Evaluating the effect and user satisfaction of an adapted and translated mobile health application ASTHMAXcel© among adults with asthma in Pune, India

Chan, Austin; Kodali, Sruthi; Lee, Grace Y.; Gadhave, Swapnil; Feldman, Jonathan; Arora, Shitij; Pawar, Shrikant; Gadkari, Rashmi; Bargaje, Medha; Salvi, Sundeep; Jariwala, Sunit

doi:10.1080/02770903.2022.2155188

Cited by 3 publications

(2 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a recent survey, 38% of U.S. health care system CEOs reported no digital components in their strategic plan, 20 suggesting a need for increased health technology innovation. This manuscript serves as a call-to-action for the adoption of social needs-based innovation biodesign in medical centers.…”

Section: Discussionmentioning

confidence: 99%

“…For example, adult patients and asthma physicians from the Bharati Hospital in Pune, India were recruited for PD sessions to adapt ASTHMAXcel for this new setting. After applying the social needs-based innovation biodesign model to redesign the mobile application for this new city, an increase in Asthma Knowledge Questionnaire scores among the 57 asthma patients in the ASTHMAXcel intervention group (p=0.0001) was found 21 . When applying the framework for social needs-based innovation to different geographic areas, engaging diverse community perspectives was essential for identifying heterogeneous unmet SDoH needs and finding avenues for implementing solutions.…”

Section: Implementation Of Social Needs-based Innovation Biodesignmentioning

confidence: 99%

See 1 more Smart Citation

A Framework for Social Needs-Based Medical Biodesign Innovation

Metaxas,

Hantgan,

Wang

et al. 2024

Appl Clin Inform

View full text Add to dashboard Cite

Objectives Nearly 60% of preventable deaths are caused by unmet needs associated with social determinants of health, which are structural factors that influence health outcomes and contribute to health disparities. This suggests that priority should be placed on developing user-centered medical interventions through social needs-based innovation biodesign to address health disparities among marginalized communities. Methods The innovation biodesign process is an approach to medical innovation that identifies clinical needs followed by solution mapping. This paper establishes a novel framework for social needs-based innovation biodesign that focuses on addressing health disparities. We describe the implementation of this framework using a case example involving ASTHMAXcel, a mobile health application which provides interactive resources for improving asthma knowledge and control in patients from the Bronx, New York City, a borough with a large urban minority population. A fundamental component of this framework includes engaging stakeholders such as patients, industry partners, and clinicians, such as through participatory design sessions. Results The proposed framework is divided into the problem and solution spaces, with an emphasis on iterative refinement. During product testing, a group of 40 adult patients, demographically representative of the Bronx (with majority Hispanic, 52.7%, and non-Hispanic Black, 41.8%, individuals), were found to have asthma control test scores that increased significantly at 2- (p=0.038), 4- (p=0.02), and 6-months (p=0.003) after baseline, highlighting the success of this framework. Conclusions Our approach serves as a call-to-action for the adoption of social needs-based medical innovation biodesign to address unmet clinical needs in marginalized populations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Implementation Of Social Needs-based Innovation Biodesignmentioning

confidence: 99%

A Framework for Social Needs-Based Medical Biodesign Innovation

Metaxas,

Hantgan,

Wang

et al. 2024

Appl Clin Inform

View full text Add to dashboard Cite

show abstract

Personalised management and supporting individuals to live with their asthma in a primary care setting

Pinnock

Noble

et al. 2023

Expert Review of Respiratory Medicine

View full text Add to dashboard Cite

A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India

Thomas,

Jenkins,

George

2024

Oxford Open Digital Health

View full text Add to dashboard Cite

mHealth implementations are increasing in low- and middle- income countries (LMICs) to strengthen health systems and improve health outcomes. Following the proliferation of mobile internet use, Indian health systems have deployed mHealth widely. However, there is little evidence that mHealth has improved health outcomes in India across settings and at scale. The aim of this study was to review current evidence on perceptions and experiences of end users of mHealth in India and synthesize qualitative data to determine the factors influencing mHealth use to inform mHealth design, development, and implementation. A systematic review and qualitative synthesis of studies on mHealth in India was conducted by searching the Web of Science, Medline and CINAHL databases for qualitative studies on mHealth users including both health system beneficiaries and healthcare personnel. Findings from the studies were synthesized using thematic synthesis. The synthesis generated the themes of the Environment, the Users and the mHealth system. The data indicate that mHealth use improves when the environment supports its use; when users are motivated and have the ability to use mHealth systems; and when mHealth systems are aligned with the environmental context and fulfill users’ needs and desires. mHealth adoption in India can be improved through human centered design and by addressing the disparities in digital literacy between socio economic strata. These approaches are required to close the design reality gaps facing mHealth systems, to improve mHealth implementation for health system strengthening, and therefore, to improve health outcomes in India.

show abstract

Evaluating the effect and user satisfaction of an adapted and translated mobile health application ASTHMAXcel© among adults with asthma in Pune, India

Cited by 3 publications

References 51 publications

A Framework for Social Needs-Based Medical Biodesign Innovation

A Framework for Social Needs-Based Medical Biodesign Innovation

Personalised management and supporting individuals to live with their asthma in a primary care setting

A systematic review and qualitative evidence synthesis of factors affecting mHealth adoption in India

Contact Info

Product

Resources

About