Turning the Crisis Into an Opportunity: Digital Health Strategies Deployed During the COVID-19 Outbreak

Sust, Pol Pérez; Solans, Óscar; Fajardo, Joan Carles; Medina, Manuel; Rodenas, Pepi; Gabaldà, Jordi; Garcı́a-Eroles, Luis; Comella, Adrià; Muñoz, César Velasco; Ribes, Josuè Sallent; Monfa, Rosa Roma; Piera-Jiménez, Jordi

doi:10.2196/19106

Cited by 141 publications

(91 citation statements)

References 11 publications

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“…Indeed, clinics will not return to pre-pandemic capacity as the social distancing rule prohibits the presence of several persons in a confined area, and the time patients spend in the clinic will have to be limited. It will, therefore, be mandatory to carry out, through the virtual hospital, remote initial assessments, which will generate and schedule the subsequent in-person visits, as happened in Catalonia, Spain during the COVID-19 pandemic [12].…”

Section: Resultsmentioning

confidence: 99%

COD19 and COD20: An Italian Experience of Active Home Surveillance in COVID-19 Patients

Zuccotti

Bertoli

Foppiani

et al. 2020

IJERPH

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The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic found Italy unprepared to cope with the large concentrated numbers of patients infected with coronavirus disease 2019 (COVID-19) who often required hospital admission and in many cases intensive care. This pandemic very quickly overwhelmed the Italian Healthcare System. This paper describes the Active Home Surveillance System (Operations Center for Discharged Patients; COD19) and the Home Hospital Care System (COD20) and presents the clinical data collected and the level of user satisfaction with the service. The Operations Center for Discharged Patients (COD19) is an active surveillance service for home-care patients which involves: (1) monitoring critical clinical conditions; (2) recognizing social and health issues; (3) and providing necessary clinical services in the form of a telemedicine service. COD20 is a patient-specialist video consultation service that allows to perform an assessment of clinical conditions and any need to visit; defining the priority of access to specialist outpatient visits in the presence or manageable with the new video consultation model. This service was immediately necessary during the COD19 monitoring. COD19 and COD20 are based on the Amazon Web Services Serverless certified platform. The COD19 and COD20 platform can be intrinsically utilized for future epidemic outbreaks; also those with non-respiratory transmission; and is sufficiently flexible to adapt to natural catastrophes.

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Section: Resultsmentioning

confidence: 99%

COD19 and COD20: An Italian Experience of Active Home Surveillance in COVID-19 Patients

Zuccotti

Bertoli

Foppiani

et al. 2020

IJERPH

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“…Many of these are aimed at prevention and mitigation of metabolic disease-such as using heart rate and energy expenditure to promote physical activity and healthy dietary intake [5][6][7][8][9]. This trend is in line with the current vast expansion in use of digital health technology for non-contact medical evaluation during the COVID-19 pandemic [10][11][12]. However, not all digital health technology utilizes scientifically established guidelines and, those that do may still lack accuracy or precision [13][14][15][16].…”

Section: Introductionmentioning

confidence: 95%

A Multidomain Approach to Assessing the Convergent and Concurrent Validity of a Mobile Application When Compared to Conventional Methods of Determining Body Composition

Neufeld

Seltzer

Sazzad

et al. 2020

Sensors

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Determining body composition via mobile application may circumvent limitations of conventional methods. However, the accuracy of many technologies remains unknown. This investigation assessed the convergent and concurrent validity of a mobile application (LS) that employs 2-dimensional digital photography (LS2D) and 3-dimensional photonic scanning (LS3D). Measures of body composition including circumferences, waist-to-hip ratio (WHR), and body fat percentage (BF%) were obtained from 240 healthy adults using LS and a diverse set of conventional methods—Gulick tape, bioelectrical impedance analysis (BIA), and skinfolds. Convergent validity was consistently high—indicating these methods vary proportionally and can thus reliably detect changes despite individual measurement differences. The span of the Limits of Agreement (LoA) using LS were comparable to the LoA between conventional methods. LS3D exhibited high agreement relative to Gulick tape in the measurement of WHR, despite poor agreement with individual waist and hip circumferences. In BF%, LS2D exhibited high agreement with BIA and skinfold methods, whereas LS3D demonstrated low agreement. Interestingly, the low inferred bias between LS3D and DXA using existing data suggests that LS3D may have high agreement with dual-energy x-ray absorptiometry. Overall, the suitability of LS2D and LS3D to replace conventional methods must be based on an individual user’s criteria.

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“…These findings have important implications for further research with a focus on evaluating the clinical effectiveness of mobile apps. In particular, with the recent worldwide COVID-19 pandemic, it is crucial to offer health care support remotely via digital health technologies [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Such apps have the potential to increase the reach of allied health interventions by making therapy available anywhere that a mobile device can be used. The recent global COVID-19 pandemic has highlighted the potential for digital health technologies to provide health care support at a distance [ 19 ]. Specifically, mobile therapy apps may increase customization, ease of access, engagement with therapy, and optimize therapy dosage, which could assist in reducing the effects of social stigmas associated with communication impairment [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Mobile Apps for Speech-Language Therapy in Adults With Communication Disorders: Review of Content and Quality

Vaezipour¹,

Campbell²,

Theodoros³

et al. 2020

JMIR Mhealth Uhealth

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Background Worldwide, more than 75% of people with acquired brain injury (ABI) experience communication disorders. Communication disorders are impairments in the ability to communicate effectively, that is, sending, receiving, processing, and comprehending verbal and nonverbal concepts and symbols. Such disorders may have enduring impacts on employment, social participation, and quality of life. Technology-enabled interventions such as mobile apps have the potential to increase the reach of speech-language therapy to treat communication disorders. However, ensuring that apps are evidence-based and of high quality is critical for facilitating safe and effective treatment for adults with communication disorders. Objective The aim of this review is to identify mobile apps that are currently widely available to adults with communication disorders for speech-language therapy and to assess their content and quality using the validated Mobile App Rating Scale (MARS). Methods Google Play Store, Apple App Store, and webpages were searched to identify mobile apps for speech-language therapy. Apps were included in the review if they were designed for the treatment of adult communication disorders after ABI, were in English, and were either free or for purchase. Certified speech-language pathologists used the MARS to assess the quality of the apps. Results From a total of 2680 apps identified from Google Play Store, Apple App Store, and web searches, 2.61% (70/2680) apps met the eligibility criteria for inclusion. Overall, 61% (43/70) were available for download on the iPhone Operating System (iOS) platform, 20% (14/70) on the Android platform, and 19% (13/70) on both iOS and Android platforms. A content analysis of the apps revealed 43 apps for language, 17 apps for speech, 8 apps for cognitive communication, 6 apps for voice, and 5 apps for oromotor function or numeracy. The overall MARS mean score was 3.7 out of 5, SD 0.6, ranging between 2.1 and 4.5, with functionality being the highest-scored subscale (4.3, SD 0.6), followed by aesthetics (3.8, SD 0.8), information (3.4, SD 0.6), and engagement (3.3, SD 0.6). The top 5 apps were Naming Therapy (4.6/5), Speech Flipbook Standard (4.6/5), Number Therapy (4.5/5), Answering Therapy, and Constant Therapy (4.4/5). Conclusions To our knowledge, this is the first study to systematically identify and evaluate a broad range of mobile apps for speech-language therapy for adults with communication disorders after sustaining ABI. We found a lack of interactive and engaging elements in the apps, a critical factor in sustaining self-managed speech-language therapy. More evidence-based apps with a focus on human factors, user experience, and a patient-led design approach are required to enhance effectiveness and long-term use.

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Turning the Crisis Into an Opportunity: Digital Health Strategies Deployed During the COVID-19 Outbreak

Cited by 141 publications

References 11 publications

COD19 and COD20: An Italian Experience of Active Home Surveillance in COVID-19 Patients

COD19 and COD20: An Italian Experience of Active Home Surveillance in COVID-19 Patients

A Multidomain Approach to Assessing the Convergent and Concurrent Validity of a Mobile Application When Compared to Conventional Methods of Determining Body Composition

Mobile Apps for Speech-Language Therapy in Adults With Communication Disorders: Review of Content and Quality

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