scholarly journals Mobile Phone Ownership, Health Apps, and Tablet Use in US Adults With a Self-Reported History of Hypertension: Cross-Sectional Study (Preprint)

2018 ◽  
Author(s):  
Aisha T Langford ◽  
Craig A Solid ◽  
Ebony Scott ◽  
Meeki Lad ◽  
Eli Maayan ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Mobile Devices ◽  
Health Care Providers ◽  
Mobile Device ◽  
The United States ◽  
Medical Decision ◽  
Care Providers ◽  
Health Apps ◽  
Health Related ◽  
History Of

BACKGROUND Mobile phone and tablet ownership have increased in the United States over the last decade, contributing to the growing use of mobile health (mHealth) interventions to help patients manage chronic health conditions like diabetes. However, few studies have characterized mobile device ownership and the presence of health-related apps on mobile devices in people with a self-reported history of hypertension. OBJECTIVE This study aimed to describe the prevalence of smartphone, tablet, and basic mobile phone ownership and the presence of health apps by sociodemographic factors and self-reported hypertension status (ie, history) in a nationally representative sample of US adults, and to describe whether mobile devices are associated with health goal achievement, medical decision making, and patient-provider communication. METHODS Data from 3285 respondents from the 2017 Health Information National Trends Survey were analyzed. Participants were asked if they owned a smartphone, tablet, or basic mobile phone and if they had health apps on a smartphone or tablet. Participants were also asked if their smartphones or tablets helped them achieve a health-related goal like losing weight, make a decision about how to treat an illness, or talk with their health care providers. Chi-square analyses were conducted to test for differences in mobile device ownership, health app presence, and app helpfulness by patient characteristics. RESULTS Approximately 1460 (37.6% weighted prevalence) participants reported a history of hypertension. Tablet and smartphone ownership were lower in participants with a history of hypertension than in those without a history of hypertension (55% vs 66%, P=.001, and 86% vs 68%, P<.001, respectively). Participants with a history of hypertension were more likely to own a basic mobile phone only as compared to those without a history of hypertension (16% vs 9%, P<.001). Among those with a history of hypertension exclusively, basic mobile phone, smartphone, and tablet ownership were associated with age and education, but not race or sex. Older adults were more likely to report having a basic mobile phone only, whereas those with higher education were more likely to report owning a tablet or smartphone. Compared to those without a history of hypertension, participants with a history of hypertension were less likely to have health-related apps on their smartphones or tablets (45% vs 30%, P<.001) and report that mobile devices helped them achieve a health-related goal (72% vs 63%, P=.01). CONCLUSIONS Despite the increasing use of smartphones, tablets, and health-related apps, these tools are used less among people with a self-reported history of hypertension. To reach the widest cross-section of patients, a mix of novel mHealth interventions and traditional health communication strategies (eg, print, web based, and in person) are needed to support the diverse needs of people with a history of hypertension.

scholarly journals Post-COVID-19 Syndrome: Theoretical Basis, Identification, and Management

2021 ◽  
pp. e1-e8
Author(s):  
Kristine Anne Scordo ◽  
Misty M. Richmond ◽  
Nancy Munro
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Organ Damage ◽  
The United States ◽  
Care Providers ◽  
Short History ◽  
Comprehensive Plan ◽  
Care Workers ◽  
History Of

As COVID-19 continues to spread, with the United States surpassing 29 million cases, health care workers are beginning to see patients who have been infected with SARS-CoV-2 return seeking treatment for its longer-term physical and mental effects. The term long-haulers is used to identify patients who have not fully recovered from the illness after weeks or months. Although the acute symptoms of COVID-19 have been widely described, the longer-term effects are less well known because of the relatively short history of the pandemic. Symptoms may be due to persistent chronic inflammation (eg, fatigue), sequelae of organ damage (eg, pulmonary fibrosis, chronic kidney disease), and hospitalization and social isolation (eg, muscle wasting, malnutrition). Health care providers are instrumental in developing a comprehensive plan for identifying and managing post–COVID-19 complications. This article addresses the possible etiology of postviral syndromes and describes reported symptoms and suggested management of post-COVID syndrome.

Standards for mobile health-related apps (Preprint)

2018 ◽  
Author(s):  
Jordi Miró ◽  
Pere Llorens-Vernet
Keyword(s):  
Systematic Review ◽  
Health Care Providers ◽  
Mobile Health ◽  
Medical Devices ◽  
Professional Organizations ◽  
Care Providers ◽  
Health Apps ◽  
Health Related ◽  
Mobile Health Apps ◽  
Specific Regulation

BACKGROUND In recent years, the considerable increase in the number of mobile health apps has made healthcare more accessible and affordable for all. However, the exponential growth in mHealth solutions has occurred with almost no control or regulation of any kind. Despite some recent initiatives, there is still no specific regulation procedure, accreditation system or standards to help the development of the apps, mitigate risks or guarantee quality. OBJECTIVE The main aim of this study is to provide a set of standards for mobile health-related apps on the basis of what is available from guidelines, frameworks, and standards in the field of health app development. METHODS To identify the most important criteria, we used three strategies. First, we conducted a systematic review of all the studies published on health-related apps. Second, we searched for health-app recommendations on the websites of professional organizations. Finally, we looked for standards governing the development of software for medical devices on the specialized webs of regulatory organizations. Then, we compiled the criteria we had identified and determined which of them could be regarded as essential, recommendable or desirable. RESULTS We identified a total of 168 criteria from the systematic review, 282 criteria from published guidelines, and 53 criteria from the standards of medical devices. These criteria were then grouped and subsumed under 8 categories, which included 36 important criteria for health apps. Of these 7 were considered to be essential, 18 recommendable, and 11 desirable. The more essential criteria an mHealth application has, the greater its quality. CONCLUSIONS This set of standards can be easily used by health care providers, developers, patients and other stakeholders, both to guide the development of mHealth related apps and to measure the quality of an mHealth app.

Legal Issues

2017 ◽  
Author(s):  
Jeffrey T. Schouten
Keyword(s):  
Health Care Providers ◽  
Partner Notification ◽  
The United States ◽  
Hiv Disclosure ◽  
Care Providers ◽  
Persons Living With Hiv ◽  
Control And Prevention ◽  
Health Related ◽  
Advance Care ◽  
Living With Hiv

One-time routine screening of all adults and adolescents as well as annual screening of high-risk individuals and all pregnant women are recommended without the need for pretest counseling or written consent. HIV is a reportable disease to the Centers for Disease Control and Prevention in all 50 states and the District of Columbia. Partner notification remains a key component of HIV prevention. Health care providers may be obligated to assist in notification or HIV disclosure in select instances. HIV stigma and discrimination remain problematic in many areas of the United States and globally, but laws have been progressively enacted to limit these problems and protect persons living with HIV disease. Confidentiality of HIV status and health-related issues is protected under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Advance care planning is an important component of comprehensive care for adults living with HIV/AIDS.

scholarly journals Kwashiorkor in Upper Middle Class Suburbia in the United States (FS17-02-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Anupama Chawla ◽  
Denease Francis ◽  
Sherin Daniel ◽  
Michelle Tobin
Keyword(s):  
Health Care Providers ◽  
The United States ◽  
Food Allergies ◽  
Nutritional Deficiencies ◽  
Vitamin Supplementation ◽  
Severe Malnutrition ◽  
Care Providers ◽  
Caucasian Male ◽  
Vitamin Deficiencies ◽  
History Of

Abstract Objectives Malnutrition continues to be a major cause of death worldwide among children aged 5 years and under. We describe two patients who developed kwashiorkor while being predominantly fed rice milk. Methods An 11-month old Caucasian male presented with a 3-day history of worsening edema, decreased oral intake, diffuse maculopapular rash, and poor weight gain. He was diagnosed with dairy, soy, and sesame allergies by two allergists and was placed on rice milk. Labs revealed hypoalbuminemia, anemia, transaminitis, zinc and copper deficiency. He was started on Elecare Jr and vitamin supplementation with clinical improvement. A 2-year-old Caucasian male presented with a 7-day history of abdominal distension, abdominal pain, edema, and rash. He had multiple food allergies. His diet consisted of diluted almond and rice milk, chips, apples, and corn. He had hypoalbuminemia and anemia with multiple vitamin deficiencies. Results Kwashiorkor is characterized by severe malnutrition, hypoalbuminemia, edema, irritability, and rash. It is rare in the US but is being reported in patients receiving rice milk as their major source of nutrition. Previously described cases were due to dietary manipulations by the parents. Both our patients were under the guidance of physicians. Rice milk has been suggested as an alternative for patients with milk protein allergy however; not all products on the market have the same nutritional value, with significantly varied fortification. A recent study examined patients diagnosed with CMPA fed an extensively hydrolyzed rice protein-based formula called Novarice. This formula contains 21.9 calories and 0.6 grams of protein per ounce. Both our patients were ingesting Rice Dream which contains only 15 calories and 0.13 g of protein per ounce. Conclusions Infants who ingest rice milk are at high risk of developing severe malnutrition with hypoalbuminemia, edema, and nutritional deficiencies. It is important to educate not only consumers but health care providers on nutritional composition of these products. Translating an evidence-based study on the benefits of fortified rice milk into clinical practice needs to be performed cautiously since not all rice milk products are nutritionally alike. Funding Sources None. Supporting Tables, Images and/or GraphsTable 1

scholarly journals Patient Attitudes Toward Mobile Device Use by Health Care Providers in the Emergency Department: Cross-Sectional Survey

10.2196/16917 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e16917
Author(s):  
Mohamad Alameddine ◽  
Hani Tamim ◽  
Dima Hadid ◽  
Mohamad-Ali Cheaito ◽  
Maha Makki ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Mobile Devices ◽  
Health Care Providers ◽  
Mobile Device ◽  
Outcome Variable ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Device Use

Background Health care provider usage of mobile devices is increasing globally; however, there is little understanding of patient perceptions on this behavior in a health care setting. Objective The aim of this study was to assess patients’ attitudes toward mobile device usage by health care providers in the emergency department and to identify predictors of these attitudes. Methods The study was carried out at the emergency department of a large academic tertiary care medical center in Lebanon. A cross-sectional survey design was adopted by administering a questionnaire to medically stable adult patients who presented to the emergency department with an emergency severity index of 3, 4, or 5 between January 2017 and March 2018. The questionnaire collected relevant patient demographic information and included questions related to their mobile device usage along with those evaluating attitudes for the use of mobile devices by health care providers with respect to six major domains: role in health care, distraction potential, impact on communication, empathy, privacy, and professionalism. The attitude toward mobile device usage by health care providers in the emergency department was the main outcome variable. A stepwise logistic regression model was used to assess the association between the outcome variable and the demographic and attitude-related independent variables. Results Among the 438 eligible patients, 338 patients responded to the questionnaire for a response rate of 70.0%. Overall, 313/338 (92.6%) respondents agreed that mobile devices improve health care delivery, whereas 132/338 (39.1%) respondents were opposed to their usage by health care providers in the emergency department (95% CI: 34.0-44.4). The majority (240/338, 71.0%) of patients agreed that mobile devices are a source of distraction to health care providers in the workplace. Females (odds ratio [OR]=1.67, 95% CI: 1.00-2.78) as well as all patients (OR=2.54, 95% CI 1.36-4.76) who believed that mobile devices were a source of distraction, reflecting a lack of professionalism (OR=2.77, 95% CI 1.59-4.82) and impacting the provider’s ability to relate to the patient (OR=2.93, 95% CI 1.72-4.99), were more likely to agree that mobile devices should not be used in the emergency department. Conclusions Patients’ negative attitude toward mobile device use in the emergency department is largely driven by patient gender (females), patient perception of the distraction potential of the devices, and their negative impact on the health care provider’s empathy and professionalism. The findings of this study shed light on the importance of encouraging stakeholders to impose a digital professionalism code of conduct for providers working in acute health care settings.

scholarly journals Patient Attitudes Toward Mobile Device Use by Health Care Providers in the Emergency Department: Cross-Sectional Survey (Preprint)

2019 ◽  
Author(s):  
Mohamad Alameddine ◽  
Hani Tamim ◽  
Dima Hadid ◽  
Mohamad-Ali Cheaito ◽  
Maha Makki ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Mobile Devices ◽  
Health Care Providers ◽  
Mobile Device ◽  
Outcome Variable ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Device Use

BACKGROUND Health care provider usage of mobile devices is increasing globally; however, there is little understanding of patient perceptions on this behavior in a health care setting. OBJECTIVE The aim of this study was to assess patients’ attitudes toward mobile device usage by health care providers in the emergency department and to identify predictors of these attitudes. METHODS The study was carried out at the emergency department of a large academic tertiary care medical center in Lebanon. A cross-sectional survey design was adopted by administering a questionnaire to medically stable adult patients who presented to the emergency department with an emergency severity index of 3, 4, or 5 between January 2017 and March 2018. The questionnaire collected relevant patient demographic information and included questions related to their mobile device usage along with those evaluating attitudes for the use of mobile devices by health care providers with respect to six major domains: role in health care, distraction potential, impact on communication, empathy, privacy, and professionalism. The attitude toward mobile device usage by health care providers in the emergency department was the main outcome variable. A stepwise logistic regression model was used to assess the association between the outcome variable and the demographic and attitude-related independent variables. RESULTS Among the 438 eligible patients, 338 patients responded to the questionnaire for a response rate of 70.0%. Overall, 313/338 (92.6%) respondents agreed that mobile devices improve health care delivery, whereas 132/338 (39.1%) respondents were opposed to their usage by health care providers in the emergency department (95% CI: 34.0-44.4). The majority (240/338, 71.0%) of patients agreed that mobile devices are a source of distraction to health care providers in the workplace. Females (odds ratio [OR]=1.67, 95% CI: 1.00-2.78) as well as all patients (OR=2.54, 95% CI 1.36-4.76) who believed that mobile devices were a source of distraction, reflecting a lack of professionalism (OR=2.77, 95% CI 1.59-4.82) and impacting the provider’s ability to relate to the patient (OR=2.93, 95% CI 1.72-4.99), were more likely to agree that mobile devices should not be used in the emergency department. CONCLUSIONS Patients’ negative attitude toward mobile device use in the emergency department is largely driven by patient gender (females), patient perception of the distraction potential of the devices, and their negative impact on the health care provider’s empathy and professionalism. The findings of this study shed light on the importance of encouraging stakeholders to impose a digital professionalism code of conduct for providers working in acute health care settings.

scholarly journals Addressing Decision Making in Progesterone Treatment for History of Preterm Delivery

2019 ◽  
Vol 09 (03) ◽  
pp. e244-e250 ◽  
Author(s):  
Jacqueline Zuponcic ◽  
Connie Cottrell ◽  
Justin Lavin ◽  
Wendy Facchini ◽  
Marissa Li
Keyword(s):  
Health Care ◽  
Preterm Birth ◽  
Health Care Providers ◽  
The United States ◽  
Phone Call ◽  
Premature Delivery ◽  
Care Providers ◽  
Patient Counseling ◽  
History Of

Introduction The United States ranks 27th among nations worldwide for infant mortality with a rate of 6.1 deaths per 1,000 live births. The majority of perinatal morbidity and mortality is related to preterm birth, defined as delivery prior to 37 weeks' gestation. Among the risk factors for preterm birth is prior preterm birth, which is associated with a 1.5- to 2.0-fold increase in risk. At the present time, there is only one Food and Drug Administration approved treatment for the prevention of preterm birth among women with a history of prior spontaneous premature delivery, intramuscular 17-α-hydroxyprogesterone caproate (17-OHP), administered once weekly from 20 to 36 weeks' gestation. However, many eligible pregnant patients decline this therapy. Methods This was a prospective, cohort study involving patients who were identified as candidates for 17-OHP treatment at their first obstetric visit and asked to complete a short survey regarding their history of preterm birth. Those patients who consented to a follow-up phone call were asked to participate in a focus group discussion regarding their experience with progesterone and the health care system. Results During the 1-year study period, 55 progesterone candidates were identified, 43 accepted treatment, 7 refused, and 5 either initiated prenatal care too late to receive injections or did not follow-up. Those who accepted treatment appeared to cope better with treatment side effects, and/or had traumatic emotional reactions regarding their prior premature birth outcomes. Women who declined treatment often cited pain with injection, had fatalistic beliefs regarding their care, and/or had personal concerns related to full-term pregnancy. Discussion Maternal health care providers should always discuss the implications of prematurity at the time of the index premature delivery and again at the first prenatal visit of the subsequent pregnancy. Providers need to be prepared to employ various techniques for patient counseling and education. Small changes in office practice, like having fewer care providers involved in patient care or providing distractions for children, may make the difference between a patient who is open or closed to treatment options.

scholarly journals Connecting Older Adults With Mental Health Apps: A Survey of Provider App and Education Material Use

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 865-865
Author(s):  
Priyanka Mehta ◽  
Chalise Carlson ◽  
Jason Anderson ◽  
Ana Alfaro ◽  
Erin Sakai ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Analysis ◽  
Mobile Devices ◽  
Health Care Providers ◽  
Care Providers ◽  
Educational Materials ◽  
Health Apps ◽  
Education Material ◽  
Novice Users

Abstract Many older veterans have access to mobile devices and are interested in using apps for mental health self-management, but few have ever downloaded health apps. To address the need for awareness of and access to VA mental health apps, we developed patient educational materials aimed towards older (or novice) users of mobile devices. The present study explored health care providers’ and staff’s perceptions about use of mental health mobile applications (apps) with older veterans and examined potential utility of these patient educational materials. Requestors of mobile device education materials (N = 90) were surveyed when ordering materials and again 4 months later. Baseline and follow-up surveys assessed frequency of app recommendation, and comfort recommending apps. Baseline surveys examined perceived advantages of apps; follow-up surveys examined perceived utility of the educational materials. Descriptive statistics and qualitative analysis were conducted. Most requesters (68.5%) initially were not comfortable using apps, yet perceived many advantages to using apps and hoped materials could facilitate app use. At follow-up, requestors felt more comfortable recommending apps alongside our materials. Qualitative analysis revealed perceived advantages to using the education materials. The benefits of developing and disseminating educational materials for providers to share with older veterans helped support older veterans’ app use, and potentially increased providers’ comfort with and frequency of recommending apps to their older patients. Access to educational materials can mitigate discomfort among providers in recommending apps to older users and may bring about valuable discussions about apps which support mental health.

scholarly journals Best Practices in Counseling Young Female Cancer Survivors on Reproductive Health

2017 ◽  
Vol 35 (04) ◽  
pp. 378-389 ◽  
Author(s):  
Ksenya Shliakhtsitsava ◽  
Deepika Suresh ◽  
Tracy Hadnott ◽  
H. Su
Keyword(s):  
Reproductive Health ◽  
Cancer Survivors ◽  
Health Care Providers ◽  
Chromosomal Abnormalities ◽  
The United States ◽  
Reproductive Age ◽  
Care Providers ◽  
History Of ◽  
Adverse Pregnancy ◽  
History Of Cancer

AbstractIn the United States, there are more than 400,000 girls and young women of reproductive-age with a history of cancer. Cancer treatments including surgery, chemotherapy, targeted therapy, and radiation can adversely impact their reproductive health. This review discusses infertility, contraception, and adverse pregnancy and child health outcomes in reproductive-aged cancer survivors, to increase awareness of these health risks for survivors and their health care providers. Infertility rates are modestly higher, while rates of using contraception and using highly effective contraceptive methods are lower in cancer survivors than in women without a history of cancer. During pregnancy, preterm births are also more common in survivors, resulting in more low-birth-weight offspring. Children of cancer survivors do not have more childhood cancers, birth defects, or chromosomal abnormalities than the general population, with the exception of families with hereditary cancer. Reproductive risks in survivors depend on cancer treatment exposures. For example, women with prior abdominal or pelvic radiation have additional risks of spontaneous abortions, small-for-gestational-age offspring and stillbirths, while those with prior chest radiation or anthracycline exposures have higher risks of cardiomyopathy. To help survivors achieve their reproductive goals safely, family planning and preconception counseling are central to survivorship care.

scholarly journals School-Based Sedentary Behavior, Physical Activity, and Health-Related Outcomes among Hispanic Children in the United States: A Cross-Sectional Study

2020 ◽  
Vol 17 (4) ◽  
pp. 1197 ◽  
Author(s):  
Xiangli Gu ◽  
Tao Zhang ◽  
Senlin Chen ◽  
M Jean Keller ◽  
Xiaoxia Zhang
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Cardiorespiratory Fitness ◽  
Health Care Providers ◽  
Weight Status ◽  
The United States ◽  
Care Providers ◽  
Hispanic Children ◽  
School Based ◽  
Health Related

The main purpose of this study was to examine the relationships between school-based sedentary behavior, physical activity, and health-related outcomes, including cardiorespiratory fitness, weight status, and health-related quality of life (HRQOL) among Hispanic children. The participants were 374 children (192 boys, 182 girls; Mage = 9.64) recruited from four elementary schools from 3rd grade through to 5th grade. Sedentary behavior and physical activity behaviors (light physical activity [LPA] and moderate-to-vigorous physical activity (MVPA)) during school were measured by accelerometers. Cardiorespiratory fitness and weight status were measured using the FITNESSGRAM®, while HRQOL was measured using the PedsQL 4.0TM Spanish version, a validated questionnaire. Sedentary behavior was negatively correlated with cardiorespiratory fitness and HRQOL but positively associated with weight status. MVPA was positively correlated with cardiorespiratory fitness and HRQOL, but negatively associated with weight status and sedentary behavior. Multiple regressions demonstrated that sedentary behavior significantly predicted cardiorespiratory fitness and weight status, whereas MVPA significantly predicted HRQOL. With the current public health priority aiming to reduce health disparities in minority populations, the findings of this study provide important insights. Educators, health care providers, or other professionals working with Hispanic children are encouraged to focus on reducing sedentary behavior and promoting physical activity to improve their health-related outcomes.

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