Design and evaluation of a mobile application to assist the self-monitoring of the chronic kidney disease in developing countries.

Abstract:

BACKGROUND:The chronic kidney disease (CKD) is a worldwide critical problem, especially in developing countries. CKD patients usually begin their treatment in advanced stages, which requires dialysis and kidney transplantation, and consequently, affects mortality rates. This issue is faced by a mobile health (mHealth) application (app) that aims to assist the early diagnosis and self-monitoring of the disease progression. METHODS:A user-centered design (UCD) approach involving health professionals (nurse and nephrologists) and target users guided the development process of the app between 2012 and 2016. In-depth interviews and prototyping were conducted along with healthcare professionals throughout the requirements elicitation process. Elicited requirements were translated into a native mHealth app targeting the Android platform. Afterward, the Cohen's Kappa coefficient statistics was applied to evaluate the agreement between the app and three nephrologists who analyzed test results collected from 60 medical records. Finally, eight users tested the app and were interviewed about usability and user perceptions. RESULTS:A mHealth app was designed to assist the CKD early diagnosis and self-monitoring considering quality attributes such as safety, effectiveness, and usability. A global Kappa value of 0.7119 showed a substantial degree of agreement between the app and three nephrologists. Results of face-to-face interviews with target users indicated a good user satisfaction. However, the task of CKD self-monitoring proved difficult because most of the users did not fully understand the meaning of specific biomarkers (e.g., creatinine). CONCLUSION:The UCD approach provided mechanisms to develop the app based on the real needs of users. Even with no perfect Kappa degree of agreement, results are satisfactory because it aims to refer patients to nephrologists in early stages, where they may confirm the CKD diagnosis.

authors

Sobrinho A,da Silva LD,Perkusich A,Pinheiro ME,Cunha P

doi

10.1186/s12911-018-0587-9

subject

Has Abstract

pub_date

2018-01-12 00:00:00

pages

7

issue

1

issn

1472-6947

pii

10.1186/s12911-018-0587-9

journal_volume

18

pub_type

杂志文章
  • A practical approach for incorporating dependence among fields in probabilistic record linkage.

    abstract:BACKGROUND:Methods for linking real-world healthcare data often use a latent class model, where the latent, or unknown, class is the true match status of candidate record-pairs. This commonly used model assumes that agreement patterns among multiple fields within a latent class are independent. When this assumption is ...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-13-97

    authors: Daggy JK,Xu H,Hui SL,Gamache RE,Grannis SJ

    更新日期:2013-08-30 00:00:00

  • The International Conference on Intelligent Biology and Medicine 2018: Medical Informatics Thematic Track (MedicalInfo2018).

    abstract::In this editorial, we first summarize the 2018 International Conference on Intelligent Biology and Medicine (ICIBM 2018) that was held on June 10-12, 2018 in Los Angeles, California, USA, and then briefly introduce the six research articles included in this supplement issue. At ICIBM 2018, a special theme of Medical I...

    journal_title:BMC medical informatics and decision making

    pub_type:

    doi:10.1186/s12911-019-0732-0

    authors: Zhang Y,Tao C,Gong Y,Wang K,Zhao Z

    更新日期:2019-01-31 00:00:00

  • Automated identification of pneumonia in chest radiograph reports in critically ill patients.

    abstract:BACKGROUND:Prior studies demonstrate the suitability of natural language processing (NLP) for identifying pneumonia in chest radiograph (CXR) reports, however, few evaluate this approach in intensive care unit (ICU) patients. METHODS:From a total of 194,615 ICU reports, we empirically developed a lexicon to categorize...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-13-90

    authors: Liu V,Clark MP,Mendoza M,Saket R,Gardner MN,Turk BJ,Escobar GJ

    更新日期:2013-08-15 00:00:00

  • A hybrid solution for extracting structured medical information from unstructured data in medical records via a double-reading/entry system.

    abstract:BACKGROUND:Healthcare providers generate a huge amount of biomedical data stored in either legacy system (paper-based) format or electronic medical records (EMR) around the world, which are collectively referred to as big biomedical data (BBD). To realize the promise of BBD for clinical use and research, it is an essen...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-016-0357-5

    authors: Luo L,Li L,Hu J,Wang X,Hou B,Zhang T,Zhao LP

    更新日期:2016-08-30 00:00:00

  • Implementation of machine learning algorithms to create diabetic patient re-admission profiles.

    abstract:BACKGROUND:Machine learning is a branch of Artificial Intelligence that is concerned with the design and development of algorithms, and it enables today's computers to have the property of learning. Machine learning is gradually growing and becoming a critical approach in many domains such as health, education, and bus...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-019-0990-x

    authors: Alloghani M,Aljaaf A,Hussain A,Baker T,Mustafina J,Al-Jumeily D,Khalaf M

    更新日期:2019-12-12 00:00:00

  • BioSunMS: a plug-in-based software for the management of patients information and the analysis of peptide profiles from mass spectrometry.

    abstract:BACKGROUND:With wide applications of matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and surface-enhanced laser desorption/ionization time-of-flight mass spectrometry (SELDI-TOF MS), statistical comparison of serum peptide profiles and management of patients information play ...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-9-13

    authors: Cao Y,Wang N,Ying X,Li A,Wang H,Zhang X,Li W

    更新日期:2009-02-17 00:00:00

  • Novel methodology to measure pre-procedure antimicrobial prophylaxis: integrating text searches with structured data from the Veterans Health Administration's electronic medical record.

    abstract:BACKGROUND:Antimicrobial prophylaxis is an evidence-proven strategy for reducing procedure-related infections; however, measuring this key quality metric typically requires manual review, due to the way antimicrobial prophylaxis is documented in the electronic medical record (EMR). Our objective was to electronically m...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-020-1031-5

    authors: Mull HJ,Stolzmann K,Kalver E,Shin MH,Schweizer ML,Asundi A,Mehta P,Stanislawski M,Branch-Elliman W

    更新日期:2020-01-30 00:00:00

  • Use of online knowledge base in primary health care and correlation to health care quality: an observational study.

    abstract:BACKGROUND:Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-020-01313-9

    authors: Gerdesköld C,Toth-Pal E,Wårdh I,Nilsson GH,Nager A

    更新日期:2020-11-16 00:00:00

  • Use of and attitudes to a hospital information system by medical secretaries, nurses and physicians deprived of the paper-based medical record: a case report.

    abstract:BACKGROUND:Most hospitals keep and update their paper-based medical records after introducing an electronic medical record or a hospital information system (HIS). This case report describes a HIS in a hospital where the paper-based medical records are scanned and eliminated. To evaluate the HIS comprehensively, the per...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-4-18

    authors: Laerum H,Karlsen TH,Faxvaag A

    更新日期:2004-10-16 00:00:00

  • Non-redundant association rules between diseases and medications: an automated method for knowledge base construction.

    abstract:BACKGROUND:The widespread use of electronic health records (EHRs) has generated massive clinical data storage. Association rules mining is a feasible technique to convert this large amount of data into usable knowledge for clinical decision making, research or billing. We present a data driven method to create a knowle...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-015-0151-9

    authors: Séverac F,Sauleau EA,Meyer N,Lefèvre H,Nisand G,Jay N

    更新日期:2015-04-15 00:00:00

  • Clinical MetaData ontology: a simple classification scheme for data elements of clinical data based on semantics.

    abstract:BACKGROUND:The increasing use of common data elements (CDEs) in numerous research projects and clinical applications has made it imperative to create an effective classification scheme for the efficient management of these data elements. We applied high-level integrative modeling of entire clinical documents from real-...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-019-0877-x

    authors: Kim HH,Park YR,Lee KH,Song YS,Kim JH

    更新日期:2019-08-20 00:00:00

  • An empirical study to determine factors that motivate and limit the implementation of ICT in healthcare environments.

    abstract:BACKGROUND:The maturity and usage of wireless technology has influenced health services, and this has raised expectations from users that healthcare services will become more affordable due to technology growth. There is increasing evidence to justify this expectation, as telehealth is becoming more and more prevalent ...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-14-98

    authors: Gururajan R,Hafeez-Baig A

    更新日期:2014-12-23 00:00:00

  • The feasibility of collecting information from people with Multiple Sclerosis for the UK MS Register via a web portal: characterising a cohort of people with MS.

    abstract:BACKGROUND:A UK Register of people with Multiple Sclerosis has been developed to address the need for an increased knowledge-base about MS. The Register is being populated via: a web-based portal; NHS neurology clinical systems; and administrative data sources. The data are de-identified and linked at the individual le...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-12-73

    authors: Ford DV,Jones KH,Middleton RM,Lockhart-Jones H,Maramba ID,Noble GJ,Osborne LA,Lyons RA

    更新日期:2012-07-18 00:00:00

  • Usability evaluation and adaptation of the e-health Personal Patient Profile-Prostate decision aid for Spanish-speaking Latino men.

    abstract:BACKGROUND:The Personal Patient Profile-Prostate (P3P), a web-based decision aid, was demonstrated to reduce decisional conflict in English-speaking men with localized prostate cancer early after initial diagnosis. The purpose of this study was to explore and enhance usability and cultural appropriateness of a Spanish ...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-015-0180-4

    authors: Berry DL,Halpenny B,Bosco JLF,Bruyere J Jr,Sanda MG

    更新日期:2015-07-24 00:00:00

  • Automatic schizophrenic discrimination on fNIRS by using complex brain network analysis and SVM.

    abstract:BACKGROUND:Schizophrenia is a kind of serious mental illness. Due to the lack of an objective physiological data supporting and a unified data analysis method, doctors can only rely on the subjective experience of the data to distinguish normal people and patients, which easily lead to misdiagnosis. In recent years, fu...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-017-0559-5

    authors: Song H,Chen L,Gao R,Bogdan IIM,Yang J,Wang S,Dong W,Quan W,Dang W,Yu X

    更新日期:2017-12-20 00:00:00

  • Surface structure feature matching algorithm for cardiac motion estimation.

    abstract:BACKGROUND:Cardiac diseases represent the leading cause of sudden death worldwide. During the development of cardiac diseases, the left ventricle (LV) changes obviously in structure and function. LV motion estimation plays an important role for diagnosis and treatment of cardiac diseases. To estimate LV motion accurate...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-017-0560-z

    authors: Zhang Z,Yang X,Tan C,Guo W,Chen G

    更新日期:2017-12-20 00:00:00

  • The caCORE Software Development Kit: streamlining construction of interoperable biomedical information services.

    abstract:BACKGROUND:Robust, programmatically accessible biomedical information services that syntactically and semantically interoperate with other resources are challenging to construct. Such systems require the adoption of common information models, data representations and terminology standards as well as documented applicat...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-6-2

    authors: Phillips J,Chilukuri R,Fragoso G,Warzel D,Covitz PA

    更新日期:2006-01-06 00:00:00

  • Attitudes of pediatric intensive care unit physicians towards the use of cognitive aids: a qualitative study.

    abstract:BACKGROUND:Cognitive aids are increasingly recommended in clinical practice, yet little is known about the attitudes of physicians towards these tools. METHODS:We employed a qualitative, descriptive design to explore physician attitudes towards cognitive aids in pediatric intensive care units (PICUs). Semi-structured ...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-016-0291-6

    authors: Weiss MJ,Kramer C,Tremblay S,Côté L

    更新日期:2016-05-21 00:00:00

  • Healthcare professionals' acceptance of BelRAI, a web-based system enabling person-centred recording and data sharing across care settings with interRAI instruments: a UTAUT analysis.

    abstract:BACKGROUND:Healthcare and social care environments are increasingly confronted with older persons with long-term care needs. Consequently, the need for integrated and coordinated assessment systems increases. In Belgium, feasibility studies have been conducted on the implementation and use of interRAI instruments offer...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-13-129

    authors: Vanneste D,Vermeulen B,Declercq A

    更新日期:2013-11-27 00:00:00

  • Evidence in clinical reasoning: a computational linguistics analysis of 789,712 medical case summaries 1983-2012.

    abstract:BACKGROUND:Better understanding of clinical reasoning could reduce diagnostic error linked to 8% of adverse medical events and 30% of malpractice cases. To a greater extent than the evidence-based movement, the clinical reasoning literature asserts the importance of practitioner intuition—unconscious elements of diagno...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章,meta分析

    doi:10.1186/s12911-015-0136-8

    authors: Seidel BM,Campbell S,Bell E

    更新日期:2015-03-21 00:00:00

  • A simulation study comparing aberration detection algorithms for syndromic surveillance.

    abstract:BACKGROUND:The usefulness of syndromic surveillance for early outbreak detection depends in part on effective statistical aberration detection. However, few published studies have compared different detection algorithms on identical data. In the largest simulation study conducted to date, we compared the performance of...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-7-6

    authors: Jackson ML,Baer A,Painter I,Duchin J

    更新日期:2007-03-01 00:00:00

  • An investigation of the effect of nurses' technology readiness on the acceptance of mobile electronic medical record systems.

    abstract:BACKGROUND:Adopting mobile electronic medical record (MEMR) systems is expected to be one of the superior approaches for improving nurses' bedside and point of care services. However, nurses may use the functions for far fewer tasks than the MEMR supports. This may depend on their technological personality associated t...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-13-88

    authors: Kuo KM,Liu CF,Ma CC

    更新日期:2013-08-12 00:00:00

  • The relationship between hospital and ehr vendor market dynamics on health information organization presence and participation.

    abstract:BACKGROUND:Health Information Organizations (HIOs) are third party organizations that facilitate electronic health information exchange (HIE) between providers in a geographic area. Despite benefits from HIE, HIOs have struggled to form and subsequently gain broad provider participation. We sought to assess whether mar...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-018-0605-y

    authors: Lin SC,Adler-Milstein J

    更新日期:2018-05-08 00:00:00

  • Comments on John D. Keen and James E. Keen, What is the point: will screening mammography save my life? BMC Medical Informatics and Decision Making, 2009.

    abstract::This paper by John D. Keen and James E. Keen addresses a thorny subject. The numerical findings and commentaries in their paper will be disturbing to some readers and seem to defy logic and well established viewpoints. It may well generate angry letters to the editor. However such numerical analysis and reporting incl...

    journal_title:BMC medical informatics and decision making

    pub_type: 评论,社论

    doi:10.1186/1472-6947-9-20

    authors: Retsky M

    更新日期:2009-04-02 00:00:00

  • Factors influencing the implementation of clinical guidelines for health care professionals: a systematic meta-review.

    abstract:BACKGROUND:Nowadays more and more clinical guidelines for health care professionals are being developed. However, this does not automatically mean that these guidelines are actually implemented. The aim of this meta-review is twofold: firstly, to gain a better understanding of which factors affect the implementation of...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/1472-6947-8-38

    authors: Francke AL,Smit MC,de Veer AJ,Mistiaen P

    更新日期:2008-09-12 00:00:00

  • A community assessment of privacy preserving techniques for human genomes.

    abstract::To answer the need for the rigorous protection of biomedical data, we organized the Critical Assessment of Data Privacy and Protection initiative as a community effort to evaluate privacy-preserving dissemination techniques for biomedical data. We focused on the challenge of sharing aggregate human genomic data (e.g.,...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-14-S1-S1

    authors: Jiang X,Zhao Y,Wang X,Malin B,Wang S,Ohno-Machado L,Tang H

    更新日期:2014-01-01 00:00:00

  • Establishing a baseline for literature mining human genetic variants and their relationships to disease cohorts.

    abstract:BACKGROUND:The Variome corpus, a small collection of published articles about inherited colorectal cancer, includes annotations of 11 entity types and 13 relation types related to the curation of the relationship between genetic variation and disease. Due to the richness of these annotations, the corpus provides a good...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-016-0294-3

    authors: Verspoor KM,Heo GE,Kang KY,Song M

    更新日期:2016-07-18 00:00:00

  • Identifying the components of clinical vignettes describing Alzheimer's disease or other dementias: a scoping review.

    abstract:BACKGROUND:Clinical vignettes are often used to elicit information about health conditions in research studies. This review summarizes the components of clinical vignettes describing Alzheimer's disease (AD) or other dementias. The purpose is to provide recommendations for the development of standardized vignettes that...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章,评审

    doi:10.1186/s12911-015-0179-x

    authors: Randhawa H,Jiwa A,Oremus M

    更新日期:2015-07-15 00:00:00

  • Adaptation of a web-based, open source electronic medical record system platform to support a large study of tuberculosis epidemiology.

    abstract:BACKGROUND:In 2006, we were funded by the US National Institutes of Health to implement a study of tuberculosis epidemiology in Peru. The study required a secure information system to manage data from a target goal of 16,000 subjects who needed to be followed for at least one year. With previous experience in the devel...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/1472-6947-12-125

    authors: Fraser HS,Thomas D,Tomaylla J,Garcia N,Lecca L,Murray M,Becerra MC

    更新日期:2012-11-07 00:00:00

  • A clustering approach for detecting implausible observation values in electronic health records data.

    abstract:BACKGROUND:Identifying implausible clinical observations (e.g., laboratory test and vital sign values) in Electronic Health Record (EHR) data using rule-based procedures is challenging. Anomaly/outlier detection methods can be applied as an alternative algorithmic approach to flagging such implausible values in EHRs. ...

    journal_title:BMC medical informatics and decision making

    pub_type: 杂志文章

    doi:10.1186/s12911-019-0852-6

    authors: Estiri H,Klann JG,Murphy SN

    更新日期:2019-07-23 00:00:00