Abstract:
BACKGROUND:Flare-ups in juvenile idiopathic arthritis (JIA) are characterized by joint pain and swelling and often accompanied with fatigue, negative emotions, and reduced participation in activities. To minimize the impact of JIA on the physical and psychosocial development and well-being of young people (YP), it is essential to regularly monitor disease activity and side effects, as well as to support self-management such as adherence to treatment plans and engagement in general health-promoting behaviors. Smartphone technology has the potential to engage YP with their health care through convenient self-monitoring and easy access to information. In addition, having a more accurate summary of self-reported fluctuations in symptoms, behaviors, and psychosocial problems can help both YP and health care professionals (HCPs) better understand the patient's condition, identify barriers to self-management, and assess treatment effectiveness and additional health care needs. No comprehensive smartphone app has yet been developed in collaboration with YP with JIA, their parents, and HCPs involved in their care. OBJECTIVES:The objective of this study was to design, develop, and evaluate the acceptability and usability of JIApp, a self-management smartphone app system for YP with JIA and HCPs. METHODS:We used a qualitative, user-centered design approach involving YP, parents, and HCPs from the rheumatology team. The study was conducted in three phases: (1) phase I focused on developing consensus on the features, content, and design of the app; (2) phase II was used for further refining and evaluating the app prototype; and (3) phase III focused on usability testing of the app. The interview transcripts were analyzed using qualitative content analysis. RESULTS:A total of 29 YP (aged 10-23, median age 17) with JIA, 7 parents, and 21 HCPs were interviewed. Major themes identified as the ones that helped inform app development in phase I were: (1) remote monitoring of symptoms, well-being, and activities; (2) treatment adherence; and (3) education and support. During phase II, three more themes emerged that informed further refinement of the app prototype. These included (4) adapting a reward system to motivate end users for using the app; (5) design of the app interface; and (6) clinical practice integration. The usability testing during phase III demonstrated high rates of overall satisfaction and further affirmed the content validity of the app. CONCLUSIONS:We present the development and evaluation of a smartphone app to encourage self-management and engagement with health care for YP with JIA. The app was found to have high levels of acceptability and usability among YP and HCPs and has the potential to improve health care and outcomes for this age group. Future feasibility testing in a prospective study will firmly establish the reliability, efficacy, and cost-effectiveness of such an app intervention for patients with arthritis.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Cai RA,Beste D,Chaplin H,Varakliotis S,Suffield L,Josephs F,Sen D,Wedderburn LR,Ioannou Y,Hailes S,Eleftheriou Ddoi
10.2196/mhealth.7229subject
Has Abstractpub_date
2017-08-15 00:00:00pages
e121issue
8issn
2291-5222pii
v5i8e121journal_volume
5pub_type
杂志文章abstract:BACKGROUND:Measuring physical activity with commercially available activity trackers is gaining popularity. People with a chronic disease can especially benefit from knowledge about their physical activity pattern in everyday life since sufficient physical activity can contribute to wellbeing and quality of life. Howev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8524
更新日期:2018-04-02 00:00:00
abstract:BACKGROUND:The smoking relapse rate during the first 12 months after pregnancy is around 80% in the United States. Delivering remote smoking cessation interventions to women in the postpartum period can reduce the burden associated with frequent office visits and can enable remote communication and support. Developing ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/18809
更新日期:2020-11-24 00:00:00
abstract:BACKGROUND:The coronavirus disease (COVID-19) situation demands a lot from citizens, health care providers, and governmental institutions. Citizens need to cope with guidelines on social interaction, work, home isolation, and symptom recognition. Additionally, health care providers and policy makers have to cope with u...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19822
更新日期:2020-06-23 00:00:00
abstract:BACKGROUND:Studies have consistently shown that mobile and Web-based apps have positive impacts on people's daily lifestyles, health management, and disease treatment. As the development of medical and health informatization in China has evolved, different kinds of mobile-based apps for individuals and hospitals have b...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5890
更新日期:2017-08-03 00:00:00
abstract:BACKGROUND:Research suggests that variability in attention and working memory scores, as seen across time points, may be a sensitive indicator of impairment compared with a singular score at one point in time. Given that fluctuation in cognitive performance is a meaningful metric of real-world function and trajectory, ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/14328
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:Adolescents in the United States and globally represent a high-risk population for unintended pregnancy, which leads to high social, economic, and health costs. Access to smartphone apps is rapidly increasing among youth, but little is known about the strategies that apps employ to prevent pregnancy among ad...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.6611
更新日期:2016-11-10 00:00:00
abstract:BACKGROUND:Thousands of mobile health apps are now available for use on mobile phones for a variety of uses and conditions, including cancer survivorship. Many of these apps appear to deliver health behavior interventions but may fail to consider design considerations based in human computer interface and health behavi...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3861
更新日期:2015-03-27 00:00:00
abstract:BACKGROUND:Posttraumatic stress disorder (PTSD) is a prevalent mental health issue among veterans. Access to PTSD treatment is influenced by geographic (ie, travel distance to facilities), temporal (ie, time delay between services), financial (ie, eligibility and cost of services), and cultural (ie, social stigma) barr...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7318
更新日期:2017-10-26 00:00:00
abstract:BACKGROUND:Within the new digital health landscape, the rise of health apps creates novel prospects for health promotion. The market is saturated with apps that aim to increase physical activity (PA). Despite the wide distribution and popularity of PA apps, there are limited data on their effectiveness, user experience...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.9069
更新日期:2018-03-21 00:00:00
abstract:BACKGROUND:Most adults do not engage in sufficient physical activity to maintain good health. Smartphone apps are increasingly used to support physical activity but typically focus on tracking behaviors with no support for the complex process of behavior change. Tracking features do not engage all users, and apps could...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12884
更新日期:2020-01-30 00:00:00
abstract:BACKGROUND:About 70% of children and adolescents worldwide do not meet the recommended level of physical activity (PA), which is closely associated with physical, psychological, and cognitive well-being. Nowadays, the use of technologies to change PA is of interest due to the need for novel, more effective intervention...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/22601
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:Cue exposure therapy (CET) is a psychological approach developed to prepare individuals with alcohol use disorder (AUD) for confronting alcohol and associated stimuli in real life. CET has shown promise when treating AUD in group sessions, but it is unknown whether progressing from group sessions to using a ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,随机对照试验
doi:10.2196/13793
更新日期:2019-08-16 00:00:00
abstract:BACKGROUND:The prevalence of gestational diabetes mellitus (GDM) is increasing worldwide. A healthy diet and stable blood glucose levels during pregnancy can prevent adverse health outcomes for the mother and the newborn child. Mobile health may be a useful supplement to prenatal care, providing women with targeted die...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/18614
更新日期:2020-11-04 00:00:00
abstract:BACKGROUND:Smartphone and Web technology can improve the health care process, especially in chronic diseases. OBJECTIVE:The aim of this study was to investigate whether the use of blood glucose (BG) data management system, which enables connection to smartphones, the Web, the cloud, and downloading, can improve glycem...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8532
更新日期:2017-11-21 00:00:00
abstract:BACKGROUND:Building an equitable health system is a cornerstone of the World Health Organization (WHO) health system building block framework. Public participation in any such reform process facilitates successful implementation. South Africa has embarked on a major reform in health policy that aims at redressing inequ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3533
更新日期:2014-10-28 00:00:00
abstract:BACKGROUND:Lightweight and portable devices that objectively measure concussion-related impairments could improve injury detection and critical decision-making in contact sports and the military, where brain injuries commonly occur but remain underreported. Current standard assessments often rely heavily on subjective ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8478
更新日期:2018-01-23 00:00:00
abstract:BACKGROUND:Self-measurement of blood pressure is a priority strategy for managing blood pressure. OBJECTIVE:The aim of this study was to evaluate the reliability and validity of blood pressure and heart rate following the European Society of Hypertension's international validation protocol, as measured with the Qardio...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8458
更新日期:2017-12-15 00:00:00
abstract:BACKGROUND:Comprehensive exams such as the Dean-Woodcock Neuropsychological Assessment System, the Global Deterioration Scale, and the Boston Diagnostic Aphasia Examination are the gold standard for doctors and clinicians in the preliminary assessment and monitoring of neurocognitive function in conditions such as neur...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15517
更新日期:2020-06-24 00:00:00
abstract:BACKGROUND:Early identification of child emotional and behavioral concerns is essential for the prevention of mental health problems; however, few suitable child-reported screening measures are available. Digital tools offer an exciting opportunity for obtaining clinical information from the child's perspective. OBJEC...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9456
更新日期:2018-04-19 00:00:00
abstract:BACKGROUND:Pregnancy can be distressing, particularly if expectant mothers are worried about the well-being of their fetus. Consequently, the desire for reassurance and frequent fetal monitoring is often pronounced. Smart wearable devices and telemedicine are promising tools that could assist women in self-monitoring t...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,多中心研究
doi:10.2196/11458
更新日期:2019-01-07 00:00:00
abstract:BACKGROUND:In 2013, the Organ Procurement and Transplantation Network began requiring transplant centers in the United States to collect and report postdonation living kidney donor follow-up data at 6 months, 1 year, and 2 years. Despite this requirement, <50% of transplant centers have been able to collect and report ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11192
更新日期:2018-10-09 00:00:00
abstract:BACKGROUND:Augmented reality (AR) is a technology that integrates digital information into the user's real-world environment. It offers a new approach for treatments and education in medicine. AR aids in surgery planning and patient treatment and helps explain complex medical situations to patients and their relatives....
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10967
更新日期:2019-04-26 00:00:00
abstract:BACKGROUND:User-interaction event logs provide rich and large data sets that can provide valuable insights into how people engage with technology. Approaches such as ecological momentary assessment (EMA) can be used to gather accurate real-time data in an individual's natural environment by asking questions at any give...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17120
更新日期:2020-07-06 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) has huge potential to deliver preventative health services. However, there is paucity of literature on theoretical constructs, technical, practical, and regulatory considerations that enable delivery of such services. OBJECTIVES:The objective of this study was to outline the key cons...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5996
更新日期:2016-11-15 00:00:00
abstract:BACKGROUND:Pain is a challenge for patients following hematopoietic stem cell transplantation (HCT). OBJECTIVE:This study aimed to develop and test the feasibility, acceptability, and initial efficacy of a Web-based mobile pain coping skills training (mPCST) protocol designed to address the needs of HCT patients. MET...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8565
更新日期:2018-03-19 00:00:00
abstract:BACKGROUND:Physical activity is important for middle-agers to maintain health both in middle age and in old age. Although thousands of exercise-promotion mobile phone apps are available for download, current literature offers little understanding regarding which design features can enhance middle-aged adults' quality p...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.6233
更新日期:2017-05-25 00:00:00
abstract:BACKGROUND:Mobile technologies for health (mHealth) represent a promising strategy for reducing type 2 diabetes (T2DM) risk. The PROPELS trial investigates whether structured group-based education alone or supplemented with a follow-on support program combining self-monitoring with pedometers and tailored text-messagin...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5026
更新日期:2015-12-15 00:00:00
abstract:BACKGROUND:Mental health smartphone apps provide support, skills, and symptom tracking on demand and come at minimal to no additional cost to patients. Although the Department of Veterans Affairs has established itself as a national leader in the creation of mental health apps, veterans' attitudes regarding the use of ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10748
更新日期:2018-08-22 00:00:00
abstract:BACKGROUND:Engagement with physical activity mobile apps has been reported to be a core precondition for their effectiveness in digital behavior change interventions. However, to date, little attention has been paid to understanding the perspectives, needs, expectations, and experiences of potential users with physical...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/20460
更新日期:2020-11-16 00:00:00
abstract:BACKGROUND:Mobile phone apps for health promotion have expanded in many low- and middle-income countries. Afghanistan, with high maternal and newborn morbidity and mortality rates, a fragile health infrastructure, and high levels of mobile phone ownership, is an ideal setting to examine the utility of such programs. We...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17535
更新日期:2020-07-20 00:00:00