e-Health-com News
“Wissenschaftler der Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie des Universitätsklinikums Leipzig haben eine Internettherapie entwickelt, die speziell auf die Essstörung “Binge Eating” ausgerichtet ist.
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BiztechAfrica
“Vodafone mHealth Solutions, a global team working with mobile communications for healthcare, has released a guide which delivers insights into the acceptance of new mobile health services in the developed world. With input from a series of industry specialists, the new Insights Guide focuses on one of the fundamental barriers to the adoption of mHealth: human behaviour.
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Nicole Lewis, InformationWeek Healthcare
“The federal Substance Abuse and Mental Health Services Administration (SAMHSA) has awarded $25 million to help behavioral health organizations implement health IT to enable clinicians to access, manage, and monitor patient data.
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Salathé M, Khandelwal S. PLoS Comput Biol, 7(10)
There is great interest in the dynamics of health behaviors in social networks and how they affect collective public health outcomes, but measuring population health behaviors over time and space requires substantial resources. Here, we use publicly available data from 101,853 users of online social media collected over a time period of almost six months to measure the spatio-temporal sentiment towards a new vaccine. We validated our approach by identifying a strong correlation between sentiments expressed online and CDC-estimated vaccination rates by region.
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Eryn Brown, Los Angeles Times
“There’s a lot you can read about on Twitter — including, it now appears, the patterns of human moods.
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Katherine Gombay, Medical Xpress
“In a pilot project for the Public Health Agency of Canada, diabetic patients in four regions of Quebec – the Lower North Shore, the Îles de la Madeleine, and in two different areas in Montreal – submitted their blood sugar readings to the nurse on a daily basis, using a secure website. Patients also answered a series of questions daily about their exercise, diet, and food care practices.
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Robert Rowley, EHR Bloggers
“The leading causes of death in the U.S., based on data from the year 2000 – heart disease, cancer, stroke, chronic lung disease, etc. – are actually surrogates for what has been called the actual causes of death – unhealthy behaviors such as tobacco use, poor diet and physical inactivity. A recent blog piece underscored this point quite nicely.
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Bosworth HB et al, Archives of Internal Medicine, 171(13)
BACKGROUND
To determine which of 3 interventions was most effective in improving blood pressure (BP) control, we performed a 4-arm randomized trial with 18-month follow-up at the primary care clinics at a Veterans Affairs Medical Center.
METHODS
Eligible patients were randomized to either usual care or 1 of 3 telephone-based intervention groups: (1) nurse-administered behavioral management, (2) nurse- and physician-administered medication management, or (3) a combination of both. Of the 1551 eligible patients, 593 individuals were randomized; 48% were African American. The intervention telephone calls were triggered based on home BP values transmitted via telemonitoring devices. Behavioral management involved promotion of health behaviors. Medication management involved adjustment of medications by a study physician and nurse based on hypertension treatment guidelines.
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Katherine Rourke, EMR and EHR
“The current narrative suggests that doctors who won’t buy in to the EMR movement are buggy-whip makers, too. They’re, let me see now, uncooperative, stubborn, inflexible, timid, recalcitrant, defiant…got any more? Clearly, any doctor who’s being dragged kicking and screaming into digital medicine is an old fogey or an arrogant type who deserves to be put into their place. Right?
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Peter Orszag, Bloomberg View
“I now have more health information on my wrist than my doctor had about me 10 years ago, and I’m hopeful that it’s going to help keep me healthier.
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Eysenbach G. American Journal of Preventive Medicine, 40(5 Suppl 2)
Infodemiology, an emerging area of research at the crossroads of consumer health informatics and public health informatics, as well as infometrics and web analytics tools, can be defined as the science of distribution and determinants of information in an electronic medium, specifically the Internet, with the ultimate aim to inform public health and public policy. Infodemiology data (derived from unstructured, textual, openly accessible information produced and consumed by the public on the Internet, such as blogs, websites, and query and navigation data) can be collected and analyzed in near real-time.
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Juzang I et al, J Telemed Telecare, 17(3)
We explored the feasibility of engaging young black men in a 12-week text messaging programme about HIV prevention. There were two non-randomized groups of 30 young men each. The participants were aged 16-20 years, self-identifying as black or African-American, sexually active, who owned a mobile phone and lived in Philadelphia. They received three text messages per week for 12 weeks. People in the intervention group received text messages about HIV prevention, while those in the control group received text messages about nutrition.
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Shank N et al, Community Mental Health Journal, 2011
Interviews with 32 community behavioral health providers elicited perceived benefits and barriers of using electronic health records. Themes identified were (a) quality of care, (b) privacy and security, and (c) delivery of services. Benefits to quality of care were mentioned by 100% of the providers, and barriers by 59% of providers.
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Gary Wolf, The Health Care Blog
“The Quantified Self is a global collaboration of users and tool-makers interested in the personal meaning of personal data. There are now Quantified Self groups in more than twenty cities around the world. Our inspiration is the Homebrew Computer Club. Once upon a time, computers were thought to be useful only for scientists, managers, and planners.
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Read JL, Shortell SM. JAMA, 2011
Anyone who has observed someone deeply absorbed in a video game can appreciate that use of these games is a uniquely powerful interaction. For the player, time stands still and self-consciousness disappears. Csikszentmihalyi described this state as “flow.” His concept was exemplified by mountain climbers living in the moment of ascent or surgeons lost in a delicate and demanding task. He could just as well have been describing what happens when individuals engage with some of today’s interactive games.
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Bhavnani V et al, Family Practice, 28(2)
BACKGROUND
Record access is likely to become an integral part of routine care in the UK. While existing research suggests that record access improves self-care and improves relationships between patients and clinicians, little is known about how patients make use of their ability to access their records or the impact that this has on health behaviour.
AIM
To explore patients’ use of access to their electronic GP record and the impact of that process on their health behaviour.
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Text to Change
“As part of the Mobile Phone Panel (SMS) Reporting for Behaviour Change Communication in HIV Prevention in Tanzania, SecondMuse and Text to Change were contracted to setup and test a SMS-based questionnaire in English and Swahili for religious and community leaders.
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Leonardo De La Rocha, Yahoo! News
“With the recent mobile app boom, those seeking to be more health-conscious have a seemingly endless selection of tools that claim to help make them healthier by tracking diets, counting calories and even connecting people with others trying to stay active and eat better.
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Domingo M et al, European Journal of Cardiovascular Nursing, 2011
BACKGROUND:
Telemedicine can be useful for managing heart failure (HF), but patient acceptance of telemedicine and its impact on patient behavior are unclear. AIMS: To assess a telemedicine program in a HF Unit.
METHODS AND RESULTS:
This sub-analysis of the CARME study assessed the use of an interactive telemedicine platform. This prospective intervention study had a before/after design with HF patients randomized 1:1 into two groups: A) Motiva system (educational videos, motivational messages, and questionnaires); and B) Motiva system+telemonitoring of blood pressure, heart rate and weight. Of 211 patients screened, 44 were excluded, 62 did not consent to participate and 8 withdrew consent prior to installation of the system.
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“Jay H. Sanders, professor of medicine at Johns Hopkins University, discussed telemedicine’s influence on health care delivery and social issues in McCrary Theatre Wednesday night. Although Sanders’ colleagues name him the father of Telemedicine, he rejected the title.
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