TRANSFoRm eHealth solution for quality of life monitoring.

Patient Recorded Outcome Measures (PROMs) are an essential part of quality of life monitoring, clinical trials, improvement studies and other medical tasks. Recently, web and mobile technologies have been explored as means of improving the response rates and quality of data collected. Despite the potential benefit of this approach, there are currently no widely accepted standards for developing or implementing PROMs in CER (Comparative Effectiveness Research). Within the European Union project Transform (Translational Research and Patient Safety in Europe) an eHealth solution for quality of life monitoring has been developed and validated. This paper presents the overall architecture of the system as well as a detailed description of the mobile and web applications

A Review into eHealth Services and Therapies: Potential for Virtual Therapeutic Communities - Supporting People with Severe Personality Disorder

eHealth has expanded hugely over the last fifteen years and continues to evolve, providing greater benefits for patients, health care professionals and providers alike. The technologies that support these systems have become increasingly more sophisticated and have progressed significantly from standard databases, used for patient records, to highly advanced Virtual Reality (VR) systems for the treatment of complex mental health illnesses. The scope of this paper is to initially explore e-Health, particularly in relation to technologies supporting the treatment and management of wellbeing in mental health. It then provides a case study of how technology in e-Health can lend itself to an application that could support and maintain the wellbeing of people with a severe mental illness. The case study uses Borderline Personality Disorder as an example, but could be applicable in many other areas, including depression, anxiety, addiction and PTSD. This type of application demonstrates how e-Health can empower the individuals using it but also potentially reducing the impact upon health care providers and services.Comment: Book chapte

Employing Information and Communications Technologies in Homes and Cities for the Health and Well-Being of Older People

YesHe X and Sheriff RE (Eds.) Employing ICT in Homes and Cities for the Health and Well-Being of Older People. Workshop Proceedings of ICT4HOP’16. 15-17 Aug 2016. Sichuan University, Chengdu, China.British Council, Researcher Links, Newton Fund, NSF

Connectivity for Healthcare and Well-Being Management: Examples from Six European Projects

Technological advances and societal changes in recent years have contributed to a shift in traditional care models and in the relationship between patients and their doctors/carers, with (in general) an increase in the patient-carer physical distance and corresponding changes in the modes of access to relevant care information by all groups. The objective of this paper is to showcase the research efforts of six projects (that the authors are currently, or have recently been, involved in), CAALYX, eCAALYX, COGKNOW, EasyLine+, I2HOME, and SHARE-it, all funded by the European Commission towards a future where citizens can take an active role into managing their own healthcare. Most importantly, sensitive groups of citizens, such as the elderly, chronically ill and those suffering from various physical and cognitive disabilities, will be able to maintain vital and feature-rich connections with their families, friends and healthcare providers, who can then respond to, and prevent, the development of adverse health conditions in those they care for in a timely manner, wherever the carers and the people cared for happen to be

Application of Internet of Things in Health Care

The paper focuses on the continuously growing area of Internet of Things and its application to health care. We discuss several important aspects, namely quality, and relevance of data acquired. We illustrate IoT by a case study of diabetes mellitus personalised treatment. Modern type 1 diabetes mellitus therapy is now unimaginable without intensive glycaemia monitoring. In the last decade the possibility of real time continuous glucose monitoring (RT-CGMS) was realised along with integration to some types of insulin pump. Currently the research focuses on continuous glucose monitoring systems that have following advantages: non-invasiveness, high customer acceptance; comfort in use; ease in use; accuracy; long-term measurement up to 4 weeks; calibrating unit integrated; alerts for low or highs of glucose level; enabling higher lifestyle flexibility, e.g. physical activity, food, medication; wireless data and energy transmission; infection risk is minimised. Obviously several sensors are necessary to acquire the contextual data, in particular vital parameters, physical activity, and stress. All measured data must be collected and evaluated in parallel. The aim is to identify the mutual relations in measured parameters, the differences among patients and finally the most important parameters for development of personalised data models

Evaluation of TRANSFoRm Mobile eHealth Solution for Remote Patient Monitoring during Clinical Trials

Today, in the digital age, the mobile devices are more and more used to aid people in the struggle to improve or maintain their health. In this paper, the mobile eHealth solution for remote patient monitoring during clinical trials is presented, together with the outcomes of quantitative and qualitative performance evaluation. The evaluation is a third step to improve the quality of the application after earlier Good Clinical Practice certification and validation with the participation of 10 patients and three general practitioners. This time, the focus was on the usability which was evaluated by the seventeen participants divided into three age groups (18-28, 29-50, and 50+). The results, from recorded sessions and the eye tracking, show that there is no difference in performance between the first group and the second group, while for the third group the performance was worse, however, it was still good enough to complete task within reasonable time.Comment: 16 pages, 8 Figures, Results of EU FP7 TRANSFoRm projec

A systematic review of reviews to identify key research opportunities within the field of eHealth implementation

Introduction: This paper is a systematic review of the relevant literature surrounding the implementation and utilisation of eHealth to identify key challenges and opportunities to future eHealth applications. Methods: NHS Evidence, PubMed, IEEE Explorer, Cochrane Library and JMIR Publications were all searched for reviews published between 1 January 2010 and 30 June 2017. Results: A total of 47 papers met the final inclusion criterion. The published literature focused on a wide array of challenges categorised into five areas, facing the implementation and utilisation of eHealth; from this, four areas of opportunity to advance eHealth were identified. Discussion: The five challenge areas are (C1) stakeholders and system users, (C2) technology and interoperability, (C3) cost-effectiveness and start-up costs, (C4) legal clarity and legal framework and (C5) local context and regional differences. The four opportunity areas are (O1) participation and contribution, (O2) foundation and sustainability, (O3) improvement and productivity and (O4) identification and application. Conclusion: The literature analysed in this systematic review identifies design and implementation priorities that can guide the development and utilisation of future eHealth initiatives

Telemedicine for Kidney Transplant Recipients:Current State, Advantages, and Barriers

Telemedicine is defined as the use of electronic information and communication technologies to provide and support healthcare at a distance. In kidney transplantation, telemedicine is limited but is expected to grow markedly in the coming y. Current experience shows that it is possible to provide transplant care at a distance, with benefits for patients like reduced travel time and costs, better adherence to medication and appointment visits, more self-sufficiency, and more reliable blood pressure values. However, multiple barriers in different areas need to be overcome for successful implementation, such as recipients' preferences, willingness, skills, and digital literacy. Moreover, in many countries, limited digital infrastructure, legislation, local policy, costs, and reimbursement issues could be barriers to the implementation of telemedicine. Finally, telemedicine changes the way transplant professionals provide care, and this transition needs time, training, willingness, and acceptance. This review discusses the current state and benefits of telemedicine in kidney transplantation, with the aforementioned barriers, and provides an overview of future directions on telemedicine in kidney transplantation.</p

e-Health Application, Implementation and Challenges: A Literature Review

Background: World Health Organization, through a partnership with European Union, encourages the implementation e-health systems. E-health is a relatively old concept that is upgraded with new technologies and is directed toward monitoring different health conditions with the help of technology. Objectives: This paper\u27s main objective is to demonstrate e-health application possibilities in today’s healthcare organisations and its impact on the quality of provided health care services using ISO/TR 14639 Health informatics Capacity-based eHealth architecture roadmap. Methods/Approach: In this paper, we used the e-health architecture model for literature review based on individual areas of the model - ICT infrastructure, e-health infastructure, health process domain components, governance and national ownership. Results: Research confirms that new technologies have a favourable and significant impact on population health; however, more developed countries show a better understanding of the concept and are moving towards implementing laws and regulations for e-health practices. Conclusions: Through this research, we concluded that new technology significantly impacts health, but this impact is limited due to different development of countries. That is why it is very important to develop health literacy, which is the ability to comprehend, access, retrieve, and use health information or health services