Personal Health Management with Digital Solutions
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Item Evaluating the Remote Patient Monitoring Infrastructure Framework in the Management of Hypertension(2025-01-07) Claggett, Jennifer; Petter, Stacie; Joshi, Amol; Kirkendall, EricThe collection of patient data outside of a healthcare clinic or physician’s office through remote patient monitoring (RPM) has been touted to improve patient care and clinician decision making. However, these implementations can be challenging and complex, and an RPM Infrastructure Framework has identified some of the challenges and considerations associated with RPM interventions. Using a case study approach, this research examines the RPM Infrastructure Framework in the context of the use of remote patient monitoring to manage hypertension. Our findings identify support for the major components of the framework, but also identify additional considerations for RPM interventions that could affect their implementation.Item Trackable Me: Relevant Data and User Types for the Tracking of Patient-Generated Health Data in Depression Care(2025-01-07) Reindl-Spanner, Philipp; Prommegger, Barbara; Gensichen, Jochen; Krcmar, HelmutUsing patient-generated health data (PGHD) in depression care can provide valuable insights into patients' health. Due to the technical possibilities, patients can collect many PGHD types. However, these are not necessarily highly relevant to depression and are not considered relevant by all users. We, therefore, examined the relevance of various PGHD types for the treatment of depression and identified different types of users based on their data preferences. We surveyed 170 participants with depression and created a ranking for the most relevant data types. With subsequent cluster analysis, we identified four different user types: "Track-it-alls", "Medical Trackers", "Psychological Trackers," and "Untrackables". Based on these clusters, we show different possibilities for which user group and which types of PGHD are most suitable. With the results of this paper, we underline the need for tailored PGHD apps to improve personalized care in depression treatment.Item A Cross-Platform Smartphone Auscultation SDK and Optimized Filters for Severe Aortic Stenosis Detection(2025-01-07) Altstidl, Thomas; Altstidl, Michael; Achenbach, Stephan; Eskofier, BjoernInitial studies suggest that valve replacement may also benefit asymptomatic patients with severe aortic stenosis, who don't typically seek medical attention and thus require screening. As echocardiography, the current gold standard, is time-intensive and hence costly, a more convenient and broadly accessible alternative would be desirable. We present a cross-platform smartphone auscultation software development kit (SDK) for Android and iOS that uses the built-in microphone to record heart sounds. Our initial exploration shows that such recordings can detect 89% of severe aortic stenosis patients, compared to 95% for a digital stethoscope. In addition, we tackle the issue of smartphone audio quality as an image-to-image translation problem between spectrograms of smartphone and stethoscope recordings. Both CycleGAN and CUT are able to significantly decrease background noise, bringing the perceptual quality quantitatively and qualitatively closer to that of a digital stethoscope.Item A Decentralized Information Governance Framework for Implementing Blockchain in Healthcare: An Exploratory Analysis(2025-01-07) Nguyen-Phan, Trinh; Lemieux, Victoria; Bui, TungBlockchain was projected to revolutionize health information management and inter-organizational collaboration. In practice, its transformative impact has been limited. Using a three-layer theory, this study adopts critical interpretive synthesis technique and case analysis to examine the impact of blockchain on the healthcare value chain, ultimately proposing an information governance (IG) framework for healthcare blockchain. Our analysis suggests that blockchain has introduced a paradigm shift in the healthcare value chain, such as empowering patients in care and data monetization, extending the traditional value chain, and facilitating distributed connections between stakeholders. Effective IG is crucial to unleashing the value of information and transforming the healthcare ecosystem. Healthcare's IG peculiarity necessitates a mix of individual and institutional accountability and an extending of reliance on the trusted third party. We advocate for an IG framework focusing on sustaining institutional trust anchors, enabling a mix of individual autonomy and negotiated institutional responsibility, and ensuring ethical compliance.Item Introduction to the Minitrack on Personal Health Management with Digital Solutions(2025-01-07) Wickramasinghe, Nilmini; Kraus, Mathias; Sloane, Elliot; Bodendorf, Freimut