Included studies had to recruit a sample with a primary headache diagnosis, be a randomized controlled trial including a digital component, assess a headache outcome (i.e., frequency, duration, severity, intensity, disability) or quality of life, and be published in English. Two authors independently extracted data for included studies. The methodological quality of studies was assessed using the revised Cochrane risk‐of‐bias tool. Results: Thirteen studies with unique interventions met inclusion criteria. More than half of the studies were pilots; however, nearly 70% (9/13) demonstrated significant between‐group or within‐group improvements on one or more headache‐related outcomes. All interventions included some form of relaxation training and the majority were delivered via interactive website. While fewer than half the studies report participant race and/or ethnicity, of those that do, 83% (5/6) reported a predominately White/Caucasian sample. Conclusions: Efficacy testing of digital headache interventions is in its infancy with the majority of these studies relying on pilot studies with small samples comprised of homogenous patient populations. Interactive websites were the most common digital medium to deliver digital headache management interventions and have demonstrated promising results. Further testing using large‐scale randomized controlled trials and exploration of other digital tools is warranted. Future studies with more diverse samples are needed to inform health equity of digital headache interventions. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to review definitions of digital health and understand their relevance for health outcomes research. Four umbrella terms (digital health, electronic health, mobile health, and telehealth/telemedicine) were summarized in this article.Methods: PubMed/MEDLINE, Embase, Cochrane Library, and EconLit were searched from January 2015 to May 2020 for systematic reviews containing key Medical Subject Headings terms for digital health (n = 38) and synonyms of "definition." Independent pairs of reviewers performed each stage of the review, with reconciliation by a third reviewer if required. A single reviewer consolidated each definition for consistency. We performed text analysis via word clouds and computed document frequency-and inverse corpus frequency scores.Results: The search retrieved 2610 records with 545 articles (20.9%) taken forward for full-text review. Of these, 39.3% (214 of 545) were eligible for data extraction, of which 134 full-text articles were retained for this analysis containing 142 unique definitions of umbrella terms (digital health [n = 4], electronic health [n = 36], mobile health [n = 50], and telehealth/telemedicine [n = 52]). Seminal definitions exist but have increasingly been adapted over time and new definitions were created. Nevertheless, the most characteristic words extracted from the definitions via the text analyses still showed considerable overlap between the 4 umbrella terms.Conclusions: To focus evidence summaries for outcomes research purposes, umbrella terms should be accompanied by Medical Subject Headings terms reflecting population, intervention, comparator, outcome, timing, and setting. Ultimately a functional classification system is needed to create standardized terminology for digital health interventions denoting the domains of patient-level effects and outcomes. [ABSTRACT FROM AUTHOR]