mCare: Using Secure Mobile Technology to Support Soldier Reintegration and Rehabilitation

PoropatichRonald, K; PavliscsakHolly, H; TongJames, C; LittleJeanette, R; McVeighFrancis, L

doi:10.1089/tmj.2013.0226

Cited by 20 publications

(9 citation statements)

References 4 publications

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“…16 Likewise, a pilot study of mCare found an increase in adherence to health care appointments. 17 Many health care providers recognize that, despite how necessary self-care is, it is not necessarily the highest priority of their patients, and/or patients have competing priorities. The mCare team hypothesized that a more satisfying user experience would lead to consistent and sustained usage.…”

Section: Discussionmentioning

confidence: 99%

Usability of a Mobile Application for Patients Rehabilitating in their Community

Little¹,

Pavliscsak²,

Cooper³

et al. 2017

JournalMTM

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Background: A potential factor in adherence to use of mobile technologies is usability, yet this is rarely examined.Aims: This article examines the usability of a mobile application ("mCare"), provided to support injured Service Members rehabilitating in their communities, and assesses how usability ratings related to the users' background characteristics and usage of mCare.Methods: Data were from the intervention arm (n=95) of a 36-week, randomized controlled trial. Usability was measured with the System Usability Scale (SUS) (n=41) and semi-structured interviews (n=49). The analysis compared SUS scores by cohort characteristics, with t-tests and ANOVA. Interview responses were coded for valence. Pearson correlations quantified the association between SUS scores and usage.Results: Mean total SUS score was 78.0 [standard deviation (SD) = 21.1; ' A'], usability sub-score was 76.7 (SD = 22.9; ' A'), and learnability sub-score was 82.0 (SD = 25.0; ' A+'). SUS scores differed by mobile device type (p = 0.07) and living arrangement (p = 0.06). Participants with behavioral health problems, of older age, were Warrant Officers, and/or had a specific wireless carrier rated mCare lower, though these findings were not statistically significant. Interview responses provided insight into why SUS scores might have been lower in some cases. Higher usage was associated with higher total SUS scores (r = 0.46, p = 0.004). Conclusion:Overall, mCare was rated favorably. Higher usage was correlated with higher usability scores. Providers planning to use mCare with patients should consider patient's characteristics (e.g., type of mobile phone, living arrangement), as these could affect user experience.

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Section: Discussionmentioning

confidence: 99%

Usability of a Mobile Application for Patients Rehabilitating in their Community

Little¹,

Pavliscsak²,

Cooper³

et al. 2017

JournalMTM

Self Cite

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“…For people with severe mental illness and life altering diseases, such healthcare services can provide continuous support, empathy and guidance for the caregiver and the patient. mCare was also used for soldiers who have returned from their service with the aim to animate them, provoke empathy, improve contact rates and positively impact the military healthcare system using mobile messaging [30], [31].…”

Section: 6mentioning

confidence: 99%

Empathy and Mobile Applications

Papoutsi

Drigas

2017

Int. J. Interact. Mob. Technol.

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Abstract-Mobile devices, such as mobile phones and personal digital assistants, have gained wide-spread popularity and are part of the everyday life of billions of people. Today's mobile phones represent a rich and powerful computing platform, given their sensing, processing, social and communication capabilities. Empathy is the ability to identify with and understand another person's situation and feelings. Our ability to empathize affects how well we communicate our thoughts and feelings with others, how well we understand others, and how comfortable people feel communicating with us. Mobile devices have made a huge step in trying to cultivate empathy to people and different social groups through interesting applications.Keywords-mobile devices, mobile applications, empathy, social media, games, health, emotions, emotional/affective agents, elderly people, social change IntroductionMobile devices are shaping-up users' lifestyles by adding new dimensions to the concept of socializing, performing actions and forming new habits [1]. As summarized by Fogg and Eckles (2007) [2], "mobile phones will soon become the most important platform for changing human behavior". Oinas-Kukkonen (2008) [3] argues that ubiquitous information systems are shaping up the creation and dissemination of information in new ways hence creating opportunities to foster healthier lifestyle.Furthermore mobile applications which is software, developed to run particularly on mobile phones (smartphones) and tablet computing devices, have the potential to bring a new perspective to people's life in many sectors. The diffusion of mobile phones into our lives is an evidence of their popularity. The ever-growing liking and adoption of mobile phones (e.g. Blackberry, iPhone, Google Android, Nokia Windows Phone) is reflective of their mammoth potential to promote health and general wellbeing of users. Portability, continuous data streaming, advanced computing power and easy dissemination of applications give them an edge over other forms of iniJIM

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“…15 The primary objective was to determine if a secure mHealth intervention would improve contact rates between patients and providers, and positively impact the military healthcare system. Over twenty-one months, volunteers enrolled in a HIPAA-compliant mCare project using secure mobile messaging.…”

Section: Battlefield Mobile Health Applicationsmentioning

confidence: 99%

“…The mCare pilot project demonstrated the effectiveness and affordability of communicating with patients through their personal mobile devices with their care managers. 15 The initial mCare intervention consisted of a performance improvement study, which included validation and end user assessment of the technology intervention To further evaluate the impact of the mCare system, a multi-center, prospective, randomized, controlled trial of U.S. Army Soldiers conducted between April 2011 and October 2012 to measure: recovery goal awareness, contact rates; symptom inventory severity; satisfaction, general well-being, and usability. 16 All Service Members receiving care had some type of illness or injury, and therefore required long term management as they progressed through the rehabilitation process and eventually transitioned into retirement, discharge or returned to duty.…”

Section: Battlefield Mobile Health Applicationsmentioning

confidence: 99%

Telemedicine and mHealth odyssey: a journey from the battlefield to academia

2016

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Since 1992, military medicine has considered the relevance, sustainability, and promise of telemedicine in the context of its mission and obligations for service members at home and in war zones. The US Army telemedicine program covers 22 time zones and generates over 5000 tele-consults per month for over 20 medical specialties. More recently the advances in mobile computing and increased adoption of the Smartphone with evolving capabilities for imaging and body-worn sensor integration has emerged in the field called mobile health, or mHealth. This presentation highlights the first 10 years of the U.S. Army mHealth program and includes how similar technologies have translated to wide-scale civilian health care implementation, including a relevant project for Veterans at the University of Pittsburgh. Examples include the successful US Army "mCare" program developed to augment soldier rehabilitation management with USbased geographically dispersed providers that utilizes secure mobile messaging and the soldier's own cell phone. Additional research interests will describe the use of smartphones on the battlefield enabling capture of operational medical data to improve casualty evacuation and outcome. A DoD-funded traumatic brain injury research project developed for Veterans at the University of Pittsburgh includes a mobile health application that demonstrates the effectiveness of communicating with patients through their personal mobile devices with care managers. Preliminary data for all the projects presented are encouraging for adoption and utilization of a mobile telemedicine platform to meet the complex needs of casualties injured or recovering from a broad range of injuries in unique geographic settings.

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mCare: Using Secure Mobile Technology to Support Soldier Reintegration and Rehabilitation

Abstract: The mCare pilot project demonstrated the feasibility and administrative effectiveness of a scalable mhealth application using secure mobile messaging and information exchanges, including personalized patient education.

Cited by 20 publications

References 4 publications

Usability of a Mobile Application for Patients Rehabilitating in their Community

Usability of a Mobile Application for Patients Rehabilitating in their Community

Empathy and Mobile Applications

Telemedicine and mHealth odyssey: a journey from the battlefield to academia

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