Going Mobile: How Mobile Personal Health Records Can Improve Health Care During Emergencies

Bouri, Nidhi; Ravi, Sanjana

doi:10.2196/mhealth.3017

Cited by 62 publications

(34 citation statements)

References 22 publications

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“…As well, apps can securely store important personal (e.g., health, mental health, etc.) information (Bouri & Ravi, 2014) and facilitate connections among communities of users (McTavish, Chih, Shah, & Gustafson, 2012), both aspects of which can address problems commonly faced by foster youth. Indeed, apps can be a valuable resource for foster youth and child welfare service providers alike.…”

Section: The Promise Of Apps With Foster Youthmentioning

confidence: 99%

Conceptualizing a Mobile App for Foster Youth Transitioning to Adulthood: A Mixed-Method Approach

Miller

Chih

Washington³

2016

Journal of Technology in Human Services

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Despite the promise of mobile smartphone applications (apps) in addressing challenges faced by foster youth transitioning to adulthood, the literature is devoid of conceptual frameworks for the development of these apps. This article documents the process of using Concept Mapping to delineate a conceptual framework germane to developing an app to assist youth transitioning from foster care to adulthood, and explore differences in development priority areas among participants. Participant data was collected via qualitative brainstorming sessions, and analyzed using multidimensional scaling and hierarchical cluster analysis. This article explicates findings from this study, discusses implications, and identifies apposite areas for future research. ARTICLE HISTORY

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Section: The Promise Of Apps With Foster Youthmentioning

confidence: 99%

Conceptualizing a Mobile App for Foster Youth Transitioning to Adulthood: A Mixed-Method Approach

Miller

Chih

Washington³

2016

Journal of Technology in Human Services

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“…Another primary benefit of PHRs is greater patient access to a wide and customizable array of credible health information, data, and knowledge [3]. Mobile personal health records (mPHRs) can help in case of emergencies when a patient sees a new provider, or where the patient's primary EHR is not accessible, or interoperable with the new provider's systems [6]. One design researcher has suggested the PHR as a landing solution for overcoming the lack of interoperability between providers' EHRs that serve the same patient.…”

Section: Introductionmentioning

confidence: 99%

A Lazy User Perspective to the Voluntary Adoption of Electronic Personal Health Records (PHRs)

Kunene

Diop²

2018

Proceedings of the Annual Hawaii International Conference on System Sciences

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Personal Health Records (PHRs) have been imbued with the potential to improve health outcomes for individual healthcare consumers, providers, and the broader healthcare system. With Meaningful Use Stage 2 now mandating the implementation of tethered PHRs, tethered to provider electronic health records (patient portals), will healthcare consumers voluntarily use PHRs and contribute to safety, quality, efficiency and reduced health disparities through engagement? Or will PHR use remain low? In this qualitative study, using grounded theory, we asked users how they currently managed their personal health information (PHI) and why. Using the lazy user model, we found that letting physicians manage healthcare consumers PHI is the least effortbased solution and thus the predominant and preferred solution. Providers as guardians of patient PHI suggests the low use rates may persist yet. We should do more to make these technologies usable and accessible to those with irregular contact with a primary care physician.

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“…Text messaging has been studied extensively in the treatment of chronic conditions, including hypertension [2–4], diabetes [5–10]. The use of mobile personal health records (mPHRs) is another commonly examined mHealth application [11]. …”

Section: Introductionmentioning

confidence: 99%

Understanding the barriers to successful adoption and use of a mobile health information system in a community health center in São Paulo, Brazil: a cohort study

Rajan

Moura

Gourley

et al. 2016

BMC Med Inform Decis Mak

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BackgroundMobile technology to support community health has surged in popularity, yet few studies have systematically examined usability of mobile platforms for this setting.MethodsWe conducted a mixed-methods study of 14 community healthcare workers at a public healthcare clinic in São Paulo, Brazil. We held focus groups with community healthcare workers to elicit their ideas about a mobile health application and used this input to build a prototype app. A pre-use test survey was administered to all participants, who subsequently use-tested the app on three different devices (iPhone, iPad mini, iPad Air). Usability was assessed by objectively scored data entry errors and through a post-use focus group held to gather open-ended feedback on end-user satisfaction.ResultsAll of the participants were women, ranging from 18–64 years old. A large percentage (85.7%) of participants had at least a high school education. Internet (92.8%), computer (85.7%) and cell phone (71.4%) use rates were high. Data entry error rates were also high, particularly in free text fields, ranging from 92.3 to 100%. Error rates were comparable across device type. In a post-use focus group, participants reported that they found the app easy to use and felt that its design was consistent with their vision. The participants raised several concerns, including that they did not find filling out the forms in the app to be a useful task. They also were concerned about an app potentially creating more work for them and personal security issues related to carrying a mobile device in low-income areas.ConclusionIn a cohort of formally educated community healthcare workers with high levels of personal computer and cell phone use, we identified no technological barriers to adapting their existing work to a mobile device based system. Transferring current data entry work into a mobile platform, however, uncovered underlying dissatisfaction with some data entry tasks. This dissatisfaction may be a more significant barrier than the data entry errors our testing revealed. Our results highlight the fact that without a deep understanding of local process to optimize usability, technology-based solutions in health may fail. Developing such an understanding must be a central component in the design of any mHealth solution in global health.

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Going Mobile: How Mobile Personal Health Records Can Improve Health Care During Emergencies

Cited by 62 publications

References 22 publications

Conceptualizing a Mobile App for Foster Youth Transitioning to Adulthood: A Mixed-Method Approach

Conceptualizing a Mobile App for Foster Youth Transitioning to Adulthood: A Mixed-Method Approach

A Lazy User Perspective to the Voluntary Adoption of Electronic Personal Health Records (PHRs)

Understanding the barriers to successful adoption and use of a mobile health information system in a community health center in São Paulo, Brazil: a cohort study

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