BackgroundMobile Health (mHealth) proposes health care delivering anytime and anywhere. It aims to answer several emerging problems in health services, including the increasing number of chronic diseases, high costs on national health services, and the need to provide direct access to health services, regardless of time and place. mHealth systems include the use of mobile devices and apps that interact with patients and caretakers. However, mobile devices present several constraints, such as processor, energy, and storage resource limitations. The constant mobility and often-required Internet connectivity also exposes and compromises the privacy and confidentiality of health information.ObjectiveThis paper presents a proposal, construction, performance evaluation, and validation of a data encryption solution for mobile health apps (DE4MHA), considering a novel and early-proposed cooperation strategy. The goal was to present a robust solution based on encryption algorithms that guarantee the best confidentiality, integrity, and authenticity of users health information. In this paper, we presented, explained, evaluated the performance, and discussed the cooperation mechanisms and the proposed encryption solution for mHealth apps.MethodsFirst, we designed and deployed the DE4MHA. Then two studies were performed: (1) study and comparison of symmetric and asymmetric encryption/decryption algorithms in an mHealth app under a cooperation environment, and (2) performance evaluation of the DE4MHA. Its performance was evaluated through a prototype using an mHealth app for obesity prevention and cares, called SapoFit. We then conducted an evaluation study of the mHealth app with cooperation mechanisms and the DE4MHA using real users and a real cooperation scenario. In 5 days, 5 different groups of 7 students selected randomly agreed to use and experiment the SapoFit app using the 7 devices available for trials.ResultsThere were 35 users of SapoFit that participated in this study. The performance evaluation of the app was done using 7 real mobile devices in 5 different days. The results showed that confidentiality and protection of the users’ health information was guaranteed and SapoFit users were able to use the mHealth app with satisfactory quality. Results also showed that the app with the DE4MHA presented nearly the same results as the app without the DE4MHA. The performance evaluation results considered the probability that a request was successfully answered as a function of the number of uncooperative nodes in the network. The service delivery probability decreased with the increase of uncooperative mobile nodes. Using DE4MHA, it was observed that performance presented a slightly worse result. The service average was also slightly worse but practically insignificantly different than with DE4MHA, being considered negligible.ConclusionsThis paper proposed a data encryption solution for mobile health apps, called DE4MHA. The data encryption algorithm DE4MHA with cooperation mechanisms in mobile health allow users to saf...

Mobile Health (m-Health) system architectures are typically based on mobile and wireless communications, and use mobile devices with data exchange supported by Web Services (WS). Although m-Health systems offer mobility as a potential and precious resource they also present several challenged issues and constraints, such as, battery and storage capacity, broadcast constraints, interferences, disconnections, noises, limited bandwidths, and network delays. Furthermore, constant mobility and often-required Internet connectivity also exposes and compromises the privacy and confidentiality of the m-Health system information. This paper proposes a novel data encryption solution for mobile health systems, considering a novel and early-proposed cooperation strategy. This encryption solution, called data encryption for mobile health applications (DE4MHA), tries to guarantee the best confidentiality, integrity, and authenticity of m-health systems users data. The paper also presents a performance evaluation study comparing the performance an m-Health application with and without the DE4MHA.

Mobile Health (m-Health) system architectures are typically based on mobile and wireless communications, and use mobile devices with data exchange supported by Web Services (WS). Although m-Health systems offer mobility as a potential and precious resource they also present several challenged issues and constraints, such as, battery and storage capacity, broadcast constraints, interferences, disconnections, noises, limited bandwidths, and network delays. Furthermore, constant mobility and often-required Internet connectivity also exposes and compromises the privacy and confidentiality of the m-Health system information. This paper proposes a novel data encryption solution for mobile health systems, considering a novel and early-proposed cooperation strategy. This encryption solution, called data encryption for mobile health applications (DE4MHA), tries to guarantee the best confidentiality, integrity, and authenticity of m-health systems users data. The paper also presents a performance evaluation study comparing the performance an m-Health application with and without the DE4MHA.