Abstract:
BACKGROUND:Mobile health (mHealth) describes the use of portable electronic devices with software applications to provide health services and manage patient information. With approximately 5 billion mobile phone users globally, opportunities for mobile technologies to play a formal role in health services, particularly in low- and middle-income countries, are increasingly being recognized. mHealth can also support the performance of health care workers by the dissemination of clinical updates, learning materials, and reminders, particularly in underserved rural locations in low- and middle-income countries where community health workers deliver integrated community case management to children sick with diarrhea, pneumonia, and malaria. OBJECTIVE:Our aim was to conduct a thematic review of how mHealth projects have approached the intersection of cellular technology and public health in low- and middle-income countries and identify the promising practices and experiences learned, as well as novel and innovative approaches of how mHealth can support community health workers. METHODS:In this review, 6 themes of mHealth initiatives were examined using information from peer-reviewed journals, websites, and key reports. Primary mHealth technologies reviewed included mobile phones, personal digital assistants (PDAs) and smartphones, patient monitoring devices, and mobile telemedicine devices. We examined how these tools could be used for education and awareness, data access, and for strengthening health information systems. We also considered how mHealth may support patient monitoring, clinical decision making, and tracking of drugs and supplies. Lessons from mHealth trials and studies were summarized, focusing on low- and middle-income countries and community health workers. RESULTS:The review revealed that there are very few formal outcome evaluations of mHealth in low-income countries. Although there is vast documentation of project process evaluations, there are few studies demonstrating an impact on clinical outcomes. There is also a lack of mHealth applications and services operating at scale in low- and middle-income countries. The most commonly documented use of mHealth was 1-way text-message and phone reminders to encourage follow-up appointments, healthy behaviors, and data gathering. Innovative mHealth applications for community health workers include the use of mobile phones as job aides, clinical decision support tools, and for data submission and instant feedback on performance. CONCLUSIONS:With partnerships forming between governments, technologists, non-governmental organizations, academia, and industry, there is great potential to improve health services delivery by using mHealth in low- and middle-income countries. As with many other health improvement projects, a key challenge is moving mHealth approaches from pilot projects to national scalable programs while properly engaging health workers and communities in the process. By harnessing the increasing presence of mobile phones among diverse populations, there is promising evidence to suggest that mHealth can be used to deliver increased and enhanced health care services to individuals and communities, while helping to strengthen health systems.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Källander K,Tibenderana JK,Akpogheneta OJ,Strachan DL,Hill Z,ten Asbroek AH,Conteh L,Kirkwood BR,Meek SRdoi
10.2196/jmir.2130subject
Has Abstractpub_date
2013-01-25 00:00:00pages
e17issue
1eissn
1439-4456issn
1438-8871pii
v15i1e17journal_volume
15pub_type
杂志文章,评审abstract:BACKGROUND:Women with or at high risk of diabetes have unique health concerns across their life course. Effective methods are needed to engage women living with diabetes to develop and carry out a patient-centered research agenda. OBJECTIVE:This study aimed to (1) describe the creation of DiabetesSistersVoices, a virt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2019-05-10 00:00:00
abstract:BACKGROUND:Predatory journals fail to fulfill the tenets of biomedical publication: peer review, circulation, and access in perpetuity. Despite increasing attention in the lay and scientific press, no studies have directly assessed the perceptions of the authors or editors involved. OBJECTIVE:Our objective was to unde...
journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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更新日期:2008-02-15 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析,评审
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journal_title:Journal of medical Internet research
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更新日期:2017-03-07 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2018-09-25 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2014-02-07 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2010-02-26 00:00:00
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更新日期:2018-06-29 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2011-08-26 00:00:00
abstract:BACKGROUND:Depression is a common mental disorder with a high social burden and significant impact on suicidality and quality of life. Treatment is often limited to drug therapies because of long waiting times to see psychological therapists face to face, despite several guidelines recommending that psychological treat...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2020-06-09 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2016-07-08 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2013-10-29 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 临床试验,杂志文章,多中心研究
doi:10.2196/jmir.7.5.e56
更新日期:2005-11-17 00:00:00
abstract:BACKGROUND:Today, college students are dealing with depression at some of the highest rates in decades. As the primary mental health service provider, university counseling centers are limited in their capacity and efficiency to provide mental health care due to time constraints and reliance on students' self-reports. ...
journal_title:Journal of medical Internet research
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更新日期:2020-11-09 00:00:00
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更新日期:2011-11-15 00:00:00
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