Digital Health Benefits
A list of digital health benefits, including positive consumer and patient outcomes reported in peer-reviewed journals, white papers, and coverage in media.
People in a Weight Watchers program who received motivational and reminder text messages lost an average of 4.5 pounds more in a 12-week period than those who were left to their own volition, a newly published study found. Text messaging also showed promise for increasing exercise and promoting other healthy behaviors, according to researchers from Virginia Commonwealth University Medical Center, Richmond, Va.
Precision thermometry of the skin can, together with other measurements, provide clinically relevant information about cardiovascular health, cognitive state, malignancy and many other important aspects of human physiology. Here, we introduce an ultrathin, compliant skin-like sensor/actuator technology that can pliably laminate onto the epidermis to provide continuous, accurate thermal characterizations that are unavailable with other methods. Examples include non-invasive spatial mapping of skin temperature with millikelvin precision, and simultaneous quantitative assessment of tissue thermal conductivity. Such devices can also be implemented in ways that reveal the time-dynamic influence of blood flow and perfusion on these properties. Experimental and theoretical studies establish the underlying principles of operation, and define engineering guidelines for device design. Evaluation of subtle variations in skin temperature associated with mental activity, physical stimulation and vasoconstriction/dilation along with accurate determination of skin hydration through measurements of thermal conductivity represent some important operational examples.
The study of 27 adults with bipolar disorder or schizophrenia found that the addition of an ingestible sensor to their regiment led to 67 percent of patients taking their medication within 2 hours of their designated time. The mean adherence rate was 74 percent. - See more at: http://mobihealthnews.com/24301/study-proteus-tracks-adherence-with-94-percent-accuracy/#sthash.wx2jhY2s.dpuf
Telemedicine technology is a hot commodity these days -- but is it actually effective in improving patient outcomes? Researchers at UC Davis Children's Hospital say it is. More Healthcare Insights Webcasts White Papers Reports Researchers found telemedicine consults significantly improved outcomes for patients treated in rural pediatric emergency departments that lack pediatric specialists.
Having selected patients send in a video clip of them taking their tuberculosis (TB) medication every day is a feasible alternative when direct monitoring with home visits isn't, a pilot study showed.
Researchers at the Mayo Clinic have released the results of their study of Fitbit as a tool to predict how quickly older patients can start moving around again after surgery. The idea was to test how wireless monitoring devices could assess mobility.
Initial study results show that wearable body monitors can be a useful weight loss tool alone, or when used with a standard weight loss program. In either case, the results show the ability to support weight loss in overweight and obese adults
Results of the study were presented at the American Heart Association 50th Annual Joint Conference of Nutrition, Physical Activity and Metabolism and Cardiovascular Disease Epidemiology and Prevention. San Francisco, CA. 2010
Conclusions: This mHealth diabetes app with the use of gamification incentives showed an improvement in the frequency of blood glucose monitoring in adolescents with type 1 diabetes. Extending this to improved health outcomes will require the incentives to be tied not only to frequency of blood glucose monitoring but also to patient actions and decision making based on those readings such that glycemic control can be improved.
Conclusions: The combination of behavioral mobile coaching with blood glucose data, lifestyle behaviors, and patient self-management data individually analyzed and presented with evidence-based guidelines to providers substantially reduced glycated hemoglobin levels over 1 year.
Nonadherence to prescribed medications is an important issue in the clinical management of kidney transplant patients (). It is common in the first months after kidney transplantation and increases by duration of follow-up (). Accurate detection of nonadherence is a challenging but essential first step that enables further interventions aimed at improving adherence ().Conclusions
ISS is a promising new technology that provides highly reliable measurements of intake and timing of intake of drugs that are combined with the IEM.
Conclusion: This review provides evidence for the short term
effectiveness of electronic reminders, especially
SMS reminders. However, long-term effects remain
Type 2 diabetes patients who use Real Time Medication Monitoring (RTMM) and
receive SMS reminders if they forget to take their medication have higher adherence
levels with respect to timing than patients who are only monitored with RTMM.
Overall, patients’ experiences with the RTMM system are pos- itive. Since other
patient groups have difficulties in following prescribed therapy as well, the RTMM
system may provide opportunities for increasing adherence to medication for other
The mHealth Evidence website is a resource for cataloging, categorizing, and grading mHealth evidence. This site contains both peer-reviewed and grey literature on mHealth activities in developed and developing countries and is curated with sources proactively identified or included based on request. Material is classified using a harmonized taxonomy, scored using objective criteria, easily filtered and searchable to facilitate the identification of evidence-based, high-impact mHealth practices.
We have established that members of the community reported a range of benefits, and that these may be related to the extent of site use. Third party validation and longitudinal evaluation is an important next step in continuing to evaluate the potential of online data-sharing platforms.
An epilepsy community was developed on PatientsLikeMe.com to share data between patients to improve their outcomes by finding other patients like them.
The Center for Technology and Aging (CTA) and the Partners HealthCare Center for Connected Health (CCH) developed a return on investment (ROI) evaluation tool to help health care organizations assess the intrinsic financial costs and benefits of RPM technologies. Aggregate findings from this evaluation will be used to identify the benefits of RPM technologies for patients, providers, and family caregivers; strategies for program deployment; lessons learned; and program outcomes, including program ROI.
Getting people to embrace motivational gaming for health and fitness may be a struggle, but some new data suggest that the concept works well when used properly.
A remote monitoring program implemented by Geisinger Health Plan using interactive voice response (IVR) and other telemonitoring technology to aid case managers has shown a 44 percent reduction in hospital readmissions, the company announced recently. The Geisinger Monitoring Program (GMP) uses a range of technologies from remote monitoring and telehealth company AMC Health designed to increase the number of interactions patients had with caregivers post-discharge.
Electronic data routinely gathered in hospitals can be used as a warning system for missed doses of prescribed medicine and making improvements to patient safety, says a new study.
Mobile phones are becoming an increasingly important platform for the delivery of health interventions. In recent years, researchers have used mobile phones as tools for encouraging physical activity and healthy diets, for symptom monitoring in asthma and heart disease, for sending patients reminders about upcoming appointments, for supporting smoking cessation, and for a range of other health problems. This paper provides an overview of this rapidly growing body of work.
An Urban E-Health Project in Rio de Janeiro
In 2012, the City of Rio de Janeiro partnered with the New Cities Foundation and its member organizations to launch an innovative Task Force on E-health in the community of Santa Marta in Rio. The Task Force provided the community's local clinic with an e-health backpack containing equipment able to collect patient health data.
A new study from Pennsylvania hospital system Geisinger Health Plan shows that remote monitoring of congestive heart failure patients can reduce readmissions by 38 to 44 percent and produce a return on investment of $3.30 on the dollar. The long-term study of 541 patients began in 2008 and just concluded in 2012.
Text messaging prevents one in six patients from forgetting to take, or stopping, their prescribed medicines, researchers have found. Around a third of people do not take their treatment as prescribed, greatly reducing potential benefits and increasing costs in wasted medicines and treating avoidable illness.
Journal of Medical Internet Research - International Scientific Journal for Medical Research, Information and Communication on the Internet
Background. Mobile health and digital medicine technologies are becoming increasingly used by individuals with common, chronic diseases to monitor their health. Numerous devices, sensors, and apps are available to patients and consumers–some of which have been shown to lead to improved health management and health outcomes. However, no randomized controlled trials have been conducted which examine health care costs, and most have failed to provide study participants with a truly comprehensive monitoring system. Methods. We conducted a prospective randomized controlled trial of adults who had submitted a 2012 health insurance claim associated with hypertension, diabetes, and/or cardiac arrhythmia. The intervention involved receipt of one or more mobile devices that corresponded to their condition(s) (hypertension: Withings Blood Pressure Monitor; diabetes: Sanofi iBGStar Blood Glucose Meter; arrhythmia: AliveCor Mobile ECG) and an iPhone with linked tracking applications for a period of 6 months; the control group received a standard disease management program. Moreover, intervention study participants received access to an online health management system which provided participants detailed device tracking information over the course of the study. This was a monitoring system designed by leveraging collaborations with device manufacturers, a connected health leader, health care provider, and employee wellness program–making it both unique and inclusive. We hypothesized that health resource utilization with respect to health insurance claims may be influenced by the monitoring intervention. We also examined health-self management. Results & Conclusions. There was little evidence of differences in health care costs or utilization as a result of the intervention. Furthermore, we found evidence that the control and intervention groups were equivalent with respect to most health care utilization outcomes. This result suggests there are not large short-term increases or decreases in health care costs or utilization associated with monitoring chronic health conditions using mobile health or digital medicine technologies. Among secondary outcomes there was some evidence of improvement in health self-management which was characterized by a decrease in the propensity to view health status as due to chance factors in the intervention group.