Guidelines and Recommendations for Developing Interactive eHealth Apps for Complex Messaging in Health Promotion

Heffernan, Kayla J.; Chang, Shanton; Maclean, Skye Tamara; Callegari, Emma T.; Garland, Suzanne M.; Reavley, Nicola; Varigos, George; Wark, John D.

doi:10.2196/mhealth.4423

Cited by 55 publications

(37 citation statements)

References 35 publications

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“…Stakeholders of eHealth projects should also consider how they would overcome challenges that arise due to barriers associated with liability. A gap identified from the literature was the need to make more data available for secondary use such as research and the development of more uniform guidelines [43]. Further gaps also highlighted the need to improve existing IT architecture and the usability of IT systems themselves.…”

Section: Opportunitiesmentioning

confidence: 99%

A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

2018

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This paper is a systematic review of the relevant literature surrounding the implementation and utilisation of eHealth in order to identify key challenges and opportunities to future eHealth applications. NHS Evidence, PubMed, IEEE Explorer, Cochrane Library and JMIR Publications were all searched for reviews published between the dates 1 January 2010 and 30 June 2017. 47 papers met the final inclusion criterion. The published literature focused on a wide array of challenges, categorised into five areas, facing the implementation and utilisation of eHealth and from this, four areas of opportunity to advance eHealth were identified. The five challenge areas are (C1) Stakeholders and System Users, (C2) Technology and Interoperability, (C3) Cost-Effectiveness and Start-up Costs, (C4) Legal Clarity and Legal Framework and (C5) Local Context and Regional Differences. The four opportunity areas are (O1) Participation and Contribution, (O2) Foundation and Sustainability, (O3) Improvement and Productivity and (O4) Identification and Application. The literature analysed in this systematic review identifies design and implementation priorities that can guide the development and utilisation of future eHealth initiatives.

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Section: Opportunitiesmentioning

confidence: 99%

A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

2018

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“…The effective use of health information technologies, including mobile health tools, requires an extension of care teams to include experts in domains such as information technologies, software development, and humancentered design [11]. Effective team-based efforts require the development of new relationships and are facilitated by strong communication and empathy.…”

Section: Principle 9 Be Collaborativementioning

confidence: 99%

“…Efforts to incorporate mobile tools into clinical care delivery and integrate patient-generated data into care processes are emerging. However, there is little research to guide these efforts, and few existing tools have demonstrated the capacity to link patients and providers directly [10][11][12]. Early experience suggests incorporating new health information technology tools into clinical practice is potentially disruptive because it directly impacts providers' task behaviors and requires them to alter routines [13,14].…”

Section: Introductionmentioning

confidence: 99%

“…This report focuses on the technology and its integration into the clinical model, and is not an evaluation of effectiveness of the overall technologysupported care model. Recognizing that the requirements for mobile health tools differ from general requirements for mobile development [11], we propose extensions to the Principles for Digital Development for mobile health tools that are intended to support clinical services. We also propose the development of guidelines for mental health-specific digital design and user experience best practices.…”

Section: Introductionmentioning

confidence: 99%

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Applying the Principles for Digital Development: Case Study of a Smartphone App to Support Collaborative Care for Rural Patients With Posttraumatic Stress Disorder or Bipolar Disorder (Preprint)

Bauer¹,

Hodsdon²,

Bechtel³

et al. 2018

Preprint

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Background: Despite a proliferation of patient-facing mobile apps for mental disorders, there is little literature guiding efforts to incorporate mobile tools into clinical care delivery and integrate patient-generated data into care processes for patients with complex psychiatric disorders. Objective: We sought to gain an understanding of how to incorporate a patient-provider mobile health platform to support the delivery of integrated primary care-based mental health services (Collaborative Care) to rural patients with post-traumatic stress disorder and/or bipolar disorder. Methods: Using the Principles for Digital Development as a framework, we describe our experience designing, developing, and deploying a patient-facing smartphone application that integrates with a clinical patient registry to support Collaborative Care. We extracted mobile metadata to describe the early adoption and use of the system, and report preliminary results from an in-app patient feedback survey that includes a System Usability Scale. Results: Each of the nine Principles for Digital Development is illustrated with examples. The first 10 patients to use the smartphone app have completed symptom measures on average every 14 days over an average period of 20 weeks. The mean System Usability Scale score at week 8 among four patients who completed this measure was 91.9. We present lessons learned about the technical and training requirements for integration into practice that can inform future efforts to incorporate health technologies to improve care for patients with psychiatric conditions. Conclusions: Adhering to the Principles for Digital Development, we created and deployed a mobile health system to support Collaborative Care for patients with complex psychiatric conditions in rural health centers. Preliminary data among the initial users support high system usability and show promise for sustained use. Based on our experience, we propose five additional principles to extend this framework and inform future efforts to incorporate health technologies to improve care for patients with psychiatric conditions: Design for

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“…33,34 Increased self-care and self-monitoring by mHealth innovations, though beneficial might invite risk as judicial interventions by healthcare professionals is inevitable in some instances. 35,36 The growing number of self-testing devices are also a concern regarding ethical, psychological and social aspects of individuals.…”

Section: Challenges In Implementing Mhealth In Indiamentioning

confidence: 99%

Scope of mobile health in Indian health care system – the way forward

Ahamed

Palepu

Dubey

et al. 2017

Int J Community Med Public Health

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India is currently undergoing increased urbanisation and population growth. The existing health care facilities and health care personnel are not able to cater to the health care needs of the population. Hence, a demand-supply gap is prevailing in the country. Improper functioning of three tier health care delivery, inaccessibility of secondary and tertiary government health services are the other major hurdles in effective health care utilisation. Technological interventions like tele-consultation strived continuously to tackle this crisis but had attained limited success. Other technological advancements as mobile based interventions (mHealth) have been emerging in the recent times. mHealth includes the use of telecommunication and multimedia technologies integrated with mobile and wireless healthcare delivery system. With success stories round the globe, it can be marked that mobile technology in the present scenario has gained substantial effects on health outcomes. Using mobile technology offers a tremendous opportunity for developing countries as India to advance in health care delivery by effectively utilising scarce resources. The vastly underserved healthcare market combined with high mobile phone penetration and rapidly growing smart phone adoption creates enabling environment condition for mHealth adoption in India. mHealth, being user friendly and cost effective, would be an interesting initiative in developing world. Customised application and sustainable financial models which could suit the existing local healthcare delivery networks would yield beneficial outcomes.

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Guidelines and Recommendations for Developing Interactive eHealth Apps for Complex Messaging in Health Promotion

Cited by 55 publications

References 35 publications

A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

Applying the Principles for Digital Development: Case Study of a Smartphone App to Support Collaborative Care for Rural Patients With Posttraumatic Stress Disorder or Bipolar Disorder (Preprint)

Scope of mobile health in Indian health care system – the way forward

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