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Online delivery of oral HIV pre- and post-exposure prophylaxis: findings from the ePrEP Kenya pilot.

INTRODUCTION: The expansion of telecommunication networks and smartphones in many African countries could be leveraged to deliver HIV prevention products directly to consumers. In collaboration with a private e-commerce platform and online pharmacy in Kenya, MYDAWA, we piloted a new model of HIV pre- and post-exposure prophylaxis (PrEP/PEP) delivery. METHODS: In the ePrEP Kenya pilot (NCT05377138), individuals living in Nairobi and Mombasa Counties could complete a free telehealth visit with a remote clinician to assess eligibility for online PrEP/PEP (i.e. ≥18 years; no medical contraindicat…

Independence in Activities of Daily Living Among Autistic Toddlers: A Pilot Study Using Ecological Momentary Assessment.

Background: The acquisition of adaptive skills is critical for independence and participation in activities of daily living (ADL). While car … WeeFIM) and then rated their child's independence on the WeeFIM twice a day for two weeks via their smartphones. Results: EMA was feasible with high response rates (ASD: 91.1%, TD: 88.55%). Autistic toddlers showed different participation profiles, with less independent performance in ADL compared to TD peers. In the autism group, the average EMA scores (M = …

Действенность и безопасность цифрового таперинга для пациентов, которым предписывается опиоид после хирургической операции: протокол для перспективного исследования кохарта.

Предыстория 300 million Каждый год во всем мире проводятся хирургические операции, и опиоиды по-прежнему являются одним из основных методов борьбы с острой послеоперационной болью. Исследования показали, что значительное число пациентов не прекращают опиоидное лечение и продолжают использовать опиоиды в течение месяцев или даже лет после операции. Известная практика применения опиоидов рецептурного отпуска и управления ими является частью нынешних клинических руководящих принципов безопасного прописывания. Каждый пациент должен получать тщательный контроль, образование и план скрининга, когда

Совпадение в аннотации оригинала
BackgroundMore than 300 million surgical procedures are performed worldwide each year, and opioids remain a primary approach for managing ac … cluding close follow-up, patient education, clinician time, and withdrawal safety. The evolution of smartphone app use for follow-up has shown promising results in some fields of medicine, and patients are increasingly interested in this approach.ObjectiveThe objective of this study is to investigate the efficacy and safety of Prescriby services, comprising …

Mobile Health Technology for Personalized Tobacco Cessation Support Among Cancer Survivors and Caregivers in Laos (Project SurvLaos): Protocol for a Pilot Randomized Controlled Trial.

BACKGROUND: Tobacco use remains a major cause of preventable deaths and evidence suggests that smoking cessation offers considerable benefit … apy (transdermal patches). AT consisted of all SC components plus our fully automated, interactive, smartphone-based behavioral treatment program personalized and tailored to cancer survivors or caregivers and delivered by our Insight app. Feasibility outcomes of interest include the percentages of intervention messages delivered and viewed, and participant …

The Impact of Mobile Health (mHealth) Apps on Gestational Diabetes: A Systematic Review.

Gestational diabetes mellitus (GDM) poses a significant health risk for pregnant women, as it is associated with an increased likelihood of … The search was conducted in Pubmed, Scopus, and Web of Science, using the following search terms: (smartphone* OR mobile OR mHealth OR "mobile health") AND ("gestational diabetes" OR "maternal diabetes" OR "pregnancy diabetes" OR "pregnancy-induced diabetes" OR "perinatal diabetes"). In order to be included in the systematic review, the studies had to be pa …

Life-time experience of violence among women and girls living with disability in Nepal.

BACKGROUND: Violence against women and girls with disabilities remains a serious, yet underexplored, global concern. This paper aims to inve … e period August to October 2021. This was done by trained enumerators using the KoBo application on smartphones or tablets. Both written and oral informed consent was sought from all participants. Each participant was assured of utmost confidentiality and privacy. Cross-tabulations were performed in STATA 18 to determine the distribution of the prevalence of …

Remote Photoplethysmography Technology for Blood Pressure and Hemoglobin Level Assessment in the Preoperative Assessment Setting: Algorithm Development Study.

BACKGROUND: Blood pressure (BP) and hemoglobin concentration measurements are essential components of preoperative anesthetic evaluation. Remote photoplethysmography (rPPG) is an emerging technology that may be used to measure BP and hemoglobin concentration noninvasively with just a consumer-grade smartphone, replacing traditional in-person measurements. However, there is limited data regarding the use of this technology in patients with diverse skin tones and medical comorbidities. Hence, widespread applicability is yet to be achieved. The potential benefits of achieving this would be immens…

User Experiences of and Preferences for Self-Guided Digital Interventions for the Treatment of Mild to Moderate Eating Disorders: Systematic Review and Metasynthesis.

BACKGROUND: Digital interventions typically involve using smartphones or PCs to access online or downloadable self-help and may offer a more accessible and convenient option than face-to-face interventions for some people with mild to moderate eating disorders. They have been shown to substantially reduce eating disorder symptoms, but treatment dropout rates are higher than for face-to-face interventions. We need to understand user experiences and preferences for digital interventions to support the design and development of user-centered digital interventions that are engaging and meet users'…

The Effects of Fear of COVID-19 and Perceived Social Support on Postpartum Depression: A Path Analysis.

RATIONALE: Postpartum depression is a significant health problem that negatively affects maternal and fetal health and should be carefully e … 8 years of age, literate, gave birth at term, were between 2 weeks and a year postpartum, could use smartphones, and had not had COVID-19. The data were collected using the instruments Personal Information Form, the Fear of COVID-19 Scale (FCV-19S), the Edinburgh Postnatal Depression Scale (EPDS), and the Multidimensional Scale of Perceived Social Support (M …

Health System-Level Implementation of Digital Health Support for People Living With HIV and Substance Use Disorders: Protocol for a Cluster-Randomized, Stepped-Wedge Clinical Trial.

BACKGROUND: People living with HIV who are affected by substance use disorders and other social vulnerabilities are less likely to achieve a … receiving HIV care across the system will be invited to use a customized version of the Connections smartphone app to join a virtual community of peers living with HIV. A subset of patients with substance use disorder will be recruited to use enhanced features of the app, allowing sharing of information about substance use and other social determinants of he …

Exploring the feedback effects of incentive methods on HIV rapid self-testing among men who have sex with men in Chongqing, China.

BACKGROUND: Men who have sex with men (MSM) face a high risk of HIV infection. The World Health Organization (WHO) recommends they test per … entifying as members of the MSM population, being able to read and write Simplified Chinese and use smartphones, having engaged in male sexual activity within the past six months, and residing in Chongqing Municipality. Exclusion criteria included declining to participate, having mental or intellectual disabilities, or having serious concurrent illnesses. We …

Examining the Impact of Simultaneous Alcohol and Cannabis Use on Alcohol Consumption and Consequences: Protocol for an Observational Ambulatory Assessment Study in Young Adults.

BACKGROUND: There is significant conflicting evidence as to how using cannabis while drinking alcohol (ie, simultaneous alcohol and cannabis … tingent surveys) of alcohol and cannabis use, contexts, motives, and consequences on their personal smartphones while continuously wearing an alcohol biosensor bracelet. Participants also complete a baseline assessment, brief internet-based check-in on day 14, and a final session on day 28. Community-based recruitment strategies (eg, social media and flyers) …

Effectiveness of online integrative trans-diagnostic treatment on internet addiction and high-risk behaviors in female adolescents with borderline personality disorder with comorbid depressive disorder.

BACKGROUND: Based on research, borderline personality disorder is associated with many behavioral and emotional problems, including Internet … by a psychologist, not receiving other psychological treatments in the last 3 months, and having a smartphone to participate in the online group. Substance abuse, any serious mental and physical illness/disorder that interferes with treatment, and failure to attend more than two sessions in therapy sessions were some of the exclusion criteria.The participan …

Automatic patient-level recognition of four Plasmodium species on thin blood smear by a real-time detection transformer (RT-DETR) object detection algorithm: a proof-of-concept and evaluation.

Malaria remains a global health problem, with 247 million cases and 619,000 deaths in 2021. Diagnosis of Plasmodium species is important for … dentification. Besides, the RT-DETR algorithm may be run in real-time on low-cost devices such as a smartphone and could be suitable for deployment in low-resource setting areas lacking microscopy experts.IMPORTANCEMalaria remains a global health problem, with 247 million cases and 619,000 deaths in 2021. Diagnosis of Plasmodium species is important for admi …

Development of a Digital Patient Assistant for the Management of Cyclic Vomiting Syndrome: Patient-Centric Design Study.

BACKGROUND: Cyclic vomiting syndrome (CVS) is an enigmatic and debilitating disorder of gut-brain interaction that is characterized by recur … design thinking approach and feedback from patients with CVS and caregivers through interviews and smartphone testing, led to significant enhancements in user interaction and artificial intelligence integration. The final DPA's effectiveness was validated using the System Usability Scale and feedback questions, ensuring it met the specific needs of the CVS …

Making Video Games More Inclusive for People Living With Motor Neuron Disease: Scoping Review.

BACKGROUND: Evidence suggests that individuals with motor neuron disease (MND), a terminal illness, find enjoyment and social connection thr … nications technology for communication and control of computing systems (including desktop, laptop, smartphone, tablet, and console systems) and video game software and hardware (including hand controllers and accessibility features, such as difficulty level, speed, and remappable buttons and controls). Common factors in the evidence base highlight barriers …

Design and evaluation of a colon cancer mobile application.

BACKGROUND: Colorectal cancer (CRC) is the third leading cause of cancer and the second cause of cancer-related deaths in the world. Despite … ncer. In this stage, 204 volunteers participated; inclusion criteria were age 18-85 years, owning a smartphone and the ability to read and write. Participants were randomized into control and intervention groups. The intervention group was educated with the colon cancer application for education about colorectal cancer, and the control group was educated wit …

Health and eHealth Literacy of Patients With Diabetes in Low-Income Countries: Perspective From Guinea and Burkina Faso.

BACKGROUND: Diabetes is a significant health concern in sub-Saharan Africa, emphasizing the importance of assessing the health literacy and … illiteracy were observed (62/100, 62% in Donka Hospital and 59/100, 59% in Sanou Sourou Hospital). Smartphone ownership was prevalent (62/99, 62% at Donka Hospital and 64/100, 64% at Sanou Sourou Hospital). Participants reported occasional use of technology for basic purposes and frequent internet usage for accessing health information. However, a significa …

Adding Virtual Reality Mindful Exposure Therapy to a Cancer Center's Tobacco Treatment Offerings: Feasibility and Acceptability Single-Group Pilot Study.

BACKGROUND: Smoking contributes to 1 in 3 cancer deaths. At the Stanford Cancer Center, tobacco cessation medication management and counseli … ed in quitting smoking. Given the visual interface, epilepsy was a medical exclusion. Viewed from a smartphone with an attachable VR headset, MindCotine provides a digital environment with audiovisual content guiding mindfulness exercises (eg, breathing techniques, body awareness, and thought recognition), text-based coaching, and cognitive behavioral therap …

Burden and Inattentive Responding in a 12-Month Intensive Longitudinal Study: Interview Study Among Young Adults.

BACKGROUND: Intensive longitudinal data (ILD) collection methods have gained popularity in social and behavioral research as a tool to bette … rticipants (aged 18-29 years) who completed a 12-month ILD health behavior study with daily evening smartphone-based ecological momentary assessment (EMA) surveys and 4-day waves of hourly EMA surveys. The interviews assessed participants' motivations, the impact of time-varying contexts, changes in motivation and response patterns over time, and perceptions …