Remote monitoring is an essential part of future mHealth systems for the delivery of personal and pervasive healthcare, especially to allow the collection of personal bio-data outside clinical environments. Yet, by its very nature, it presents considerable challenges: it will be a highly distributed task, requiring collection of bio-data for a myriad of cources, to be marshalled at the clinical site via secure communication channels. To address these challenges, we propose the use of an online social media platform (OSMP) as a key component of a near-future remote health monitoring system. By exploiting existing infrastructure, initial costs can be reduced, at the same time as allowing fast and flexible application development. An OSMP would have user benefits also: patients and healthcare professionals can be presented with familiar interfaces, while application developers can work with a set of technologies that are widely used and well-known. Internet-based access also helps to provide wide-ranging connectivity for mobile applications. Additionally, the use of a social media context allows existing social interactions within the healthcare regime to be modelled within a carer network, working in harmony with, and providing support for, existing relationships and interactions between patients and healthcare professionals. We focus on the use of an OSMP to enable two primitive functions which we consider essential for mHealth, and on which larger personal healthcare services could be built: remote health monitoring of personal bio-data, and an alert system for asynchronous notifications. We analyse the general requirements in a carer network for these two primitive functions, in terms of four different viewpoints within the carer network: the patient, the doctor in charge, a professional carer, and a family member (or friend) of the patient. We discuss the suitability of OSMPs in terms of functionality, performance, security & privacy, as well as the potential for cost reduction.

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Abstract-The quantified-self is a key enabler for mHealth. We propose that a wellbeing remote monitoring scenario can act as a suitable proxy for mHealth monitoring by the use of an online social network (OSN). We justify our position by discussing the parallelism in the scenario between purpose-driven wellbeing and mHealth scenarios. The similarity between these two scenarios in terms of privacy and data sharing is discussed. By using such a proxy, some of the legal and ethical complexity can be removed from experimentation on new technologies and systems for mHealth. This enables technology researchers to carry out investigation and focus on testing new technologies, system interactions as well as security and privacy in healthcare in pre-clinical experiments, without loss of context. The analogy between two purpose-driven scenarios, i.e. fitness monitoring in wellbeing scenario and remote monitoring in mHealth, is discussed in terms of a practical example: we present a prototype using a wellbeing device -Fitbit -and an open source online social media platform (OSMP) -Diaspora.

Remote monitoring is an essential part of future mHealth systems for the delivery of personal and pervasive healthcare, especially to allow the collection of personal bio-data outside clinical environments. Yet, by its very nature, it presents considerable challenges: it will be a highly distributed task, requiring collection of bio-data for a myriad of cources, to be marshalled at the clinical site via secure communication channels. To address these challenges, we propose the use of an online social media platform (OSMP) as a key component of a near-future remote health monitoring system. By exploiting existing infrastructure, initial costs can be reduced, at the same time as allowing fast and flexible application development. An OSMP would have user benefits also: patients and healthcare professionals can be presented with familiar interfaces, while application developers can work with a set of technologies that are widely used and well-known. Internet-based access also helps to provide wide-ranging connectivity for mobile applications. Additionally, the use of a social media context allows existing social interactions within the healthcare regime to be modelled within a carer network, working in harmony with, and providing support for, existing relationships and interactions between patients and healthcare professionals. We focus on the use of an OSMP to enable two primitive functions which we consider essential for mHealth, and on which larger personal healthcare services could be built: remote health monitoring of personal bio-data, and an alert system for asynchronous notifications. We analyse the general requirements in a carer network for these two primitive functions, in terms of four different viewpoints within the carer network: the patient, the doctor in charge, a professional carer, and a family member (or friend) of the patient. We discuss the suitability of OSMPs in terms of functionality, performance, security & privacy, as well as the potential for cost reduction.

Abstract-We describe a user study of a mHealth prototype system based on a wellbeing scenario, exploiting the quantifiedself approach to measurement and monitoring. We have used off-the-shelf equipment, with opensource, web-based, software, and exploiting the increasing popularity of smartphones and selfmeasurement devices in a user study. We emulate a mHealth scenario as a pre-clinical experiment, as a realistic alternative to a clinical scenario, with reduced risk to sensitive patient medical data. We discuss the efficacy of this approach for future mHealth systems for remote monitoring. Our system used the popular Fitbit device for monitoring personal wellbeing data, the Diaspora online social media platform (OSMP), and a simple Android/iOS remote notification application. We implemented remote monitoring, asynchronous user interaction, multiple actors, and usercontrolled security and privacy mechanisms. We propose that the use of a quantified-self approach to mHealth is particularly valuable to undertake research and systems development.