Abstract:
BACKGROUND:Digital health is poised to transform health care and redefine personalized health. As Internet and mobile phone usage increases, as technology develops new ways to collect data, and as clinical guidelines change, all areas of medicine face new challenges and opportunities. Inflammatory bowel disease (IBD) is one of many chronic diseases that may benefit from these advances in digital health. This review intends to lay a foundation for clinicians and technologists to understand future directions and opportunities together. OBJECTIVE:This review covers mobile health apps that have been used in IBD, how they have fit into a clinical care framework, and the challenges that clinicians and technologists face in approaching future opportunities. METHODS:We searched PubMed, Scopus, and ClinicalTrials.gov to identify mobile apps that have been studied and were published in the literature from January 1, 2010, to April 19, 2019. The search terms were ("mobile health" OR "eHealth" OR "digital health" OR "smart phone" OR "mobile app" OR "mobile applications" OR "mHealth" OR "smartphones") AND ("IBD" OR "Inflammatory bowel disease" OR "Crohn's Disease" (CD) OR "Ulcerative Colitis" (UC) OR "UC" OR "CD"), followed by further analysis of citations from the results. We searched the Apple iTunes app store to identify a limited selection of commercial apps to include for discussion. RESULTS:A total of 68 articles met the inclusion criteria. A total of 11 digital health apps were identified in the literature and 4 commercial apps were selected to be described in this review. While most apps have some educational component, the majority of apps focus on eliciting patient-reported outcomes related to disease activity, and a few are for treatment management. Significant benefits have been seen in trials relating to education, quality of life, quality of care, treatment adherence, and medication management. No studies have reported a negative impact on any of the above. There are mixed results in terms of effects on office visits and follow-up. CONCLUSIONS:While studies have shown that digital health can fit into, complement, and improve the standard clinical care of patients with IBD, there is a need for further validation and improvement, from both a clinical and patient perspective. Exploring new research methods, like microrandomized trials, may allow for more implementation of technology and rapid advancement of knowledge. New technologies that can objectively and seamlessly capture remote data, as well as complement the clinical shift from symptom-based to inflammation-based care, will help the clinical and health technology communities to understand the full potential of digital health in the care of IBD and other chronic illnesses.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Yin AL,Hachuel D,Pollak JP,Scherl EJ,Estrin Ddoi
10.2196/14630subject
Has Abstractpub_date
2019-08-19 00:00:00pages
e14630issue
8eissn
1439-4456issn
1438-8871pii
v21i8e14630journal_volume
21pub_type
杂志文章,评审abstract:BACKGROUND:Internet technologies can create advanced and rich web-based apps that allow radiologists to easily access teleradiology systems and remotely view medical images. However, each technology has its own drawbacks. It is difficult to balance the advantages and disadvantages of these internet technologies and ide...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16224
更新日期:2020-09-25 00:00:00
abstract:BACKGROUND:Three-dimensional virtual worlds are becoming very popular among educators in the medical field. Virtual clinics and patients are already used for case study and role play in both undergraduate and continuing education levels. Dental education can also take advantage of the virtual world's pedagogical featur...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2651
更新日期:2013-10-29 00:00:00
abstract:BACKGROUND:Videoconferencing-based treatments have shown great potential in increasing engagement and compliance by decreasing the barriers of time and distance. In general, employees tend to experience a lot of stress, but find it difficult to visit a clinic during office hours. OBJECTIVE:The purpose of this study wa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/10760
更新日期:2018-10-22 00:00:00
abstract:BACKGROUND:With the advancement of technology, more countries are now adopting the use of electronic product information (ePI), which refer to an electronic version of physical product inserts in a semistructured format optimized for electronic manipulation. The successful implementation of ePI has led to advantages an...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/20765
更新日期:2020-11-10 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
pub_type: 杂志文章,评审
doi:10.2196/13769
更新日期:2019-08-30 00:00:00
abstract:BACKGROUND:The McMaster Optimal Aging Portal (the Portal) was launched in 2014 as a knowledge translation (KT) tool to increase access to evidence-based health information. OBJECTIVE:The purpose of this study was to understand if and how dissemination of mobility information through the Portal impacts physical activit...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/15125
更新日期:2020-02-11 00:00:00
abstract:BACKGROUND:No existing Web-based nutrition education interventions have been evaluated in light of socioeconomic status just in Japan. OBJECTIVE:The aim was to investigate the effect of a Web-based intervention program on reducing vegetable intake disparities between low- and middle-income Japanese adults. METHODS:In...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.8031
更新日期:2017-11-24 00:00:00
abstract:BACKGROUND:Millions of people use the Internet as a source for health information yet little is understood about the use of the Internet for other health-related activities. OBJECTIVE:We conducted the present study to understand, among primary care patients, the interest in and experience with using the Internet for a...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.4.3.e19
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:Cognitive impairment is one of the most debilitating manifestations of multiple sclerosis. Currently, the assessment of cognition relies on a time-consuming and extensive neuropsychological examination, which is only available in some centers. OBJECTIVE:To enable simpler, more accessible cognitive screening...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/24356
更新日期:2021-01-20 00:00:00
abstract:BACKGROUND:Demographic changes over the past decades call for the promotion of health and disease prevention for older patients, as well as strategies to enhance their independence, productivity, and quality of life. OBJECTIVE:Our objective was to examine the effects of a computer-based educational intervention design...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.6948
更新日期:2017-02-22 00:00:00
abstract:BACKGROUND:Support for guiding and monitoring postoperative recovery and resumption of activities is usually not provided to patients after discharge from the hospital. Therefore, a perioperative electronic health (eHealth) intervention ("ikherstel" intervention or "I recover" intervention) was developed to empower gyn...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9938
更新日期:2019-02-06 00:00:00
abstract:BACKGROUND:Influenza is a viral respiratory disease capable of causing epidemics that represent a threat to communities worldwide. The rapidly growing availability of electronic "big data" from diagnostic and prediagnostic sources in health care and public health settings permits advance of a new generation of methods ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7101
更新日期:2017-06-15 00:00:00
abstract:BACKGROUND:An understanding of the factors that predict retention and website use are critical to the development of effective Web-based weight loss interventions. However, poor retention (dropout attrition) and website utilization (nonusage attrition) are major inhibitors to the effectiveness of Web-based programs. O...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1640
更新日期:2010-12-14 00:00:00
abstract:BACKGROUND:The coronavirus disease (COVID-19) pandemic has resulted in significant morbidity and mortality; large numbers of patients require intensive care, which is placing strain on health care systems worldwide. There is an urgent need for a COVID-19 disease severity assessment that can assist in patient triage and...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/22033
更新日期:2020-08-24 00:00:00
abstract:BACKGROUND:Snowballing involves recursively pursuing relevant references cited in the retrieved literature and adding them to the search results. Snowballing is an alternative approach to discover additional evidence that was not retrieved through conventional search. Snowballing's effectiveness makes it best practice ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3369
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Conversational agents (CAs) are systems that mimic human conversations using text or spoken language. Their widely used examples include voice-activated systems such as Apple Siri, Google Assistant, Amazon Alexa, and Microsoft Cortana. The use of CAs in health care has been on the rise, but concerns about th...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15823
更新日期:2020-02-09 00:00:00
abstract:BACKGROUND:The delivery of mobile health (mHealth) services is acceptable to mental health consumers. However, despite the benefits of accessibility, cost-effectiveness, anonymity, and ability to tailor content to individual needs, consumer engagement remains a hurdle for uptake and continued use. This may be unsurpris...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7273
更新日期:2017-04-07 00:00:00
abstract::People across the world have been greatly affected by the ongoing coronavirus disease (COVID-19) pandemic. The high infection risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in hospitals is particularly problematic for recently delivered mothers and currently pregnant women who require professiona...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19916
更新日期:2020-07-22 00:00:00
abstract:BACKGROUND:Web-based self-directed mental health applications are rapidly emerging to address health service gaps and unmet needs for information and support. OBJECTIVE:The aim of this study was to determine if a multicomponent, moderated Web-based mental health application could benefit individuals with mental health...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2196/10838
更新日期:2019-06-04 00:00:00
abstract:BACKGROUND:Recent studies have demonstrated the utility of social media data sources for a wide range of public health goals, including disease surveillance, mental health trends, and health perceptions and sentiment. Most such research has focused on English-language social media for the task of disease surveillance. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3875
更新日期:2015-03-26 00:00:00
abstract:BACKGROUND:Psychosocial problems such as depression, anxiety, and substance abuse are common and burdensome in young people. In New Zealand, screening for such problems is undertaken routinely only with year 9 students in low-decile schools and opportunistically in pediatric settings using a nonvalidated and time-consu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/13911
更新日期:2019-12-03 00:00:00
abstract:BACKGROUND:In traditional epidemiological studies, participants are likely motivated by perceived benefits, feelings of accomplishment, and belonging. No study has explored motives for participation in a Web-based cohort and the associated participant characteristics, although such information is useful for enhancing r...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3161
更新日期:2014-08-07 00:00:00
abstract:BACKGROUND:The quality of physician-patient communication is a critical factor influencing treatment outcomes and patient satisfaction with care. To date, there is little research to document the effect of telemedicine (TM) on physician-patient communication. OBJECTIVE:The objectives of this study are to measure and d...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1193
更新日期:2009-09-30 00:00:00
abstract:BACKGROUND:The literature indicates that Web-based health information seeking is mostly used for seeking information on well-established diseases. However, only a few studies report health information seeking in the absence of a doctor's visit and in the context of acute symptoms. OBJECTIVE:This survey aimed to estima...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/15148
更新日期:2020-01-10 00:00:00
abstract:BACKGROUND:Over the past decade, the emergence of several large federated clinical data networks has enabled researchers to access data on millions of patients at dozens of health care organizations. Typically, queries are broadcast to each of the sites in the network, which then return aggregate counts of the number o...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/18735
更新日期:2020-11-03 00:00:00
abstract:BACKGROUND:Massive open online courses (MOOCs), as originally conceived, promised to provide educational access to anyone with an internet connection. However, the expansiveness of MOOC education has been found to be somewhat limited. Nonetheless, leading universities continue to offer MOOCs, including many in the heal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/17318
更新日期:2020-07-08 00:00:00
abstract:BACKGROUND:Social support is known to reduce risks of postnatal depression (PND) and improve maternal emotional well-being. However, the Asian cultural context is often neglected when appraising maternal needs and mothers' preferences for social support. While many preventive efforts have experimented with technology, ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12915
更新日期:2019-08-29 00:00:00
abstract:BACKGROUND:Mental disorders are highly prevalent for the people who are aged between 16 and 25 years and can permanently disrupt the development of these individuals. Easily available mobile health (mHealth) apps for mobile phones have great potential for the prevention and early intervention of mental disorders in you...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6775
更新日期:2017-05-12 00:00:00
abstract:BACKGROUND:Excessive gestational weight gain (GWG) contributes to the development of obesity in mother and child. Internet-based interventions have the potential for delivering innovative and interactive options for prevention of excessive GWG to large numbers of people. OBJECTIVE:The objective of this study was to cr...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6644
更新日期:2017-01-09 00:00:00
abstract:BACKGROUND:Middle class populations have supported shared medical records, including Internet-accessible medical records. The attitudes of lower income populations, and of physicians, are less clear. OBJECTIVES:The objective of this study was to compare the attitudes toward shared outpatient medical records among (1) ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.7.2.e13
更新日期:2005-05-24 00:00:00