The Emerging Role of Digital Health Technology in Cardiovascular Care

2021 ◽  
Vol 37 (7) ◽  
pp. 939-942
Author(s):  
Yuan Qiu ◽  
Chantal Y. Asselin ◽  
Dania Kallas ◽  
Najah Adreak ◽  
Kathryn Armstrong ◽  
...  
Keyword(s):  
Digital Health ◽  
Health Technology ◽  
Cardiovascular Care

scholarly journals Barriers and facilitators of the uptake of digital health technology in cardiovascular care: a systematic scoping review

2021 ◽  
Author(s):  
Sera Whitelaw ◽  
Danielle M Pellegrini ◽  
Mamas A Mamas ◽  
Martin Cowie ◽  
Harriette G C Van Spall
Keyword(s):  
Organizational Support ◽  
Quantitative Methods ◽  
Digital Health ◽  
Healthcare Delivery ◽  
Health Technology ◽  
Barriers And Facilitators ◽  
User Friendliness ◽  
Eligibility Criteria ◽  
Patient Level ◽  
Cardiovascular Care

Abstract Digital health technology (DHT) has the potential to revolutionize healthcare delivery but its uptake has been low in clinical and research settings. The factors that contribute to the limited adoption of DHT, particularly in cardiovascular settings, are unclear. The objective of this review was to determine the barriers and facilitators of DHT uptake from the perspective of patients, clinicians, and researchers. We searched MEDLINE, EMBASE, and CINAHL databases for studies published from inception to May 2020 that reported barriers and/or facilitators of DHT adoption in cardiovascular care. We extracted data on study design, setting, cardiovascular condition, and type of DHT. We conducted a thematic analysis to identify barriers and facilitators of DHT uptake. The search identified 3075 unique studies, of which 29 studies met eligibility criteria. Studies employed: qualitative methods (n = 13), which included interviews and focus groups; quantitative methods (n = 5), which included surveys; or a combination of qualitative and quantitative methods (n = 11). Twenty-five studies reported patient-level barriers, most common of which were difficult-to-use technology (n = 7) and a poor internet connection (n = 7). Six studies reported clinician-level barriers, which included increased workload (n = 4) and a lack of integration with electronic medical records (n = 3).Twenty-four studies reported patient-level facilitators, which included improved communication with clinicians (n = 10) and personalized technology (n = 6). Four studies reported clinician-level facilitators, which included approval and organizational support from cardiology departments and/or hospitals (n = 3) and technologies that improved efficiency (n = 3). No studies reported researcher-level barriers or facilitators. In summary, internet access, user-friendliness, organizational support, workflow efficiency, and data integration were reported as important factors in the uptake of DHT by patients and clinicians. These factors can be considered when selecting and implementing DHTs in cardiovascular clinical settings.

Understanding Decision Making in the Adoption of Digital Health Technology: The Role of Behavioural Economics’ Prospect Theory (Preprint)

2021 ◽  
Author(s):  
Waqas Ullah Khan ◽  
Aviv Shachak ◽  
Emily Seto
Keyword(s):  
Decision Making ◽  
Prospect Theory ◽  
Digital Health ◽  
Health Technology ◽  
Behavioural Economics ◽  
Individual Level ◽  
Health Technologies ◽  
Research Article ◽  
The Individual

UNSTRUCTURED The decision to accept or reject new digital health technologies remains an ongoing discussion. Over the past few decades, interest in understanding the choice to adopt technology has led to the development of numerous theories and models. In 1979, however, psychologists Kahneman and Tversky published their seminal research article that has pioneered the field of behavioural economics. They named their model the “prospect theory” and used it to explain decision making behaviours under conditions of risk and uncertainty as well as to provide an understanding of why individuals may make irrational or inconsistent decisions. Although the prospect theory has been used to explain decision making in economics, law, political science, and clinically at the individual level, its application to understanding choice in the adoption of digital health technology has not been explored.

Digitization of healthcare post COVID-19: Reimagining the role of health education and promotion

2021 ◽  
Vol 13 (2) ◽  
pp. 303-310 ◽  
Author(s):  
Chinwe Obuaku-Igwe
Keyword(s):  
Health Promotion ◽  
Digital Health ◽  
Health Technology ◽  
Health Attitudes ◽  
Health Seeking ◽  
Future Directions ◽  
Health Apps ◽  
Risk Of Mortality ◽  
Technological Platforms

The digitization of health promotion and communication has become a major discourse in healthcare. This paper synthesizes my understanding of the role of health literacy, promotion, education and communication in ensuring effective digitization of healthcare and presents four key findings from a mental health promotion project. First, the pandemic has shown us more than ever how fragile we all are – health-seeking behaviour will increasingly take centre stage over the next decade. Second, why do people refuse to wear masks even though it increases the risk of mortality? Why are individuals not motivated to exercise despite downloading free health apps? Why do people keep eating unhealthy food even when they can afford healthier options? Why? The numbers cannot tell the whole story. Similarly, the proliferation of digital health technology cannot convince people to modify their behaviours nor promote meaningful use of e/m-health apps. Third, deliberate digital health promotion and communication is needed to leverage opportunities in health technology. Fourth, the world needs researchers and experts who understand the broader determinants of health attitudes and are knowledgeable in synthesizing valid health information across various technological platforms, in support of health system needs. I address the implications of my findings and discuss future directions for policy and practitioners.

Understanding Decision Making in the Adoption of Digital Health Technology: The Role of Behavioural Economics’ Prospect Theory (Preprint)

2021 ◽  
Author(s):  
Waqas Ullah Khan ◽  
Aviv Shachak ◽  
Emily Seto
Keyword(s):  
Decision Making ◽  
Prospect Theory ◽  
Digital Health ◽  
Health Technology ◽  
Behavioural Economics ◽  
Valuable Insight ◽  
Individual Level ◽  
Health Technologies ◽  
The Individual

UNSTRUCTURED The decision to accept or reject new digital health technologies remains an ongoing discussion. Over the past few decades, interest in understanding the choice to adopt technology has led to the development of numerous theories and models. In 1979, however, psychologists Kahneman and Tversky published their seminal research article that has pioneered the field of behavioural economics. They named their model the “prospect theory” and used it to explain decision making behaviours under conditions of risk and uncertainty as well as to provide an understanding of why individuals may make irrational or inconsistent decisions. Although the prospect theory has been used to explain decision making in economics, law, political science, and clinically at the individual level, its application to understanding choice in the adoption of digital health technology has not been explored. Herein, we discuss how the prospect theory can provide valuable insight on why healthcare patients/clients, technology companies, and policymakers may decide to accept or reject digital health technologies.

scholarly journals Patient Innovation in Investigating the Effects of Environmental Pollution in Schizophrenia: Case Report of Digital Phenotyping Beyond Apps

10.2196/19778 ◽  
2020 ◽  
Vol 7 (8) ◽  
pp. e19778
Author(s):  
Aditya Vaidyam ◽  
Spencer Roux ◽  
John Torous
Keyword(s):  
Mental Health ◽  
Lived Experiences ◽  
Digital Health ◽  
Health Technology ◽  
Health Apps ◽  
Digital Phenotyping ◽  
Data Scientist ◽  
The Individual ◽  
Schizophrenia Case

This patient perspective highlights the role of patients in the innovation and codesign of digital mental health technology. Though digital mental health apps have evolved and become highly functional, many still act as data collection silos without adequate support for patients to understand and investigate potentially meaningful inferences in their own data. Few digital health platforms respect the patient’s agency and curiosity, allowing the individual to wear the hat of researcher and data scientist and share their experiences and insight with their clinicians. This case is cowritten with an individual with lived experiences of schizophrenia who has decided to openly share their name and experiences to share with others the methods and results of their curiosity and encourage and inspire others to follow their curiosity as well.

scholarly journals Patient Innovation in Investigating the Effects of Environmental Pollution in Schizophrenia: Case Report of Digital Phenotyping Beyond Apps (Preprint)

2020 ◽  
Author(s):  
Aditya Vaidyam ◽  
Spencer Roux ◽  
John Torous
Keyword(s):  
Mental Health ◽  
Lived Experiences ◽  
Digital Health ◽  
Health Technology ◽  
Health Apps ◽  
Digital Phenotyping ◽  
Data Scientist ◽  
The Individual ◽  
Schizophrenia Case

UNSTRUCTURED This patient perspective highlights the role of patients in the innovation and codesign of digital mental health technology. Though digital mental health apps have evolved and become highly functional, many still act as data collection silos without adequate support for patients to understand and investigate potentially meaningful inferences in their own data. Few digital health platforms respect the patient’s agency and curiosity, allowing the individual to wear the hat of researcher and data scientist and share their experiences and insight with their clinicians. This case is cowritten with an individual with lived experiences of schizophrenia who has decided to openly share their name and experiences to share with others the methods and results of their curiosity and encourage and inspire others to follow their curiosity as well.

scholarly journals Creating boundaries to empower digital health technology

BJPsych Open ◽  
2018 ◽  
Vol 4 (4) ◽  
pp. 235-237 ◽  
Author(s):  
Honor Hsin ◽  
John Torous
Keyword(s):  
Best Practices ◽  
Digital Health ◽  
Clinical Care ◽  
Life Sciences ◽  
Standard Of Care ◽  
Health Technology ◽  
Clinical Diagnostics ◽  
Direct To Consumer ◽  
The Right

SummaryThe potential of digital health tools such as smartphones and sensors to increase access to and enhance delivery of healthcare is well known. However, a lack of regulation and delineation between those technologies seeking to offer direct clinical diagnostics and treatments and those involving clinical care enhancements or direct-to-consumer resources has led to patient and clinician confusion about the appropriate use and role of digital health. Here, we propose that creating boundaries and better defining the scope of digital health technology will advance the field through matching the right use cases with the right tools. We further propose that ethical clinicians, as stewards of standard of care, are well suited to uphold these boundaries and to safeguard best practices in digital health.Declaration of interestH.H. is an employee of Verily Life Sciences and owns equity in this company. The views expressed here are those of the authors and are not official views of Verily Life Sciences.

1193-P: “TechQuity” in Diabetes: Does Digital Health Technology Improve Equity?

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1193-P
Author(s):  
KELLY JEAN CRAIG ◽  
KYU B. RHEE
Keyword(s):  
Digital Health ◽  
Health Technology
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