Chapter 17: Interactive Mobile Health
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Questions and Answers

What is a common emotional issue faced by patients with chronic illnesses?

  • Anxiety (correct)
  • Contentment
  • Excitement
  • Joy
  • Why do patients with comorbid psychiatric problems often have worse outcomes?

  • Due to improved self-care
  • Due to the additional emotional burden (correct)
  • Due to decreased rates of service use
  • Due to increased social support
  • What is a risk factor for poor self-care and increased morbidity among socioeconomically vulnerable patients?

  • Peer support
  • Low social support (correct)
  • High social support
  • Comorbid physical problems
  • How can patients providing peer support benefit from this practice?

    <p>Enhanced self-esteem and self-efficacy</p> Signup and view all the answers

    What is a potential outcome for patients who provide support to others with the same health condition?

    <p>Improved quality of life</p> Signup and view all the answers

    Why do most models of providing chronic disease peer support often face challenges?

    <p>Due to limited patient interest</p> Signup and view all the answers

    What is a benefit that peer support can provide for reducing problematic health behaviors?

    <p>Improving health outcomes and function</p> Signup and view all the answers

    What is a common pitfall in using poorly supported mHealth programs?

    <p>Being overly complicated</p> Signup and view all the answers

    What can make mHealth services less effective?

    <p>Being overly complicated</p> Signup and view all the answers

    Which type of mHealth programs may be more effective based on the text?

    <p>Focusing on one specific task</p> Signup and view all the answers

    What is the impact of existing public social networks for patients with diabetes, as per the text?

    <p>Privacy protection concerns</p> Signup and view all the answers

    Why are mHealth-facilitated informal support services deemed feasible?

    <p>Due to lack of evidence for or against their impact</p> Signup and view all the answers

    What was the finding of a longitudinal study of a peer-led online pain self-management program in England?

    <p>Decreased symptoms and improved health behaviors</p> Signup and view all the answers

    What is a key factor affecting the quality of information provided on existing public social networks for diabetes patients?

    <p>High variability in information quality</p> Signup and view all the answers

    Why can mHealth services be less effective when they try to address multiple issues?

    <p>They become overly complicated and superficial</p> Signup and view all the answers

    What is a potential consequence of an mHealth solution not being designed or tested with input from vulnerable patients?

    <p>It is more likely to be underutilized or ineffective</p> Signup and view all the answers

    Which approach can be particularly useful in creating mHealth technologies for vulnerable patients?

    <p>Conducting observational 'think-aloud' interviews</p> Signup and view all the answers

    What tends to happen when healthcare systems serving vulnerable patients try to adapt existing technologies not originally designed for them?

    <p>Technologies may not work well for vulnerable patients</p> Signup and view all the answers

    Why is piloting an mHealth system with a diverse patient population important?

    <p>To improve the functionality and accessibility of the technology</p> Signup and view all the answers

    Which evaluation method is considered the traditional gold standard for determining the potential benefits of novel services like mHealth?

    <p>Controlled randomized trials</p> Signup and view all the answers

    What can happen to services that have shown efficacy in a research setting once implemented in 'real-world' settings?

    <p>They tend to have disappointing results in real-world settings</p> Signup and view all the answers

    What is a potential consequence of not adapting mHealth technologies to meet the needs of typical outpatient practices?

    <p>'Real-world' implementation challenges</p> Signup and view all the answers

    Why is it important to adapt mHealth technologies in an iterative manner?

    <p>'Real-world' practices can benefit from improved technology accessibility</p> Signup and view all the answers

    What should clinicians consider when reviewing 'off-the-shelf' mHealth programs for integration?

    <p>Adaptability to patient needs</p> Signup and view all the answers

    Why might mHealth services, like regular IVR assessment calls, pose challenges to safety-net health systems?

    <p>Ambiguous clinical data</p> Signup and view all the answers

    What is a key concern when considering the purchase and implementation of mHealth solutions?

    <p>Impact on organizational costs</p> Signup and view all the answers

    Which factor is most important for ensuring the success of an mHealth program within a healthcare setting?

    <p>Integration with existing clinic workflow</p> Signup and view all the answers

    How can mHealth programs aid in identifying health problems between outpatient visits?

    <p>Through regular IVR assessment calls</p> Signup and view all the answers

    In what aspect should clinicians evaluate 'off-the-shelf' mHealth programs specifically related to their patients?

    <p>'Off-the-shelf' adaptability to patient needs</p> Signup and view all the answers

    Why might 'trolling' for additional problems via mHealth be a concern for safety-net health systems?

    <p>'Trolling' might overwhelm already burdened systems</p> Signup and view all the answers

    What should be considered regarding the costs of other services provided by an organization when planning to integrate mHealth?

    <p>'Off-the-shelf' program impact on organizational services cost</p> Signup and view all the answers

    Which study focused on the relationship between social relationships and health?

    <p>Glasgow RE and Toobert DJ</p> Signup and view all the answers

    In which study were the beneficial effects of volunteering emphasized for older volunteers and the people they serve?

    <p>Wheeler JA, Gorey KM, Greenblatt B</p> Signup and view all the answers

    Which research examined the effects of loneliness?

    <p>West DA, Kellner R, Moore-West M</p> Signup and view all the answers

    Which study underlined that depressive symptoms were the most potent predictors of short-term declines in health status for heart failure patients?

    <p>Rumsfeld JS et al.</p> Signup and view all the answers

    'Helping others helps oneself' was a central theme of which study?

    <p>Schwartz CE and Sendor M</p> Signup and view all the answers

    Which research explored the association between volunteering and mortality among older adults?

    <p>Musick MA, Herzog AR, House JS</p> Signup and view all the answers

    In which study was the role of psychological and social resources in combating depression across different age groups examined?

    <p>Musick MA and Wilson J</p> Signup and view all the answers

    'Social environment and regimen adherence among type II diabetic patients' was the central theme of which research?

    <p>Wheeler JA, Gorey KM, Greenblatt B</p> Signup and view all the answers

    Study Notes

    Common Emotional Issues

    • Patients with chronic illnesses frequently experience anxiety and depression, contributing to emotional distress.

    Psychiatric Comorbidity Outcomes

    • Comorbid psychiatric problems in patients lead to worse health outcomes due to impaired coping mechanisms and adherence to treatment.

    Risk Factor for Vulnerable Patients

    • Socioeconomically vulnerable patients often exhibit poor self-care and increased morbidity, largely compounded by limited access to resources.

    Benefits of Peer Support for Patients

    • Patients providing peer support enhance their own well-being through shared experiences, fostering a sense of community and purpose.

    Outcomes of Providing Support

    • Engaging in support roles can improve the health status and coping strategies of patients, creating a symbiotic benefit.

    Challenges in Peer Support Models

    • Many chronic disease peer support models face obstacles such as varying levels of engagement and resource allocation.

    Reducing Problematic Health Behaviors

    • Peer support can effectively reduce unhealthy behaviors as it promotes accountability and motivation through shared goals.

    Pitfalls of mHealth Programs

    • Poorly supported mHealth programs often lack sufficient user engagement and can result in disillusionment with technology.

    Ineffectiveness of mHealth Services

    • Services targeting multiple issues simultaneously can dilute focus and effectiveness, leading to suboptimal outcomes.

    Effective mHealth Program Types

    • Programs that are tailored and context-specific tend to be more effective than generic solutions.

    Social Networks for Diabetes Patients

    • Existing public social networks provide essential support and information sharing, positively impacting diabetes management.

    Feasibility of mHealth Support Services

    • mHealth-facilitated informal support services are feasible due to their accessibility and ability to reach diverse patient populations.

    Longitudinal Study Findings

    • A longitudinal study in England revealed positive outcomes in pain self-management for participants in peer-led online programs.

    Quality of Online Information

    • The quality of information on public social networks is often influenced by the level of moderation and input from healthcare professionals.

    Failure of Multi-Issue mHealth Services

    • Attempting to address multiple health issues can overwhelm patients and lead to decreased motivation and adherence.

    Design-Input Importance

    • If mHealth solutions are not informed by vulnerable patients' needs, they may not effectively address their specific challenges.

    Useful Approach for mHealth Technologies

    • Co-designing mHealth technologies with input from vulnerable patient groups aids in relevance and usability.

    Adapting Technologies for Vulnerable Patients

    • Healthcare systems may struggle when trying to repurpose existing technologies without consideration of vulnerable patients' unique needs.

    Importance of Diverse Population Piloting

    • Testing mHealth systems within a diverse patient group ensures inclusivity and greater applicability of the intervention.

    Gold Standard Evaluation Method

    • Randomized controlled trials (RCTs) are considered the traditional gold standard for assessing novel mHealth services' effectiveness.

    Real-World Implementation Challenges

    • Services effective in research settings may face implementation challenges in real-world scenarios due to varied patient needs and contexts.

    Adaptation Consequences

    • Failing to adapt mHealth technologies to outpatient practices may hinder their practical application and effectiveness.

    Iterative Technology Adaptation

    • Adapting mHealth technologies in an iterative manner allows for ongoing improvements and responsiveness to user feedback.

    Clinical Integration Considerations

    • Clinicians should assess 'off-the-shelf' mHealth programs for compatibility with patient needs and clinical workflows.

    Safety-Net Health System Challenges

    • mHealth services like IVR assessment calls can strain safety-net health systems due to resource constraints and communication barriers.

    Key Concern for mHealth Solutions

    • The cost-effectiveness of mHealth solutions is a significant concern, impacting their adoption and sustainability within healthcare settings.

    Success Factors for mHealth Programs

    • Patient engagement and active participation are crucial for ensuring the success of mHealth programs in healthcare contexts.

    Identifying Health Problems via mHealth

    • mHealth programs can help in timely identification of health issues between outpatient visits, enhancing proactive care.

    Evaluation Specificity

    • Clinicians should evaluate 'off-the-shelf' mHealth programs based on their alignment with patient demographics and specific health needs.

    Trolling Concerns with mHealth Systems

    • 'Trolling' for additional problems through mHealth could lead to information overload and may overwhelm safety-net health systems.

    Planning for mHealth Integration

    • It's essential to consider the costs of other services when planning the integration of mHealth programs within healthcare organizations.

    Relevant Studies

    • A study highlighted the relationship between social relationships and health outcomes.
    • Another study emphasized the benefits of volunteering for older adults and their service recipients.
    • Research has shown significant effects of loneliness on health.
    • A study indicated that depressive symptoms are strong predictors of health status declines in heart failure patients.
    • "Helping others helps oneself" was a main theme in research about mutual aid.
    • Findings explored the correlation between volunteering and longevity in older adults.
    • Research examined psychological and social resources combating depression across various age groups.
    • A study that focused on the social environment's impact on regimen adherence among type II diabetic patients.

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    Description

    Test your knowledge on designing mHealth solutions for vulnerable patients, with a focus on user-centered design principles. Explore the importance of incorporating input from vulnerable patients and conducting observational interviews to improve the effectiveness of mHealth technologies.

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