Abstract:
BACKGROUND:As people living with HIV infection require lifelong treatment, nonadherence to medication will reduce their chance of maintaining viral suppression and increase the risk of developing drug resistance and HIV transmission. OBJECTIVE:This study aimed to evaluate the efficacy of a mobile app, Mobile Interactive Supervised Therapy (MIST), for improving adherence to oral HIV medications among HIV-infected adults in Singapore. METHODS:We conducted a two-group pilot randomized controlled trial (RCT) with a process evaluation, in which 40 HIV-infected participants with once-daily medication regimes were recruited from a public tertiary hospital in Singapore and randomly assigned equally to either the intervention (receiving MIST and routine care) or control (receiving routine care only) groups. The intervention lasted for 2 months. The outcome of antiretroviral therapy (ART) adherence was measured by a 7-day recall self-report (SR), pill count (PC), an electronic medical device-Medication Event Monitoring System (MEMS)-and a mobile app-MIST (for the intervention group only). In total, 20 participants from the intervention group were interviewed at the end of the intervention to assess the acceptability of MIST. Data were collected at baseline and at 1-month and 2-month postintervention. RESULTS:All participants had excellent medication adherence at baseline (median 100, IQR 100-100). The use of MIST did not result in a significant improvement in ART adherence when measured by the SR, PC, and MEMS, as compared with the control group at 1-month (P values >.99, .86, and .74, respectively) and 2-month (P values=.80, .84, and .82, respectively) postintervention. ART adherence also did not improve in each group over the same period. MIST was perceived to be a beneficial tool based on the process evaluation results. CONCLUSIONS:Although MIST did not enhance medication adherence to HIV treatments, mainly owing to the ceiling effect, it was perceived to be beneficial among the participants of this study. Our process evaluation provided useful data to further develop MIST for bigger and long-term mobile phone app-assisted intervention RCTs in the future. TRIAL REGISTRATION:ClinicalTrials.gov NCT03794648; https://clinicaltrials.gov/ct2/show/NCT03794648.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Pang Y,Molton JS,Ooi WT,Paton NI,He HGdoi
10.2196/15702subject
Has Abstractpub_date
2020-03-27 00:00:00pages
e15702issue
3issn
2291-5222pii
v8i3e15702journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Heavy drinking is prevalent among young adults and may contribute to obesity. However, measurement tools for assessing caloric intake from alcohol are limited and rely on self-report, which is prone to bias. OBJECTIVE:The purpose of our study was to conduct feasibility testing of the Remote Food Photography...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10460
更新日期:2018-09-24 00:00:00
abstract:BACKGROUND:To date, many online health behavior programs developed by researchers have not been translated at scale. To inform translational efforts, health researchers must work with marketing experts to design cost-effective marketing campaigns. It is important to understand the characteristics of end users of a give...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12484
更新日期:2019-06-03 00:00:00
abstract:BACKGROUND:For the classification of facial paresis, various systems of description and evaluation in the form of clinician-graded or software-based scoring systems are available. They serve the purpose of scientific and clinical assessment of the spontaneous course of the disease or monitoring therapeutic intervention...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19346
更新日期:2021-01-26 00:00:00
abstract:BACKGROUND:The public health system in Bangladesh has been struggling to provide coverage and utilization of basic maternal health care services in pursuit of achieving maternal and child mortality-related goals. Interestingly, the rapid popularization of mobile technology in the country is transforming the landscape o...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10645
更新日期:2019-02-28 00:00:00
abstract:BACKGROUND:With the popularity of mobile phones, mobile apps have great potential for the management of diabetes, but the effectiveness of current diabetes apps for type 1 diabetes mellitus (T1DM) is poor. No study has explored the reasons for this deficiency from the users' perspective. OBJECTIVE:The aims of this stu...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11400
更新日期:2018-09-21 00:00:00
abstract:BACKGROUND:Globally, the uptake of health screening is suboptimal, especially in men and those of younger age. In view of the increasing internet access and mobile phone ownership, ScreenMen, a mobile Web app, was developed to improve health screening uptake in men. OBJECTIVE:This study aimed to evaluate the utility a...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10216
更新日期:2019-04-15 00:00:00
abstract:BACKGROUND:Children and adolescents do not meet the current recommendations on physical activity (PA), and as such, the health-related benefits of regular PA are not achieved. Nowadays, technology-based programs represent an appealing and promising option for children and adolescents to promote PA. OBJECTIVE:The aim o...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8298
更新日期:2019-04-30 00:00:00
abstract:BACKGROUND:A primary concern for governments and health care systems is the rapid growth of the aging population. To provide a better quality of life for the elderly, researchers have explored the use of wearables, sensors, actuators, and mobile health technologies. The term AAL can be referred to as active assisted li...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15923
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:Up to 70% of lung cancer survivors are affected by chronic obstructive pulmonary disease (COPD), a common, debilitating, comorbid disease. Lung cancer and COPD are both characterized by symptoms such as breathlessness, fatigue, and psychological distress. These distressing chronic symptoms are exacerbated by...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.9831
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:Sport watches and fitness trackers provide a feasible way of obtaining energy expenditure (EE) estimations in daily life as well as during exercise. However, today's popular wrist-worn technologies show only poor-to-moderate EE accuracy. Recently, the invention of optical heart rate measurement and the furth...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/14534
更新日期:2019-10-02 00:00:00
abstract:BACKGROUND:Digital health care is increasingly used to improve health service accessibility and reduce costs. Remote health care requires a significant self-management role for service users, and this generates information provision and support needs that should be reflected in service planning. SMS text messaging offe...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17191
更新日期:2020-08-20 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) apps have the potential to be a useful mode of delivering HIV prevention information, particularly for young men (13-24 years) who account for 21% of new HIV diagnoses in the United States. We translated an existing evidence-based, face-to-face HIV prevention curriculum into a portabl...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11450
更新日期:2018-09-07 00:00:00
abstract:BACKGROUND:Heart failure is the most common cause of hospital readmissions among Medicare beneficiaries and these hospitalizations are often driven by exacerbations in common heart failure symptoms. Patient collaboration with health care providers and decision making is a core component of increasing symptom monitoring...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5882
更新日期:2016-06-14 00:00:00
abstract:BACKGROUND:Pregnancy-induced hypertension (PIH) is associated with high levels of morbidity and mortality in mothers, fetuses, and newborns. New technologies, such as remote monitoring (RM), were introduced in 2015 into the care of patients at risk of PIH in Ziekenhuis Oost-Limburg (Genk, Belgium) to improve both mater...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12574
更新日期:2019-08-28 00:00:00
abstract:BACKGROUND:Despite the fact there are many wearable and mobile medical devices that enable patients to better self-manage their diabetes, not many patients are aware of all the options they have. In addition, there are those who are not fully satisfied with the devices they use, and those who often do not use them effe...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11527
更新日期:2019-07-09 00:00:00
abstract:BACKGROUND:With 360 million smokers, China consumes more cigarettes than any other country in the world. Given that 620 million Chinese own smartphones, smartphone apps for smoking cessation are increasingly used in China to help smokers quit. OBJECTIVE:This study analyzed and evaluated the contents of all smoking ces...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7462
更新日期:2017-07-11 00:00:00
abstract:BACKGROUND:Oral antineoplastic agents (OAAs) have revolutionized cancer management. However, they have been reported with adverse side effects and drug-drug interactions. Moreover, patient adherence to OAA treatment is critical. Mobile apps can enable remote and real-time pharmacotherapeutic monitoring of patients, whi...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/20480
更新日期:2020-10-16 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
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::[This corrects the article DOI: 10.2196/18505.]. ...
journal_title:JMIR mHealth and uHealth
pub_type: 已发布勘误
doi:10.2196/24869
更新日期:2020-11-03 00:00:00
abstract:BACKGROUND:In many clinics, patients now have the option to make Web-based appointments but doing so according to their own judgment may lead to wrong registration and delayed medical services. We hypothesized that smartphone-based triage in outpatient services is superior to Web-based self-appointment registration gui...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15313
更新日期:2019-11-11 00:00:00
abstract:BACKGROUND:The proliferation of mobile health apps has greatly changed the way society accesses the health care industry. However, despite the widespread use of mobile health apps by patients in China, there has been little research that evaluates the effect of mobile health apps on patient experience during hospital v...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9145
更新日期:2018-05-23 00:00:00
abstract:BACKGROUND:Tracking of dietary intake is key to enhancing weight loss. Mobile apps may be useful for tracking food intake and can provide feedback about calories and nutritional value. Recent technological developments have enabled image recognition to identify foods and track food intake. OBJECTIVE:We aimed to determ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11917
更新日期:2019-05-29 00:00:00
abstract:BACKGROUND:Patients with spinal cord injury (SCI) usually present with different motor impairments, including a deterioration of upper limb motor function (ULMF), that limit their performance of activities of daily living and reduce their quality of life. Virtual reality (VR) is being used in neurological rehabilitatio...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/22537
更新日期:2020-12-03 00:00:00
abstract:BACKGROUND:As a result of demographic changes, physicians are required to deliver needed services with limited resources. Research suggests that tablet PCs with access to patient data may streamline clinical workflow. A recent study found tablets with mobile electronic medical records (EMRs) can facilitate data retriev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5464
更新日期:2016-06-06 00:00:00
abstract:BACKGROUND:Acute exacerbations of chronic obstructive pulmonary disease (COPD) are associated with accelerated decline in lung function, diminished quality of life, and higher mortality. Proactively monitoring patients for early signs of an exacerbation and treating them early could prevent these outcomes. The emergenc...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10046
更新日期:2018-06-14 00:00:00
abstract:BACKGROUND:Nomophobia or phobia of no mobile phone is the fear of being without a mobile phone or being unable to contact others via a mobile phone. It is a newly emerging psychiatric disorder among mobile phone users. OBJECTIVE:There are no psychometric scales available in China for examining nomophobia, although Chi...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13561
更新日期:2020-03-13 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:Pain drawings (PDs) are an important tool to evaluate, communicate, and objectify pain. In the past few years, there has been a shift toward tablet-based acquisition of PDs, and several studies have been conducted to test the usefulness, reliability, and repeatability of electronic PDs. However, to our knowl...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11412
更新日期:2019-01-10 00:00:00
abstract:BACKGROUND:Digital health usability assessments can help explain how well mobile health (mHealth) apps targeting young people with sexual and reproductive health (SRH) information performed and whether the intended purpose was achieved. However, few digital health assessments have been conducted to evaluate young peopl...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19109
更新日期:2021-01-15 00:00:00