Impact of mobile health and medical applications on clinical practice in gastroenterology

Kernebeck, Sven; Busse, Theresa Sophie; Böttcher, Maximilian David; Weitz, Jürgen; Ehlers, Jan P.; Bork, Ulrich

doi:10.3748/wjg.v26.i29.4182

Cited by 48 publications

(34 citation statements)

References 109 publications

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“…However, this important issue was discussed in a recently published review. 23 In this review the authors summarized the results of several studies, and stated that many physicians are reluctant to use online consultation, mainly because they fear the online visit might be more time consuming and a threat to confidentiality. Furthermore, although many physicians stated they encourage patients’ participation, most of them did not act accordingly in a real-life setting.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine in clinical gastroenterology practice: what do patients prefer?

Lahat

Shatz

2021

Therap Adv Gastroenterol

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Background: The Coronavirus Disease 2019 pandemic has forced major changes on healthcare systems. Maintaining regular patients’ surveillance became a major challenge. Telemedicine has been promoted as an economic and effective way for long distance patient care. Our aim was to study patients’ acceptance and perspectives on telemedicine. Methods: Patients scheduled for clinic appointments were offered telemedicine. Those who agreed were asked to fill in a questionnaire assessing their satisfaction with the medical consultation. Patients’ demographic characteristics and answers were collected and reviewed. Results: Out of 358 patients approached 71 agreed to use telemedicine. Of them, 59 completed the questionnaire and were included in the study. All patients’ basic demographic data were collected. Patients’ included in the study mean age was: 43 ± 16.3 years, 35 (59.3%) women. Patients who chose not to use telemedicine were significantly older, mean age: 61 ± 15.2 years ( p = 0.036), 134 (46.7%) women. Most patients included (38; 64.4%) had inflammatory bowel disease (IBD). Most patients who chose not to use telemedicine were non-IBD patients (206, 72%). Fifty-one patients (86.4%) assessed their experience as ‘good’ or ‘excellent’. Satisfied patients had significantly less time under medical follow-up (3.7 versus 6.1 years, p = 0.028) and tended to be younger ( p = non-significant). Women were statistically significantly more satisfied than men (33 versus 18, p = 0.05). Advantages reported were ‘time saving’ (31.3%), accessibility (26.1%), availability (25%). The main disadvantage was absence of physical examination (70%). Conclusions: Telemedicine gained a high satisfaction rate among patients under regular medical surveillance. Most patients stated this that method is convenient, time saving and increases their compliance. Patients who agreed to telecare were younger, and tended to be of female gender and experiencing IBD. Further studies are needed to characterize specific barriers to telecare usage.

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Section: Discussionmentioning

confidence: 99%

Telemedicine in clinical gastroenterology practice: what do patients prefer?

Lahat

Shatz

2021

Therap Adv Gastroenterol

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“…The visit numbers to Medicine and Prescription sections of the app positively correlates with the corresponding nal scores (P value = 0.028 and P value = 0.01 respectively). Furthermore, the Prescription major error negatively correlates with the visit numbers (P value = 0.019) ( Prior studies have noted the importance of e-learning and smartphone applications for medical education [6,9]. However, no data was found on the association between an application amount of usage and student's knowledge in different parts of an app separately in details as of the present study.…”

Section: Resultsmentioning

confidence: 52%

“…Smartphone applications can be the solution to medical students' struggles to learn high volumes of material in a relatively short time [6,9]. Recently, the literature on educational e-learning has considerably increased focusing on the subject of medical knowledge transfer, particularly after COVID-19 outbreak [4,18,20].…”

Section: Discussionmentioning

confidence: 99%

Investigating a Newly Developed Educational Orthopedic Application for Medical Interns

Daliri

Majd

Moradi

2021

Preprint

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BackgroundIn COVID 19 era, the literature on e-learning, or particularly m-learning, has considerably increased focusing on the subject of medical knowledge transfer. Considering the importance of orthopedic knowledge for general practitioners and the inadequacy of the orthopedics internship duration in Mashhad University of Medical Sciences (MUMS), we have developed and investigated a smartphone orthopedic educational application named “Orthobox”.MethodsIn a quasi-clinical before-after trial study, we investigated the benefits of Orthobox application for medical interns attending MUMS orthopedic departments. A total of 120 students (64 and 56 students in control and case groups respectively) were recruited. The application consists of five main parts of medication, common order samples, common prescriptions, cast and splint types, and educational movies. Students who passed the course without getting access to the application (control group) and students who were also using application during the course (case group) were defined, and comparison was done between them objectively through final exam score comparison and subjectively through Visual Analogue Scale (VAS) questionnaire score comparison. Besides, using case group students’ activity report provided by the application panel, correlational analysis was done on their amount of activity on each of the main parts of the application and the corresponding question exam and VAS score separately.ResultsThe case group of the study generally achieved higher final exam scores, mainly on Order question score (P value<0.001). Total VAS scores were also greater in case group (P value =0.001). It has also been identified that there is a notable positive trend between student’s amount of usage of the application and their final exam scores through correlational analysis. This correlation was not significant about students’ application visit numbers and VAS scores. ConclusionThese results suggest that m-learning has got the potential to improve students’ medical knowledge and skills by organizing must-to-learn content specified for intern students of orthopedics on one hand, and cause more satisfaction in students about their education on the other hand.Trial registration: This study was not registered because it is a quasi-clinical trial study. Level of evidence: Level III (Evidence obtained from well-designed controlled trials without randomization (i.e. quasi-experimental)

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“…Prior studies have noted the importance of e-learning and smartphone applications for medical education [6,9]. Though, no data was found on the association between an application amount of usage and student's knowledge in different parts of an app separately as of the present study in details.…”

Section: Resultsmentioning

confidence: 58%

“…Background Smartphone applications can be the solution to medical students' struggles to learn high volumes of material in a relatively short time. [6,9]. Recently, the literature on educational e-learning has considerably increased its attention on the subject of medical knowledge transfer, particularly after COVID-19 outbreak [4,18,20].…”

Section: Introductionmentioning

confidence: 99%

Investigating a Newly Developed Educational Orthopedic Application for Medical Interns

Daliri

Majd

Moradi

2021

Preprint

View full text Add to dashboard Cite

BackgroundIn COVID 19 era, the literature on e-learning- or particularly smartphone (m-learning)- has considerably increased its attention on the subject of medical knowledge transfer. Regarding the importance of the orthopedic knowledge for general practitioners and the inadequacy of the orthopedics internship duration in Mashhad University of Medical Sciences (MUMS), we have developed and investigated a smartphone orthopedic educational application, named “Orthobox”.MethodsIn a quasi-clinical before-after trial study, we investigated the application benefits for medical interns attending MUMS orthopedic departments. A total of 120 students (64 and 56 students in control and case groups respectively) were recruited. The application consists of five main parts of medication, common order samples, common prescriptions, cast and splint types, and educational movies. Students who passed the course without getting access to the application (control group) and students who were using application during the course (case group) were defined, and comparison was done between them objectively-through final exam score comparison and subjectively-through Visual Analogue Scale (VAS) questionnaire score comparison. Besides, using case group students’ activity report provided by the application panel, correlational analysis was done on their amount of activity on each of the main parts of the application and the corresponding question exam and VAS score separately.ResultsThe case group of the study generally achieved higher final exam scores, mainly on Order question score (P value<0.001). Total VAS scores were also greater in case group (P value =0.001). It has also been identified that there is a notable positive trend between student’s amount of usage of the application and their final exam scores through correlational analysis. This correlation was not significant about students’ application visit numbers and VAS scores. ConclusionThese results on one hand, suggest that m-learning has got the potential to improve students’ medical knowledge and skills by organizing must-to-learn content specified for intern students of orthopedics and on the other hand, cause students more satisfied by their education.Level of evidence: Level III (Evidence obtained from well-designed controlled trials without randomization (i.e. quasi-experimental).

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Impact of mobile health and medical applications on clinical practice in gastroenterology

Cited by 48 publications

References 109 publications

Telemedicine in clinical gastroenterology practice: what do patients prefer?

Telemedicine in clinical gastroenterology practice: what do patients prefer?

Investigating a Newly Developed Educational Orthopedic Application for Medical Interns

Investigating a Newly Developed Educational Orthopedic Application for Medical Interns

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