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mHealth - Science topic

Explore the latest questions and answers in mHealth, and find mHealth experts.
Questions related to mHealth
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My paper is awaiting review with JMIR. They need an expert in mhealth to review it. Could you please contact me if you have previously reviewed a paper on mhealth and would be willing to work with the JMIR team.
Thank you
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You can forward my name
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Dear Colleagues,
With an increasing number of countries implementing digital health and digital public health tools, questions arise about whether these tools are effective and how to implement them best nationally. The lack of a validated and standard list of indicators complicates the comparison of digital health maturity between countries. We need guidance for governments in setting up strategies for the effective implementation and adoption of digital public health tools in routine care and the prevention of diseases.
To address this challenge, we want to invite researchers and practitioners from medicine, public health, economics, computer science, law, cultural studies, sociology, or other comparable disciplines. Participants should know about the development, implementation and evaluation of digital public health systems to take part in a Delphi study to choose the leading quality indicators to assess the maturity of national digital public health systems from four perspectives:
1. The information-telecommunication-technology requirements
2. The political support and legal regulation for the implementation and use of health technologies and the generated data
3. The application of concrete digital health tools to the national health system
4. The collective social willingness to use these tools
We are using a snowball approach to reach as many experts as possible. Please join our effort by participating in this Delphi study https://bit.ly/3raMsVY. Please forward this message to all your mailing lists of colleagues that might fit the purpose of this study. Every participation will be greatly appreciated and contribute to a better understanding of international digital public health systems.
This Delphi study will be conducted within the German Leibniz ScienceCampus Digital Public Health research project entitled "Developing a Maturity Measurement Model for Digital Public Health: The Digital Public Health Readiness Index".
Best regards and take care,
Laura Maaß
(on behalf of the digital public health readiness index team and the EUPHA Digital Health Section)
Link to Survey: https://bit.ly/3raMsVY
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Thank you, Laura! I'll have a look to see if it makes sense for me to participate. I am not a health care practitioner, though. I guess I responded to your call mainly in the role of a (concerned) citizen and patient (being on the receiving end of our German health care system). I am mostly concerned with ethical issues. These include, in my view, that, for instance, certain aspects of the doctor-patient interaction should not be digitized - neither in the sense of being digitally stored, nor even documented at all. I know this is a sensitive issue and probably speaks against the trend of increasing documentation, admin etc. in the health care system. Moreover, I think that we should exercise utmost care in not to overdo replacing physical (vis-a-vis/in-person/face-to-face) interaction between doctor and patient by digital communication. I see very grave dangers there. Anyway, at the end of the day, I think our great tradition of medical practise evolved out of the ancient, humanistic Graeco-Roman tradition (Hippocrates etc.). I think we must never loose this "human touch" in medicine. This is my main concern with the risk of over-digitising the health care system.
Thank you & all the best!
Julius
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Particularly UK and Switzerland from 2020 onwards
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Thanks very much
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Multiple criteria are followed to evaluate the effects of health interventions based on mHealth and eHealth: user perception, cost-effectiveness and cost-utility, sustainability over time, direct effects on the health condition of users. But in what way can the results be evaluated in the Health System?
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Hi Alfredo,
although I did not find a paper that 100% fits your questions at first glance, I think the following papers might be a good starting point when you seek to figure out how to evaluate eHealth-based public health interventions:
Best,
Marius
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Hello! I‘m working on a paper, which tries to define health apps and medical apps in the area of public health. Therefore I would be very interested in your opinion and references you know.
What are definitions for health and medical apps and where might be differences between the two of them?
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According to the research paper, this approach fits under health apps since it is covering all patients.
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Does anyone know of any instrument (survey questionnaire) that has been used to probe the mHealth usage acceptability for Arab mental health screenings in the Middle East & North Africa (MENA) region? I am working on a NIH proposal for a gendered and culturally congruent conceptual framework that would inform, and adapt such an instrument in a pretest-posttest study. I could not find anything other than TAM (technology acceptance model). Any leads would be much appreciated. Thank you.
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Hi Dr. Koga,
It's not specific to the MENA population but we modified the Gelberg vulnerable population service use model with TAM to develop a survey evaluating a digital mental health webpage - happy to share the survey still under development via email.
Best,
Hafifa
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We are witnessing an explosion of digital health products, whether eHealth, mHealth or wearables. There are currently a few different frameworks to evaluate these new approaches to delivering care. Mainly through the 2019 NICE Evidence Standards Framework for Digital Health Technologies. But also in the UK, there are toolkits from NHSX, NHS Digital and the Department of Public Health to name a few.
I'd love to know what other frameworks for evaluation you use or that you know of.
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John Tredinnick-Rowe we've recently published a review of the most used frameworks in assessing technology adoption in healthcare, including a gap analysis and a suggested aggregated framework covering all relevant factors, thought you might find it relevant
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Given the ubiquitous nature and increasing use & potentialities of mobile devices in today's fast paced world.
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Nice Contribution Marina Kendra Nelson
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Is there a tool or method for evaluation the mobile health apps? The reason is to find the best mhealth app. Besides, What about the dataset and how we can find it?
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Hi, there is a very similar question with some answers here:
While you can find generic criteria to evaluate, I think you also need to evaluate the needs that the technology should meet. These will differ from use case to use case, and hence it's difficult to say which would be the "best" mhealth app in any given situation.
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hey,
I´m working on developing an evaluation framework for mHealth applications and want to compile a list of core indicators based on existing indicator sets for mHealth and eHealth evaluation.
I´m therefore looking for existing indicators sets for mHealth and eHealth evaluations.
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Are you interested in evaluating health information systems, or only the technology in isolation?
For the former, i would recommend the HMN Framework as a start
and use the assessment tool you will find from WHO here:
The PRISM framework would also be relevant
And there will be lots of relevant information from the WHO guidelines on digital interventions:
Have a look at web supplement 1 and 2 for references and reviews of mHealth evluations.
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Hello,
Is there any sort of guidelines or criteria that would allow us to categorize whether an app is under mhealth or not.
I have many apps that I am not sure if they could be classified as mhealth applications or not for example:
1) An app that would register you as a blood donor and give you reminders to donate blood, connect you to hospitals in need etc.
2) An App that allows you the have video call or text a doctor!
3) An App that allows you to book an appointment in a hospital.
Thank you
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m-Health, short for mobile health, is increasingly making its mark because of the benefits it offers due to wearable ans other devises. It comprises apps and data collection utilities based on smartphones/mobile phones and other wireless technology to promote care coordination, treatment support, and other communication in the healthcare industry and prevention interventions, disease surveillance, epidemic outbreak tracking and chronic disease management in public health.
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There are many mHealth apps available, but what are the top validated ones for oncology patients (e.g. CE marked and have actual proof of concept and value)?
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Christine Jacob very interesting!
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For the development of eHealth solutions, stakeholders should be involved and their opinions and experiences must be heard or it could be optional.
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Agree with Emre Sezgin and Nabil Zary , engaging the users in the constant development of eHealth tools is crucial for their sustainability and success, by listening to the users, providers can ensure that their tools will stay useful and relevant.
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Dear Eva,
We are waiting impatiently! ;-)
And second remark: you are working on the original MARS from 2015 and not on the User Version (Stoyanov et al. (2016): Development and Validation of the User Version of the Mobile Application Rating Scale (uMARS) JMIR Mhealth Uhealth 4(2): e72), isn't it!?
Regards,
Mario
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Dear Mario,
will hand the MARS german paper in this week. For the uMARS validation study we need some more time. Approximateley June. You can have access to both instruments if you sign our "data use agreement". Just contact me via Mail: eva-maria.messner@uni-ulm.de and I will submit you the form. Yes it is the above mentioned versions.
Kind regards from Brisbane,
Eva.
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Does Health Extension Workers Focussed mHealth technology Intervention to Improve Uptake of Skilled Maternity Services effect in rural Ethiopia? Or any update innovate health apps to be recommended for African low income countries rather than mHealth technology?
Thank you for your scientific guidance!
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According to the WHO definition of mHealth, any health app would be considered an mHealth solution... perhaps you can elaborate a bit on how you see the difference between the two notions
The Global Observatory for eHealth of the World Health Orgazination defines mHealth as “medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices, personal digital assistants, and other wireless devices”
You can check this article for some more definitions and details
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I´m searching for guidelines for reporting the results of mixed methods studies (eg, review+concept developement, survey study + interviews or focus groups) - similar like CONSORT, but for mixed methods studies in health research/psychology (eg, eHealth, mHealth pilot studies).
Any suggestions?
I have found no suitable checklist on the EQUATOR network.
Thanks in advance, Jennifer
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I don't think there are formal guidelines for reporting mixed methods research because so much depends on the kind of design you use. For instance, you might be using an "exploratory sequential" design (qual --> QUANT) where you begin with a preliminary qualitative study to develop the content for the quantitative portion of the study, or you might be using an "explanatory sequential" design (QUANT --> qual) where you use a follow-up qualitative design to understand the results of the quantitative study. These two different designs would require different approaches to reporting the results.
Alternatively, if you have basically done two studies on the same topic (QUAL + QUANT), you can report the results in two separate sections, and then use the Discussion section to "integrate" the two sets of findings.
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What do clinician-researchers think of manualized peer support? What do peers/patients think of manualized peer support?
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Well clinician-researchers, if they believe in what they have manualized and have evidence (or are building evidence) on efficacy probably find these approaches help make research more manageable and the assurance of quality in delivery more possible and measurable. For peers, some welcome the structure and like the reassurance of an "approach". Others feel they know better about the issue,... and maybe they do,... and feel restricted by the manual. .. and some also warm up the manual over time.
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We are developing a clinical trial aiming at assessing a mobile app for diabetic patients in Rwanda (for more information on the D²Rwanda study: https://clinicaltrials.gov/ct2/show/NCT03376607). To enable access to the app, we would like to provide all patients with a smartphone and a SIM card with a monthly mobile data bundle for the 12 months of the study's run. The SIM card would allow exclusive access to our app (through VPN / static IP) so that the patients wouldn’t spend the pack on voice calls, text messages or browsing the Internet (the supplied phones are dual-SIM, and therefore patients can continue using their own SIM cards as well).
We are currently facing a major challenge regarding obtaining the SIM cards: we would like to refrain from registering the SIM cards to each patient individually so that we avoid the selection bias (we hypothesise that some patients would not participate in the study if they are asked to provide their IDs for the SIM card registration —not to mention that some patients in rural areas may not even have IDs). For that, we would like to register the approximately 150 SIM cards under one of the institutions which co-develop the project. However, in Rwanda, there is a strict legislation, which requires individual registration of each card.
We have also looked for companies providing SIM cards with international roaming –but so far the bundles we have found are prohibitively expensive. Does anyone have any experience with such issues? We would be grateful for any insights, ideas or experience!
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Unfortunately SIM cards for WiFi routers require the same kind of registration.
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If there are recommendations, please attach some previous studies as well if possible. I am expecting a research title which will be useful for society and hopefully can contribute for a better smoking cessation.
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First of all find out healthy products ,roots or leaves that are useful health wise in malaysia ,the herberlist and traditional practitioner may have knowledge of some natural plant that are medicinal that may be used to replace tobacco product or may also be more appealing that e-ciggarate .Some time u may think of something that may be introduced into e cigarette and reverses the urge for smoking.
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Possible Research problems within the field of clinical decision support systems.
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Hi Chemage,
Clinical decision support systems domain is full of areas that need further research, such as:
1. Best methods of developing and implementing CDSS
2. Evaluation of CDSS (design, usability and impact)
3. Investigating cost-effectiveness of CDSS
4. Improving utilisation of CDSS
5. Overcoming alerts fatigue of CDSS
6. Knowledge management of CDSS, including updating the content
7. CDSS and hospital policies and procedures
All the best.
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What's the answer of this Question?
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There are many directions for the field to go. Our group wrote more partnerships with data science as one: http://jamanetwork.com/journals/jamapsychiatry/article-abstract/2473515. Agree with Chris above that there is a need for more evidence and less hype.
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HI,
I am studying toward health literacy and is any instrument to measure mobile (app) health literacy.
Kind regards
Sarath
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Dear Chris,
Thank you indeed for guidance.
Regards
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Acually i am looking for a method/technique that can be for charging a battery in WBAN
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I hope this would be helpful to you
Nguyen, Thien D., Jamil Y. Khan, and Duy T. Ngo. "Energy harvested IEEE 802.15. 4 wireless body area network." Proceedings of the 10th EAI International Conference on Body Area Networks. ICST (Institute for Computer Sciences, Social-Informatics and Telecommunications Engineering), 2015.
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We're currently designing a study on the use of technology in treating insomnia. As a part of this we've planned to use wearable technology (e.g., a fitbit) to track sleep patterns. We're looking for a good way to gather the sleep data in a timely manner that doesn't involve hand-entering everything. If we could find an app or method to securely transmit the sleep data on a weekly basis that would be amazing. We'd welcome any help or leads.
Thanks!!
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Evenson, K. R., Goto, M. M., & Furberg, R. D. (2015). Systematic review of the validity and reliability of consumer-wearable activity trackers. The International Journal of Behavioral Nutrition and Physical Activity, 12, 159. https://doi.org/10.1186/s12966-015-0314-1
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the adoption electronics in mHealth for preventive and curative services, how can eSafety for the patients  be ensured?
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The simple answer is that safety cannot be ensured. Any product comes only with limited warranty and IoT will be no different. There are risks in adopting any technology, new or old, and IoT will be no different.
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Hello fellow researchers. I would like to know of any current study that has researched on the applied software development development processes  used by developers in mhealth application development and their short comings.
Thanks
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Hello
I am not actively working on development but  I came across to some studies mentioning needs and lacks in mhealth app developments, and they have suggestions. Maybe their references would help you. I attached the papers.
bests,
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Fellow colleagues, I am looking for your feedback on the Biomedical Signal Analysis Framework.
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Good point Mourad, we couldnt address all aspects in this paper. We addressed only the engineering aspects.
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I am very much interested in the field of behavioral intervention research where much work has been done in order to decompose interventions into behavior change techniques in order to find out what techniques do help achieve the desired behavior change. 
I am interested in design and deployment of eHealth and mHealth solutions that are in fact behavior change interventions. For this, I would like to see, what existing frameworks exist that bring together knowledge from different sciences that is eventually used to inform the design of these solutions.
I would also like to collect information about existing platforms that support more than one intervention.
Thank you!
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I suggest you incorporate any behaviour change communication strategies and policies while designing the solutions.
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I am searching for information in
  • Saudi Arabia,
  • Kenya,
  • Singapore, and
  • India
I am using Boolean and keyword combinations:
  • "Ministry of Health" AND "[Country Name]" AND "mHealth"
  • "Research Institute" AND "[Country Name] AND "mHealth"
  • "NGO" AND "[Country Name]" AND "mHealth" 
If you have other suggestions, I am open to them.
Thank you,
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 Thank you Nabila for sharing this compelling research. I will read it carefully and let you know what potential points of overlap there may be with my current research shortly. 
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I am looking for intervention studies that implemented an e- & mHealth approach to promote healthy diets and physical activity in developing countries. 
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Take a look at the WHO website on this issue:
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The published literature on mHealth interventions, uses the terms-feasibility, acceptability and usability. The terms obviously originate from our understanding of health interventions in real life. Do we need to modify these terms? Should we use them as they are? What is the way forward? These are the definitions of the terms available on online dictionaries- feasibility (the state or degree of being easily or conveniently done i.e., whether the intervention can be implemented given time, financial, legal, personal, and social constraints), acceptability (the judgments about treatment
procedures by nonprofessionals and consumers of treatment as to whether
treatment is fair, and reasonable) , and usability (Usability is the ease of use and learnability of a human-made object). My impression is that in IT world, acceptability [User Acceptance Testing (UAT) how the end user experience the app] is the same as usability. I look forward to hearing from experts and colleagues...
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In regards to the differences between usability and user experience, actually, in IT world there are big differences between the two. Briefly, most efforts used to focus on usability matters in the early days of IT design and development. Later, it was understood that usability is not sufficient to address what users expect from a system or device, and user experience (UX), which covers broader aspects of users' interaction with the product and services, started to be employed. UX usually deals with design aspects like satisfaction, meaning, pleasure, and the value generated in relation to the product/services. Here is a good introduction to the UX and UX design: https://www.interaction-design.org/literature/book/the-encyclopedia-of-human-computer-interaction-2nd-ed/user-experience-and-experience-design
Hope this helps
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We believe currently available interventions can be easily divided into; Type 1. Interventions delivered by human therapists through eMedia (e.g.,AVATAR Therapy), Type 2. Interventions that are underpinned by a manualized, evidence based, and theoretically sound real world intervention (e.g., Mood gym) or apps that help with such interventions, like thought diaries or breathing apps, and Type 3. Interventions that are not based in real world examples, and are purely developed to be delivered in mHealth format. It follows that the type 1, and 2 interventions need less rigorous testing and reporting than the type 3 apps. It also means the type 1 apps are only to be used by trained therapists, while type 2 can be used by the public (like over the counter drugs). These are initial thoughts and opinions and disagreements are welcome. 
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Dear Jennifer
Thank you. Yes, this is right. We have recently tried to clarify these definitions in a chochrane review http://www.cochrane.org/CD011698/SCHIZ_self-help-and-guided-self-help-interventions-for-schizophrenia-and-related-disorders
But the issue is more complex as we try to classify the apps that deliver psycho-social interventions. Hence the suggested classification. However, I am looking for a wider consultation as this field is still at its infancy stages. 
Regards
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According to experts in mHealth (Mobile Health), mobile healthcare is the future of health care and expected revenue of investments in new technologies and smart phones is about 27 billion US dollars by 2017.
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As I said..here the artcile on mHealth in Malaysia. Also published in JMIR. The source I know. http://www.jmir.org/2016/1/e5/
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Our group at eTreatMD is developing one for arthritis. Do you have any meeting FDA requirements? I am particularly interested in approaches to anatomical imaging or diagnostics.
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We're working on a mHealth app that is a bit different than those who have responded so far. Our mobile app is about providing a low burden highly accurate method for collecting dietary data for patients with specific health conditions (i.e. hypertension). The key is to use the smartphone camera to have an individual take a picture (in our case a short video) and for our system to automatically identify the food and portion size converting it into a food record. We've been building the system through several NIH grants and have a working version that has been beta tested by subjects. Working now towards some specific research and clinical solutions for later this year or early next year.
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I am looking for a survey paper related to mobile health security and privacy. If someone happened to read some survey papers related to this topic, please recommend them to me:) Any survey paper related to this field is OK. This is appreciated, thank you!   
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This published paper in Journal of Medical Systems could be helpful:
Title: Privacy and Security in Mobile Health Apps: A Review and Recommendations
Link:
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eHealth and mHealth are expanding rapidly, as mobile devices, such as smart phones, with sensing capabilities emerge. Food-borne pathogens, in all parts of the world, result in huge numbers of lost days of employment as well as in death in vulnerable people. What is the best approach to capitalize on the potential of smart phones or other mobile devices to prevent food poisoning and aid in the treatment? which pathogens should be targeted? Are there sensors for these already?
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Dear Peter, my reply might not 100% suit your request. However, maybe having a look at wikifood (available on the Net and as App) would be of interest to you: http://www.wikifood.eu/wikifood/en/struts/welcome.do
WikiFood builds up a volunteer network of food product users that fill up the database by typing in the ingredients lists of products that may be interesting for the community of allergy patients and consumers. Digital photos of EAN codes, packages, and ingredient lists help to validate the data entries. The producers can demonstrate their care and interest in food security by delivering information about their products to the WikiFood community.
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I am planning to use Network coding method in my new remote patient monitoring framework to maintain the reliability of Wireless Body Area Networks (WBAN). Please can anyone suggest the best technique?
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Dear, I must know which software and hospital information sstem and which minimum data set are you using?
I know that if your have good software and good telecommunication system, you can use for monitoring.
each software has its special function.
I think that your question is not clear and your question is general.
all the best.
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I would like to have some articles and literature reviews from people who have done research on the above title. I am writing a phD research proposal and I have some problems in problematics, expected observation, literature review, sampling criteria.
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You might start with work done by Alain Labrique:  http://www.jhsph.edu/faculty/directory/profile/3938/Labrique/Alain_B.  He does great work in this space.
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If you have an interest in disability and chronic health conditions, would like to collaborate on an interesting mHealth project using the ICF, please take the survey at the attached link: https://www.surveymonkey.com/s/mICF
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The survey is completed.
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I am familiar with MyExperience (EMS experiments) and OpenSesame (cognitive psychological experiments). Are there any others in development?
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Hello Allison. I can't think of experiment building software (I am assuming you mean something that is a framework for App building where you could fill in your questions or other prompts?) but at University of Nottingham we have developed one App for evaluating stress during IVF treatment. Two papers and a poster are on RG which highlight the development process for this and other self-monitoring Apps:
Native Apps versus Web Apps: Which is best for healthcare applications?
We are interested in the process of design of self-monitoring Apps that are 'researcher led' i.e. ones that are designed to be part of a research study. In the above papers we've mentioned user experience and ethical issues as well as technical. If you do find or develop a toolkit I'd be interested to know about it! Thanks for your question.
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Any mhealth technology is welcome, specifically rural is preferred
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Murthy KR, Murthy PR, Kapur A, Owens DR. Mobile diabetes eye care: experience in developing countries. Diabetes Res Clin Pract. 2012 Sep;97(3):343-9. doi: 10.1016/j.diabres.2012.04.025. Epub 2012 May 20.
this article describes mhealth applications for diabetes retinopathy in rural settings