School of Medicine, Johns Hopkins University, Baltimore, MD, United States.
School of Nursing, Johns Hopkins University, Baltimore, MD, United States.
JMIR Mhealth Uhealth. 2019 Dec 16;7(12):e16391. doi: 10.2196/16391.
As smartphone ownership continues to rise, health care systems and technology companies are driven to develop mobile health (mHealth) interventions as both diagnostic and therapeutic tools. An important consideration during mHealth intervention development is how to achieve health equity despite demographic differences in smartphone ownership. One solution is through the recirculation of loaner smartphones; however, best practices for implementing such programs to optimize security, privacy, scalability, and convenience for participants are not well defined.
In this tutorial, we describe how we implemented our novel Corrie iShare program, a 30-day loaner iPhone and smartwatch recirculation program, as part of a multi-center mHealth intervention to improve recovery and access to guideline-directed therapy following acute myocardial infarction.
We conducted a prospective study utilizing a smartphone app and leveraged iOS enterprise features as well as cellular data service to automate recirculation.
Our configuration protocol was shortened from 1 hour to 10 minutes. Of 200 participants, 92 (46.0%) did not own an iPhone and would have been excluded from the study without iShare. Among iShare participants, 72% (66/92) returned their loaned smartphones.
The Corrie iShare program demonstrates the potential for a sustainable and scalable mHealth loaner program, enabling broader population reach while optimizing user experience. Implementation may face institutional constraints and software limitations. Consideration should be given to optimizing loaner returns.
随着智能手机的普及，医疗保健系统和科技公司都致力于开发移动医疗（mHealth）干预措施，作为诊断和治疗工具。在开发 mHealth 干预措施时，一个重要的考虑因素是如何实现健康公平，尽管智能手机的拥有情况在人口统计学上存在差异。一个解决方案是通过循环使用出借的智能手机；然而，如何实施这些计划以优化安全性、隐私性、可扩展性和参与者的便利性，还没有得到很好的定义。
在本教程中，我们描述了如何实施我们的新型 Corrie iShare 计划，这是一个为期 30 天的出借 iPhone 和智能手表循环使用计划，作为一项多中心 mHealth 干预措施的一部分，旨在改善急性心肌梗死患者的康复和获得指南指导的治疗。
我们进行了一项前瞻性研究，利用智能手机应用程序，并利用 iOS 企业功能以及蜂窝数据服务来实现自动化循环使用。
我们的配置协议从 1 小时缩短到 10 分钟。在 200 名参与者中，有 92 名（46.0%）没有 iPhone，如果没有 iShare，他们将被排除在研究之外。在 iShare 参与者中，有 72%（66/92）归还了他们借来的智能手机。
Corrie iShare 计划展示了可持续和可扩展的 mHealth 出借计划的潜力，使更广泛的人群能够受益，同时优化了用户体验。实施可能会面临机构限制和软件限制。应考虑优化出借归还率。
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