The global impact of COVID-19 pandemic has led to a rapid development and utilization of mobile health applications. These are addressing the unmet needs of healthcare and public health system including contact tracing, health information dissemination, symptom checking and providing tools for training healthcare providers. Here we provide an overview of mobile applications being currently utilized for COVID-19 and their assessment using the Mobile Application Rating Scale. We performed a systematic review of the literature and mobile platforms to assess mobile applications currently utilized for COVID-19, and a quality assessment of these applications using the Mobile Application Rating Scale (MARS) for overall quality, Engagement, Functionality, Aesthetics, and Information. Finally, we provide an overview of the key salient features that should be included in mobile applications being developed for future use. Our search identified 63 apps that are currently being used for COVID-19. Of these, 25 were selected from the Google play store and Apple App store in India, and 19 each from the UK and US. 18 apps were developed for sharing up to date information on COVID-19, and 8 were used for contact tracing while 9 apps showed features of both. On MARS Scale, overall scores ranged from 2.4 to 4.8 with apps scoring high in areas of functionality and lower in Engagement. Future steps should involve developing and testing of mobile applications using assessment tools like the MARS scale and the study of their impact on health behaviours and outcomes.

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Background The COVID19 pandemic is a disaster of unprecedented proportions with global repercussions. Psychological preparedness, the primed cognitive awareness and anticipation of dealing with emotional responses in an adverse situation, has assumed a compelling relevance during a health disaster of this magnitude. Methods An anonymized eSurvey was conducted in India to assess psychological preparedness towards the ongoing pandemic with a focus on knowledge, management of own and others’ emotional response and anticipatory coping mechanisms amongst the survey population. An adapted version of the qualitative Psychological Preparedness for Natural Disaster scale validated by the World Health Organization was widely circulated over the internet and various social media platforms for assessment. Results are expressed as median ± standard deviation). Descriptive stats were used and figures downloaded from surveymonkey.com. Results Of the 1120 respondents (M: F 1.7:1, age 35 years ±14.1) most expressed a high level of perceived knowledge and confidence of managing COVID-19, such as awareness of the symptoms of the illness (95.1%), actions needed (94.4%), hospital to report to (88.9%), and emergency contact number (89.1%). A majority monitored news bulletins and scientific journals regarding COVID-19 regularly (95%). However, nearly one-third (29.2%) could not assess their likelihood of developing COVID-19, and 17.5% were unaware of the difference between a mild and severe infection. Twenty- three per cent (23.3%) were unfamiliar with the materials needed in an acute illness situation. Conclusion Psychological disaster preparedness is reasonable, although lacking in specific domains. Timely but focused interventions can be a cost-efficient administrative exercise which federal agencies may prioritize working on.

The use of social media platforms (SMPs) in the field of scientific literature is a new and evolving realm. The past few years have seen many novel strategies to promote engagement of readers with articles. The aim of this study was to gauge the acceptance, opinion, and willingness to partake in the creation of online social media educative material among authors. We conducted a validated and anonymized cross-sectional e-survey with purposive sampling among authors of the Indian Journal of Rheumatology journal over a cloud-based platform (SurveyMonkey). Descriptive statistics are used and values expressed as the number of respondents (n) against each answer. Of 408 authors, 102 responded. We found that a large majority (74) supported promotions on SMPs. Visual abstracts (81) were the most preferred means for promotion. A reasonable proportion (54) of the authors held the view that they could make these materials for themselves, with little guidance. However, currently only a few (47) were doing so. Awareness on social media editors in rheumatology was dismal (4). Citations were the preferred metric of article visibility (95), followed by altmetrics (21). These findings suggest that authors support article promotions on SMPs, although most do not promote their articles. Graphical abstracts are the preferred means of promotions. Further, the opinion on logistics is divided, calling for larger studies to understand the factors that need to be addressed to bridge the gap.

The global impact of COVID-19 pandemic has increased the need to rapidly develop and improve utilization of mobile applications across the healthcare continuum to address rising barriers of access to care due to social distancing challenges and allow continuity in sharing of health information, assist with COVID-19 activities including contact tracing, and providing useful information as needed. Here we provide an overview of mobile applications being currently utilized for COVID-19 related activities. We performed a systematic review of the literature and mobile platforms to assess mobile applications been currently utilized for COVID-19, and quality assessment of these applications using the Mobile Application Rating Scale (MARS) for overall quality, Engagement, Functionality, Aesthetics, and Information. Finally, we provide an overview of the key salient features that should be included in mobile applications being developed for future use. Our search identified 63 apps that are currently being used for COVID-19. Of these, 25 were selected from the Google play store and Apple App store in India, and 19 each from the UK and US. 18 apps were developed for sharing up to date information on COVID-19, and 8 were used for contact tracing while 9 apps showed features of both. On MARS Scale, overall scores ranged from 2.4 to 4.8 with apps scoring high in areas of functionality and lower in Engagement. Future steps should involve developing and testing of mobile applications using assessment tools like the MARS scale and the study of their impact on health behaviors and outcomes.

This article has been corrected since it published Online First. Reference 5 has been corrected. *22 ankylosing spondylitis, 7 psoriatic arthritis, 5 reactive arthritis. †1 Behcet's disease, 3 granulomatosis with polyangiitis, 2 polyarteritis nodosa, 1 Takayasu's arteritis.‡One each of fibrosing mediastinitis, common variable immunodeficiency (CVID), leprosy, drug reaction with eosinophilia and systemic symptoms, peripheral symmetric gangrene, pyoderma gangrenosum, and eosinophilic fasciitis, 5 each of gout and sarcoidosis.

Background. The healthcare system in India faces an acute shortage of front-line doctors to fight the Covid-19. Thus, the recruitment of undergraduate medical students into the health care force is being considered by many state governments. A survey was conducted amongst undergraduate medical students to understand their knowledge, attitude, and preparedness towards the ongoing pandemic. Methods. An anonymized survey on a cloud-based website (Survey Monkey) comprising 33 questions was served to medical students. Results. Of 616 (24.6%) respondents among 2500 invitees across six medical schools in India, most (54.1%) were in the final year of their undergraduate training program. Knowledge regarding viral transmission, clinical features, laboratory diagnosis, and drugs being tried out in Covid-19 was adequate among most students. However, understanding of the incubation period 123 (20%) and time to symptoms 30 (4.8%) was less than satisfactory. Three-fourths (75%) were unaware of the treatment guidelines for Covid-19, and one-quarter (155, 25.1%) were unaware of the required precautions during management. Moreover, 179 (29.1%) were unaware that Covid-19 causes an asymptomatic or minor illness in young individuals. Nearly 70% were reluctant to attend clinics from fear of getting infected or passing on to others. Besides, 250 (40.6%) were not updated on Covid-19, and most (486, 78.9%) resorted to social media for information on Covid-19. Conclusion. Prevalent fears and inadequate understanding of Covid-19 suggest that undergraduate medical students are not prepared to be the front-line taskforce in the current pandemic.

Background The coronavirus disease (COVID-19) pandemic and its subsequent effects on health care systems have significantly impacted the management of chronic rheumatic diseases, including systemic sclerosis (SSc). Methods In this context, a 25-item anonymized e-survey was posted on the Twitter and Facebook e-groups and pages of various scleroderma organizations and patient communities to assess the problems faced by patients with SSc during the pandemic, with a focus on effects on the disease, drug procurance, continuity of medical care, and prevalent fears among patients. Results Of the 291 participants (median age of 55 [43.5–63] years, 93.8% females), limited systemic sclerosis was the most common diagnosis (42.3%). Many patients experienced problems attributable to the COVID-19 pandemic (119, 40.9%), of which 46 (38.7%) required an increase in medicines, and 12 (10.1%) of these needed hospitalizations for disease-related complications. More than one-third (36.4%) were on glucocorticoids or had underlying cardiovascular risks (39%) that would predispose them to severe COVID-19. A significant proportion (38.1%) faced hurdles in procuring medicines or experienced disruption in physiotherapy sessions (24.7%). One-quarter (24.1%) felt it was difficult to contact their specialist, whereas another 7.2% were unable to do so. Contracting COVID-19 was the most prevalent fear (71.5%), followed by infection in the family (61.9%), and a flare of the disease (45.4%). Most respondents preferred teleconsultations (55.7%) over hospital visits in the pandemic period. Conclusion The results of the patient survey suggest that the COVID-19 pandemic has affected many patients with SSc and may translate to poorer outcomes in this population in the postpandemic period.