K4Health
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This Digital Health Resource Library houses three legacy collections previously maintained by the Knowledge for Health (K4Health) Project. K4Health’s work was made possible by the support of the American People through the United States Agency for International Development (USAID) . K4Health was supported from 2008-2019 by USAID's Office of Population and Reproductive Health, Bureau for Global Health, under cooperative agreements with the Johns Hopkins University. K4Health was implemented by the Johns Hopkins Center for Communication Programs (CCP) in collaboration with FHI 360, Management Sciences for Health (MSH), and IntraHealth International. The K4Health Project ended in September 2019.
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Browsing K4Health by Subject "Access to information or data"
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- Item10 useful apps for everyday pediatric use.(2012-05-16) Blackmon, Lindsay B
- ItemA 21st century approach to tackling dengue: Crowdsourced surveillance, predictive mapping and tailored communication.(2016-01-06) Lwin, May O; Vijaykumar, Santosh; Fernando, Owen Noel Newton; Cheong, Siew Ann; Rathnayake, Vajira Sampath; Lim, Gentatsu; Theng, Yin-Leng; Chaudhuri, Subhasis; Foo, SchubertThis paper describes a social media system to prevent dengue in Sri Lanka and potentially in the rest of the South and Southeast Asia regions The system integrates three concepts of public health prevention that have thus far been implemented only in silos First the predictive surveillance component uses a computer simulation to forewarn health authorities and the general public about impending disease outbreaks The civic engagement component allows the general public to use social media tools to interact and engage with health authorities by aiding them in surveillance efforts by reporting symptoms mosquito bites and breeding sites using smartphone technologies The health communication component utilizes citizen data gathered from the first two components to disseminate customized health awareness messages to enhance knowledge and increase preventive behaviors among citizens The system known as Mo Buzz will be made available on a host of digital platforms like simple mobile phones smart phones and a website We present challenges and lessons learnt including content validation stakeholder collaborations and applied trans disciplinary research
- ItemABase-a tool for the rapid assessment of anthropometric measurements on handheld computers.(2003-08-11) Zankl, Andreas; Molinari, LucianoAnthropometry is widely recognized as an important method in the evaluation of dysmorphic children Nevertheless it has never gained widespread clinical use We believe that this has mainly practical reasons appropriate growth charts are not readily available at the bedside or in clinic and taking multiple measurements and plotting them into corresponding growth charts is a time consuming task Here we describe a computer program that overcomes both problems ABase compares entered anthropometric measurements to a database of age and sex matched reference values calculates the centile rank and displays the result either as text or as a digitized growth chart The program runs on small handheld computers that can easily be carried around in a shirt pocket
- ItemAcceptability and user satisfaction of a smartphone-based, interactive blood glucose management system in women with gestational diabetes mellitus.(2014-12-31) Hirst, Jane E; Mackillop, Lucy; Loerup, Lise; Kevat, Dev A; Bartlett, Katy; Gibson, Oliver; Kenworthy, Yvonne; Levy, Jonathan C; Tarassenko, Lionel; Farmer, AndrewThe increase in gestational diabetes mellitus GDM is challenging maternity services We have developed an interactive smartphone based remote blood glucose BG monitoring system GDm health The objective was to determine women s satisfaction with using the GDm health system and their attitudes toward their diabetes care In a service development program involving 52 pregnant women September 2012 to June 2013 BG was monitored using GDm health from diagnosis until delivery Following birth women completed a structured questionnaire assessing 1 general satisfaction 2 equipment issues and 3 relationship with the diabetes care team Responses were scored on a 7 point Likert type scale Reliability and validity of the questionnaire were assessed using statistical methods Of 52 women 49 completed the questionnaire 32 had glucose tolerance test confirmed GDM gestation at recruitment 29 4 weeks mean SD and 17 women previous GDM recommended for BG monitoring 18 6 weeks In all 45 of 49 women agreed their care was satisfactory and the best for them 47 of 49 and 43 of 49 agreed the equipment was convenient and reliable respectively 42 of 49 agreed GDm health fitted into their lifestyle and 46 of 49 agreed they had a good relationship with their care team Written comments supported these findings with very positive reactions from the majority of women Cronbach s alpha was 89 with factor analysis corresponding with question thematic trends This pilot demonstrates that GDm health is acceptable and convenient for a large proportion of women Effects on clinical and economic outcomes are currently under investigation in a randomized trial clinicaltrials gov NCT01916694
- ItemAcceptability of delivering and accessing health information through text messaging among community health advisors.(2014-08-07) Schoenberger, Yu-Mei; Phillips, Janice; Mohiuddin, Mohammed Omar; McNees, Patrick; Scarinci, IsabelBACKGROUND Communication technologies can play a significant role in decreasing communication inequalities and cancer disparities by promoting cancer control and enhancing population and individual health Studies have shown that technology such as the mobile phone short message service SMS or text messaging can be an effective health communication strategy that influences individuals health related decisions behaviors and outcomes OBJECTIVE The purpose of this study was to explore usage of communication technologies assess the acceptability of mobile technology for delivery and access of health information and identify cancer and health information needs among Deep South Network for Cancer Control trained Community Health Advisors as Research Partners CHARPs METHODS A mixed method design was used and a triangulation protocol was followed to combine quantitative and qualitative data Focus groups 4 focus groups n 37 and self administered surveys n 77 were conducted to determine CHARPs mobile phone and text message usage The objective was to include identification of barriers and facilitators to a mobile phone intervention RESULTS All participants were African American 37 37 100 11 37 89 were women and the mean age was 53 4 SD 13 9 focus groups and 59 9 SD 8 7 survey Nearly all 33 37 89 of focus group participants reported owning a mobile phone Of those 8 33 24 owned a smartphone 22 33 67 had a text messaging plan and 18 33 55 and 11 33 33 received and sent text messages several times a week or day respectively Similar responses were seen among the survey participants with 75 77 97 reporting owning a mobile phone and of those 22 75 30 owned a smartphone 39 75 53 had a text messaging plan and 37 75 50 received and 27 75 37 sent text messages several times a week or day The benefits of a text messaging system mentioned by focus group participants included alternative form of communication quick method for disseminating information and privacy of communication The main barriers reported by both groups to using mobile technology to receive health information were cost and not knowing how to text message Ways to overcome barriers were explored with focus group participants and education was the most proposed solution Majority of CHARPs were in favor of receiving a weekly text message that would provide cancer health information CONCLUSIONS The findings from this study indicate that CHARPs are receptive to receiving text messages focusing on cancer health information and would be likely to engage in mobile health research These findings represent the first step in the development of an interactive mobile health program designed to provide cancer health information and a support network for the Deep South Network Community Health Advisors as Research Partners DSN CHARPs
- ItemAcceptability of smartphone application-based HIV prevention among young men who have sex with men.(2014-01-29) Holloway, Ian W; Rice, Eric; Gibbs, Jeremy; Winetrobe, Hailey; Dunlap, Shannon; Rhoades, HarmonyYoung men who have sex with men YMSM are increasingly using mobile smartphone applications apps such as Grindr to meet sex partners A probability sample of 195 Grindr using YMSM in Southern California were administered an anonymous online survey to assess patterns of and motivations for Grindr use in order to inform development and tailoring of smartphone based HIV prevention for YMSM The number one reason for using Grindr 29 was to meet hook ups Among those participants who used both Grindr and online dating sites a statistically significantly greater percentage used online dating sites for hook ups 42 compared to Grindr 30 Seventy percent of YMSM expressed a willingness to participate in a smartphone app based HIV prevention program Development and testing of smartphone apps for HIV prevention delivery has the potential to engage YMSM in HIV prevention programming which can be tailored based on use patterns and motivations for use
- ItemAchieving HIV risk reduction through HealthMpowerment.org, a user-driven eHealth intervention for young Black men who have sex with men and transgender women who have sex with men.(2015-01-16) Muessig, Kathryn E; Baltierra, Nina B; Pike, Emily C; Legrand, Sara; Hightow-Weidman, Lisa BYoung Black men who have sex with men and transgender women who have sex with men YBMSM TW are at disproportionate risk for HIV and other sexually transmitted infections HIV STI HealthMpowerment org HMP is a mobile phone optimised online intervention that utilises behaviour change and gaming theories to reduce risky sexual behaviours and build community among HIV positive and negative YBMSM TW The intervention is user driven provides social support and utilises a point reward system A four week pilot trial was conducted with a diverse group of 15 YBMSM TW During exit interviews participants described how HMP components led to behaviour changes such as asking partners sexual history increased condom use and HIV STI testing The user driven structure interactivity and rewards appeared to facilitate sustained user engagement and the mobile platform provided relevant information in real time Participants described the reward elements of exceeding their previous scores and earning points toward prizes as highly motivating HMP showed promise for being able to deliver a sufficient intervention dose and we found a trend toward higher dose received and more advanced stages of behaviour change In this pilot trial HMP was well accepted and demonstrates promise for translating virtual intervention engagement into actual behaviour change to reduce HIV risk behaviours
- ItemAn adaptive physical activity intervention for overweight adults: a randomized controlled trial.(2013-12-18) Adams, Marc A; Sallis, James F; Norman, Gregory J; Hovell, Melbourne F; Hekler, Eric B; Perata, ElyseBACKGROUND Physical activity PA interventions typically include components or doses that are static across participants Adaptive interventions are dynamic components or doses change in response to short term variations in participant s performance Emerging theory and technologies make adaptive goal setting and feedback interventions feasible OBJECTIVE To test an adaptive intervention for PA based on Operant and Behavior Economic principles and a percentile based algorithm The adaptive intervention was hypothesized to result in greater increases in steps per day than the static intervention METHODS Participants N 20 were randomized to one of two 6 month treatments 1 static intervention SI or 2 adaptive intervention AI Inactive overweight adults 85 women M 36 9 9 2 years 35 non white in both groups received a pedometer email and text message communication brief health information and biweekly motivational prompts The AI group received daily step goals that adjusted up and down based on the percentile rank algorithm and micro incentives for goal attainment This algorithm adjusted goals based on a moving window an approach that responded to each individual s performance and ensured goals were always challenging but within participants abilities The SI group received a static 10 000 steps day goal with incentives linked to uploading the pedometer s data RESULTS A random effects repeated measures model accounted for 180 repeated measures and autocorrelation After adjusting for covariates the treatment phase showed greater steps day relative to the baseline phase pUnder 001 and a group by study phase interaction was observed p 017 The SI group increased by 1 598 steps day on average between baseline and treatment while the AI group increased by 2 728 steps day on average between baseline and treatment a significant between group difference of 1 130 steps day Cohen s d 74 CONCLUSIONS The adaptive intervention outperformed the static intervention for increasing PA The adaptive goal and feedback algorithm is a behavior change technology that could be incorporated into mHealth technologies and scaled to reach large populations TRIAL REGISTRATION ClinicalTrials gov NCT01793064
- ItemAdolescents' perceptions of a mobile cell phone text messaging-enhanced intervention and development of a mobile cell phone-based HIV prevention intervention.(2011-12-22) Cornelius, Judith B; St Lawrence, Janet S; Howard, Jacquelyn C; Shah, Deval; Poka, Avinash; McDonald, Delilah; White, Ann CPURPOSE This study examined African American adolescents perceptions of a mobile cell phone MCP enhanced intervention and development of an MCP based HIV prevention intervention DESIGN AND METHODS One focus group was conducted with 11 adolescents who participated in the Becoming a Responsible Teen Text Messaging project RESULTS Adolescents said they benefited from the MCP enhanced approach and were receptive to the idea of developing an MCP based intervention PRACTICE IMPLICATIONS Nurses can use the findings of this report as a starting point in examining the development of MCP based sexuality education with parents and adolescents
- ItemAdolescents' perspectives on the use of a text messaging service for preventive sexual health promotion.(2012-08-27) Perry, Raymond C W; Kayekjian, Karen C; Braun, Rebecca A; Cantu, Michelle; Sheoran, Bhupendra; Chung, Paul JPURPOSE To understand adolescents perspectives on the use of a preventive sexual health text messaging service METHODS Twenty six adolescents aged 15 20 years old were recruited from two teen clinics in Los Angeles County to participate in focus groups Three focus groups were held Discussions focused on the content of the weekly text messages sent by a service called the Hookup as well as the acceptability of using text messaging to relay sexual health education to adolescents Codes and themes were developed from transcripts using standard constant comparison methods RESULTS Participants enjoyed receiving weekly text messages related to sexual health They linked their enjoyment to the message content being informative providing relevant and new information simple automatically limited to small words and short phrases and sociable easily able to be shared with friends Participants also pointed to the convenience and ubiquity of text messaging and generally felt that cost of messages was not a concern Most felt that text messaging provided a sense of privacy for learning about sensitive health topics although a few expressed concerns about stigma from peers seeing the messages CONCLUSIONS Teens may face several barriers to accessing reliable useful and age appropriate information and services for their health The use of text messaging is an innovative way to engage teens in preventive health learning and practices Text messaging may allow efficient delivery of health messages and may offer a discreet way for teens to learn important health information especially for sensitive topics like sexual health
- ItemAdvanced communication infrastructure for pre-hospital EMS care.(2008-11-12) Orthner, Helmuth; Mazza, Giovanni; Mazza, Giovanni Giorgio; Shenvi, Rohit; Battles, MarcieThe traditional communication infrastructure of the pre hospital Emergency Medical System EMS is limited to voice communication using radio or cell phone technologies With the emergence of 3rd Generation wireless networks 3G and enhanced mobile devices capable of data communication e g mobile tablets PDAs with cell phones or cell phones with PDA capabilities the voice communication can be enhanced with interactive data messaging and perhaps even with interactive video communication However video requires substantially more bandwidth which 4th Generation 4G systems are promising However their availability is limited We present an infrastructure that allows dynamic selection of the best data transport mode in the pre hospital EMS environment
- ItemAfrica's cellular solution to TB.(2013-01-08) Appiah, Bernard
- ItemAligning health information technologies with effective service delivery models to improve chronic disease care.(2014-08-06) Bauer, Amy M; Thielke, Stephen M; Katon, Wayne; Unützer, Jürgen; Areán, PatriciaOBJECTIVE Healthcare reforms in the United States including the Affordable Care and HITECH Acts and the NCQA criteria for the Patient Centered Medical Home have promoted health information technology HIT and the integration of general medical and mental health services These developments which aim to improve chronic disease care have largely occurred in parallel with little attention to the need for coordination In this article the fundamental connections between HIT and improvements in chronic disease management are explored We use the evidence based collaborative care model as an example with attention to health literacy improvement for supporting patient engagement in care METHOD A review of the literature was conducted to identify how HIT and collaborative care an evidence based model of chronic disease care support each other RESULTS Five key principles of effective collaborative care are outlined care is patient centered evidence based measurement based population based and accountable The potential role of HIT in implementing each principle is discussed Key features of the mobile health paradigm are described including how they can extend evidence based treatment beyond traditional clinical settings CONCLUSION HIT and particularly mobile health can enhance collaborative care interventions and thus improve the health of individuals and populations when deployed in integrated delivery systems
- ItemThe ALMANACH Project: Preliminary Results and potentiality from Afghanistan(2018-05-14) Bernasconi; A; Crabbé; F; Rossi; R; Qani; I; Vanobberghen; Raab; M; Du Mortier; SUnderdiv Underspan style font size 10 5755px ALMANACH ALgorithms for the MANagement of Acute CHildhood illnesses is an electronic version of IMCI Integrated Management of Childhood Illness running on tablets ALMANACH enhances its concept it integrates well into health staff s daily consultation work and facilitates diagnosis and treatment ALMANACH informs when to refer a child or to perform a rapid diagnostic test RDT recommends the right treatment dosage and synchronizes collected data real time with a Health Management Information System DHIS2 for epidemiological evaluation and decision making Under span Under div Underdiv Andnbsp Under div Underdiv Underspan style font size 10 5755px ObjectivesUnder span Under div Underdiv Underspan style font size 10 5755px Since May 2016 ALMANACH is under investigational deployment in three primary health care facilities in Afghanistan with the goal to improve the quality of care provided to children between 2 months and 5 years old Under span Under div
- ItemAnalysis of the inter- and intra-observer agreement in radiographic evaluation of wrist fractures using the multimedia messaging service.(2012-12-03) Ferrero, Andrea; Garavaglia, Guido; Gehri, Roland; Maenza, Ferruccio; Petri, Gianfranco John; Fusetti, CesareBACKGROUND Orthopaedic surgeons are often asked to evaluate X rays of patients admitted to the Accident and Emergency Department with the suspicion of a wrist fracture or in the case of an evident fracture to decide the correct treatment The aim of this study was to evaluate the feasibility of a correct interpretation of the images of injured wrists on the screen of a last generation mobile phone in order to evaluate if the specialist could make the right diagnosis and choose the correct treatment METHODS Five orthopaedic and one hand surgeons have evaluate the X rays of 67 patients who sustained an injury to their wrist In the case of fracture they were asked to classify it according to the AO and Mayo classification systems The evaluation of the images was accomplished through the PACS and using a mobile phone at a different time In order to check the inter and intra observer reliability the same pattern was followed after a few months RESULTS The mobile phone showed basically the same agreement between the observers highlighting the worsening of the inter and intra observer reliability with the increment of the variables considered by a classification system CONCLUSIONS The present paper confirms that a last generation mobile phone can already be used in the clinical practise of orthopaedic surgeons on call who could use it as a useful device in remote or poorly served areas for a rapid and economic consultation LEVEL OF EVIDENCE The level of evidence of this case is economic and decision analysis level 2
- ItemAnalyzing recommender systems for health promotion using a multidisciplinary taxonomy: A scoping review(2018-05-14) Hors-Fraile, S; Rivera-Romero, O; Schneider, F; Fernandez-Luque, L; Luna-Perejon, F; Civit- Balcells, A; de Vries, HUnderdiv Underspan style font size 10 5755px Recommender systems are information retrieval systems that provide users with relevant items e g through messages Despite their extensive use in the e commerce and leisure domains their application in healthcare is still in its infancy These systems may be used to create tailored health interventions thus reducing the cost of healthcare and fostering a healthier lifestyle in the population Under span Under div Underdiv Andnbsp Under div Underdiv Underspan style font size 10 5755px ObjectiveUnder span Under div Underdiv Underspan style font size 10 5755px This paper identifies categorizes and analyzes the existing knowledge in terms of the literature published over the past 10 years on the use of health recommender systems for patient interventions The aim of this study is to understand the scientific evidence generated about health recommender systems to identify any gaps in this field to achieve the United Nations Sustainable Development Goal 3 SDG3 namely Ensure healthy lives and promote well being for all at all ages and to suggest possible reasons for these gaps as well as to propose some solutions Under span Under div
- ItemAn Android-enabled mobile framework for ensuring quality of life through patient-centric care.(2012-08-09) Koufi, Vassiliki; Malamateniou, Flora; Vassilacopoulos, GeorgeThe drive to achieve excellence in healthcare delivery while containing costs underlies the need for a new generation of applications which facilitate the realization of a patient centric care model Under this emerging care model healthcare delivery can be integrated across the continuum of services from prevention to follow up and care can be coordinated across all settings With care moving out into the community health systems require real time information to deliver coordinated care to patients The integration of leading edge technologies such as mobile technology with Personal Health Records PHRs can meet this requirement by making comprehensive and unified health information available to authorized users at any point of care or decision making through familiar environments such as Google s Android This paper presents a framework that provides ubiquitous access to patients PHRs via Android enabled mobile devices Where possible health information access and management is performed in a transparent way thus enabling healthcare professionals to devote more time on practicing medicine and patients to manage their own health with the least possible intervention This depends heavily on the context which is collected by both Android specific core system services and special purpose software agents with the latter being also responsible for preserving PHR data privacy
- ItemApplication of information and communication technology for scaling up youth sexual and reproductive health.(2012-08-24) Edouard, Elizabeth; Edouard, LindsayThe pervasive presence of the internet and the commonality of mobile devices for communication technology have changed modalities for information exchange Recent developments in information and communication technology ICT have specific implications regarding dissemination of information among youth as exemplified by the Arab spring The opportunity of those emerging technologies should be seized upon ICT platforms should be used to scale up policies and programmes that promote the sexual and reproductive health of youth due to their low cost increased access to remote populations better efficiency and improved flexibility for programming Successful models should be identified through programme evaluation
- ItemApplication of mobile-technology for disease and treatment monitoring of malaria in the "Better Border Healthcare Programme".(2010-09-09) Meankaew, Pongthep; Kaewkungwal, Jaranit; Khamsiriwatchara, Amnat; Khunthong, Podjadeach; Singhasivanon, Pratap; Satimai, WichaiBACKGROUND The main objective of this study was to assess the effectiveness of integrating the use of cell phones into a routine malaria prevention and control programme to improve the management of malaria cases among an under served population in a border area The module for disease and treatment monitoring of malaria DTMM consisted of case investigation and case follow up for treatment compliance and patients symptoms METHODS The module combining web based and mobile technologies was developed as a proof of concept in an attempt to replace the existing manual paper based activities that malaria staff used in treating and caring for malaria patients in the villages for which they were responsible After a patient was detected and registered onto the system case investigation and treatment details were recorded into the malaria database A follow up schedule was generated and the patient s status was updated when the malaria staff conducted their routine home visits using mobile phones loaded with the follow up application module The module also generated text and graph messages for a summary of malaria cases and basic statistics and automatically fed to predetermined malaria personnel for situation analysis Following standard public health practices access to the patient database was strictly limited to authorized personnel in charge of patient case management RESULTS The DTMM module was developed and implemented at the trial site in late November 2008 and was fully functioning in 2009 The system captured 534 malaria patients in 2009 Compared to paper based data in 2004 2008 the mobile phone based case follow up rates by malaria staff improved significantly The follow up rates for both Thai and migrant patients were about 94 99 on Day 7 Plasmodium falciparum and Day 14 Plasmodium vivax and maintained at 84 93 on Day 90 Adherence to anti malarial drug therapy based on self reporting showed high completion rate for P falciparum infected cases but lower rate for P vivax cases Patients symptoms were captured onto the mobile phone during each follow up visit either during the home visit or at Malaria Clinic most patients had headache muscle pain and fatigue and some had fever within the first follow up day day 7 14 after the first anti malarial drug dose CONCLUSIONS The module was successfully integrated and functioned as part of the malaria prevention and control programme Despite the bias inherent in sensitizing malaria workers to perform active case follow up using the mobile device the study proved for its feasibility and the extent to which community healthcare personnel in the low resource settings could potentially utilize it efficiently to perform routine duties even in remote areas The DTMM has been modified and is currently functioning in seven provinces in a project supported by the WHO and the Bill And Melinda Gates Foundation to contain multi drug resistant malaria on the Thai Cambodian border