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Posted on Jan 31, 2015 in Perspective Pieces | 0 comments

“mHealth is an Innovative Approach to Address Health Literacy and Improve Patient-Physician Communication – An HIV Testing Exemplar”

Disha Kumar1,2, Monisha Arya, M.D., M.P.H3,4

1School of Social Sciences, Rice University, 6100 Main St., Houston, Texas 77005, U.S.A; 2Wiess School of Natural Sciences, Rice University, 6100 Main St., Houston, Texas 77005, U.S.A; 3Department of Medicine, Section of Infectious Diseases and Section of Health Services Research, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77030, U.S.A; 4Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center 2002 Holcombe Blvd (Mailstop 152), Houston, Texas 77030, U.S.A

Corresponding Author: disha.kumar@ricealumni.net

Journal MTM 4:1:25–30, 2015

doi:10.7309/jmtm.4.1.6


Low health literacy is a barrier for many patients in the U.S. Patients with low health literacy have poor communication with their physicians, and thus face worse health outcomes. Several government agencies have highlighted strategies for improving and overcoming low health literacy. Mobile phone technology could be leveraged to implement these strategies to improve communication between patients and their physicians. Text messaging, in particular, is a simple and interactive platform that may be ideal for patients with low health literacy. We provide an exemplar for improving patient-physician communication and increasing HIV testing through a text message intervention.


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Posted on Jan 31, 2015 in Original Article | 0 comments

Development of an iPad version of the Kessler 10+ for use in youth mental health outreach services

Gareth Furber, PhD1, Ann E Crago2, Tom D Sheppard3, Clive Skene4

1(Clinical Psychology) – University of  South Australia, Adelaide, SA, 5000; 2Bachelor of Nursing – Youthlink, Women’s and Children’s Health Network, SA Health, GP Plus Health Care Centre Marion, 10 Milham Street, Oaklands Park, Adelaide, SA, 5046; 3Registered Nurse (Mental Health) – Youthlink, Women’s and Children’s Health Network, SA Health, GP Plus Health Care Centre Marion, 10 Milham Street, Oaklands Park, Adelaide, SA, 5046; 4Master of Psychology – CAMHS Executive, Level 1, 55 King William Road, North Adelaide, SA, 5006

Corresponding Author: E gareth.furber@unisa.edu.au

Journal MTM 4:1:20–24, 2015

doi:10.7309/jmtm.4.1.5


In this case report we describe the development and early trialling of an iPad application replicating the Kessler 10+ (K10 +), a widely used brief measure of psychological distress. The application was the result of a collaboration between a youth mental health outreach service (Youthlink), a private application developer (Enabled) and local health service IT support. Therapists reported greater engagement with the iPad version of the K10+ compared to the pen/paper version and described how the application assisted them to collaboratively reflect with consumers on treatment progress.


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Posted on Jan 30, 2015 in Original Article | 4 comments

Google Glass Indirect Ophthalmoscopy

Aaron Wang, MD, PhD1, Alex Christoff, CO, COT1, David L. Guyton, MD1, Michael X. Repka, MD1, Mahsa Rezaei, MS1, Allen O. Eghrari, MD1

1Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

Corresponding Author: allen@jhmi.edu

Journal MTM 4:1:15–19, 2015

doi:10.7309/jmtm.4.1.4


Background: Google Glass is a wearable, head-mounted computer with display, photographic and videographic imaging capability, and connectivity to other devices through Wi-Fi and Bluetooth signaling.

Aims: To describe for the first time the use of Google Glass for use in indirect ophthalmoscopy and modification techniques to assist with its use.

Methods: A lightweight, portable light source was installed above the Glass aperture, a small tissue paper used to diffuse the light, and the arm of the headset was taped to the examiner’s glasses in order to bring the display into the right eye’s central visual field.

Results: Using a slightly modified Glass headset, the examiner documented the central and peripheral retina in a young male with ease.

Conclusion: We demonstrate for the first time that Glass, with minor modifications, can be used as a simple and effective method to perform and record a fundus examination.


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Posted on Jan 30, 2015 in Original Article | 0 comments

Health Care Apps- will they be a Facelift for Today’s Medical/Dental Practice?

Deepika Jasti1, KVNR Pratap, MDS2, Madhavi Padma.T, MDS3, V. Siva Kalyan, MDS4, M. Pavana Sandhya, MDS5, ASK. Bhargava, MDS6

1Final year Post graduate student, Department Of Public Health Dentistry, Mamata Dental College, Khammam-507002, Andhra Pradesh, India; 2Professor and Head, Department Of Public Health Dentistry, Mamata Dental College, Khammam-507002, Andhra Pradesh, India; 3Professor, Department Of Public Health Dentistry, Mamata Dental College, Khammam-507002, Andhra Pradesh, India; 4Reader, Department Of Public Health Dentistry, Mamata Dental College, Khammam- 507002, Andhra Pradesh, India; 5Senior Lecturer, Department Of Public Health Dentistry, St. Joseph Dental College, Eluru-534003, Andhra Pradesh, India; 6Senior Lecturer, Department Of Public Health Dentistry, Mamata Dental College, Khammam-507002, Andhra Pradesh, India

Corresponding Author: deepikajastii@gmail.com

Journal MTM 4:1:8–14, 2015

doi:10.7309/jmtm.4.1.3


Background: With the recent advent of smart phones, usage of medical apps is on rise. Smart phones are powerful devices that combine the conventional functions of a mobile phone with advanced computing capabilities enabling users to access software applications commonly termed as “apps”. Health care applications (apps) that are downloadable on to smart phones are increasingly becoming popular among clinicians.

Aim: The aim of the present study was to assess the usage of health care apps among Medical and Dental doctors.

Methodology: A descriptive cross sectional questionnaire based study was conducted on medical and dental doctors of Mamata hospitals, Khammam, Andhra Pradesh. A pretested, self administered questionnaire was used and it consists of questions regarding demographic data followed by usage of health care apps. Descriptive statistics were computed to demonstrate the frequency of responses and the comparisons were made using chi-square test. A p-value less than or equal to 0.05 was considered to be significant.

Results: A total of eighty doctors (48 Medical and 32 dental) completed the questionnaire. More males (n = 63) than females (n = 17) participated in the study. Participants had a mean age of 32.5 years. It was found that 68% of dental doctors and 70.45% of medical doctors are using health care apps on their smart phone. Most of the participants (58.8% of dental and 77.4% medical doctors) use the health care apps for knowledge purposes, while no dental doctors used the apps for diagnosis or treatment purposes. The majority of the dental doctors (41.17%) are using these apps for patient education purpose when compared to the medical doctors (3.22%).

Conclusion: There is a high usage rate of health care apps among both medical and dental doctors, with medical doctors using the apps for informational purposes, whereas dental doctors used the apps for patient education.


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Posted on Jan 30, 2015 in Original Article | 0 comments

Accuracy of Estimates of Step Frequency From a Wearable Gait Monitor

M Punt, MSc1, H Wittink, PhD1, F van der Bent, Ing1, Jh van Dieën, PhD2,3

1Research group Lifestyle and Health, Utrecht University of Applied Sciences, Utrecht, The Netherlands; 2Move Research Institute Amsterdam, Faculty of Human Movement Sciences, VU University Amsterdam, Amsterdam, the Netherlands; 3King Abdulaziz University, Jeddah, Saudi Arabia

Corresponding Author: Michiel.punt@hu.nl

Journal MTM 4:1:2–7, 2015

doi:10.7309/jmtm.4.1.2


Background: Assessment of gait activity by accelerometry requires data analysis. Currently several methods are used to estimate step frequency. At present the relation between step frequency estimation, gait speed and minimal required time window length remains unknown.

Aims: The purpose of the study was to assess the accuracy of estimates of step frequency (SF) from trunk acceleration data analyzed with commonly used algorithms and time window lengths, at a wide range of gait speeds.

Method: Twenty healthy young subjects performed an incremental treadmill protocol from 1 km/h up to 6 km/h, with steps of 1 km/h. Each speed condition was maintained for two minutes. A waist worn accelerometer recorded trunk accelerations, while video analysis provided the correct number of steps taken during each gait speed condition. Accuracy of two commonly used signal analysis methods (autocorrelation, fast Fourier transformation) was examined with time windows of two, four and eight seconds.

Results: Our main finding was that accuracy of SF estimates with fast Fourier transformation and autocorrelation improved with increasing time window size, only at the lower gait speeds. Accuracy of SF estimation was lower at low gait speeds independent of the algorithm and time window used.

Conclusion: We recommend a minimum TW length of 4 seconds when using AC and PSD algorithms and when using the PSD algorithm to use spectral averaging, as this leads to better results at short TW and low gait speeds.


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