Exploring the Far Side of Mobile Health: Information Security and Privacy of Mobile Health Apps on iOS and Android

Dehling, Tobias; Gao, Fangjian; Schneider, Stephan; Sunyaev, Ali

doi:10.2196/mhealth.3672

Cited by 228 publications

(167 citation statements)

References 81 publications

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“…These details are also often open to data security and privacy breaches. Health, medical and fitness apps in general are notorious for leaking personal data and failing to encrypt data effectively [23,24]. One study found that only one in three pregnancy and parenting apps has implemented a security mechanism to guarantee privacy and confidentiality of the data that people were uploading [25].…”

Section: Introductionmentioning

confidence: 99%

‘It Just Gives Me a Bit of Peace of Mind’: Australian Women’s Use of Digital Media for Pregnancy and Early Motherhood

Lupton

2017

Societies

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A diverse range of digital devices and software are available to women to seek and share information and personal experiences about pregnancy and parenting. This article reports findings from a focus group study involving Australian women who were pregnant or had very young children. The participants were asked to recount their experiences of using digital media for pregnancy and parenting and what media they would like to see developed that were not yet available. The findings revealed that digital media were very important to the participants. They were using mobile apps, social media, content-sharing platforms and online discussion forums to connect with each other and with family members, post images and other information about their pregnancy and children, track their pregnancy or their children's behaviours and development, and learn about pregnancy, infants and childcare. Despite their frequent use of and reliance on digital media, few participants had begun to consider the implications of sharing personal information about themselves or their children online or by using apps to record details. The implications of these findings are discussed in relation to the complexities of the intersections between information, emotional support, intimacy, personal data generation, sharing and privacy as they are conducted and experienced on the digital media used by women during these life stages.

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Section: Introductionmentioning

confidence: 99%

‘It Just Gives Me a Bit of Peace of Mind’: Australian Women’s Use of Digital Media for Pregnancy and Early Motherhood

Lupton

2017

Societies

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“…(8,9) One study identified potential data security and privacy breaches in 95.63%, 17,193/17,979 of mobile iOS apps. (10) In our project, patient confidentiality and data security were built into the design from the beginning, starting with the hospital firewall for data repository and with the use of protected institutional emails.…”

Section: Resultsmentioning

confidence: 99%

Postoperative Home Monitoring After Joint Replacement: Feasibility Study (Preprint)

Yang¹,

Dervin²,

Madden³

et al. 2018

Preprint

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BACKGROUND We conducted a prospective observational study of patients undergoing elective primary hip or knee replacements to examine the feasibility of a postoperative home monitoring system as transitional care to support patients following their surgery in real time. OBJECTIVE The primary outcome was the mean percentage of successful wireless transmissions from home of blood pressure levels, heart rate, oxygen saturation levels, and pain scores until postoperative day 4 with a feasibility target of ≥90%. METHODS Patients with an expected length of stay ≤1 day, age 18-80 years, Revised Cardiac Risk Index ≤ class 2, and caretakers willing to assist at home were eligible. Patient satisfaction, as a secondary outcome, was also evaluated. Wireless monitoring equipment (remote patient monitoring, Telus Canada) was obtained and a multidisciplinary care team was formed. RESULTS We conducted the study after obtaining Research Ethics Board approval; 54 patients completed the study: 21 males, 33 females. In total, we evaluated 9 hips, 4 hip resurfacing, 26 total knees, and 15 hemi-knees. The mean transmission rate was 96.4% (SD 5.9%; 95% CI 94.8-98.0). The median response to “I would recommend the Remote Monitoring System program to future patients” was 4.5 (interquartile range 4-5), with 1 being “strongly disagree” and 5 “strongly agree.” At 30 days postop, there was no mortality or readmission. CONCLUSIONS This is an evolving new paradigm for postoperative care and the first feasibility study on monitoring biometrics after primary hip or knee replacement. Postoperative home monitoring combines current technology with real-time support by a multidisciplinary transitional care team after discharge, facilitating postsurgical care with successful wireless transmission of vitals. The postoperative home monitoring implementation is, therefore, generalizable to other surgical discharges from hospitals. CLINICALTRIAL ClinicalTrials.gov NCT02143232; https://clinicaltrials.gov/ct2/show/NCT02143232 (Archived by WebCite at http://www.webcitation.org/71ugAhhIk)

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“…It is important to develop peer-review systems of medical Apps or CDSS assessing expert medical involvement and adherence of content to current guidelines as Health Apps Library, developed by the National Health Service in the United Kingdom [19]. Furthermore, the scores obtained by HTE-DLPR in the security area of QoE reflect the extreme importance that users give to safety of storing clinical data, in order to ensure patient confidentiality [20]. It may be the case that HTE-DL-PR administrator update requirement resulted in a decreased user confidence regarding its security.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Clinical Decision Support System for Dyslipidemia Treatment (HTE-DLPR) by QoE questionnaire

Zamora¹,

Carrión²,

Aymerich³

et al. 2017

ijcp

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Introduction: Clinical decision support systems (CDSS) are computer systems designed to assist clinicians with patient-related decision making, such as diagnosis and treatment. CDSS have shown to improve both patient outcomes and cost of care. Methods: A multi-center observational prospective study was conducted. Ten physicians agreed to participate. Seventy-seven patients with high or very high cardiovascular risk were included. After using CDSS for dyslipidemia (HTE-DLPR) for a 3 months period, participants were asked to evaluate their experience with HTE-DLPR using a quality of experience questionnaire (QoE) tool for mHealth applications. Results: Total score on the QoE was 3.89 out of 5. The highest scores were received for precision, ease of use and content quality. The lowest scores were given to security, appearance and performance. Physicians were in strong agreement with the 1st HTE-DLPR recommendation in 86.1% and the system's use was described as comfortable in 85% of cases. Users positively evaluated the development of a new version of HTE-DLPR in the future receiving a total score of 4.25 out of 5. Conclusions: A CDSS for dyslipidemia (HTE-DLP) has been positively evaluated by physicians using QoE questionnaire.

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Exploring the Far Side of Mobile Health: Information Security and Privacy of Mobile Health Apps on iOS and Android

Cited by 228 publications

References 81 publications

‘It Just Gives Me a Bit of Peace of Mind’: Australian Women’s Use of Digital Media for Pregnancy and Early Motherhood

‘It Just Gives Me a Bit of Peace of Mind’: Australian Women’s Use of Digital Media for Pregnancy and Early Motherhood

Postoperative Home Monitoring After Joint Replacement: Feasibility Study (Preprint)

Evaluation of a Clinical Decision Support System for Dyslipidemia Treatment (HTE-DLPR) by QoE questionnaire

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