Ten Years of TeleHealth and Digital Healthcare: Where Are We?

Giansanti, Daniele

doi:10.3390/healthcare11060875

Cited by 14 publications

(11 citation statements)

References 44 publications

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“…These kinds of devices have enormous potential to ensure better care and an improved sense of security and quality of life for older adults [3]. Indeed, in the last decade, digital healthcare technologies have rapidly grown in diagnostics, therapy, assistance, epidemiology, and other sectors [38], but, as demonstrated by this study, when such tools match the older population market, different barriers must be considered. In this study, we focused on usability and acceptance, and we also mentioned the lack of knowledge on how to use and benefit from technology [4,5].…”

Section: Discussionmentioning

confidence: 95%

The Impact of a Multicomponent Platform Intervention on the Daily Lives of Older Adults

Stara,

Rampioni,

Moșoi

et al. 2023

Healthcare

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Gerontechnology is an interdisciplinary field of research involving gerontology and technology in order to help older adults identify and slow down the effects of age-related physical and cognitive decline. It has enormous potential to allow individuals to remain in their own homes and improve their quality of life. This study aims to assess the impact of a multicomponent platform, consisting of an ambient sensor, wearable devices, and a cloud application, as an intervention in terms of usability and acceptance as primary outcomes and well-being, quality of life, and self-efficacy as secondary outcomes in a sample of 25 older adults aged over 65 after 21 days of non-supervised usage at home. This research involved the use of a mixed-methods approach, in which both qualitative and quantitative data were collected in three different measurements. Overall, the participants shared good engagement with the integrated platform. The system achieved positive results in terms of both usability and acceptance, especially the smartwatch. The state of complete well-being slightly improved over the period, whereas self-efficacy remained stable. This study demonstrates the ability of target users to use technology independently in their home environment: it strengthens the idea that this technology is ready for mainstream use and offers food for thought for developers who create products for the aging population.

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Section: Discussionmentioning

confidence: 95%

The Impact of a Multicomponent Platform Intervention on the Daily Lives of Older Adults

Stara,

Rampioni,

Moșoi

et al. 2023

Healthcare

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“…However, there has been considerable variation in the delivery mode of available digital solutions, namely in the involvement of humans as coaches or health care providers. A common feature across most digital health programs is the inclusion of human coaching or care provision delivered via telephone calls, SMS text messaging, or email [17]. Moreover, a recent review of the literature indicated that very few (4/31, 13%) cardiovascular health-related digital health interventions are fully automated, requiring no specific personnel [11].…”

Section: Digital Health Solutions For Cvd Preventionmentioning

confidence: 99%

Evaluating a New Digital App–Based Program for Heart Health: Feasibility and Acceptability Pilot Study

Lockwood,

Kulkarni,

Paruthi

et al. 2024

JMIR Form Res

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Background Cardiovascular disease (CVD) is the leading cause of death in the United States, affecting a significant proportion of adults. Digital health lifestyle change programs have emerged as a promising method of CVD prevention, offering benefits such as on-demand support, lower cost, and increased scalability. Prior research has shown the effectiveness of digital health interventions in reducing negative CVD outcomes. This pilot study focuses on the Lark Heart Health program, a fully digital artificial intelligence (AI)–powered smartphone app, providing synchronous CVD risk counseling, educational content, and personalized coaching. Objective This pilot study evaluated the feasibility and acceptability of a fully digital AI-powered lifestyle change program called Lark Heart Health. Primary analyses assessed (1) participant satisfaction, (2) engagement with the program, and (3) the submission of health screeners. Secondary analyses were conducted to evaluate weight loss outcomes, given that a major focus of the Heart Health program is weight management. Methods This study enrolled 509 participants in the 90-day real-world single-arm pilot study of the Heart Health app. Participants engaged with the app by participating in coaching conversations, logging meals, tracking weight, and completing educational lessons. The study outcomes included participant satisfaction, app engagement, the completion of screeners, and weight loss. Results On average, Heart Health study participants were aged 60.9 (SD 10.3; range 40-75) years, with average BMI indicating class I obesity. Of the 509 participants, 489 (96.1%) stayed enrolled until the end of the study (dropout rate: 3.9%). Study retention, based on providing a weight measurement during month 3, was 80% (407/509; 95% CI 76.2%-83.4%). Participant satisfaction scores indicated high satisfaction with the overall app experience, with an average score of ≥4 out of 5 for all satisfaction indicators. Participants also showed high engagement with the app, with 83.4% (408/489; 95% CI 80.1%-86.7%) of the sample engaging in ≥5 coaching conversations in month 3. The results indicated that participants were successfully able to submit health screeners within the app, with 90% (440/489; 95% CI 87%-92.5%) submitting all 3 screeners measured in the study. Finally, secondary analyses showed that participants lost weight during the program, with analyses showing an average weight nadir of 3.8% (SD 2.9%; 95% CI 3.5%-4.1%). Conclusions The study results indicate that participants in this study were satisfied with their experience using the Heart Health app, highly engaged with the app features, and willing and able to complete health screening surveys in the app. These acceptability and feasibility results provide a key first step in the process of evidence generation for a new AI-powered digital program for heart health. Future work can expand these results to test outcomes with a commercial version of the Heart Health app in a diverse real-world sample.

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“…4 With the rapid development of new technologies in the past decade, such as ubiquitous smart devices and advances in artificial intelligence, it is essential to review the current evidence of how these tools affect caregivers. Digital health refers to “the use of information and communications technologies in medicine and other health professions to manage illnesses and health risks and to promote wellness.” 5 It compasses mobile health, telehealth, wearable devices, health information system, and telemedicine. 5 So far, several existing systematic literature reviews have mainly focused on caregivers of adults or older adults with dementia, cancer, or late-life diseases.…”

Section: Introductionmentioning

confidence: 99%

“…Digital health refers to “the use of information and communications technologies in medicine and other health professions to manage illnesses and health risks and to promote wellness.” 5 It compasses mobile health, telehealth, wearable devices, health information system, and telemedicine. 5 So far, several existing systematic literature reviews have mainly focused on caregivers of adults or older adults with dementia, cancer, or late-life diseases. 5 , 9 Two systematic reviews focused only on web-based interventions.…”

Section: Introductionmentioning

confidence: 99%

“… 5 So far, several existing systematic literature reviews have mainly focused on caregivers of adults or older adults with dementia, cancer, or late-life diseases. 5 , 9 Two systematic reviews focused only on web-based interventions. 6 , 7 All these systematic reviews found evidence that digital health tools had an overall positive effect on supporting caregivers and their well-being.…”

Section: Introductionmentioning

confidence: 99%

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Digital health interventions to support family caregivers: An updated systematic review

et al. 2023

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Objective Chronic diseases are the leading causes of death and disability in the U.S., and disease management largely falls onto patients’ family caregivers. The long-term burden and stress of caregiving negatively impact caregivers’ well-being and ability to provide care. Digital health interventions have the potential to support caregivers. This article aims to provide an updated review of interventions using digital health tools to support family caregivers and the scope of the Human-Centered Design (HCD) approaches. Methods We conducted a systematic search on July 2019 and January 2021 in PubMed, CINAHL, Embase, Cochrane Library, PsycINFO, ERIC, and ACM Digital Library, limiting to 2014–2021 to identify family caregiver interventions assisted by modern technologies. The Mixed Methods Appraisal Tool and the Grading of Recommendations Assessment, Development and Evaluation were used to evaluate the articles. Data were abstracted and evaluated using Rayyan and Research Electronic Data Capture. Results We identified and reviewed 40 studies from 34 journals, 10 fields, and 19 countries. Findings included patients’ conditions and relationships with family caregivers, how the technology is used to deliver the intervention, HCD methods, theoretical frameworks, components of the interventions, and family caregiver health outcomes. Conclusion This updated and expanded review revealed that digitally enhanced health interventions were robust at providing high-quality assistance and support to caregivers by improving caregiver psychological health, self-efficacy, caregiving skills, quality of life, social support, and problem-coping abilities. Health professionals need to include informal caregivers as an essential component when providing care to patients. Future research should include more marginalized caregivers from diverse backgrounds, improve the accessibility and usability of the technology tools, and tailor the intervention to be more culturally and linguistically sensitive.

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Ten Years of TeleHealth and Digital Healthcare: Where Are We?

Cited by 14 publications

References 44 publications

The Impact of a Multicomponent Platform Intervention on the Daily Lives of Older Adults

The Impact of a Multicomponent Platform Intervention on the Daily Lives of Older Adults

Evaluating a New Digital App–Based Program for Heart Health: Feasibility and Acceptability Pilot Study

Digital health interventions to support family caregivers: An updated systematic review

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