ABSTRACT
BACKGROUND: Chronic noncommunicable diseases such as arterial hypertension have a high impact in the context of public health. Previous studies have shown improvements in blood pressure due to simple lifestyle changes, which were supported by electronic health (eHealth) solutions. OBJECTIVE: The aim of this study is to develop an eHealth platform and assess the effects of its use on the health conditions of patients with hypertension, with assistance from health professionals in the public health system of a Brazilian city. METHODS: The platform will include a server that centralizes all the data and business rules, a website dashboard for health professionals, and a mobile app for patients. We will analyze the effects of its use through a controlled, nonrandomized, nonblind, prospective, monocentric clinical trial. We will enroll 68 participants diagnosed with arterial hypertension and under medical follow-up and categorize them into two groups. The participants of the intervention group will use the platform as a monitoring method, whereas the participants of the control group will use conventional methods. In both groups, we will assess and compare the evolution of blood pressure and treatment adherence before, during, and after the intervention. RESULTS: The project was funded at the end of 2018. We have been developing the software since 2019 with plans to complete it in 2020, and we will enroll patients between 2020 and 2021. We expect to submit the first results for publication in 2020. CONCLUSIONS: For the primary outcome, we expect a reduction and stabilization of blood pressure. For the secondary outcomes, we hope to see improvements in treatment adherence, physical activities and dietary practices, and acceptance of the eHealth platform. In public health, the technology that favors disease control also helps reduce complications and, consequently, treatment costs. The platform might encourage the adaptation of medical assistance to incorporate this technology into patient monitoring. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/15299.
ABSTRACT
A medicina do estilo de vida tem como meta principal ajudar os indivíduos na prevenção e no tratamento de doenças que restringem um modo de vida saudável. Para auxiliar esse processo, muitas soluções digitais estão sendo pesquisadas e desenvolvidas. O objetivo do trabalho em que se baseia este artigo é identificar quais são as aplicações móveis com interação médico-paciente que visam contribuir para um estilo de vida saudável. Para isso, realizamos uma revisão sistemática de literatura nas bases de dados eletrônicas ScienceDirect, IEEE, Springer e ACM durante o mês de maio de 2015. Foram incluídos estudos que descrevem o uso de tecnologias móveis e que possuem mecanismo de intervenção entre paciente e profissional, com vistas a contribuir efetivamente para um estilo de vida saudável. Dos artigos encontrados, 541 no total, cinco atenderam aos critérios de elegibilidade e foram analisados nesse estudo de revisão.
Lifestyle medicine has as main goal to help individuals to prevent and treat diseases that restrict a healthy life. To assist this process, many digital solutions are being researched and developed. The objective of the study on which this article bases is to identify which mobile technology applications providing doctor-patient interaction aim to contribute to the improvement of healthy lifestyle. Thus, we performed a systematic review of literature in electronic databases Science Direct, IEEE, Springer and ACM, in May 2015. Weincluded studies that describe the use of mobile technologies and have intervention mechanism between patient and professional, in order to effectively contribute to a healthy lifestyle. Five from 541 articles found satisfy the eligibility criteria and were analyzed in the review.
La medicina del estilo de vida tiene como principal objetivo ayudar a las personas la prevención y tratamiento de enfermedades que restringen una vida saludable. Para ayudaren en este proceso, muchas soluciones digitales están siendo investigadas y desarrolladas. El objetivo del estudio en lo cual este artículo es basado es identificar cuales aplicaciones de tecnología móvil conteniendo la interacción médico-paciente pretenden contribuir para la mejora del estilo de vida saludable. Para tanto, hemos realizado una revisión sistemática de la literatura en bases de datos electrónicas Science Direct, IEEE, ACM y Springer, en mayode 2015. Fueron incluidos los estudios que describen el uso de las tecnologías móviles y tienen mecanismo de intervención entre el paciente y el profesional, con el fin de contribuir de manera eficaz a un estilo devida saludable. De los 541 artículos encontrados, cinco satisficieron los criterios de elegibilidad y fueron analizados en la revisión.
Subject(s)
Humans , Mobile Applications , Monitoring, Physiologic/methods , Patient Care , Physician-Patient Relations , Health Behavior , Text Messaging , Review Literature as Topic , Smartphone , Information Technology/methodsABSTRACT
The use of electromedical equipment (EME) throughout the years has brought benefits in the aid of diagnosis and therapies as well as in surgical interventions. However, the equipment may fail and can cause health hazards, for example, the passing of a small but dangerous electric current through the patient (microshock). To prevent and minimize the risk of failure we propose the Protegemed2, an extension of the previous version called Protegemed, addressed in 2009. This system uses radio frequency identification to automatically identify EME and increases the performance of the system allowing a large-scale supervision of EMEs. Protegemed2 was built embedded into the gas and electric power panel of surgical rooms and uses an ARM 32-bit microcontroller.
