Meghan Bradway
Norwegian Centre for E-health Research, University Hospital of North Norway (UNN),Tromsø, Norway / Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norwa,
Lis Ribu
Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
Gunnar Hartvigsen
Department of Computer Science, UiT The Arctic University of Norway, Tromsø, Norway
Eirik Årsand
Norwegian Centre for E-health Research, University Hospital of North Norway (UNN),Tromsø, Norway / Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norwa,
Download articlePublished in: Proceedings from The 16th Scandinavian Conference on Health Informatics 2018, Aalborg, Denmark August 28–29, 2018
Linköping Electronic Conference Proceedings 151:8, p. 45-50
Clinicians now insist that health authorities and researchers provide practical evidence and strategies for reacting to and handling patient-gathered data (PGD) and mobile health (mHealth) devices. With diabetes as a use-case, we present a summary of our own studies and a narrative scientific literature review to exemplify the progress of clinicians’ perceptions of mHealth. We then compare these results to a narrative review of official clinical practice guidelines related to mHealth use (2013-2017) to demonstrate similarities and differences between what clinicians perceive as opportunities for mHealth and what health authorities are providing. Review of mHealth studies revealed that clinicians have become more willing to accept mHealth technologies and use patient-generated data over time. However, review of clinical practice guidelines revealed several barriers to using mHealth in clinical practice. Results of this comparison indicate 1) the need for a balance of clinician and patient participation and feedback during mHealth studies, and 2) health authorities’ lack of sufficient guidance to clinicians for practically using mHealth in their daily practice.
Clinicians, Diabetes, Mobile Health, mHealth, mDiabetes, Consultation.
[1] Boulos MN, Brewer AC, Karimkhani C, Buller DB, Dellavalle RP. Mobile medical and health apps: state of the art, concerns, regulatory control and certification. Online journal of public health informatics [Internet]. 2014 June 15, 2015 [cited 2014; 5(3):[229 p.]. Available from: http://ojphi.org/ojs/index.php/ojphi/article/view/4814.
[2] Deign J. How Mobile Apps are Helping the Public Sector The Network [Internet]. 2015 June 30, 2015. Available from: http://newsroom.cisco.com/feature/1578416/How-Mobile-Apps-are-Helping-the-Public-Sector.
[3] Spook JE, Paulussen T, Kok G, Van Empelen P. Monitoring dietary intake and physical activity electronically: feasibility, usability, and ecological validity of a mobile-based Ecological Momentary Assessment tool. Journal of medical Internet research [Internet]. 2013 Pmc3785990]; 15(9):[e214 p.]. Available from: http://www.jmir.org/2013/9/e214/.
[4] El-Gayar O, Timsina P, Nawar N, Eid W. Mobile applications for diabetes self-management: status and potential. Journal of Diabetes Science & Technology. 2013;7(1):247-62.
[5] Eng DS, Lee JM. The promise and peril of mobile health applications for diabetes and endocrinology. Pediatric diabetes. 2013;14(4):231-8.
[6] Torbjornsen A, Jenum AK, Smastuen MC, Arsand E, Holmen H, Wahl AK, Ribu L. A Low-Intensity Mobile Health Intervention With and Without Health Counseling for Persons With Type 2 Diabetes, Part 1: Baseline and Short-Term Results From a Randomized Controlled Trial in the Norwegian Part of RENEWING HEALTH. JMIR MHealth and UHealth. 2014;2(4):e52.
[7] Holmen H, Torbjornsen A, Wahl AK, Jenum AK, Smastuen MC, Arsand E, Ribu L. A Mobile Health Intervention for Self-Management and Lifestyle Change for Persons With Type 2 Diabetes, Part 2: One-Year Results From the Norwegian Randomized Controlled Trial RENEWING HEALTH. JMIR Mhealth Uhealth. 2014;2(4):e57.
[8] Use Case Scenarios FI-STAR webpage: FI-STAR consortium; 2014 [Available from: https://www.fistar.eu/use-cases.html.
[9] Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Systematic reviews. 2016;5(1):210.
[10] US Food and Drug Administration. Draft guidance for industry and Food and Drug Administration staff, mobile medical applications.
[11] Bradway M, Grøttland A, Blixgård HK, Giordanengo A, Årsand E. System for enabling clinicians to relate to a mobile health app: Preliminary results of the Norwegian trial in the EU FI-STAR project. Advanced Technologies & Treatments for Diabetes (ATTD). 2016.
[12] Bradway M, Holubova A, Joakimsen R, Årsand E. Differentiating Presentation Of Patient Gathered Data Between Type 1 And 2 Diabetes During Consultations. 10th International Conference on Advanced Technologies & Treatments for Diabetes; February 2017; Paris, France: Diabetes Technology & Therapeutics; 2017. p. A-1 - A-133.
[13] Bradway M, Giordanengo A, Grøttland A, Morris R, Årsand E. Design better together: Co-design workshop protocol to develop an m-diabetes data sharing system between patients and clinicians. Advanced Technologies & Treatments for Diabetes Conference 2018; 2018-02-14 - 2018-02-17; Wien2018.
[14] Bonilla C, Brauer P, Royall D, Keller H, Hanning RM, DiCenso A. Use of electronic dietary assessment tools in primary care: an interdisciplinary perspective. Journal of medical Internet research. 2015;15:14.
[15] Parmanto B, Pramana G, Yu DX, Fairman AD, Dicianno BE, McCue MP. iMHere: A Novel mHealth System for Supporting Self-Care in Management of Complex and Chronic Conditions. JMIR MHealth and UHealth. 2013;1(2):e10.
[16] Barnett J, Harricharan M, Fletcher D, Gilchrist B, oughlan J. myPace: an integrative health platform for supporting weight loss and maintenance behaviors. IEEE Journal of Biomedical & Health Informatics. 2015;19(1):109-16.
[17] Mares M-L, Gustafson DH, Glass JE, Quanbeck A, McDowell H, McTavish F, Atwood AK, Marsch LA, Thomas C, Shah D. Implementing an mHealth system for substance use disorders in primary care: a mixed methods study of clinicians’ initial expectations and first year experiences. BMC Medical Informatics and Decision Making. 2016;16(1):126.
[18] McClure JB, Hartzler AL, Catz SL. Design considerations for smoking cessation apps: feedback from nicotine dependence treatment providers and smokers. JMIR mHealth and uHealth. 2016;4(1).
[19] Simpson AJ, Honkoop PJ, Kennington E, Snoeck-Stroband JB, Smith I, East J, Coleman C, Caress A, Chung KF, Sont JK. Perspectives of patients and healthcare professionals on mHealth for asthma self-management. European Respiratory Journal. 2017;49(5):1601966.
[20] Solberg E, Høie B, Mæland M, Røe Isaksen T. The Government Action Plan for Implementation of the Health&Care21 Strategy Action Plan: Research and innovation in health and care (2015-2018). In: Ministeries N, editor.: Norwegian Ministry of Health and Care Services; 2015.
[21] Canadian Medical Association. Guiding Principles For Physicians Recommending Mobile Health Applications To Patients. Canada2015.
[22] Royal College of Physicians. Using apps in clinical practice: Important things that you need to know about apps and CE marking 2015.
[23] US Department of Health and Human Services. Mobile Medical Applications Guidance for Industry and Food and Drug Administration Staff. In: Administration FaD, editor. 2015.
[24] Norwegian Health Directorate. Attachment 2: Health care services track. 2016.