Role of a 24-hour Ambulatory Internet of Things System in Preeclampsia Monitoring: Technologies, Challenges, and Future Path Survey

The Internet of Things (IoT) is a technology that integrates different sensor actuators, working together for data management towards efficient communication within the digital world. IoT has been applied in many sectors to achieve sustainable development goals. Massive devices and a huge amount of data have been the major components of the technology, which has presented new challenges. IoT has been applied in healthcare to improve several ways of managing health, including antenatal care. Worldwide, the cost of having preeclampsia monitoring has been a major concern. A 24-hour ambulatory IoT system, an integration of a smartwatch, a mobile device, and a cloud-based application, is one of the technologies used to help in preeclampsia monitoring. IoT and its functionalities have been evaluated in previous studies and assessments. However, they concentrated on its application in other areas, such as animal husbandry, and little on ambulatory care. The impact of a real-time ambulatory IoT system on preeclampsia monitoring are comprehensively and methodically examined in this paper, focusing on three categories: the challenges and its benefits in ambulatory care. The application’s effects, performance, and safety have been thoroughly described. Generally, this paper explores potential initiatives of the IoT system to address existing ambulatory care issues

Framework to Evaluate Emerging Systems Designed to Health Field

In recent years, several information and communication technology systems have emerged as tools to improve sleep quality. Research reveals that poor sleep quality may produce irritability and deficits in performance, concentration, and learning ability in the short term, and is associated with chronic disease in the long term. ICT proposals range from the old Polysomnography (PSG) to innovative systems, such as wearable devices, smartphone applications, and suites of sensors embedded in the users’ environment. Since these technological developments concern a health issue, they have raised important questions regarding their reliability and the level of rigor of the evaluations to which they are submitted. We found that some of the emerging systems that we studied, do not meet the requirements that health science demands to be accepted as clinical tools. The rationale behind this apparent weakness is explained with arguments from the field of evaluations for health interventions and evaluation of technological developments. We propose a framework to evaluate this kind of systems through appropriate scientific methods that provide valuable information to the research. These methods must be performed while designs mature and the feasibility of rigorous evaluations became appropriate

Impact of Wireless Communications Technologies on Elder People Healthcare: Smart Home in Australia

Over the last three decades, there has been a dramatic rise in ageing populations in most countries. Older people remain in nursing home care due to the fact that general services and medical support are provided. However, these environments often negatively affect the occupants due to high cost, limited staff, as well as the social impact they have. A way to overcome these challenges is to place the elderly instead in a Smart Home environment. In other words, by implementing such technology, older people are able to remain at home, instead of going to nursing homes and pay the extremely high fees. The aim of this study is to describe the impact of wireless communications technologies to replace nursing homes with smart homes. Using smart wireless sensors, wireless communication and ambient intelligence systems, it is possible to create systems capable of measuring the vital signs of patients at home. This is based on exchanging signals (information) between sensors and the data server from already deployed sensor equipment (infrared or camera) or wearable smart sensors, allowing older people to stay at home.Over the last three decades, there has been a dramatic rise in ageing populations in most countries. Older people are remaining in nursing home care due to the fact that general services and medical support are provided. However, these environments often negatively affect older people due to high cost, limited staff and the social impacts they have. A way to overcome these challenges is to place the elderly instead of the Nursing Homes in a Smart Home environment. In other words, by implementing such technology, older people are able to remain at home, instead of going to nursing homes and pay the extremely high cost. The aim of this study is to describe the impact of wireless communications technologies on both nursing home and smart home. Using smart wireless sensors, wireless communication and ambient intelligent systems, it is possible to create systems capable of measuring vital signs of the patient at home. This is based on exchanging signals (information) between the sensor and the data server from already deployed sensors (infrared or camera) or wearable smart sensors, allowing older people to stay at home

mHealth technologies for osteoarthritis self-management and treatment: A systematic review

Osteoarthritis is a common chronic disease that can be better treated with the help of self-management interventions. Mobile health (mHealth) technologies are becoming a popular means to deliver such interventions. We reviewed the current state of research and development of mHealth technologies for osteoarthritis self-management to determine gaps future research could address. We conducted a systematic review of English articles and a survey of apps available in the marketplace as of 2016. Among 117 unique articles identified, 25 articles that met our inclusion criteria were reviewed in-depth. The app search identified 23 relevant apps for osteoarthritis self-management. Through the synthesis of three research themes (osteoarthritis assessment tools, osteoarthritis measurement tools, and osteoarthritis motion monitoring tools) that emerged from the current knowledge base, we provide a design framework to guide the development of more comprehensive osteoarthritis mHealth apps that facilitate self-management, decision support, and shared decision-making

An Ecological Approach to Smart Homes for Health Care Services: Conceptual Framework of a Smart Servicescape Wheel

Background: Smart homes are considered effective solutions for home health care for the elderly, as smart home technologies can reduce care costs and improve elderly residents' independence. To develop a greater understanding of smart homes for health care services (SHHSs), this study accentuated the necessity of ecological approaches with an emphasis on environmental constraints. This study was based on 2 rationales: (1) users are inclined to perceive the service quality and service experience from environments (ie, servicescape) owing to the intangibility of health care and the pervasiveness of smart home technologies, and (2) both service domains are complex adaptive systems in which diversified and undefined service experiences-not only a few intended service flows-can be generated by complex combinations of servicescape elements. Objective: This study proposed the conceptual framework of a Smart Servicescape Wheel (SSW) as an ecological approach delineating the extensive spectrum of environmental constraints in SHHSs. Methods: The SSW framework was established based on a literature review. Results: Generally divided by perceptible and imperceptible servicescapes, the SSW consists of the perceptible Physical scape (ie, hardware components, environmental cues, and human states) and Social scape (ie, service relationships and social relationships) as well as the imperceptible Datascape (ie, computing intelligence, databases, and communication networks). Following the ecological approach, each category of the SSW is subdivided and defined at the level of components or functions. Conclusions: The SSW's strengths lie in the various application opportunities for SHHSs. In terms of service planning and development, the SSW can be utilized to (1) establish the requirements for SHHS development, (2) associate with work domain analysis by defining component layers, and (3) understand the real contexts of SHHSs for the enhanced prediction of diverse service experiences. Regarding service management, it can be applied to develop measurement items for the operation and evaluation of SHHSs.This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea under grant NRF-2017S1A5A8019275. This fund has no specific role or influence in the research process

iPOJO flow:a declarative service workflow architecture for ubiquitous cloud applications

The growth of innovative services backed up by various sensors and devices provides an unprecedented potential for ubiquitous computing applications and systems. However, in order to benefit from the recent developments, the current service middleware technology needs a catch-up of being able to fully support interactions among the services. OSGi is considered as a viable service framework solution due to its ability to deal with the dynamism inherent with ubiquitous cloud environments. iPOJO has also emerged as a service component model that simplifies the development of OSGi applications. However, the technology runs short of providing adequate support to foster declarative service compositions of realistic interaction topologies. Noticing this deficiency, we propose an iPOJO component-based service workflow architecture, named iPOJO Flow, where component services can easily be composed together to form realistic, complicated applications. Along with the architectural design, the paper also introduces a new DSL to specify service workflow topologies in a declarative way. The effectiveness of our proposed approach is validated through a prototype demonstration, comparative design analysis, and performance experiments

Willingness of Chinese Men Who Have Sex With Men to Use Smartphone-Based Electronic Readers for HIV Self-testing: Web-Based Cross-sectional Study

BACKGROUND: The need for strategies to encourage user-initiated reporting of results after HIV self-testing (HIVST) persists. Smartphone-based electronic readers (SERs) have been shown capable of reading diagnostics results accurately in point-of-care diagnostics and could bridge the current gaps between HIVST and linkage to care. OBJECTIVE: Our study aimed to assess the willingness of Chinese men who have sex with men (MSM) in the Jiangsu province to use an SER for HIVST through a web-based cross-sectional study. METHODS: From February to April 2020, we conducted a convenience web-based survey among Chinese MSM by using a pretested structured questionnaire. Survey items were adapted from previous HIVST feasibility studies and modified as required. Prior to answering reader-related questions, participants watched a video showcasing a prototype SER. Statistical analysis included descriptive analysis, chi-squared test, and multivariable logistic regression. P values less than .05 were deemed statistically significant. RESULTS: Of 692 participants, 369 (53.3%) were aged 26-40 years, 456 (65.9%) had ever self-tested for HIV, and 493 (71.2%) were willing to use an SER for HIVST. Approximately 98% (483/493) of the willing participants, 85.3% (459/538) of ever self-tested and never self-tested, and 40% (46/115) of unwilling participants reported that SERs would increase their HIVST frequency. Engaging in unprotected anal intercourse with regular partners compared to consistently using condoms (adjusted odds ratio [AOR] 3.04, 95% CI 1.19-7.74) increased the odds of willingness to use an SER for HIVST. Participants who had ever considered HIVST at home with a partner right before sex compared to those who had not (AOR 2.99, 95% CI 1.13-7.90) were also more willing to use an SER for HIVST. Playing receptive roles during anal intercourse compared to playing insertive roles (AOR 0.05, 95% CI 0.02-0.14) was associated with decreased odds of being willing to use an SER for HIVST. The majority of the participants (447/608, 73.5%) preferred to purchase readers from local Centers of Disease Control and Prevention offices and 51.2% (311/608) of the participants were willing to pay less than US $4.70 for a reader device. CONCLUSIONS: The majority of the Chinese MSM, especially those with high sexual risk behaviors, were willing to use an SER for HIVST. Many MSM were also willing to self-test more frequently for HIV with an SER. Further research is needed to ascertain the diagnostic and real-time data-capturing capacity of prototype SERs during HIVST

Discrepancies in Demand of Internet of Things Services Among Older People and People With Disabilities, Their Caregivers, and Health Care Providers: Face-to-Face Survey Study

Background: Home Internet of Things (IoT) services and devices have the potential to aid older adults and people with disabilities in their living environments. IoT services and devices can also aid caregivers and health care providers in conveniently providing care to those in need. However, real-world data on the IoT needs of vulnerable people are lacking. Objective: The objective of this study is to conduct a face-to-face survey on the demand for IoT services among older people and people with disabilities, their caregivers, and health care providers in a real-world setting and to see if there are any differences in the aspects of need. Methods: We conducted a face-to-face survey with 500 participants between January 2019 and March 2019. A total of 300 vulnerable people (200 older adults aged ≥65 years and 100 physically disabled people aged 30-64 years) were randomly sampled from either a population-based, prospective cohort study of aging-the Aging Study of Pyeongchang Rural Area (ASPRA)-or from the outpatient clinics at the Asan Medical Center, Seoul, South Korea. Simultaneously, their caregivers (n=150) and health care providers (n=50) participated in the survey. Detailed socioeconomic status, digital literacy, health and physical function, and home IoT service needs were determined. Among all commercially available IoT services, 27 services were classified into five categories: emergency and security, safety, health care, convenience (information), and convenience (operation). The weighted-ranking method was used to rank the IoT needs in different groups. Results: There were discrepancies in the demand of IoT services among the vulnerable groups, their caregivers, and health care providers. The home IoT service category that was required the most by the vulnerable groups and their caregivers was emergency and security. However, health care providers indicated that the safety category was most needed by the older adults and disabled people. Home IoT service requirements differed according to the different types of disabilities among the vulnerable groups. Participants with fewer disabilities were more willing to use IoT services than those with more disabilities. Conclusions: Our survey study shows that there were discrepancies in the demand of IoT services among the vulnerable groups, their caregivers, and health care providers. IoT service requirements differed according to the various types of disabilities. Home IoT technology should be established by combining patients' priorities and individualized functional assessments among vulnerable people. Trial registration: Clinical Research Information Service (CRIS; KCT0004157);ope