Mobile healthcare applications: system design review, critical issues and challenges

Baig, Mirza Mansoor; GholamHosseini, Hamid; Connolly, Martin

doi:10.1007/s13246-014-0315-4

Cited by 200 publications

(123 citation statements)

References 114 publications

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“…These developments in wireless technology and the shift to mobile devices are demanding a re-examination of technology as it currently exists within the healthcare infrastructure. 16 However, the pace of science in evaluating these apps is incongruent with the business and industry sectors and the consumer demands. There are concerns that the health-promoting smartphone apps being developed fail to incorporate evidence-based content and that rigorous testing to provide efficacy data is trailing behind their adoption.…”

mentioning

confidence: 99%

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Burke¹,

Ma²,

Azar³

et al. 2015

Circulation

475

389

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A lthough mortality for cardiovascular disease (CVD) has declined for several decades, heart disease and stroke continue to be the leading causes of death, disability, and high healthcare costs. Unhealthy behaviors related to CVD risk (eg, smoking, sedentary lifestyle, and unhealthful eating habits) remain highly prevalent. The high rates of overweight, obesity, and type 2 diabetes mellitus (T2DM); the persistent presence of uncontrolled hypertension; lipid levels not at target; and the ≈18% of adults who continue to smoke cigarettes pose formidable challenges for achieving improved cardiovascular health.1,2 It is apparent that the performance of healthful behaviors related to the management of CVD risk factors has become an increasingly important facet of the prevention and management of CVD. 3In 2010, the American Heart Association (AHA) made a transformative shift in its strategic plan and added the concept of cardiovascular health.2 To operationalize this concept, the AHA targeted 4 health behaviors in the 2020 Strategic Impact Goals: reduction in smoking and weight, healthful eating, and promotion of regular physical activity. Three health indicators also were included: glucose, blood pressure (BP), and cholesterol. On the basis of the AHA Life's Simple 7 metrics for improved cardiovascular health, <1% of adults in the United States follow a healthful eating plan, only 32% have a normal body mass index, and > 30% have not reached the target levels for lipids or BP. National Health and Nutrition Examination Survey (NHANES) data revealed that people who met ≥6 of the cardiovascular health metrics had a significantly better risk profile (hazard ratio for all-cause mortality, 0.49) compared with individuals who had achieved only 1 metric or none.2 The studies reviewed in this statement targeted these behaviors (ie, smoking, physical activity, healthful eating, and maintaining a healthful weight) and cardiovascular health indicators (ie, blood glucose, lipids, BP, body mass index) as the primary outcomes in the clinical trials testing mobile health (mHealth) interventions.eHealth, or digital health, is the use of emerging communication and information technologies, especially the Internet, to improve health and health care 4 (Table 1). mHealth, a subsegment of eHealth, is the use of mobile computing and communication technologies (eg, mobile phones, wearable sensors) for health services and information.4,5 mHealth technology uses techniques and advanced concepts from an array of disciplines, for example, computer science, electrical and

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mentioning

confidence: 99%

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Burke¹,

Ma²,

Azar³

et al. 2015

Circulation

475

389

View full text Add to dashboard Cite

show abstract

“…Moreover, a major hazard to m-health applications is data security and privacy, concerning patient identification and confidentiality of medical information. There are several issues have not been addressed yet, for example there is a clear need to improve the design and structure of m-health systems to fulfill the medical and ethical standards [35]. An urgent research is required regarding secure the collection, handling and distribution of personal health information through the Internet [26].…”

Section: Potential Threats To Safety and Privacymentioning

confidence: 99%

Usability factors of mobile health application for chronic diseases

Zahra

Hussain

Mohd

2016

AIP Conference Proceedings

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M-health has changed the conventional delivery system of health-care, permitting continuous, pervasive Health-care anywhere, anytime. Chronic disease apps are increasing, as many health workers, patients and clinicians already embracing smartphones in their comprehensive and diverse practices. There are lots of challenges and requirements that need to be addressed for mobile health applications to prevent or eliminate design problems and minimize potential threats for users, the proposed factors for chronic disease mobile applications can be used as a guide for app developers While, the usability testing, and evaluations of chronic disease apps have not yet touched the accuracy level of other web based applications. This study is being conducted to learn about challenges of m-health apps and to identify the factors that affect the usability of such applications.

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“…Privacy and security issues need to be addressed adequately because otherwise it may adversely affect the trust in mHealth [65]. However, there is no one-size-fits-all approach to security and privacy [66]. mHealth technology should be tailored to deal with the heterogeneous types of information, comfort, skills, and concerns of the end users [67].…”

Section: Privacy and Security Of Mobile Appsmentioning

confidence: 99%

Mobile health in cardiology: a review of currently available medical apps and equipment for remote monitoring

Treskes

Velde

Barendse

et al. 2016

Expert Review of Medical Devices

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Introduction: Recent developments in implantable cardioverter-defibrillators (ICDs) and smartphone technology have increased the possibilities for remote monitoring. It is the purpose of this review to give an overview of these new possibilities. Areas covered: Remote monitoring in ICD allows for early detection of lead fractures and remote follow-up of patients. Possible limitations are the lack of standardization and the possible unsafety of the data stored on the ICD. Secondly, remote monitoring of health parameters using smartphone compatible wearables and smartphone medical apps is addressed. Possible limitations include the fact that the majority of smartphone apps are unregulated by the regulatory authorities and privacy issues such as selling of appgenerated data to third parties. Lastly, clinical studies with smartphone apps are discussed. Expert commentary: New technologies in ICDs and smartphones have the potential to be used for remote monitoring. However, unreliability of smartphone technology, inadequate legislation and lack of reimbursement impede implementation. ARTICLE HISTORY

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Mobile healthcare applications: system design review, critical issues and challenges

Cited by 200 publications

References 114 publications

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Usability factors of mobile health application for chronic diseases

Mobile health in cardiology: a review of currently available medical apps and equipment for remote monitoring

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