scholarly journals A Novel Patient Engagement Platform Using Accessible Text Messages and Calls (Epharmix): Feasibility Study

2017 ◽  
Vol 1 (1) ◽  
pp. e2 ◽  
Author(s):  
Avik Som ◽  
Kunjan Patel ◽  
Eric Sink ◽  
Robert Mattson Peters ◽  
Kavon Javaherian ◽  
...  
Author(s):  
Chul Hyun ◽  
Joseph McMenamin ◽  
Okhyun Ko ◽  
Soonsik Kim

BACKGROUND Chronic hepatitis B virus (HBV) infection is a major cause of liver-related morbidity and mortality among Asian Americans in the United States. Despite the available resources, a majority of HBV-infected individuals are not able to access adequate health care owing to numerous barriers. OBJECTIVE This study aimed to assess the efficacy of a newly developed mobile texting app (<i>HepTalk</i>) in overcoming these barriers and improving patient engagement and health care access among HBV-infected and nonimmune individuals. METHODS <i>HepTalk</i> was employed for two-way communication between participants and patient navigators. A total of 82 Korean American participants who were either HBV infected or nonimmune to HBV, identified from a community hepatitis B campaign in New York, were enrolled in the study. After informed consent was obtained, both the frequency and themes of the text messages were evaluated. The effects of this communication on linkage to care at the end of the 6-month intervention period were analyzed and discussed. RESULTS On average, patient navigators sent and received 14 and 8 messages per participant, respectively, during the 6-month period. The themes of the messages were similar to the following 4 categories: finding providers, scheduling appointments with providers, health education, and financial issues. Of the 82 participants, 78 were linked to care within 6 months (a 95% linkage rate). CONCLUSIONS <i>HepTalk</i> may be employed as an effective and strategic tool to facilitate communicative interaction between patients and patient navigators or health care providers, thereby improving patient engagement and health care access.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Fiona Mowbray ◽  
Katy Sivyer ◽  
Marta Santillo ◽  
Nicola Jones ◽  
Tim E. A. Peto ◽  
...  

2018 ◽  
Vol 10 (3) ◽  
pp. 457-480 ◽  
Author(s):  
Emily R. Arps ◽  
Myron D. Friesen ◽  
Nickola C. Overall

2020 ◽  
Vol 24 (10) ◽  
pp. 1308-1317
Author(s):  
E. K. Tagai ◽  
S. M. Miller ◽  
A. Belfiglio ◽  
J. Xu ◽  
K. Y. Wen ◽  
...  

2017 ◽  
Vol 7 ◽  
Author(s):  
Serena Barello ◽  
Guendalina Graffigna ◽  
Giuliana Pitacco ◽  
Maila Mislej ◽  
Maurizio Cortale ◽  
...  

2018 ◽  
Author(s):  
Josephus F. M. van den Heuvel ◽  
Shariva Kariman ◽  
Wouter van Solinge ◽  
A Titia Lely ◽  
Arie Franx ◽  
...  

BACKGROUND Pregnant women at risk for hypertensive complications need frequent monitoring in the outpatient clinics. These recurrent visits interfere with daily life and can a burden for both patients and perinatal care resources. Telemonitoring has the potential to complement or replace standard pathways in prenatal care with self-measurements, integrated in a monitoring dashboard for in-hospital obstetric care professionals. OBJECTIVE In this feasibility study of a telemonitoring platform in antenatal care, we examined the patient engagement and compliance, accuracy of the alert system and the participants’ experiences. METHODS We developed a telemonitoring platform, consisting of an app and secured web portal, wireless blood pressure monitor and an in-app 10-symptom checklist. In this prospective observational study, 14 participating women with low-risk pregnancies were asked to submit blood pressure (BP) measurements and symptom checklists once daily during 15 consecutive weekdays. Values exceeding the preset threshold values led to alerts on the monitoring dashboard for health care providers and were reviewed daily in our outpatient clinic. Patient engagement was measured by evaluating the number of entered values. The accuracy of the automatic alerts was checked by comparing all the entered values with the threshold values. The usability and patient satisfaction were measured using questionnaires. RESULTS Compliance rates for blood pressure and symptom checklist were 93% and 86% respectively during the 15 telemonitoring days. No false positive or missing alerts have been found. The telemonitoring system alarmed 7 times for BP thresholds (3.8% of all received BP values), of which 4 alerts for an exceeded upper limit. These 4 alerts came from one participant, who was diagnosed with chronic hypertension and received further evaluation and treatment outside the study protocol. Of all 167 returned symptom checklists, 73 reported one or more symptoms (43.7%). In five cases (3.0%), symptoms gave reason for further analysis in the outpatient clinic. Other symptom alarms could be handled with expectant management, e.g. because of normal blood pressure. The majority of participants was satisfied with the use and convenience of the app and the automatic blood pressure monitor. CONCLUSIONS This feasibility study of a telemonitoring platform for blood pressure and symptom measurements in women with an uncomplicated pregnancy showed that remote monitoring with an app and alert system can be used in antenatal care and holds the promise of improving outpatient care for women at risk of hypertensive pregnancy disorders.


2017 ◽  
Vol 40 (8) ◽  
pp. 1203-1219 ◽  
Author(s):  
Sohye Lee ◽  
Erica Schorr ◽  
Chih-Lin Chi ◽  
Diane Treat-Jacobson ◽  
Michelle A. Mathiason ◽  
...  

About 80% of African American (AA) women are overweight or obese. Accessible and effective weight management programs targeting weight loss, weight maintenance and the prevention of weight regain are needed to improve health of AA women. A feasibility study was conducted to examine the feasibility, acceptability, and potential efficacy of a 16-week intervention protocol for weight loss and management that combined daily text messages and biweekly peer group sessions. Modest but statistically significant reductions were detected in weight and body mass index from baseline to 16 weeks. At baseline, 36% of participants were in action and maintenance stages in measures of the stages of change for weight loss and management; this percent increased to 82% at 16 weeks. Findings of this feasibility study provide preliminary evidence of an educational intervention that could motivate women and lead to successful behavior change, and successful weight loss and management for AA women.


2020 ◽  
Vol 28 (1) ◽  
Author(s):  
Karl Vincent ◽  
Olivier Gagey ◽  
Charlotte Leboeuf-Yde

An amendment to this paper has been published and can be accessed via the original article.


2018 ◽  
Vol 25 (7) ◽  
pp. S232
Author(s):  
K.M. Drummond ◽  
S. Sandoval ◽  
K. Swan ◽  
M. Rosenberger ◽  
S. Fitzgerald

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