Towards a contextual theory of Mobile Health Data Protection (MHDP): A realist perspective

Pool, Javad Khazaei; Akhlaghpour, Saeed; Fatehi, Farhad

doi:10.1016/j.ijmedinf.2020.104229

Cited by 15 publications

(8 citation statements)

References 46 publications

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“…Furthermore, robust safeguards against data breaches and ransomware attacks are essential and legally mandated to protect sensitive user information. 34 In this context, given the survey results suggesting that users are reluctant to share their data with manufacturers or payer organizations, combined with the growing global emphasis on data privacy protection, 35,36 the prospect of payers monitoring patient adherence at an aggregated population level seems unlikely in the near future. This may lead to an incomplete data set for adherence information that limits OnePlatform's applicability to individual cases only.…”

Section: ■ Main Resultsmentioning

confidence: 99%

Disease-Agnostic Electronic Adherence Aid for Subcutaneous at-Home and Self-Administration Devices─The Lowest Common Denominator Based on a Cross-Indication Survey

Bittner,

Munoz,

Odonoghue

et al. 2024

ACS Pharmacol. Transl. Sci.

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The value of connected devices and health apps with features such as adherence trackers, dosing reminders, and remote communication tools for users and healthcare providers has been assessed to support home-based subcutaneous administration. A comprehensive survey was conducted with 605 participants, including users and caregivers, from eight countries. Medical conditions encompassed ankylosing spondylitis, asthma, cerebral palsy, cluster headaches, Crohn's disease, hemophilia, lupus, migraine, multiple sclerosis, Parkinson's disease, plaque psoriasis, psoriatic arthritis, rheumatoid arthritis, spasticity, spondyloarthritis, and ulcerative colitis. Utilizing a maximum difference scaling methodology, the survey gauged participant preferences regarding specific attributes and features of connected drug delivery devices. Irrespective of demographic factors like age, gender, nationality, or the specific medical condition, the device's ability to verify a successful injection stood out as universally valued. The second and third most valued attributes pertained to temperature-related indicators or warnings. These features do not necessitate the use of a connected device and can be integrated into existing autoinjector platforms. The survey findings support the development of a universal adherence tool for at-home subcutaneous dosing, independent of a specific medical condition. This tool may be gradually improved with disease-specific features. Once established as a platform, manufacturers can launch any subcutaneous medication and later integrate real-world evidence for enhanced educational, treatment, and diagnostic capabilities. This approach is crucial for advancing connected adherence tools in decentralized healthcare, aligning with user and healthcare system needs while translating scientific innovation into practical solutions.

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Section: ■ Main Resultsmentioning

confidence: 99%

Disease-Agnostic Electronic Adherence Aid for Subcutaneous at-Home and Self-Administration Devices─The Lowest Common Denominator Based on a Cross-Indication Survey

Bittner,

Munoz,

Odonoghue

et al. 2024

ACS Pharmacol. Transl. Sci.

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“…By proactively identifying and addressing vulnerabilities, organizations can reduce the likelihood and severity of security incidents. Additionally, by maintaining transparent communication and demonstrating a commitment to remediation and improvement, organizations can mitigate reputational damage and rebuild trust with customers and stakeholders, ultimately preserving their reputation and credibility in the market (Ilugbusi et al, 2020;Pool et al, 2024).…”

Section: Reduced Attack Surface and Likelihood Of Breachesmentioning

confidence: 99%

The emergence and importance of DevSecOps: Integrating and reviewing security practices within the DevOps pipeline

Oluwatosin Oluwatimileyin Abiona,

Oluwatayo Jacob Oladapo,

Oluwole Temidayo Modupe

et al. 2024

World J. Adv. Eng. Technol. Sci.

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The emergence of DevSecOps marks a significant paradigm shift in software development, focusing on integrating security practices seamlessly into the DevOps pipeline. This paper explores the evolution, principles, and importance of DevSecOps in contemporary software engineering. DevSecOps arises from the recognition that traditional security measures often lag behind the rapid pace of DevOps development cycles, leading to vulnerabilities and breaches. By integrating security early and continuously throughout the software development lifecycle, DevSecOps aims to proactively identify and mitigate risks without impeding the agility and speed of DevOps practices. This paper delves into the core principles of DevSecOps, emphasizing automation, collaboration, and cultural transformation. Automation streamlines security processes, enabling the automated testing and validation of code for vulnerabilities. Collaboration fosters communication and shared responsibility among developers, operations, and security teams, breaking down silos and promoting a collective approach to security. Cultural transformation involves cultivating a security-first mindset across the organization, where security is not an afterthought but an inherent part of the development process. The importance of DevSecOps cannot be overstated in today's digital landscape, where cyber threats are omnipresent and the cost of security breaches is staggering. By integrating security into every stage of the DevOps pipeline, organizations can enhance their resilience to cyber attacks, comply with regulatory requirements, and build trust with customers. DevSecOps represents a holistic approach to software development that prioritizes security without compromising speed or innovation. Embracing DevSecOps principles is imperative for organizations seeking to stay ahead in an increasingly complex and hostile digital environment.

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“…There is a need for more preventing data protection failure mechanisms by better managing the risk of unauthorized access, establishing cyber‐hygiene routines in practice, managing the risk of device theft, loss and sharing, building more trust with patients and reducing data protection concerns. Secure and legally compliant exchange of data in TM can be achieved if the legal basis for data protection is clear and known, the creation and structure of the data protection policy are achieved and the data protection concept is audited and regularly evaluated to ensure the security of patient data and to regulate data flows, data storage and data processing 95,96 …”

Section: Summary: Unmet Needs and Directions For Futurementioning

confidence: 99%

Telemedicine with special focus on allergic diseases and asthma—Status 2022: An EAACI position paper

Smolinska,

Popescu,

Izquierdo

et al. 2023

Allergy

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Efficacious, effective and efficient communication between healthcare professionals (HCP) and patients is essential to achieve a successful therapeutic alliance. Telemedicine (TM) has been used for decades but during the COVID‐19 pandemic its use has become widespread. This position paper aims to describe the terminology and most important forms of TM among HCP and patients and review the existing studies on the uses of TM for asthma and allergy. Besides, the advantages and risks of TM are discussed, concluding that TM application reduces costs and time for both, HCP and patients, but cannot completely replace face‐to‐face visits for physical examinations and certain tests that are critical in asthma and allergy. From an ethical point of view, it is important to identify those involved in the TM process, ensure confidentiality and use communication channels that fully guarantee the security of the information. Unmet needs and directions for the future regarding implementation, data protection, privacy regulations, methodology and efficacy are described.

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Towards a contextual theory of Mobile Health Data Protection (MHDP): A realist perspective

Cited by 15 publications

References 46 publications

Disease-Agnostic Electronic Adherence Aid for Subcutaneous at-Home and Self-Administration Devices─The Lowest Common Denominator Based on a Cross-Indication Survey

Disease-Agnostic Electronic Adherence Aid for Subcutaneous at-Home and Self-Administration Devices─The Lowest Common Denominator Based on a Cross-Indication Survey

The emergence and importance of DevSecOps: Integrating and reviewing security practices within the DevOps pipeline

Telemedicine with special focus on allergic diseases and asthma—Status 2022: An EAACI position paper

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