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Guardino K, Gaerlan M, Pinotti CS, Burnett KR, Kofoed D, Schanberg LE, Hightow-Weidman LB, Randell RL. Meeting report: patient and caregiver recommendations for a mobile health application for paediatric systemic lupus erythematosus. Lupus Sci Med 2024; 11:e001305. [PMID: 39089735 PMCID: PMC11293375 DOI: 10.1136/lupus-2024-001305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2024] [Accepted: 07/04/2024] [Indexed: 08/04/2024]
Abstract
Paediatric systemic lupus erythematosus (pSLE) management and research could be enhanced by a mobile health application (app); however, no app designed for pSLE is currently available. A development and design committee comprising of patients, parents/caregivers and other stakeholders met to inform development and design of an app specific for pSLE. This meeting report summarises the group's discussions and recommendations that could help create a useful and desirable app or mobile health tool for the pSLE community.
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Cirillo L, Manfredi C, Barone B, Morgera V, Cacace G, Mastrangelo F, Di Bello F, Abate M, Arcaniolo D, Spirito L, Crocetto F, La Rocca R, Creta M, Calace FP, Fusco GM, Napolitano L. Mobile health applications in kidney stone disease management: A reliable support for patients? Arch Ital Urol Androl 2023; 95:11076. [PMID: 36924375 DOI: 10.4081/aiua.2023.11076] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 12/28/2022] [Indexed: 02/25/2023] Open
Abstract
INTRODUCTION Mobile health applications (MHAs) represent an interesting issue to assist and improve the quality of life of patients affected by Kidney Stone Disease (KSD). Despite this, their scientific quality and adherence to guidelines are not yet addressed. MATERIAL AND METHODS On 2 November 2022, we conducted an observational cross-sectional descriptive study of all MHAs on KSD. A search in the Apple App Store and Google Play Store was performed. We reviewed all mobile apps from Apple App Store and Google Play Store for KSD and evaluated their usage in screening, prevention, management, and adherence to EAU guidelines. RESULTS In total 13 MHA were included in the final analysis. All MHAs, 4 (30.8%) from the Apple App Store and 9 (69.2%) from the Google Play Store are geared towards the patient. Engagement ranged from 1.73 to 4.06; Functionality ranged from 3.17 to 4.75; Aesthetics ranged from 1.9 to 4.12; Information ranged from 2.25 to 4.27, and Subjective quality ranged from 1.58 to 3.23. MHAs reported low and medium adherence to EAU guidelines. CONCLUSIONS MHAs provide a very useful assistance in several medical fields, including KSD. Despite MHAs development is constantly increasing, the scientific validation, content, and quality are not yet solved. Future research is necessary to improve the quality of the apps and promote new user designed, and high-quality apps.
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Affiliation(s)
- Luigi Cirillo
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Celeste Manfredi
- Unit of Urology, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples.
| | - Biagio Barone
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Vincenzo Morgera
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Gianluigi Cacace
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Francesco Mastrangelo
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Francesco Di Bello
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Marco Abate
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Davide Arcaniolo
- Unit of Urology, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples.
| | - Lorenzo Spirito
- Unit of Urology, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples.
| | - Felice Crocetto
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Roberto La Rocca
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Massimiliano Creta
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Francesco Paolo Calace
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Giovanni Maria Fusco
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
| | - Luigi Napolitano
- Unit of Urology, Department of Neurosciences, Reproductive Sciences, and Odontostomatology University of Naples "Federico II", Naples.
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Winoker JS, Koo K, Huang MM, Bhanji Y, Matlaga BR. Systematic Evaluation of Smartphone Applications for the Medical Management of Nephrolithiasis. J Endourol 2021; 35:1058-1066. [PMID: 33213184 DOI: 10.1089/end.2020.1005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Objective: The aim of this study was to comprehensively evaluate the quality of patient-oriented, mobile health applications (apps) available for medical management of kidney stone disease (KSD). Materials and Methods: A systematic search was performed to identify apps from the Apple and Google Play app stores. Eligible apps were divided into two categories: (1) fluid apps and (2) dietary apps. Descriptive characteristics were summarized and app quality was independently evaluated on the basis of technical quality, usability, clinical value, and privacy/security. The validated Mobile App Rating Scale (MARS) was the backbone for the evaluation framework. Results: In total, 31 apps (18 fluid apps and 13 dietary apps) were included. Fluid apps outscore dietary apps in all dimensions of MARS quality. All but one fluid app exceeded the minimum acceptable MARS score of 3.0 vs 46% of dietary management apps. Dietary apps feature less functionality and most are limited to noninteractive informational content. While most data-capturing apps provide a privacy policy and ensure that security measures are taken to protect user identity, only 36% offer users choice or consent for secondary use of their data after data have already been collected. Overall, only one app has undergone any form of real-world clinical investigation. Conclusions: Fluid management apps outperform dietary apps in technical quality, usability, and clinical value at the cost of greater privacy/security risks. Despite not being targeted to patients with KSD, they are higher in most quality measures and offer greater functionality to support long-term disease management compared with dietary apps.
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Affiliation(s)
- Jared S Winoker
- The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Kevin Koo
- The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Mitchell M Huang
- The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Yasin Bhanji
- The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Brian R Matlaga
- The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
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Philip-McKenzie Y, Jamnadass E, Hameed BZ, Gamage KN, Bres-Niewada E, Sulaiman SK, Naik N, Somani BK. A content analysis of 'Water Apps' and prevention of urological diseases: Do apps really help? Cent European J Urol 2020; 73:187-192. [PMID: 32782839 PMCID: PMC7407778 DOI: 10.5173/ceju.2020.0136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Revised: 06/08/2020] [Accepted: 06/08/2020] [Indexed: 11/22/2022] Open
Abstract
Introduction Maintaining hydration reduces incidence of kidney stone disease (KSD), chronic kidney disease (CKD) and urinary tract infections (UTIs). Mobile applications (apps) measuring hydration are gaining in usage, allowing users to monitor intake whilst also taking into account the signs and symptoms of dehydration. Our study looked at the water apps in the management and/or prevention of urological disease. Material and methods The original android app store (Google Play Store), and the Apple App Store (iOS App Store) were searched using the term ‘hydration’, ‘fluid’ and ‘water’. All apps from each distribution platform, with a minimum of 100 reviews, were then selected and analysed. Results After identification of 51 applications (13 from Apple App Store, and 38 from Google Play Store), 45 were free to download and 6 were paid (cost range: $2.19–$7.97). While none of the apps facilitated measurement of urine output and colour, 12 mentioned signs and symptoms of dehydration. Furthermore, when calculating required fluid intake, the level of activity was considered by 31 apps. With regards to information provision, only one of the apps included advice or education about urological conditions associated with poor hydration. None of the apps gave advice on hydration related to CKD and UTI. Conclusions Mobile phone apps are a well-established tool for measuring fluid intake. However, they provide little information regarding the importance of hydration, and don’t utilise other measures such as level of activity, urine output or colour. Considering the increasing popularity of fitness and hydration apps in our daily lives, the developers need to make them more comprehensive and informative.
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Affiliation(s)
- Yosef Philip-McKenzie
- School of Clinical Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom
| | - Enakshee Jamnadass
- Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom
| | - Bm Zeeshan Hameed
- Department of Urology, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, India.,Innovation Center, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, India
| | - Kithmini N Gamage
- Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom
| | - Ewa Bres-Niewada
- Department of Urology, Roefler Memorial Hospital, Pruszków, Poland
| | - Sadaf Karim Sulaiman
- Core Surgical Trainee, University Hospital Southampton NHS Trust, Southampton, United Kingdom
| | - Nitesh Naik
- Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, India
| | - Bhaskar K Somani
- Department of Urology, University Hospital Southampton NHS Trust, Southampton, United Kingdom
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