Blockchain technology in agri-food value chain management: A synthesis of applications, challenges and future research directions

Agri-food value chain is an area of significant importance because of providing sustainable, affordable, safety and sufficient food, feed, fibre and fuel to consumers, it is critical to ensure these value chains running smoothly and successfully by applying advanced internet technologies. Blockchain technology is a new digital technological approach underpinned by the Industry 4.0 to ensuring data integrity and preventing tampering and single point failure through offering fault-tolerance, immutability, trust, transparency and full traceability of the stored transaction records to all agri-food value chain partners. This paper used systematic literature network analysis to review the state-of-the-art blockchain technology including its recent advances, main applications in agri-food value chain and challenges from a holistic perspective. The findings suggest that blockchain technology together with advanced information and communication technology and internet of things have been adopted for the improvement of agri-food value chain management in four main aspects: traceability, information security, manufacturing and sustainable water management. Six challenges have been identified including storage capacity and scalability, privacy leakage, high cost and regulation problem, throughput and latency issue, and lack of skills. Based on the critical analysis of literature, research gaps and future research directions are proposed in this paper regarding the applications and challenges of blockchain technology in agri-food value chain management. This study makes contributions to the extant literature in the field of agri-food value chain management by discovering the potential of blockchain technology and its implications for agri-food value chain performance improvements such as food safety, food quality and food traceability

Acceptability to patients, carers and clinicians of an mHealth platform for the management of Parkinson's disease (PD_Manager): study protocol for a pilot randomised controlled trial.

BACKGROUND: Parkinson's disease is a degenerative neurological condition causing multiple motor and non-motor symptoms that have a serious adverse effect on quality of life. Management is problematic due to the variable and fluctuating nature of symptoms, often hourly and daily. The PD_Manager mHealth platform aims to provide a continuous feed of data on symptoms to improve clinical understanding of the status of any individual patient and inform care planning. The objectives of this trial are to (1) assess patient (and family carer) perspectives of PD_Manager regarding comfort, acceptability and ease of use; (2) assess clinician views about the utility of the data generated by PD_Manager for clinical decision making and the acceptability of the system in clinical practice. METHODS/DESIGN: This trial is an unblinded, parallel, two-group, randomised controlled pilot study. A total of 200 persons with Parkinson's disease (Hoehn and Yahr stage 3, experiencing motor fluctuations at least 2 h per day), with primary family carers, in three countries (110 Rome, 50 Venice, Italy; 20 each in Ioannina, Greece and Surrey, England) will be recruited. Following informed consent, baseline information will be gathered, including the following: age, gender, education, attitudes to technology (patient and carer); time since Parkinson's diagnosis, symptom status and comorbidities (patient only). Randomisation will assign participants (1:1 in each country), to PD_Manager vs control, stratifying by age (1 ≤ 70 : 1 > 70) and gender (60% M: 40% F). The PD_Manager system captures continuous data on motor symptoms, sleep, activity, speech quality and emotional state using wearable devices (wristband, insoles) and a smartphone (with apps) for storing and transmitting the information. Control group participants will be asked to keep a symptom diary covering the same elements as PD_Manager records. After a minimum of two weeks, each participant will attend a consultation with a specialist doctor for review of the data gathered (by either means), and changes to management will be initiated as indicated. Patients, carers and clinicians will be asked for feedback on the acceptability and utility of the data collection methods. The PD_Manager intervention, compared to a symptom diary, will be evaluated in a cost-consequences framework. DISCUSSION: Information gathered will inform further development of the PD_Manager system and a larger effectiveness trial. TRIAL REGISTRATION: ISRCTN Registry, ISRCTN17396879 . Registered on 15 March 2017