The development and application of health educational APP

BackgroundGiven the effective role of a mobile applications in disease management, disease monitoring, and self-care in patients with COVID-19 disease, we aimed to design, development and evaluation of a self-care Mobile app for COVID-19 patients not requiring hospitalization.MethodsThe design, development and evaluation the usability of the self-care and education mobile app for patients with COVID-19 disease were conducted in two main phases at 2021 in Northwest of IRAN; (1) Determine the features and capabilities and (2) Design, development and evaluation of self-care mobile App. JAVA programming languages and Android Operating System were used and selected to design and development of a mobile app. There were 25 participants who conducted evaluations of the mobile app’s usability and impact using the mobile health app usability a Questionnaire of User Interface Satisfaction was administered to assess the usability of the developed application. The results were analyzed via Excel 2013.ResultsThe model of developing a mobile app as an Information System was the Waterfall model. The smartphone application based on a set of capabilities and features was designed and consists of two main parts: the login screen for user registration, and the main home menu. The user interface includes three main pages or activities; (a) Main Menu for quick access to all of the pages, (b) Symptom management and monitoring to monitor the signs and symptoms during the illness, and (c) Set Reminders and Alarms to notify patients. The users’ mean score of the application usability was calculated as 7.91 out of 9 indicating a good level of satisfaction.ConclusionThis app can be a guideline and a useful tools for managing and monitoring symptoms, reminding medications, and implementing self-care instructions in outpatients. The authors suggest evaluating the efficacy and functionality test of mobile-based applications for COVID-19 in clinical trial studies.

BackgroundMobile phones and tablets currently represent a significant presence in people’s everyday lives. They enable access to different information and services independent of current place and time. Such widespread connectivity offers significant potential in different app areas including health care.ObjectiveOur goal was to evaluate the usability of the Connect Mobile app. The mobile app enables mobile access to the Connect system, an online system that supports cancer patients in managing health-related issues. Along with symptom management, the system promotes better patient-provider communication, collaboration, and shared decision making. The Connect Mobile app enables access to the Connect system over both mobile phones and tablets.MethodsThe study consisted of usability tests of a high fidelity prototype with 7 cancer patients where the objectives were to identify existing design and functionality issues and to provide patients with a real look-and-feel of the mobile system. In addition, we conducted semistructured interviews to obtain participants’ feedback about app usefulness, identify the need for new system features and design requirements, and measure the acceptance of the mobile app and its features within everyday health management.ResultsThe study revealed a total of 27 design issues (13 for mobile apps and 14 for tablet apps), which were mapped to source events (ie, errors, requests for help, participants' concurrent feedback, and moderator observation). We also applied usability heuristics to identify violations of usability principles. The majority of violations were related to enabling ease of input, screen readability, and glanceability (15 issues), as well as supporting an appropriate match between systems and the real world (7 issues) and consistent mapping of system functions and interactions (4 issues). Feedback from participants also showed the cancer patients’ requirements for support systems and how these needs are influenced by different context-related factors, such as type of access terminal (eg, desktop computer, tablet, mobile phone) and phases of illness. Based on the observed results, we proposed design and functionality recommendations that can be used for the development of mobile apps for cancer patients to support their health management process.ConclusionsUnderstanding and addressing users’ requirements is one of the main prerequisites for developing useful and effective technology-based health interventions. The results of this study outline different user requirements related to the design of the mobile patient support app for cancer patients. The results will be used in the iterative development of the Connect Mobile app and can also inform other developers and researchers in development, integration, and evaluation of mobile health apps and services that support cancer patients in managing their health-related issues.

Objective To explore the effects of mobile APP on health education in inpatients with stroke. Methods From August to December, a total of 260 stroke patients in the Neurology Department of Xuanwu Hospital Capital Medcical University were selected by convenience sampling method. All the patients were asked to install the mobile APP and given health education using the health education module. The mastery degree of stroke related knowledge and nurse satisfaction were investigated before the installation of the APP and before discharge. Results The overall hits of health education mode was 1 989 times. After using APP intervention, the awareness of stroke patients was higher than that before intervention, the difference was statistically significant (P<0.001). The nurse satisfaction of health education module in the APP was 100%. Conclusions The effects of the mobile APP on stroke patients' health education are optimal, which could be further promoted in clinical practice, providing a foundation for effective stroke secondary prevention. Key words: Stroke; Health education; Smartphone; APP

The increasing use of mobile devices (e.g., smartphones, tablet computers) and their associated applications (“apps”) provides new opportunities and chal lenges for healthcare providers, educators and students to integrate these new technologies into teaching and learning. Mobile apps used as part of healthcare education or decision-making should be usable, up-to-date and accurate, as any information used as part of healthcare decision-making may be “highstakes.” While the FDA is focusing regulation efforts on a small subset of mobile medical applications (e.g., those that act as medical devices), most apps are not regulated. Furthermore, the app marketplace is filled with hundreds of thousands of health and medical apps. To aid learners and users in determining which health and medical apps to use, this project establishes a p roposed f ramework fo r app evaluation. The ABACUS framework has been developed and made available online for users to access and utilize for self-learning in order to better appraise and assimilate medical and health apps. The use of the ABACUS framework p r o v i d e s a c o n t e x t u a l b a c k d r o p f o r understanding how technical and evidencebased factors contribute to whether an app should be used in health care or education. Further research and work is suggested to promote and analyze the effectiveness of this framework.

This research is about the development, testing and application of mobile app for optimum location spot of a single facility. The approach is to use Center of Gravity Method to locate the central locations of the facility. This equality would reflect balance and minimum time and cost. The main variables to be considered in the systems are customer's distance, customer's demands and transportation rates. In general, firms which apply technologies will perform significantly better than those that do not. This leads to the development of a mobile app to identify best location for a single facility which will serve several demand centers. After the development of a mobile app, this undergoes testing which includes verification whether the mobile app will provide the same result in theoretical computations. The study confirms that the mobile app is consistent with the theoretical computations for location planning. This mobile app becomes a decision support system suggesting that they can access this mobile app to improve the firm's performance on decision making. A faster and effective decision making since instead of manual computation which will take time, the computation will be in a few seconds plus you could visualize the geographic areas being investigated. Moreover, the mobile app is practical to implement because it is flexible and easy to use. The data needed is easy to gather. The mobile app can generate up to 100 iterations to ensure that global maxima is obtained.

Mobile phones are considered extremely crucial for their daily usage due to their unique features such as mobility, availability, and compatibility. Moreover, the need for mobile apps periodically increases in terms of the variety of end-users as well as mobile platforms. Iraq is an emerging country concerning the development and requirements of mobile apps. There are numerous challenges faced by this trend on mobile phone app requirements, development, and usage. Consequently, the major consideration is how to build a suitable mobile app that can be adopted, adapted, and customized according to Iraqi market requirements. An essential fact worth mentioning is the increase in unemployed computer departments alumni in Iraq. Those who can develop mobile apps and software need to recruit suitable candidates. The purpose of this article is to develop a customized flight booking mobile application to partially reduce and solve the problem of unemployed computer alumni. The target of this application is to reduce time and effort for passengers and offer unique features. The developed application is the adoption of previous applications and the improvement of their inadequacies. By following a six-phase methodology to set a procedural technique for optimizing the use of the mobile application as a source of revenue for unemployed alumni as well as being beneficial for the customer. The validation and verification of the proposed application of this current research are done by evaluating and executing the mobile application. The results of this paper meet the main objective, where, the special features have been implemented and tested. In addition, the application has been installed on mobile phones and tested. Furthermore, the income from this application is obtained through purchasing it or subscribing to it for a specific duration. We encourage researchers as well as alumni who are targeted in this field to be attentive to cutting-edge technology and advancement and the concept of this paper.

Mobile Applications Development with Android: Technologies and Algorithms presents advanced techniques for mobile app development, and addresses recent developments in mobile technologies and wireless networks. The book covers advanced algorithms, embedded systems, novel mobile app architecture, and mobile cloud computing paradigms. Divided into three sections, the book explores three major dimensions in the current mobile app development domain. The first section describes mobile app design and development skills, including a quick start on using Java to run an Android application on a real phone. It also introduces 2D graphics and UI design, as well as multimedia in Android mobile apps. The second part of the book delves into advanced mobile app optimization, including an overview of mobile embedded systems and architecture. Data storage in Android, mobile optimization by dynamic programming, and mobile optimization by loop scheduling are also covered. The last section of the book looks at emerging technologies, including mobile cloud computing, advanced techniques using Big Data, and mobile Big Data storage. About the Authors Meikang Qiu is an Associate Professor of Computer Science at Pace University, and an adjunct professor at Columbia University. He is an IEEE/ACM Senior Member, as well as Chair of the IEEE STC (Special Technical Community) on Smart Computing. He is an Associate Editor of a dozen of journals including IEEE Transactions on Computers and IEEE Transactions on Cloud Computing. He has published 320+ peer-reviewed journal/conference papers and won 10+ Best Paper Awards. Wenyun Dai is pursuing his PhD at Pace University. His research interests include high performance computing, mobile data privacy, resource management optimization, cloud computing, and mobile networking. His paper about mobile app privacy has been published in IEEE Transactions on Computers. Keke Gai is pursuing his PhD at Pace University. He has published over 60 peer-reviewed journal or conference papers, and has received three IEEE Best Paper Awards. His research interests include cloud computing, cyber security, combinatorial optimization, business process modeling, enterprise architecture, and Internet computing. .

Objective To study the health education demand cognitions of both nurses and patients, to discuss the health education needs of gynecological cancer patients during chemotherapy, to provide data support and improve the quality of their health education. Methods From April 1, 2013 to May 31, a total of 49 nurses working in Chemotherapy Ward in the tertiary A hospital of Chengdu (divided into nurse group) and 115 inpatients with gynecological tumors during the same time in the same hospital treated by chemotherapy (divided into patient group) were included in the study. A self-designed Questionnaire Regarding Demand of Health Education duration Chemotherapy, Questionnaire for short was used to investigate the health education demand cognitions of nurses and patients. The health education modes, education contents and score of each item were analyzed. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of the tertiary A hospital of Chengdu. Informed consent was obtained from each participant. There were no significant differences between two groups among on student ratio gender, age, degree of education (P>0.05). Results ①Among in 8 kinds of education modes in Questionnaire, scores of modes of health education bedside hospital bed education, departmental propagandistic column, pamphlet, collective lectures in department, and telecourse in nurse group were much higher than those in patient group, there were significant differences between two groups (P 0.05). ③Among 40 items of health education content in Questionnaire, patients during chemotherapy were most in need of health education content of the performance of the leakage of chemotherapy drugs, chemotherapy drug leakage emergency treatment, and vomit and waste treatment were the opinion of nurses. While patients were most in need of health education content for specific diseases, medical treatment insurance reimbursement, and the prognosis of disease, there were significant differences (P<0.05). Conclusions The nurses should integrate use of a variety of health education to provide individualized health education. The health education content during chemotherapy should be provided according to the patient's needs as the core, using the multidisciplinary collaboration, such as medical, nursing and administrative way. On the basis of providing chemotherapy nursing knowledge, increase medical treatment such as specific chemotherapy regimens, and administrative expenses such as medical insurance fee and other related content. Key words: Health education; Genital neoplasms, female; Antineoplastic combined chemotherapy protocols; Patients; Nurses

BackgroundThere is significant potential for mobile health technology to improve health outcomes for patients with chronic diseases. However, there is a need for further development of mobile health technology that would help to improve the health of lower-income communities.ObjectiveThe study objective was to assess mobile phone and app usage among a culturally diverse patient population, and to determine whether patients would be interested in using mobile health technology to help manage their chronic diseases.MethodsAn observational study was conducted with patients of the Internal Medicine resident primary care clinics of Los Angeles County and University of Southern California (LAC+USC) Medical Center. Self-reported information regarding demographics, current mobile phone usage, current mobile health app and social media usage, barriers to using mobile phones or mobile health apps, and interest in using a mobile health app was collected.ResultsNinety-one percent of patients owned a mobile phone, with 76% (169/223) of these reporting having a mobile phone with Internet capability. Fifty-seven percent of subjects used mobile apps on their mobile phones, and 32% (41/130) of these used mobile apps related to their health. Eighty-six percent (207/241) of respondents voiced interest in using a mobile app to improve their health, and 40% (88/221) stated they would use such an app daily. Patients stated they would find the mobile health app most useful for nutrition, exercise, and obtaining general information on medical conditions.ConclusionsDespite the fact that the majority of our primary care patients were of lower socioeconomic status, they utilized mobile phones with Internet and mobile app capabilities to a great extent. There was substantial interest among our patients in using mobile health technology to both manage chronic disease and improve overall health. Given that cultural, educational, and socioeconomic disparities strongly correlate with higher rates of chronic diseases such as obesity, diabetes and hypertension, access to culturally relevant mobile health tools may empower patients in these populations to improve health outcomes.

The paper introduced the application of M-learning mode in health education among patients with diabetes mellitus at home and abroad. It introduced the application experience such as mobile phone messages, application program and network platform in detail. Moreover, how to apply M-learning mode well to improve the effects of health education was proposed so as to provide a reference for nursing workers in China to develop and apply M-learning mode to improve the quality of health education. Key words: Review; Diabetes mellitus; Health education; M-learning mode

Mobile apps designed with cultural sensitivity have demonstrated higher user acceptability and greater effectiveness in enhancing self-care skills. However, a significant gap exists in developing such apps for specific populations, such as Portuguese Americans living in southern Massachusetts, home to the second-largest Portuguese community in the United States. This group possesses unique cultural traditions, particularly in dietary practices, including a tendency toward high carbohydrate intake. Tailoring diabetes self-care apps to address these specific cultural requirements could substantially improve diabetes management within this population. The aim of this app development project was to develop a prototype diabetes management app for Portuguese Americans with type 2 diabetes mellitus using the design thinking methodology, incorporating user-centered design principles and cultural sensitivity. This paper describes the phase-2 results, focusing on app design and development. Phase 2 of this app development project adhered to the design thinking methodology delineated by the Hasso Plattner Institute of Design at Stanford University, focusing on 2 critical steps: ideation and prototyping. This phase started in March 2022 and continued until April 2024. The project was driven by a multidisciplinary team consisting of 2 nurse educators; an app development specialist; and 2 graduate research assistants from the university's Computer and Information Sciences Department, both well-versed in mobile app development. Data collected during phase 1, which will be published separately, informed the app design and development process. The prototype of the DiaFriend app (version 1) was designed and developed. The app comprises five features: (1) blood glucose monitoring, (2) weight tracking, (3) carbohydrate tracking, (4) exercise log, and (5) medication reminder. The carbohydrate tracking feature was explicitly tailored to correspond to Portuguese food culture. This paper presents the front-end interface flowchart, demonstrating how the user navigates through each screen. It also discusses the challenges faced during the backend development, such as data not being able to be stored and retrieved. The DiaFriend app (version 1) distinguishes itself from conventional diabetes self-care apps through its emphasis on cultural sensitivity. The development of this app underscores the importance of cultural considerations in health informatics. It establishes a foundation for future research in developing and evaluating culturally sensitive mobile health apps. The adaptation of such technologies has the potential to enhance self-care practices among Portuguese Americans with type 2 diabetes mellitus, with improved glycated hemoglobin levels as a potential outcome. The last step of the design thinking methodology, testing the app, will be conducted in phase 3 and the results will be published elsewhere.

Cardiac arrest, acute myocardial infarction (AMI), and stroke affect millions of people in the United States annually.1 Despite significant advances in medical treatments for these conditions, they remain a major public health problem and a leading cause of morbidity and mortality.1 A critical common element in optimizing care and outcomes for these conditions is the timely recognition of symptoms and initiation of treatment. For example, rapid initiation of cardiopulmonary resuscitation (CPR) is associated with improved survival from cardiac arrest.2 Similarly, early recognition and presentation after onset of symptoms of AMI and ischemic stroke enable implementation of critical therapies such as primary angioplasty and thrombolysis, which are known to improve outcomes.1 Indeed, the “Chain of Survival” for emergency cardiovascular and cerebrovascular care (ECCC) starts with prompt identification of the condition and early activation of the healthcare system to rapidly initiate care.3 Unfortunately, despite national efforts that include public education initiatives and clinical practice guideline recommendations from entities such as the American Heart Association (AHA), major gaps remain in the timely identification of symptoms and initiation of ECCC.4–6 As one example, studies of out-of-hospital cardiac arrest (OHCA) have consistently noted delays in the initiation of bystander CPR.7 For AMI, there have been advances in the provision of timely primary angioplasty for ST-segment elevation myocardial infarction (STEMI), as reflected by significant improvements in door-to-balloon times.8 However, the time from patient symptom onset to seeking care for possible myocardial infarction has not improved significantly.9,10 Similarly, for stroke, there continue to be advances in door-to-needle times, but stroke symptom recognition and seeking of treatment by patients and their families remain a major barrier to timely stroke care.11–16 Public and clinician education efforts alone are not sufficient to reduce gaps …

Objective To investigate the use of smartphone applications in the adherence with inhaled glucocortiocoids (ICS) therapy in asthma children. Methods Sixty-six asthma children and their caregivers in Shanghai Childrren′s Medical center from July 2016 to February 2017 were recruited in this study using convenience sampling. All participants were randomly allocated to intervention and control groups. All participants were given routine education and technical guidance on inhalation. In addition all participants had the same chips attached to their regular nebulizers. The APP was installed on each caregivers′ smartphone in the intervention group. Key modules of mobile applications include real-time monitoring of medication and health education. The ICS adherence rates were recorded by the chips andwere monitored monthly by researcher. The frequency of asthma exacerbations, emergency department visits and hospital admissions in intervention group was collected by smartphone APP every 3 months. the frequency of asthma exacerbations, emergency department visits and hospital admissions in control group was investigated by researcher every 3 month. Results After 6 months follow up, although ICS compliance decreased in both groups. The first month′s adherence in the intervention group was 98 (97.0, 100.0) %, in the sixth month′s was 96(92.0, 100.0)%. The first month′s adherence in the control group was 93(68.5,100.0)%, in the sixth month′s was 28(0, 55.5)%. The difference in adherence between the two groups was significant (Z=2.664, 4.318, P 0.05). But the frequency of asthma exacerbations, emergency department visits and hospital admissions of two times or more intervention group was lower than that in the control group. Conclusions Smartphone APP significantly improved the compliance of children with asthma aged 0 month to 3years old. Key words: Asthma; Child; Adherence; Smartphone App

Objective To explore influence of multi-disciplinary team health education on knowledge-attitude-practice for non-osteoporosis patients. Methods A total of 70 patients without osteoporosis from two different wards of a tertiary hospital in Hangzhou were selected by convenience sampling method and divided into control group (n=35) and observation group (n=35). The control group was given osteoporosis health education only by nurses, while the observation group received osteoporosis health education by multi-disciplinary team including nurses, doctors, nutritionists and medical experts of endocrinology. The osteoporosis knowledge, health belief, self-efficacy and daily intake of calcium were evaluated before and after health education in hospital, one month and three months after health education. Results A total of 33 subjects in control group and 34 subjects in observation group completed the study. The differences in osteoporosis knowledge, self-efficacy and daily intake of calcium between two groups were statistically significant at different time points (P<0.05). After health education, the scores of osteoporosis knowledge, health belief, self-efficacy and daily intake of calcium in two groups were higher than before (P<0.05), while all of them declined one month and three months after health education. The indexes in observation group were better than those in control group one month after health education, the differences were statistically significant (P<0.05). The indexes except health belief in observation group were better than those in control group three months after health education, the differences were statistically significant (P<0.05). Conclusions The multi-disciplinary team osteoporosis health education in hospital can improve the osteoporosis knowledge, health belief, self-efficacy and daily intake of calcium. Key words: Osteoporosis; Health education; Multi-disciplinary team

In the era of globalization the health problem is no long one country' s problem. It is necessary for medical schools to develop global health education in the conception of global health. Medical education objective should reflect the demands of global health. The curriculum should includes global health courses. Global health education resources in worldwide should be utilized. Through global healt education medical students should be qualified to deal with global health problems, to understand various cultures and to tackle the global health challenges in the 21st century. Key words: Global health; Global health education; Medical school