Desenvolvimento de aplicativo de celular educativo para pacientes submetidos à cirurgia ortognática

Objetivo: desarrollar, evaluar y correlacionar la aceptabilidad de una aplicación educativa de celular para pacientes sometidos a la cirugía ortognática. Método: estudio metodológico basado en el diseño instruccional sistemático con contenidos de aprendizaje al paciente por una aplicación de celular. Facilidad de uso y la satisfacción del usuario se evaluaron para 30 pacientes en el perioperatorio mediante un cuestionario electrónico enviado por redes, correo electrónico y tarjeta de visita social. La medida del instrumento Escala usabilidad Sistema validado en el instrumento portugués y la satisfacción del usuario basado en otro estudio fueron aplicados después del uso de la aplicación. Los datos fueron analizados con estadística descriptiva y correlación de Spearman. Resultados: la aplicación denominada “OrtogApp” presenta contenido validado en estudio previo, incluye cinco sesiones de contenido de aprendizaje esenciales para administrar el cuidado perioperatorio. Era disponible en las plataformas IOS y Android. La facilidad de uso correspondió a 79,8 + 15,4 puntos y el índice de satisfacción fue 82,9%, la correlación de la edad, escolaridad y usos de la aplicación con los instrumentos no fue significativa. Conclusión: OrtogApp es una aplicación educativa con contenido validado por profesionales, que resultó en alta satisfacción del usuario y buena facilidad de uso. Los pacientes pueden utilizar la aplicación como material educativo de apoyo complementario a las orientaciones dadas por enfermeras perioperatorias y/o cirujanos durante el cuidado perioperatorio.Objective: to develop, evaluate and correlate the acceptability of an educational mobile application to patients submitted to orthognathic surgery. Method: methodological study based on systematic instructional design with contents aimed at patient learning through a mobile application. Usability and user satisfaction were evaluated by 30 patients in the perioperative stage through an electronic questionnaire sent by social networks, e-mail and business card, measured using the System Usability Scale instrument validated in Portuguese and user satisfaction with an instrument based on another study, after its applications. Data were analyzed with descriptive statistics and Spearman correlation. Results: the application named “OrtogApp” features content validated in a previous study included five learning content sessions essential for managing perioperative care, and it is available on IOS and Android platforms. Usability corresponded to 79.8 + 15.4 points and the satisfaction index was 82.9%; correlation of age, schooling and uses of the application with the instruments was not significant. Conclusion: OrtogApp is an educational application with content validated by professionals, resulting in high user satisfaction and good usability. Patients may use the application as supportive educational material to supplement guidance provided by perioperative nurses and/ or surgeons during perioperative care.Objetivo: desenvolver, avaliar e correlacionar a aceitabilidade de um aplicativo educativo de celular para pacientes submetidos à cirurgia ortognática. Método: estudo metodológico baseado no design instrucional sistemático com conteúdo de aprendizagem ao paciente por aplicativo de celular. Usabilidade e satisfação do usuário foram avaliadas por 30 pacientes em perioperatório por meio de questionário eletrônico enviado por redes sociais, e-mail e cartão de visita, mensurados com o instrumento System Usability Scale validado em português, e satisfação do usuário com instrumento baseado em outro estudo, utilizado após uso do aplicativo. Os dados foram analisados com estatística descritiva e correlação de Spearman. Resultados: o aplicativo nomeado “OrtogApp” apresenta conteúdo validado em estudo prévio, incluiu cinco sessões de conteúdo de aprendizagem essenciais para gerenciar o cuidado perioperatório e foi disponibilizado nas plataformas IOS e Android. Usabilidade correspondeu a 79,8 + 15,4 pontos e o índice de satisfação 82,9%. A correlação da idade, escolaridade e usos do aplicativo com os instrumentos não foi significativa. Conclusão: OrtogApp é um aplicativo educativo com conteúdo validado por profissionais que resultou em alta satisfação do usuário e boa usabilidade. Os pacientes podem utilizar o aplicativo como material educativo de apoio complementar às orientações dadas por enfermeiras perioperatórias e/ou cirurgiões durante o cuidado perioperatório

Feasibility and patient’s experiences of perioperative telemonitoring in major abdominal surgery:an observational pilot study

Background: Telemonitoring during the perioperative trajectory may improve patient outcomes and self-management. The aim of this study is to assess the feasibility of and patient’s experiences with telemonitoring before and after major abdominal surgery to inform future study design. Methods: Patients planned for elective major abdominal surgery wore a sensor and answered well-being questions on a tablet daily for at least 2 weeks preoperatively up to 30-days postoperatively. Feasibility was assessed by participation and completion rate, compliance per day, weekly satisfaction scores, and reasons for nonscheduled contact. Results: Twenty-three patients were included (participation rate of 54.5%) with a completion rate of 69.6%. Median compliance with the wearable sensor and well-being questions was respectively: 94.7% and 83.3% preoperatively at home; 100% and 66.7% postoperatively in-hospital; and 95.4% and 85.8% postoperatively at home. Median weekly satisfaction scores for both wearing the sensor and well-being questions were 5 (IQR, 4–5). Contact moments were related to absence of sensor data and technological issues (76.0%) or patient discomfort and insecurity (24.0%). Conclusions: In this study, telemonitoring showed high satisfaction and compliance during the perioperative trajectory. Future trial design regarding the effectiveness of telemonitoring requires embedding in clinical practice and support for patients, relatives, and healthcare personnel

Short-Term Wearable Sensors for In-Hospital Medical and Surgical Patients: Mixed Methods Analysis of Patient Perspectives.

Background Continuous vital sign monitoring using wearable sensors may enable early detection of patient deterioration and sepsis.Objective This study aimed to explore patient experiences with wearable sensor technology and carry out continuous monitoring through questionnaire and interview studies in an acute hospital setting.Methods Patients were recruited for a wearable sensor study and were asked to complete a 9-item questionnaire. Patients responses were evaluated using a Likert scale and with continuous variables. A subgroup of surgical patients wearing a Sensium Vital Sign Sensor was invited to participate in semistructured interviews. The Sensium wearable sensor measures the vital signs: heart rate, respiratory rate, and temperature. All interview data were subjected to thematic analysis.Results Out of a total of 500 patients, 453 (90.6%) completed the questionnaire. Furthermore, 427 (85.4%) patients agreed that the wearable sensor was comfortable, 429 (85.8%) patients agreed to wear the patch again when in hospital, and 398 (79.6%) patients agreed to wear the patch at home. Overall, 12 surgical patients consented to the interviews. Five main themes of interest to patients emerged from the interviews: (1) centralized monitoring, (2) enhanced feelings of patient safety, (3) impact on nursing staff, (4) comfort and usability, and (5) future use and views on technology.Conclusions Overall, the feedback from patients using wearable monitoring sensors was strongly positive with relatively few concerns raised. Patients felt that the wearable sensors would improve their sense of safety, relieve pressure on health care staff, and serve as a favorable aspect of future health care technology

Using m-health apps in oncology : A review from 2015 to 2022

The increased use of smartphones and the COVID-19 pandemic directly influenced the development of remote tools in several areas. In the context of oncology, it was no different, as several studies address health care or services related to mobile devices. Apps aimed at the medical field (m-health) focus directly on monitoring symptoms and improving interaction between health professionals and patients, combined with the convenience of smartphones. In this context, this work aims to address recent studies on the use of m-health in the clinical practice of oncological diseases and report the characteristics of the apps involved. For this, a review of m-health focused on oncology was conducted using the PubMed and Science Direct databases. The investigation was carried out using tools inherent in international databases and was limited to articles published between 2015 and 2022. In total, 34 articles were analyzed, with a higher frequency of publications between 2019 and 2022. The resources observed were patient follow-up, prevention of signs and symptoms, monitoring of treatment and aid in prognosis and diagnosis of patients. It is concluded that a close collaboration among patients, health professionals, and information technology professionals is necessary to optimize symptom recognition and improve patientprofessional communication. Although the pandemic has intensified the increase in the use of m-health, its use is expected to increase in the post-pandemic scenario, bearing in mind the changes in social dynamics and the growing dissemination of technologies.This work has been supported by Foundation for Science and Technology (FCT, Portugal) for financial support through national funds FCT/MCTES (PIDDAC) to CeDRI (UIDB/05757/2020 and UIDP/05757/2020), SusTEC (LA/P/0007/2021) and NORTE-01-0247-FEDER-072598 iSafety: Intelligent system for occupational safety and wellbeing in the retail sector. Laíres A. Lima thanks the Fundação para a Ciência e Tecnologia (FCT), Portugal, for the Ph.D. Grant 2022.13393.BD.info:eu-repo/semantics/publishedVersio

Development of a Smartphone Application to Enable Remote Monitoring in the Outpatient Management of Cirrhotic Ascites

Patients who develop hepatic decompensation with ascites have a poor prognosis and often experience other complications including spontaneous bacterial peritonitis, hepatic encephalopathy and variceal bleeding. We hypothesised that smartphone (SP)-enabled remote monitoring of patients with ascites may enable early detection of infection and acute decompensation, facilitate timely intervention and improve patient outcomes. Aim:  We aimed to design, develop and implement a remote monitoring system (RMS) for outpatients with cirrhotic ascites. Method: We undertook surveys with patients and hepatologists to quantify the demand for a RMS and identify issues regarding implementation. A smartphone and a web-based application were developed as a RMS. Patients used the RMS in a 6-week prospective non-randomised trial.  Results: We surveyed 27 patients (mean age 56 years, 18 (67%) were male, 16 (59%) had Childs Pugh B cirrhosis, and 20 (74%) had a history of alcoholic liver disease) and 5 hepatologists. There were 19 patients (70%) who reported that they would use a RMS. The RMS was used by 10 patients for a mean 53.8days (11-70), who entered 20.6 (0-71) updates. A total of 18 automated alerts occurred. 22% of automated alerts resulted in clinically significant changes to management, such as inpatient admission n=1 (6%), early outpatient appointment n=1 (6%) and reinforced adherence n=2 (11%). Conclusion:   We have successfully designed an internet-enabled RMS for outpatients with cirrhotic ascites that could be used as an adjunct to existing outpatient services. Future studies will optimise the alert thresholds, assess long-term patient adoption and quantify clinical impact

Evaluating the impact of physical activity apps and wearables: interdisciplinary review

Background: Although many smartphone apps and wearables have been designed to improve physical activity, their rapidly evolving nature and complexity present challenges for evaluating their impact. Traditional methodologies, such as randomized controlled trials (RCTs), can be slow. To keep pace with rapid technological development, evaluations of mobile health technologies must be efficient. Rapid alternative research designs have been proposed, and efficient in-app data collection methods, including in-device sensors and device-generated logs, are available. Along with effectiveness, it is important to measure engagement (ie, users’ interaction and usage behavior) and acceptability (ie, users’ subjective perceptions and experiences) to help explain how and why apps and wearables work. Objectives: This study aimed to (1) explore the extent to which evaluations of physical activity apps and wearables: employ rapid research designs; assess engagement, acceptability, as well as effectiveness; use efficient data collection methods; and (2) describe which dimensions of engagement and acceptability are assessed. Method: An interdisciplinary scoping review using 8 databases from health and computing sciences. Included studies measured physical activity, and evaluated physical activity apps or wearables that provided sensor-based feedback. Results were analyzed using descriptive numerical summaries, chi-square testing, and qualitative thematic analysis. Results: A total of 1829 abstracts were screened, and 858 articles read in full. Of 111 included studies, 61 (55.0%) were published between 2015 and 2017. Most (55.0%, 61/111) were RCTs, and only 2 studies (1.8%) used rapid research designs: 1 single-case design and 1 multiphase optimization strategy. Other research designs included 23 (22.5%) repeated measures designs, 11 (9.9%) nonrandomized group designs, 10 (9.0%) case studies, and 4 (3.6%) observational studies. Less than one-third of the studies (32.0%, 35/111) investigated effectiveness, engagement, and acceptability together. To measure physical activity, most studies (90.1%, 101/111) employed sensors (either in-device [67.6%, 75/111] or external [23.4%, 26/111]). RCTs were more likely to employ external sensors (accelerometers: P=.005). Studies that assessed engagement (52.3%, 58/111) mostly used device-generated logs (91%, 53/58) to measure the frequency, depth, and length of engagement. Studies that assessed acceptability (57.7%, 64/111) most often used questionnaires (64%, 42/64) and/or qualitative methods (53%, 34/64) to explore appreciation, perceived effectiveness and usefulness, satisfaction, intention to continue use, and social acceptability. Some studies (14.4%, 16/111) assessed dimensions more closely related to usability (ie, burden of sensor wear and use, interface complexity, and perceived technical performance). Conclusions: The rapid increase of research into the impact of physical activity apps and wearables means that evaluation guidelines are urgently needed to promote efficiency through the use of rapid research designs, in-device sensors and user-logs to assess effectiveness, engagement, and acceptability. Screening articles was time-consuming because reporting across health and computing sciences lacked standardization. Reporting guidelines are therefore needed to facilitate the synthesis of evidence across disciplines

The Second International Conference on Health Information Technology Advancement

TABLE OF CONTENTS I. Message from the Conference Co-Chairs B. Han and S. Falan …………………………....….……………. 5 II. Message from the Transactions Editor H. Lee …...………..………….......………….……….………….... 7 III. Referred Papers A. Emerging Health Information Technology and Applications The Role of Mobile Technology in Enhancing the Use of Personal Health Records Mohamed Abouzahra and Joseph Tan………………….……………. 9 Mobile Health Information Technology and Patient Care: Methods, Themes, and Research Gaps Bahae Samhan, Majid Dadgar, and K. D. Joshi…………..…. 18 A Balanced Perspective to Perioperative Process Management Jim Ryan, Barbara Doster, Sandra Daily, and Carmen Lewis…..….…………… 30 The Impact of Big Data on the Healthcare Information Systems Kuo Lane Chen and Huei Lee………….…………… 43 B. Health Care Communication, Literacy, and Patient Care Quality Digital Illness Narratives: A New Form of Health Communication Jofen Han and Jo Wiley…..….……..…. 47 Relationships, Caring, and Near Misses: Michael’s Story Sharie Falan and Bernard Han……………….…..…. 53 What is Your Informatics Skills Level? -- The Reliability of an Informatics Competency Measurement Tool Xiaomeng Sun and Sharie Falan.….….….….….….…. 61 C. Health Information Standardization and Interoperability Standardization Needs for Effective Interoperability Marilyn Skrocki…………………….…….………….… 76 Data Interoperability and Information Security in Healthcare Reid Berryman, Nathan Yost, Nicholas Dunn, and Christopher Edwards.…. 84 Michigan Health Information Network (MiHIN) Shared Services vs. the HIE Shared Services in Other States Devon O’Toole, Sean O’Toole, and Logan Steely…..……….…… 94 D. Health information Security and Regulation A Threat Table Based Approach to Telemedicine Security John C. Pendergrass, Karen Heart, C. Ranganathan, and V.N. Venkatakrishnan …. 104 Managing Government Regulatory Requirements for Security and Privacy Using Existing Standard Models Gregory Schymik and Dan Shoemaker…….…….….….… 112 Challenges of Mobile Healthcare Application Security Alan Rea………………………….……………. 118 E. Healthcare Management and Administration Analytical Methods for Planning and Scheduling Daily Work in Inpatient Care Settings: Opportunities for Research and Practice Laila Cure….….……………..….….….….… 121 Predictive Modeling in Post-reform Marketplace Wu-Chyuan Gau, Andrew France, Maria E. Moutinho, Carl D. Smith, and Morgan C. Wang…………...…. 131 A Study on Generic Prescription Substitution Policy as a Cost Containment Approach for Michigan’s Medicaid System Khandaker Nayeemul Islam…….…...……...………………….… 140 F. Health Information Technology Quality Assessment and Medical Service Delivery Theoretical, Methodological and Practical Challenges in Designing Formative Evaluations of Personal eHealth Tools Michael S. Dohan and Joseph Tan……………….……. 150 The Principles of Good Health Care in the U.S. in the 2010s Andrew Targowski…………………….……. 161 Health Information Technology in American Medicine: A Historical Perspective Kenneth A. Fisher………………….……. 171 G. Health Information Technology and Medical Practice Monitoring and Assisting Maternity-Infant Care in Rural Areas (MAMICare) Juan C. Lavariega, Gustavo Córdova, Lorena G Gómez, Alfonso Avila….… 175 An Empirical Study of Home Healthcare Robots Adoption Using the UTUAT Model Ahmad Alaiad, Lina Zhou, and Gunes Koru.…………………….….………. 185 HDQM2: Healthcare Data Quality Maturity Model Javier Mauricio Pinto-Valverde, Miguel Ángel Pérez-Guardado, Lorena Gomez-Martinez, Martha Corrales-Estrada, and Juan Carlos Lavariega-Jarquín.… 199 IV. A List of Reviewers …………………………..…….………………………208 V. WMU – IT Forum 2014 Call for Papers …..…….…………………20

Digital patient engagement at a perioperative surgical home implemented community hospital

Patients in rural areas typically require more perioperative ‘optimization’ for surgery. The rural healthcare systems often overwhelmed with coordinating perioperative services and deliver less than optimal surgical outcomes. This is due to limited supporting microsystems and ability to effectively engage and track patients over the 120-day perioperative period to limit post-surgical complications. The study assessed longitudinal patient engagement within a newly established Perioperative Surgical Home (PSH) at a rural community hospital serving 10+ surrounding counties to identify barriers and best practices for engagement. A digital patient engagement platform was implemented and used to assess longitudinal patient outcomes and engagement from 30 days preoperative to 90 days postoperative. The research team (health systems engineers teamed with clinicians) analyzed 2-years of collected patient data (n= 301) primarily consisting of Total Joint Replacement (TJR) procedures. The digital patient engagement system’s email and text messages allowed patients and PSH staff to track outcomes, experience, and collaborate on post-surgical events. The average patient engagement was low (less than 40%). However, the average survey completion was 90%, i.e., if a patient responded to a survey on a particular day, on average patients finished 90% of the survey. Patient engagement was critically important to improving surgical care in rural areas. Digital longitudinal patient engagement implemented by PSH clinic was successful at rural community hospitals serving patients from 10+ surrounding counties. Experience Framework This article is associated with the Innovation & Technology lens of The Beryl Institute Experience Framework (https://www.theberylinstitute.org/ExperienceFramework). Access other PXJ articles related to this lens. Access other resources related to this len

Assessment of Application-Driven Postoperative Care in the Pediatric Tonsillectomy Population

Medical Schoolhttps://deepblue.lib.umich.edu/bitstream/2027.42/149386/1/CharlesHwang_1.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/149386/2/CharlesHwang_2.pd