Chapter 17: Interactive Mobile Health

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

Anxiety

Why do patients with comorbid psychiatric problems often have worse outcomes?

Due to the additional emotional burden

What is a risk factor for poor self-care and increased morbidity among socioeconomically vulnerable patients?

Low social support

How can patients providing peer support benefit from this practice?

Enhanced self-esteem and self-efficacy

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

Improved quality of life

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

Due to limited patient interest

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

Improving health outcomes and function

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

Being overly complicated

What can make mHealth services less effective?

Being overly complicated

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

Focusing on one specific task

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

Privacy protection concerns

Why are mHealth-facilitated informal support services deemed feasible?

Due to lack of evidence for or against their impact

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

Decreased symptoms and improved health behaviors

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

High variability in information quality

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

They become overly complicated and superficial

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

It is more likely to be underutilized or ineffective

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

Conducting observational 'think-aloud' interviews

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

Technologies may not work well for vulnerable patients

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

To improve the functionality and accessibility of the technology

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

Controlled randomized trials

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

They tend to have disappointing results in real-world settings

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

'Real-world' implementation challenges

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

'Real-world' practices can benefit from improved technology accessibility

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

Adaptability to patient needs

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

Ambiguous clinical data

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

Impact on organizational costs

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

Integration with existing clinic workflow

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

Through regular IVR assessment calls

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

'Off-the-shelf' adaptability to patient needs

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

'Trolling' might overwhelm already burdened systems

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

'Off-the-shelf' program impact on organizational services cost

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

Glasgow RE and Toobert DJ

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

Wheeler JA, Gorey KM, Greenblatt B

Which research examined the effects of loneliness?

West DA, Kellner R, Moore-West M

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

Rumsfeld JS et al.

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

Schwartz CE and Sendor M

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

Musick MA, Herzog AR, House JS

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

Musick MA and Wilson J

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

Wheeler JA, Gorey KM, Greenblatt B

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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