Utility of a Smartphone-Based Clinical Decision Support System for Pressure Ulcer Management by Physicians: Randomized Crossover Pilot Study Background: Clinical decision support systems (CDSSs) are widely used in various health care settings. In Japan, pressure ulcers are becoming a major concern in an aging society due to their increasing prevalence. However, management is often handled by nonspecialists in wound care due to regional disparities in specialist availability. Objective: To provide support for nonspecialists in wound care, we developed a prototype smartphone-based CDSS for pressure ulcer management. The system prompts users to answer questions about the wound's condition and recommends appropriate ointments and wound dressings by using a safety-first approach. This study aims to evaluate the utility of this system. Methods: We conducted a randomized crossover pilot study involving 28 general internal medicine (GIM) physicians. Participants were randomly assigned to group A (intervention-control) or group B (control-intervention). Participants evaluated 10 standardized pressure ulcer photographs and selected the most appropriate ointment and wound dressing for each. The unit of analysis was the individual response to each question (N=280 total observations). We used generalized estimating equations with an exchangeable correlation structure to account for within-subject clustering and adjust for potential period and sequence effects. Results: The overall correct response rate during the intervention phase was significantly higher than that during the control phase (49.3% vs 4.3%, respectively). After adjusting for clustering and crossover biases, the use of CDSS was associated with a 29.1-fold increase in the odds of a correct response (95% CI 8.2-103; P

JMIR Formative Res: Utility of a Smartphone-Based Clinical Decision Support System for Pressure Ulcer Management by Physicians: Randomized Crossover Pilot Study #SmartphoneHealth #ClinicalDecisionSupport #PressureUlcers #WoundCare #HealthcareInnovation

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#DiabetesPrevention #HealthTech #DigitalBiomarkers #SmartphoneHealth

Smartphone-Based Contingency Management for Patients Who Use Methamphetamine: Qualitative Analysis of Patient and Clinician Perspectives Background: Methamphetamine use disorder is a growing public health crisis with limited access to effective treatment. Contingency management (CM) has demonstrated efficacy for stimulant use disorders, but is typically delivered in person. Smartphone-based CM may overcome barriers such as limited access, but its effectiveness and real-world application remain understudied. This study explores patient and clinician experiences with a fully remote, smartphone-based CM intervention for methamphetamine use. Objective: This exploratory, descriptive qualitative study analyzes interviews with patients and clinicians involved in a previously published single-arm trial in which smartphone-based CM was offered to individuals using methamphetamine through primary care or specialty addiction treatment clinics within a large health system. The study aims to identify and describe key facilitators, barriers, and perspectives related to engagement of both groups with the intervention, providing actionable insights to inform optimization and implementation of digital CM in health care settings. Methods: We conducted a qualitative analysis of semistructured interviews with 14 patients and 14 clinicians from a prior pilot study of a fully remote, smartphone-based CM intervention for methamphetamine use. Interviews were analyzed using grounded theory in a 5-step process: transcript review, codebook development, coding, thematic reduction, and generation of overarching themes. The analysis focused on a priori themes related to facilitators, barriers, and suggestions for improvement. Results: Patients and clinicians identified many benefits, viewing the program as valuable for individuals using methamphetamine. Patients appreciated the flexibility, accessibility, and motivational incentives. Clinicians saw CM as a low-risk, evidence-based strategy that could enhance engagement, especially among patients less responsive to traditional approaches. Common challenges included technological issues such as problems with video-based testing, app navigation, and internet access. Patients had mixed views about educational modules and described difficulty with correct substance test procedures and a lack of human connection. Clinicians expressed concerns for patients with significant psychosocial instability. Differences emerged in the types of concerns raised: patients focused on day-to-day engagement, while clinicians emphasized broader themes of equity, sustainability, and a preference for models rewarding improvement even without full abstinence. Conclusions: Smartphone-based CM shows promise for addressing methamphetamine use disorder, especially in settings lacking traditional treatment access. However, optimizing implementation requires addressing challenges related to technology, accessibility, and equity. Recommendations include integrating CM with clinical infrastructure, expanding rewardable behaviors beyond abstinence, enhancing user experience, and improving technological access. Future research should explore flexible models that incorporate broader recovery goals and strengthen both technical and human support.

JMIR Formative Res: Smartphone-Based Contingency Management for Patients Who Use Methamphetamine: Qualitative Analysis of Patient and Clinician Perspectives #MentalHealth #AddictionRecovery #Methamphetamine #ContingencyManagement #SmartphoneHealth

Revolutionary Cortisol Test Lets You “See” Stress With a Smartphone Camera A protein-based biosensor measures cortisol with high accuracy. Smartphone compatibility makes stress testing more accessible. Cortisol plays a key role in regulating essential body functions such as...

Revolutionary Cortisol Test Lets You “See” Stress With a Smartphone Camera #Science #HealthandMedicine #MedicalTechnology #CortisolTest #StressManagement #SmartphoneHealth

Development of an Eco-Friendly Smartphone-Assisted Nystagmus Recording System for Recording Vertigo Attacks Anytime, Anywhere: Pilot App Development Study Background: The widespread adoption of smartphones and tablet devices, along with advancements in data communication technology, has resulted in a paradigm shift in the treatment of dizziness. External factors, such as the spread of #covid19, have accelerated this transformation in recent years. We have been pursuing telemedicine and online medical care for treating dizziness and have developed different products and services necessary for each treatment process stage. Several patients face difficulties in accessing medical facilities during severe vertigo episodes. Furthermore, clinical findings, such as nystagmus or other symptoms, may be absent when symptoms subside by the time of their appointment. Objective: Creating a smartphone application development designed to capture eye movements during vertigo attacks, enabling recordings at any location, including home or work. Methods: We developed an application named “iCapNYS” that leverages the iPhone’s front camera and gyro sensor to record eye movements and head positions. This application uses features that encourage spontaneous eye movements to reduce nystagmus suppression caused by fixation. Additionally, we designed lightweight, recyclable cardboard goggles that would securely hold the smartphone and block ambient light, thereby optimizing the recording conditions. Results: The “iCapNYS” system successfully captured subtle peripheral vestibular nystagmus in a patient with vertigo. The recorded nystagmus characteristics are comparable to those obtained using traditional infrared CCD cameras. Conclusions: This application is an effective tool for treating vertigo and is easy for the elderly to use, as it can be recorded with only three taps. We expect that the introduction of this nystagmus-monitoring system will improve vertigo treatment quality, promote medical collaboration, and provide patients with peace of mind in their care.

JMIR Formative Res: Development of an Eco-Friendly Smartphone-Assisted Nystagmus Recording System for Recording Vertigo Attacks Anytime, Anywhere: Pilot App Development Study #Telemedicine #SmartphoneHealth #Vertigo #DizzinessTreatment #Nystagmus

Development of an Eco-Friendly Smartphone-Assisted Nystagmus Recording System for Recording Vertigo Attacks Anytime, Anywhere: Pilot App Development Study Background: The widespread adoption of smartphones and tablet devices, along with advancements in data communication technology, has resulted in a paradigm shift in the treatment of dizziness. External factors, such as the spread of #covid19, have accelerated this transformation in recent years. We have been pursuing telemedicine and online medical care for treating dizziness and have developed different products and services necessary for each treatment process stage. Several patients face difficulties in accessing medical facilities during severe vertigo episodes. Furthermore, clinical findings, such as nystagmus or other symptoms, may be absent when symptoms subside by the time of their appointment. Objective: Creating a smartphone application development designed to capture eye movements during vertigo attacks, enabling recordings at any location, including home or work. Methods: We developed an application named “iCapNYS” that leverages the iPhone’s front camera and gyro sensor to record eye movements and head positions. This application uses features that encourage spontaneous eye movements to reduce nystagmus suppression caused by fixation. Additionally, we designed lightweight, recyclable cardboard goggles that would securely hold the smartphone and block ambient light, thereby optimizing the recording conditions. Results: The “iCapNYS” system successfully captured subtle peripheral vestibular nystagmus in a patient with vertigo. The recorded nystagmus characteristics are comparable to those obtained using traditional infrared CCD cameras. Conclusions: This application is an effective tool for treating vertigo and is easy for the elderly to use, as it can be recorded with only three taps. We expect that the introduction of this nystagmus-monitoring system will improve vertigo treatment quality, promote medical collaboration, and provide patients with peace of mind in their care.

JMIR Formative Res: Development of an Eco-Friendly Smartphone-Assisted Nystagmus Recording System for Recording Vertigo Attacks Anytime, Anywhere: Pilot App Development Study #Telemedicine #Dizziness #SmartphoneHealth #Vertigo #Nystagmus

A Smartphone-Based Timed Up and Go Test Self-Assessment for Older Adults: Validity and Reliability Study Background: The Timed Up and Go Test (TUG) is recommended as an evidence-based tool for measuring physical capacity. Instrumented TUG (iTUG) approaches expand classical supervised clinical applications offering the potential of self-assessment for older adults. Objective: The objectives of this study were to evaluate the concurrent validity and test-retest reliability of a smartphone-based TUG self-assessment (“up&go app”). Methods: Fifty-two community-dwelling older adults (>67 years) were recruited. A validated and medically certified system attached with a belt at the lower back was used as a reference system to validate the “up&go app” algorithm. The participants repeated the TUG five times wearing (1) a smartphone with the “up&go app” in their front trouser pocket and (2) an inertial sensor to test the concurrent validity. A subsample of 37 participants repeated the “up&go app” measurement two weeks later to examine the test-retest reliability. Results: The correlation between the “up&go app” and the reference measurement was r=0.99 for the total test duration and r=0.97 for the five single repetitions. Agreement between the five repetitions was ICC=0.90 [0.84-0.94]. Leaving out the first repetition, the agreement was ICC=0.95 [0.92-0.97]. Test-retest agreement had an ICC = 0.79 [0.53-0.90]. Conclusions: The duration of five repetitions of the TUG test, measured with the pocket-worn “up&go app”, was very consistent with the results of a lower-back sensor system, indicating excellent concurrent validity. Participants walked slower in the first round compared to the other four repetitions within a test run. Test-retest reliability was also excellent. The “up&go app” provides a useful smartphone-based approach to measure five repetitions of the TUG. The app could be used by older adults as a self-screening and monitoring tool of physical capacity at home and thereby help to early identify functional limitations and take interventions when necessary.

New in JMIR Aging: Background: The Timed Up and Go Test (TUG) is recommended as an evidence-based tool for measuring physical capacity. Instrumented TUG (iTUG) approaches expand classical supervised clinical applications… #SmartphoneHealth #TimedUpAndGo #OlderAdults #SelfAssessment #PhysicalFitness

Purposes of Smartphone Health Care Apps and the Practicality of Their Functions in Disaster Situations: Qualitative Function Assessment Study Background: Medical services during disasters primarily rely on organized public and mutual aid systems, such as Disaster Medical Assistance Team These systems have been facing challenges owing to recent reductions in disaster response budgets. The…

JMIR Formative Res: Purposes of Smartphone Health Care Apps and the Practicality of Their Functions in Disaster Situations: Qualitative Function Assessment Study #SmartphoneHealth #DigitalTherapeutics #HealthApps #DisasterResponse #MentalHealth

SODP Symposium 2024 Courtney Beard - Increasing Access to Mental Health Care for Minoritized Groups In this session, Dr. Courtney Beard, PhD, a clinical psychologist and Associate Professor of Psychology at Harvard Medical School, will present the results o...

Dr. Courtney Beard from @harvardmed.bsky.social discusses smartphone-delivered mental health interventions for Black & Hispanic/Latinx adults at the SODP Symposium.

Watch now: https://buff.ly/49Ivljf

#SODPSymposium #MentalHealthTech #SmartphoneHealth

Correlation of smartphone use addiction with text neck syndrome and SMS thumb in physiotherapy students | International Journal Of Community Medicine And Public Health Background:Young adults have grown up today with mobile phones as an evident part of their lives. Text neck syndrome and SMS thumb may occur due to repetitive use of hand held devices (HHDs)…

Addicted to your smartphone? Beware of "Text Neck" and "SMS Thumb"! Constant scrolling strains your neck and thumbs, causing pain and long-term issues. Take breaks, fix your posture, and stay healthy while staying connected! #SmartphoneHealth #TextNeck