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An mhealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention

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International Journal of Nursing Sciences 2018年第4期5卷 322-330页

作者： Zhao Ni Changqing Liu Bei Wu Qing Yang Christian Douglas Ryan Jeffrey Shaw School of Nursing Duke UniversityNC27705USA West China Hospital Sichuan UniversityChengduChina Rory Meyers College of Nursing New York UniversityNYUSA

Objectives:With this study,we aimed to develop a mobile technology(mhealth)intervention to improve medication adherence among patients with coronary heart disease(CHD).Methods:The study was conducted in two phases with CHD patients from a Cardiology Department of a hospital located in *** phase was independent from the *** 1 tested the integration of the two apps-"WeChat"and"BB Reminder"-as an mhealth *** participants received the same educational materials via WeChat every two *** in the experimental group received a reminder from BB Reminder for every dose of their *** duration of Phase 1 was 30 days for each *** 2 refined the intervention,in which educational materials were sent every five days rather than every two days,and medication-taking reminders were sent daily rather than every ***:In Phase 1,an mhealth intervention was developed by integrating two mobile *** Phase 2,medication adherence increased at 30-day follow-up in both groups compared to *** the 30-day follow-up,the mean of the decrease in medication non-adherence score in the experimental group(M=1.35,SD=2.18,n=36)was more than the decrease in control group(M=0.69,SD=1.58,n=36),which means the medication adherence improved more in the experimental ***:The feasibility of using mhealth to remind CHD patients to take their medications is high.

关键词： China Coronary disease Medication adherence mhealth Mobile applications

Research Priorities for mhealth and Innovative Strategies in Sexual and Reproductive Health and Rights in the WHO Africa Region

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Advances in Reproductive Sciences 2021年第1期9卷 33-40页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi Chilanga Asmani Hayfa Elamin Souleymane Zan Bigirimana Françoise Mihretu Belete Gbenou Dina Dadji Kwami Mekdes Daba Theopista Kabuteni John Hien Clotaire Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent Reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of Reproductive Health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa Health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: The use of mobile phones continues to rise rapidly in the provision of health related services. Many countries have adopted the use of mobiles to provide sexual and reproductive health and rights and especially among the adolescents where specific messages are tailored for various audiences with specific messages. The purpose of this paper is to present the results of a research priority setting exercise on mhealth and innovative strategies. Methods: We adapted Child Health and Nutrition Research Initiative methodology to identify and set research priorities on mhealth and innovative strategies that respond to sexual and reproductive health and rights services. General potential research questions were gathered online from multiple stakeholders in the region and sent for consolidation consolidated to technical experts in World Health Organization headquarters. The second phase involved a meeting with experts to review and thematically analyze the questions list of 33 questions producing a list of 22 research questions. The questions were scored against a six point criteria and ranked accordingly. Ten top priority research questions were identified. Results: Lists of 33 priority research questions for mhealth and innovative strategies were proposed for discussions by 67 stakeholders. The questions were reviewed, scored and ranked in a technical meeting by experts. The highest ranking questions at 87% include evaluation of mhealth for data management and sexual and reproductive health and rights decision making, assessment of innovative local financing techniques to support community based sexual reproductive health and rights and evaluation of the role of mobile technologies in referral and counter referral. Conclusions: Information and communication technology is developing drastically and has a great potential in improving health especially in sexual and reproductive health and rights s

关键词： mhealth Mobile Phones Sexual and Reproductive Health and Rights Technology

Risk Assessment Framework of mhealth System Vulnerabilities: A Multilayer Analysis of the Patient Hub

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Communications and Network 2020年第2期12卷 41-60页

作者： Mohammed Banu Ali Trevor Wood-Harper Abdullah Sultan Al-Qahtani Abubakar Mohamed Ali Albakri Institute of Innovation Research Innovation Management and Policy Division University of Manchester Manchester UK UK Academic Consultations Ltd Manchester Metropolitan University Manchester UK Birmingham City School of Computing and Digital Technology Birmingham City University Birmingham UK

Although there have been remarkable technological developments in healthcare, the privacy and security of mobile health systems (mhealth) still raise many concerns with considerable consequences for patients using these technologies. For instance, potential security and privacy threats in wireless devices, such as Wi-Fi and Bluetooth connected to a patient hub at the application, middleware and sensory layers, may result in the disclosure of private and sensitive data. This paper explores the security and privacy of the patient hub, including patient applications and their connections to sensors and cloud technology. Addressing the privacy and security concerns of the patient hub called for a comprehensive risk assessment by using the OCTAVE risk assessment framework. Findings reveal that the highest risk concerned data exposure at the sensory layer. In spite of the countermeasures presented in this paper, most served as a means to identify risk early as opposed to mitigating them. The findings can serve to inform users of the potential vulnerabilities in the patient hub before they arise.

关键词： Confidentiality Integrity Vulnerability mhealth Internet of Things Risk Assessment OCTAVE

Real-Time Communication Method for mhealth Base on Extended XMPP Protocol

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Communications and Network 2013年第3期5卷 590-595页

作者： Chenjie Shi Yu Fang The Key Laboratory of Embedded System and Service Computing Ministry of Education Tongji University Shanghai China

Considering characteristic of mhealth communication and problems of existing methods, this paper presents a real-time communication method for mhealth based on extended XMPP protocol. The method can maintain the role status efficiently and reduce data latency during the communication process. Meanwhile, it can be extended flexibly to meet increasing communication demands of mhealth services. Furthermore, a system framework is presented to support telemonitoring scene. Finally, system implementation and feasibility tests verify the effectiveness of the method and framework.

关键词： mhealth XMPP Protocol Real-Time Communication

Bluetooth<sup>TM</sup>Enabled Acceleration Tracking (BEAT) mhealth System: Validation and Proof of Concept for Real-Time Monitoring of Physical Activity

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E-Health Telecommunication Systems and Networks 2013年第3期2卷 49-57页

作者： Aleksey Shaporev Mathew Gregoski Vladimir Reukov Teresa Kelechi David Morgan Kwartowitz Frank Treiber Alexey Vertegel Bioengineering Department Clemson University Clemson USA College of Nursing Medical University of South Carolina Charleston USA

Physical activity is critical to improve the condition of patients with chronic leg and foot ulcers, especially those who are obese and experienced multiple co-morbid conditions. Unfortunately, these individuals are unable to engage in guideline based physical activity (PA) programs. A prototype of BluetoothTM enabled acceleration tracking (BEAT) mhealth system was developed and manufactured for remote monitoring and stimulation of adherence to PA in deconditioned patients. The system consists of a miniature accelerometer-based sensor, smartphone application, and a network service. Validation testing showed high reliability and reproducibility of the BEAT sensors. Pilot study with human subjects demonstrated high accuracy of the BEAT system in recognition of different exercises and calculating overall outcomes of PA. Taken together, these results indicate that BEAT system could become a valuable tool for realtime monitoring of PA in deconditioned patients.

关键词： mhealth Accelerometer Sensor Physical Activity Monitoring

Effect of a community health worker mhealth monitoring system on uptake of maternal and newborn health services in Rwanda

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Global Health Research and Policy 2019年第1期4卷 322-332页

作者： Celestin Hategeka Hinda Ruton Michael R.Law Centre for Health Services and Policy Research Faculty of MedicineSchool of Population and Public HealthThe University of British Columbia201-2206 East MallVancouverBC V6T1Z3Canada Collaboration for Outcomes Research and Evaluation Faculty of Pharmaceutical SciencesThe University of British ColumbiaVancouverBCCanada School of Public Health College of Medicine and Health SciencesUniversity of RwandaKigaliRwanda

Background:In an effort to improve access to proven maternal and newborn health interventions,Rwanda implemented a mobile phone(mhealth)monitoring system called *** was scaled up across Rwanda in *** objective of this study was to evaluate the impact of RapidSMS on the utilization of maternal and newborn health services in ***:Using data from the 2014/15 Rwanda demographic and health survey,we identified a cohort of women aged 15-49 years who had a live birth that occurred between 2010 and *** interrupted time series design,we estimated the impact of RapidSMS on uptake of maternal and newborn health services including antenatal care(ANC),health facility delivery and vaccination ***:Overall,the coverage rate at baseline for ANC(at least one visit),health facility delivery and vaccination was very high(>90%).The baseline rate was 50.30%for first ANC visit during the first trimester and 40.57%for at least four ANC *** found no evidence that implementing RapidSMS was associated with an immediate increase in ANC(level change:-1.00%(95%CI:-2.30 to 0.29)for ANC visit at least once,-1.69%(95%CI:-9.94 to 6.55)for ANC(at least 4 visits),-3.80%(95%CI:-13.66 to 6.05)for first ANC visit during the first trimester),health facility delivery(level change:-1.79,95%CI:-6.16 to 2.58),and vaccination coverage(level change:0.58%(95%CI:-0.38 to 1.55)for BCG,-0.75%(95%CI:-6.18 to 4.67)for polio 0).Moreover,there was no significant trend change across the outcomes ***:Based on survey data,the implementation of RapidSMS did not appear to increase uptake of the maternal and newborn health services we studied in *** most instances,this was because the existing level of the indicators we studied was very high(ceiling effect),leaving little room for potential *** may work in contexts where improvement remains to be made,but not for indicators that are already very *** such,further research is requi

关键词： Maternal and newborn health mhealth RapidSMS Interrupted time series analysis Rwanda demographic and health survey

mhealth和eHealth在中医诊断、非药物疗法及传统功法中推广应用探讨

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中国中医药科技 2022年第4期29卷 576-578,662页

作者：冉津川胡静陈炳力李超楠阮铄荃杨梦伊屈之榆侯文光上海中医药大学附属岳阳中西医结合医院上海200437

随着5G通讯技术的发展和人民防病诊疗方式需求的增加,mhealth和eHealth技术逐渐参与现代诊疗及运动健康,但在中医诊疗中运用较少。本文主要探讨mhealth和eHealth技术在中医诊断、非药物疗法和传统功法中的运用。基于mhealth和eHealth技... 详细信息

随着5G通讯技术的发展和人民防病诊疗方式需求的增加,mhealth和eHealth技术逐渐参与现代诊疗及运动健康,但在中医诊疗中运用较少。本文主要探讨mhealth和eHealth技术在中医诊断、非药物疗法和传统功法中的运用。基于mhealth和eHealth技术发展并完善中医体系,大力推进健康医疗大数据应用,是未来中医诊疗的趋势。同时,新的诊疗模式将发挥中医科技创新和信息化支撑作用,形成具有中国特色、促进全民健康的体系。

关键词： mhealth eHealth 中医诊断中医非药物疗法传统功法

基于mhealth的老年高血压健康教育的定性定量研究

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新余学院学报 2019年第6期24卷 44-50页

作者：占星新贺春英赵南张志霞姜圣兰新余学院护理与康复学院江西新余338004 武昌理工学院护理学院湖北武汉430223

目的:探究老年高血压患者对移动医疗(mhealth)健康教育方式的态度,以期为提高老年高血压患者服药依从性提供建议和依据。方法:采用定性和定量相结合方法,对171名老年高血压患者开展服药现状及mhealth健康教育态度调查,对其中20名老年高... 详细信息

目的:探究老年高血压患者对移动医疗(mhealth)健康教育方式的态度,以期为提高老年高血压患者服药依从性提供建议和依据。方法:采用定性和定量相结合方法,对171名老年高血压患者开展服药现状及mhealth健康教育态度调查,对其中20名老年高血压患者开展定性访谈,探究mhealth健康教育态度。结果:定量结果显示只有17.6%的老年高血压患者服药依从性较好,82.4%的患者服药依从性较差;47.4%的患者表示愿意接收mhealth健康教育内容。定性结果显示大多数患者缺乏对高血压疾病的正确认识,尤其是农村患者;多数患者未能意识到服药的重要性;绝大多数患者对mhealth健康教育方式表达了积极态度,但是存在阻碍因素如视力变弱、文化水平不高等。结论:老年高血压患者服药依从性偏差,应采取相应的措施提高其服药依从性。基于mhealth的老年高血压健康教育模式是可以考虑实施的措施。

关键词：老年高血压服药依从性 mhealth 态度

以针灸治疗管理夜尿症为例探讨mhealth在中医临床中的运用

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中医药信息 2022年第1期39卷 6-10页

作者：冉津川陈炳力阮铄荃胡静李超楠杨梦伊屈之榆侯文光上海中医药大学附属岳阳中西医结合医院上海200437

目前,针灸与人工智能学科交叉要求不断提高,借助当前人工智能科技开展针灸研究,是时代的要求。本文从移动健康(Mobile Health,mhealth)的睡眠监测技术、四诊部分采集、红外功能镜头、智能针灸机器人等探讨针灸管理夜尿症的方法,并对当... 详细信息

目前,针灸与人工智能学科交叉要求不断提高,借助当前人工智能科技开展针灸研究,是时代的要求。本文从移动健康(Mobile Health,mhealth)的睡眠监测技术、四诊部分采集、红外功能镜头、智能针灸机器人等探讨针灸管理夜尿症的方法,并对当前存在的问题及未来研究趋势进行探讨和展望。认为中医针灸治疗联合mhealth技术治疗常见病智能化、信息化、护理、跟踪治疗是未来中医针灸治疗和科研的新模式,通过mhealth构建中医针灸诊疗数据和共享数据库,可为针灸临床指南、共识等提供依据。

关键词： mhealth 针灸夜尿症