A Review and Assessment Framework for Mobile-Based Emergency Intervention Apps

Gaziel-Yablowitz, Michal; Schwartz, David G.

doi:10.1145/3145846

Cited by 18 publications

(12 citation statements)

References 83 publications

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“…For example, Stoyanov and colleagues [ 25 ] developed a scale to classify and rate the quality of mHealth apps. There have also been other attempts to provide alternatives for assessing mHealth apps (eg, [ 26 , 27 ]), each one of which suggests its own quality criteria. All these attempts have positive and negative characteristics.…”

Section: Introductionmentioning

confidence: 99%

“…All these attempts have positive and negative characteristics. A major limitation common to many of these initiatives is that they have been created from one narrow perspective and focusing on, for example, a specific health problem or intervention such as emergency interventions [ 27 ] or a stakeholder such as adolescents [ 26 ]. In addition, some of them have been created from a specific perspective, for example, taking into account usability issues rather than safety.…”

Section: Introductionmentioning

confidence: 99%

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The Mobile App Development and Assessment Guide (MAG): Delphi-Based Validity Study

Llorens-Vernet¹,

Miró²

2020

JMIR Mhealth Uhealth

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Background In recent years, there has been an exponential growth of mobile health (mHealth)–related apps. This has occurred in a somewhat unsupervised manner. Therefore, having a set of criteria that could be used by all stakeholders to guide the development process and the assessment of the quality of the apps is of most importance. Objective The aim of this paper is to study the validity of the Mobile App Development and Assessment Guide (MAG), a guide recently created to help stakeholders develop and assess mobile health apps. Methods To conduct a validation process of the MAG, we used the Delphi method to reach a consensus among participating stakeholders. We identified 158 potential participants: 45 patients as potential end users, 41 health care professionals, and 72 developers. We sent participants an online survey and asked them to rate how important they considered each item in the guide to be on a scale from 0 to 10. Two rounds were enough to reach consensus. Results In the first round, almost one-third (n=42) of those invited participated, and half of those (n=24) also participated in the second round. Most items in the guide were found to be important to a quality mHealth-related app; a total of 48 criteria were established as important. “Privacy,” “security,” and “usability” were the categories that included most of the important criteria. Conclusions The data supports the validity of the MAG. In addition, the findings identified the criteria that stakeholders consider to be most important. The MAG will help advance the field by providing developers, health care professionals, and end users with a valid guide so that they can develop and identify mHealth-related apps that are of quality.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Mobile App Development and Assessment Guide (MAG): Delphi-Based Validity Study

Llorens-Vernet¹,

Miró²

2020

JMIR Mhealth Uhealth

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“…Research suggests that nearby patient-peers who maintain long-term EAI prescriptions can potentially deliver their personal EAI to the patient in need through a proximity-based emergency response communities (ERC) app [8,9]. As described in Figure 1, ERC apps dispatch nearby registered patients with allergy to help a patient in immediate need of an EAI, in certain configurations following the approval of EMS.…”

Section: Introductionmentioning

confidence: 99%

Proximity-Based Emergency Response Communities for Patients With Allergies Who Are at Risk of Anaphylaxis: Clustering Analysis and Scenario-Based Survey Study

Yablowitz¹,

Dölle²,

Schwartz³

et al. 2019

JMIR Mhealth Uhealth

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Background Anaphylaxis is a potentially fatal allergic reaction. However, many patients at risk of anaphylaxis who should permanently carry a life-saving epinephrine auto injector (EAI) do not carry one at the moment of allergen exposure. The proximity-based emergency response communities (ERC) strategy suggests speeding EAI delivery by alerting patient-peers carrying EAI to respond and give their EAI to a nearby patient in need. Objectives This study had two objectives: (1) to analyze 10,000 anaphylactic events from the European Anaphylaxis Registry (EAR) by elicitor and location in order to determine typical anaphylactic scenarios and (2) to identify patients’ behavioral and spatial factors influencing their response to ERC emergency requests through a scenario-based survey. Methods Data were collected and analyzed in two phases: (1) clustering 10,000 EAR records by elicitor and incident location and (2) conducting a two-center scenario-based survey of adults and parents of minors with severe allergy who were prescribed EAI, in Israel and Germany. Each group received a four-part survey that examined the effect of two behavioral constructs—shared identity and diffusion of responsibility—and two spatial factors—emergency time and emergency location—in addition to sociodemographic data. We performed descriptive, linear correlation, analysis of variance, and t tests to identify patients’ decision factors in responding to ERC alerts. Results A total of 53.1% of EAR cases were triggered by food at patients’ home, and 46.9% of them were triggered by venom at parks. Further, 126 Israeli and 121 German participants completed the survey and met the inclusion criteria. Of the Israeli participants, 80% were parents of minor patients with a risk of anaphylaxis due to food allergy; their mean age was 32 years, and 67% were women. In addition, 20% were adult patients with a mean age of 21 years, and 48% were female. Among the German patients, 121 were adults, with an average age of 47 years, and 63% were women. In addition, 21% were allergic to food, 75% were allergic to venom, and 2% had drug allergies. The overall willingness to respond to ERC events was high. Shared identity and the willingness to respond were positively correlated (r=0.51, P<.001) in the parent group. Parents had a stronger sense of shared identity than adult patients (t243= –9.077, P<.001). The bystander effect decreased the willingness of all patients, except the parent group, to respond (F1,269=28.27, P<.001). An interaction between location and time of emergency (F1,473=77.304, P<.001) revealed lower levels of willingness to respond in strange locations during nighttime. Conclusions An ERC allergy app has the potential to improve outcomes in case of anaphylactic events, but this is dependent on patient-peers’ willingness to respond. Through a two-stage process, our study identified the behavioral and spatial factors that could influence the willingness to respond, providing a basis for future research of proximity-based mental health communities.

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“…Multiple apps exist in this area, such as Pulsepoint [43], Allergy-Hero [44], and UnityPhilly [45]. An extensive review of emergency response apps can be found in the study by Gaziel-Yablowitz and Schwartz [46].…”

Section: Good Samaritan Response By Medical Professionalsmentioning

confidence: 99%

Motivation of emergency medical services volunteers: a study of organized Good Samaritans

Khalemsky

Schwartz

Herbst

et al. 2020

Isr J Health Policy Res

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Background: Early professional care in emergencies is beneficial in general and its utility has been proven in many studies, particularly in regard to out-of-hospital cardiopulmonary arrest. A person in distress can expect help from two sources: bystanders, including family members, community members, and complete strangers; and professionals, including emergency medical services, first responders, firefighters, and police officers. Emergency Medical Services try to achieve faster first response times through various approaches. Recent technological and social developments have enabled a new form of Emergency Medical Services volunteering, called Organized Good Samaritans, which represents a new layer between occasional volunteers and time-donation volunteers. Organized Good Samaritans are people with a medical background, particularly off-duty medical professionals who are willing and able to provide first aid in emergencies in their vicinity. Methods: A qualitative formalization of technology-enabled Organized Good Samaritans is presented. One thousand eight hundred Israeli National Emergency Medical Services volunteers were surveyed using Clary and Snyder's Volunteer Functions Inventory instrument. Demographics, professional backgrounds, and volunteering functions of Time-Donation Volunteers and Organized Good Samaritans are compared. Results: Significant differences between Organized Good Samaritans and Time Donation Volunteers were found. Demographically, Organized Good Samaritans are older and the percentage of males is higher. Professionally, the percentage of physicians and nurses among Organized Good Samaritans is higher. Motivation measures find that the motivation of Organized Good Samaritans is higher and the order of importance of the volunteering functions differs.

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A Review and Assessment Framework for Mobile-Based Emergency Intervention Apps

Cited by 18 publications

References 83 publications

The Mobile App Development and Assessment Guide (MAG): Delphi-Based Validity Study

The Mobile App Development and Assessment Guide (MAG): Delphi-Based Validity Study

Proximity-Based Emergency Response Communities for Patients With Allergies Who Are at Risk of Anaphylaxis: Clustering Analysis and Scenario-Based Survey Study

Motivation of emergency medical services volunteers: a study of organized Good Samaritans

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