Exploring mHealth Participation for Emergency Response Communities

Schwartz, David G.; Bellou, Abdelouahab; Garcı́a-Castrillo, Luis; Muraro, Antonella; Papadopoulos, Nikolaos G.

doi:10.3127/ajis.v21i0.1378

Cited by 10 publications

(10 citation statements)

References 50 publications

(58 reference statements)

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“…UnityPhilly is an Emergency Response Community (ERC) app designed to support laypersons in signaling and responding to opioid overdose incidents [ 24 , 25 ]. The app SOS function enabled volunteers to signal an overdose incident with a single button press, initiating an automated alert to other nearby volunteer app users ( Fig.…”

Section: Methodsmentioning

confidence: 99%

Layperson reversal of opioid overdose supported by smartphone alert: A prospective observational cohort study

et al. 2020

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Background Rapid naloxone administration is crucial in reversing an opioid overdose. We investigated whether equipping community members, including people who use opioids (PWUO), with a smartphone application enabling them to signal and respond to suspected overdose would support naloxone administration in advance of Emrgency Medical Services (EMS). Methods This observational cohort study of opioid overdose intervention used a dedicated smartphone app, UnityPhilly, activated by volunteers witnessing an overdose to signal other nearby volunteers in Philadelphia (March 2019 - February 2020). Alerted volunteers chose to respond, or declined to respond, or ignored/missed the alert. Witnessing volunteer was connected to 9-1-1 through a semi-automated telephone call. The primary outcome was layperson-initiated overdose reversal before EMS arrival, and a secondary outcome was hospital transfer. This study is registered with ClinicalTrials.gov, NCT03305497. Findings 112 volunteers, including 57 PWUO and 55 community members, signaled 291 suspected opioid overdose alerts. 89 (30⸱6%) were false alarms. For 202 true alerts, the rate of layperson initiated naloxone use was 36⸱6% (74/202 cases). Most naloxone-use cases occurred in the street (58⸱11% (43/74)) and some in home settings (22⸱98% (17/74)). The first naloxone dose was provided by a nearby volunteer responding to the alert in 29⸱73% (22/74) of cases and by the signaling volunteer in 70⸱27% (52/74) of cases. Successful reversal was reported in 95⸱9% (71/74) of cases. Layperson intervention preceded EMS by 5 min or more in 59⸱5% of cases. Recovery without hospital transport was reported in 52⸱7% (39/74) of cases. Interpretation Our findings support the benefits of equipping community members, potentially witnessing suspected opioid overdose, with naloxone and an emergency response community smartphone app, alerting EMS and nearby laypersons to provide additional naloxone. Funding Funding provided by NIH through NIDA , grant number: 5R34DA044758.

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Section: Methodsmentioning

confidence: 99%

Layperson reversal of opioid overdose supported by smartphone alert: A prospective observational cohort study

et al. 2020

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“…Research suggests that nearby patient-peers who maintain long-term EAI prescriptions can potentially deliver their personal EAI to the patient in need through a proximity-based emergency response communities (ERC) app [8,9]. As described in Figure 1, ERC apps dispatch nearby registered patients with allergy to help a patient in immediate need of an EAI, in certain configurations following the approval of EMS.…”

Section: Introductionmentioning

confidence: 99%

Proximity-Based Emergency Response Communities for Patients With Allergies Who Are at Risk of Anaphylaxis: Clustering Analysis and Scenario-Based Survey Study

Yablowitz¹,

Dölle²,

Schwartz³

et al. 2019

JMIR Mhealth Uhealth

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Background Anaphylaxis is a potentially fatal allergic reaction. However, many patients at risk of anaphylaxis who should permanently carry a life-saving epinephrine auto injector (EAI) do not carry one at the moment of allergen exposure. The proximity-based emergency response communities (ERC) strategy suggests speeding EAI delivery by alerting patient-peers carrying EAI to respond and give their EAI to a nearby patient in need. Objectives This study had two objectives: (1) to analyze 10,000 anaphylactic events from the European Anaphylaxis Registry (EAR) by elicitor and location in order to determine typical anaphylactic scenarios and (2) to identify patients’ behavioral and spatial factors influencing their response to ERC emergency requests through a scenario-based survey. Methods Data were collected and analyzed in two phases: (1) clustering 10,000 EAR records by elicitor and incident location and (2) conducting a two-center scenario-based survey of adults and parents of minors with severe allergy who were prescribed EAI, in Israel and Germany. Each group received a four-part survey that examined the effect of two behavioral constructs—shared identity and diffusion of responsibility—and two spatial factors—emergency time and emergency location—in addition to sociodemographic data. We performed descriptive, linear correlation, analysis of variance, and t tests to identify patients’ decision factors in responding to ERC alerts. Results A total of 53.1% of EAR cases were triggered by food at patients’ home, and 46.9% of them were triggered by venom at parks. Further, 126 Israeli and 121 German participants completed the survey and met the inclusion criteria. Of the Israeli participants, 80% were parents of minor patients with a risk of anaphylaxis due to food allergy; their mean age was 32 years, and 67% were women. In addition, 20% were adult patients with a mean age of 21 years, and 48% were female. Among the German patients, 121 were adults, with an average age of 47 years, and 63% were women. In addition, 21% were allergic to food, 75% were allergic to venom, and 2% had drug allergies. The overall willingness to respond to ERC events was high. Shared identity and the willingness to respond were positively correlated (r=0.51, P<.001) in the parent group. Parents had a stronger sense of shared identity than adult patients (t243= –9.077, P<.001). The bystander effect decreased the willingness of all patients, except the parent group, to respond (F1,269=28.27, P<.001). An interaction between location and time of emergency (F1,473=77.304, P<.001) revealed lower levels of willingness to respond in strange locations during nighttime. Conclusions An ERC allergy app has the potential to improve outcomes in case of anaphylactic events, but this is dependent on patient-peers’ willingness to respond. Through a two-stage process, our study identified the behavioral and spatial factors that could influence the willingness to respond, providing a basis for future research of proximity-based mental health communities.

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“…The state of telehealth improving overall treatment outcomes (Khodadad-Saryazdi, 2021). Prior research has shown that IoT has application areas that benefit patients, communities, physicians, healthcare facilities and insurance providers (Hsiao et al, 2019;Khalemsky and Schwartz, 2017;Pan et al, 2019;Schwartz et al, 2017;Sneha and Varshney, 2009). Wearable technologies such as fitness trackers and other wirelessly linked devices such as cardiovascular monitoring devices and glucometers enable patients to get customized treatment (Aboelmaged et al, 2021;Vesselkov et al, 2018).…”

Section: Science Mappingmentioning

confidence: 99%

“…These gadgets can be programed to remind users of calorie counts, activity checks, medical appointments and blood pressure changes, among others (Ben Arfi et al, 2021;Pan et al, 2019). Furthermore, IoT has transformed the lives of many people, particularly elderly patients and patients who live alone, by allowing continuous monitoring of their medical conditions (Almobaideen et al, 2017;Eze et al, 2019;Meng et al, 2020;Schwartz et al, 2017). For example, IoT-based sensing mechanism automatically notifies family members and physicians when a person's normal health condition is disturbed, thereby alerting them of potential health complications (Almobaideen et al, 2017;Go Jefferies et al, 2019;Khalemsky and Schwartz, 2017).…”

Section: Science Mappingmentioning

confidence: 99%

Distance is no longer a barrier to healthcare services: current state and future trends of telehealth research

Sahoo

Sahoo²,

Kumar³

et al. 2023

INTR

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PurposeTaking a business lens of telehealth, this article aims to review and provide a state-of-the-art overview of telehealth research.Design/methodology/approachThis research conducts a systematic literature review using the scientific procedures and rationales for systematic literature reviews (SPAR-4-SLR) protocol and a collection of bibliometric analytical techniques (i.e. performance analysis, keyword co-occurrence, keyword clustering and content analysis).FindingsUsing performance analysis, this article unpacks the publication trend and the top contributing journals, authors, institutions and regions of telehealth research. Using keyword co-occurrence and keyword clustering, this article reveals 10 major themes underpinning the intellectual structure of telehealth research: design and development of personal health record systems, health information technology (HIT) for public health management, perceived service quality among mobile health (m-health) users, paradoxes of virtual care versus in-person visits, Internet of things (IoT) in healthcare, guidelines for e-health practices and services, telemonitoring of life-threatening diseases, change management strategy for telehealth adoption, knowledge management of innovations in telehealth and technology management of telemedicine services. The article proposes directions for future research that can enrich our understanding of telehealth services.Originality/valueThis article offers a seminal state-of-the-art overview of the performance and intellectual structure of telehealth research from a business perspective.

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Exploring mHealth Participation for Emergency Response Communities

Cited by 10 publications

References 50 publications

Layperson reversal of opioid overdose supported by smartphone alert: A prospective observational cohort study

Layperson reversal of opioid overdose supported by smartphone alert: A prospective observational cohort study

Proximity-Based Emergency Response Communities for Patients With Allergies Who Are at Risk of Anaphylaxis: Clustering Analysis and Scenario-Based Survey Study

Distance is no longer a barrier to healthcare services: current state and future trends of telehealth research

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