Development of mHealth system for supporting self-management and remote consultation of skincare
Identifieur interne : 001F06 ( Main/Exploration ); précédent : 001F05; suivant : 001F07Development of mHealth system for supporting self-management and remote consultation of skincare
Auteurs : Bambang Parmanto [États-Unis] ; Gede Pramana [États-Unis] ; Daihua X. Yu [États-Unis] ; Andrea D. Fairman [États-Unis] ; Brad E. Dicianno [États-Unis]Source :
- BMC Medical Informatics and Decision Making [ 1472-6947 ] ; 2015.
Abstract
Individuals with spina bifida (SB) are vulnerable to chronic skin complications such as wounds on the buttocks and lower extremities. Most of these complications can be prevented with adherence to self-care routines. We have developed a mobile health (mHealth) system for supporting self-care and management of skin problems called SkinCare as part of an mHealth suite called iMHere (interactive Mobile Health and Rehabilitation). The objective of this research is to develop an innovative mHealth system to support self-skincare tasks, skin condition monitoring, adherence to self-care regimens, skincare consultation, and secure two-way communications between patients and clinicians.
In order to support self-skincare tasks, the SkinCare app requires three main functions: (1) self-care task schedule and reminders, (2) skin condition monitoring and communications that include imaging, information about the skin problem, and consultation with clinician, and (3) secure two-way messaging between the patient and clinician (wellness coordinator). The SkinCare system we have developed consists of the SkinCare app, a clinician portal, and a two-way communication protocol connecting the two. The SkinCare system is one component of a more comprehensive system to support a wellness program for individuals with SB.
The SkinCare app has several features that include reminders to perform daily skin checks as well as the ability to report skin breakdown and injury, which uses a combination of skin images and descriptions. The SkinCare app provides reminders to visually inspect one’s skin as a preventative measure, often termed a “skin check.” The data is sent to the portal where clinicians can monitor patients’ conditions. Using the two-way communication, clinicians can receive pictures of the skin conditions, track progress in healing over time, and provide instructions for how to best care for the wound.
The system was capable of supporting self-care and adherence to regimen, monitoring adherence, and supporting clinician engagement with patients, as well as testing its feasibility in a long-term implementation. The study shows the feasibility of a long-term implementation of skincare mHealth systems to support self-care and two-way interactions between patients and clinicians.
Url:
DOI: 10.1186/s12911-015-0237-4
PubMed: 26714452
PubMed Central: 4696204
Affiliations:
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Yu</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Health Information Management, University of Pittsburgh, 6026 Forbes Tower, Pittsburgh, PA 15260 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Health Information Management, University of Pittsburgh, 6026 Forbes Tower, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Fairman, Andrea D" sort="Fairman, Andrea D" uniqKey="Fairman A" first="Andrea D." last="Fairman">Andrea D. 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Yu</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Health Information Management, University of Pittsburgh, 6026 Forbes Tower, Pittsburgh, PA 15260 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Health Information Management, University of Pittsburgh, 6026 Forbes Tower, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Fairman, Andrea D" sort="Fairman, Andrea D" uniqKey="Fairman A" first="Andrea D." last="Fairman">Andrea D. Fairman</name><affiliation wicri:level="2"><nlm:aff id="Aff2">Department of Occupational Therapy, MGH Institute of Health Professions, Boston, MA 02129 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Department of Occupational Therapy, MGH Institute of Health Professions, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Dicianno, Brad E" sort="Dicianno, Brad E" uniqKey="Dicianno B" first="Brad E." last="Dicianno">Brad E. Dicianno</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA 15260 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation></author></analytic><series><title level="j">BMC Medical Informatics and Decision Making</title><idno type="eISSN">1472-6947</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Individuals with spina bifida (SB) are vulnerable to chronic skin complications such as wounds on the buttocks and lower extremities. Most of these complications can be prevented with adherence to self-care routines. We have developed a mobile health (mHealth) system for supporting self-care and management of skin problems called SkinCare as part of an mHealth suite called iMHere (interactive Mobile Health and Rehabilitation). The objective of this research is to develop an innovative mHealth system to support self-skincare tasks, skin condition monitoring, adherence to self-care regimens, skincare consultation, and secure two-way communications between patients and clinicians.</p></sec><sec><title>Methods</title><p>In order to support self-skincare tasks, the SkinCare app requires three main functions: (1) self-care task schedule and reminders, (2) skin condition monitoring and communications that include imaging, information about the skin problem, and consultation with clinician, and (3) secure two-way messaging between the patient and clinician (wellness coordinator). The SkinCare system we have developed consists of the SkinCare app, a clinician portal, and a two-way communication protocol connecting the two. The SkinCare system is one component of a more comprehensive system to support a wellness program for individuals with SB.</p></sec><sec><title>Results</title><p>The SkinCare app has several features that include reminders to perform daily skin checks as well as the ability to report skin breakdown and injury, which uses a combination of skin images and descriptions. The SkinCare app provides reminders to visually inspect one’s skin as a preventative measure, often termed a “skin check.” The data is sent to the portal where clinicians can monitor patients’ conditions. Using the two-way communication, clinicians can receive pictures of the skin conditions, track progress in healing over time, and provide instructions for how to best care for the wound.</p></sec><sec><title>Conclusions</title><p>The system was capable of supporting self-care and adherence to regimen, monitoring adherence, and supporting clinician engagement with patients, as well as testing its feasibility in a long-term implementation. The study shows the feasibility of a long-term implementation of skincare mHealth systems to support self-care and two-way interactions between patients and clinicians.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Dicianno, Be" uniqKey="Dicianno B">BE Dicianno</name></author><author><name sortKey="Wilson, R" uniqKey="Wilson R">R Wilson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wilson, R" uniqKey="Wilson R">R Wilson</name></author><author><name sortKey="Lewis, Sa" uniqKey="Lewis S">SA Lewis</name></author><author><name sortKey="Dicianno, Be" uniqKey="Dicianno B">BE Dicianno</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ottolini, K" uniqKey="Ottolini K">K Ottolini</name></author><author><name sortKey="Harris, Ab" uniqKey="Harris A">AB Harris</name></author><author><name sortKey="Amling, Jk" uniqKey="Amling J">JK 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Ab" uniqKey="Harris A">AB Harris</name></author><author><name sortKey="Amling, Jk" uniqKey="Amling J">JK Amling</name></author><author><name sortKey="Kennelly, Am" uniqKey="Kennelly A">AM Kennelly</name></author><author><name sortKey="Phillips, La" uniqKey="Phillips L">LA Phillips</name></author><author><name sortKey="Tosi, Ll" uniqKey="Tosi L">LL Tosi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bier, Ja" uniqKey="Bier J">JA Bier</name></author><author><name sortKey="Prince, A" uniqKey="Prince A">A Prince</name></author><author><name sortKey="Tremont, M" uniqKey="Tremont M">M Tremont</name></author><author><name sortKey="Msall, M" uniqKey="Msall M">M Msall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mahmood, D" uniqKey="Mahmood D">D Mahmood</name></author><author><name sortKey="Dicianno, B" uniqKey="Dicianno B">B Dicianno</name></author><author><name sortKey="Bellin, M" uniqKey="Bellin M">M 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Rolnitzky</name></author><author><name sortKey="Bell, D" uniqKey="Bell D">D Bell</name></author><author><name sortKey="Rennert, R" uniqKey="Rennert R">R Rennert</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Eminovic, N" uniqKey="Eminovic N">N Eminovic</name></author><author><name sortKey="Dijkgraaf, M" uniqKey="Dijkgraaf M">M Dijkgraaf</name></author><author><name sortKey="Berghout, R" uniqKey="Berghout R">R Berghout</name></author><author><name sortKey="Prins, A" uniqKey="Prins A">A Prins</name></author><author><name sortKey="Bindels, P" uniqKey="Bindels P">P Bindels</name></author><author><name sortKey="De Kaizer, N" uniqKey="De Kaizer N">N de-Kaizer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Massone, C" uniqKey="Massone C">C Massone</name></author><author><name sortKey="Hofmann Wellenhof, R" uniqKey="Hofmann Wellenhof R">R Hofmann-Wellenhof</name></author><author><name sortKey="Ahlgrimm Siess, V" uniqKey="Ahlgrimm Siess V">V Ahlgrimm-Siess</name></author><author><name sortKey="Gabler, G" uniqKey="Gabler G">G Gabler</name></author><author><name sortKey="Ebner, C" uniqKey="Ebner C">C Ebner</name></author><author><name sortKey="Soyer, Hp" uniqKey="Soyer H">HP Soyer</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Turner, Cw" uniqKey="Turner C">CW Turner</name></author><author><name sortKey="Lewis, Jr" uniqKey="Lewis J">JR Lewis</name></author><author><name sortKey="Nielsen, J" uniqKey="Nielsen J">J Nielsen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Parmanto, Bambang" sort="Parmanto, Bambang" uniqKey="Parmanto B" first="Bambang" last="Parmanto">Bambang Parmanto</name></region><name sortKey="Dicianno, Brad E" sort="Dicianno, Brad E" uniqKey="Dicianno B" first="Brad E." last="Dicianno">Brad E. Dicianno</name><name sortKey="Fairman, Andrea D" sort="Fairman, Andrea D" uniqKey="Fairman A" first="Andrea D." last="Fairman">Andrea D. Fairman</name><name sortKey="Pramana, Gede" sort="Pramana, Gede" uniqKey="Pramana G" first="Gede" last="Pramana">Gede Pramana</name><name sortKey="Yu, Daihua X" sort="Yu, Daihua X" uniqKey="Yu D" first="Daihua X." last="Yu">Daihua X. Yu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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