Personalized Mobile Health for Elderly Home Care: A Systematic Review of Benefits and Challenges

Mobile health as one of the new technologies can be a proper solution to support care provision for the elderly and provide personalized care for them. This study is aimed at reviewing the benefits and challenges of personalized mobile health (PMH) for elderly home care. With a systematic review methodology, 1895 records were retrieved by searching four databases. After removing duplicates, 1703 articles remained. Following full-text examination, 21 articles that met the inclusion criteria were studied in detail, and the output was presented in different tables. The results indicated that 25% of the challenges were related to privacy, cybersecurity, and data ownership (10%), technology (7.5%), and implementation (7.5%). The most frequent benefits were related to cost-saving (17.5%), nurse engagement improvement (10%), and caregiver stress reduction (7.5%). In general, the number of benefits in this study was slightly higher than the challenges, but in order to use PMH technologies, the challenges presented in this study must be carefully considered and a suitable solution must be adopted. Benefits can also be helpful in persuading individuals and health-care providers. This study shed light on those points that need to be highlighted for further work in order to convert the challenges toward benefits.

insufficient consideration of end-users perspectives and usability requirements. lack of interest and awareness(apps are ambiguous,and not provide clear information on the specific health benefits for patients),Do not have a smart phone,Lack of access to the internet,Expensive,Missing. redundancy (if consolidation of data from peripheral devices into app). participants proposed future apps that are user friendly, support healthy eating, provide actionable reminders and consolidate data across peripheral health devices. customised features with news update on developments in the field of diabetes. Nominated specific educational topics included tips on problem solving, use of insulin pump therapy, smore comprehensive diet management features in future apps, comprising of nutrient data base of both the common and rare foods, and recipes for tasty foods which are suitable for people with diabetes.more comprehensive diet management features in future apps, comprising of nutrient data base of both the common and rare foods, and recipes for tasty foods which are suitable for people with diabetes improve treatment adherence by encouraging optimism, which can mitigate the stress of living with the illness and accompanying depression, NOT APPLICABLE-It is also essential that we understand how long the telehealth monitoring service needs to be provided to be most cost effective.
significant costs savings,improvements in participants' self-management and control over their condition was evident and importantly, older people were receptive to using this type of technology and enjoyed using it as a tool in managing their COPD, provide measureable health benefits for people living with COPD,reduction in ED presentations, hospital admissions and days in hospital provide users of the service with more than just reduced health service contacts. Participants reported benefits relating to increased confidence in self-management, control and awareness in managing their condition, improved sense of security and reduced anxiety, increased their personal awareness of their health status,prompted more communication about their condition with their GP and in some cases the monitoring results were used to open discussion with their GP about reviewing their medications,demonstrating that participants were taking a more proactive role in managing their condition monitor and improve the health of patients after stroke, use of games to drive treatment. patients were asked to sign a behavioral contract, which increases adherence, engagement, and accountability patients could pause the system as needed between assigned tasks, ystem emphasized variety, with the different modules (therapy, assessment, education, prevention, videoconferencing), numerous games and exercises, and range of different hardware input devices incorporated into individual treatment plans patients could phone the lab if a technical question arose focused on ease of use, including simple, large-font instructions effective system use did not require computer skills to improve blood pressure control in patients with chronic stroke effectively deliver telerehabilitation, improve patient education, screen for complications of stroke, and provide patients at home with a means for interaction with medical personnel feasibility and potential utility of this home-based program for improving outcomes after stroke (1) patients were highly compliant (97.9% of assigned days) and rated the system favorably; (2) therapists were readily able to review patient performance and revise therapy; (3) videoconferences supported regular communication between the patient and treatment team; (4) arm motor status improved significantly overall and exceeded the MCID in half of the subjects; (5) daily education increased stroke prevention knowledge by 39%; (6) screening for depression was accurate; (7)  Concerns included cost of precision medicine and insurance coverage; lack of alignment of PM with cultural norms and values; historically and currently fraught relationships between communities, health professionals, and researchers; unclear privacy and data ownership; and the potential trade-off of knowing risk versus treatment benefit were among the most notable concerns of our diverse sample of participants many forms of PM are not integrated with the needs and concerns of underserved communities to prevent dementia, help families prepare for a diagnosis, and reduce caregiver stress, there is skepticism and concern for the use of PM in these communities. Increased older adult patient autonomy promises to deliver crucial efciencies which are much needed, given the growing demands on clinicians' time and the increasing strain on public resources. older adults have improved the level of accuracy using guidetomeasure-3D And efficiency along with increased satisfaction and increased confidence levels compared to the equivalent of Article 2D. Improve Learnability. to empower older adult users to carry out assessments more effectively, efciently, and with enhanced levels of confdence and improved levels of service user autonomy, hence enabling the provision of more personalised care. improve overall patient satisfaction, quality of life, and ultimately, the level of engagement with assistive equipment for falls prevention. home healthcare Many obstacles remain in completing the implementation of these methods including logistical, financial, and technical issues.
With remote interventions, the patient can remain at home, not only reducing costs but also benefiting from a familiar environment and support of family members help the remote care provider have a deeper picture of the patient's health, Remote access can help identify potential problems and can be used to communicate with family members. These methods allow patients to live longer in the home environment, which reduces costs and improves quality of life. very beneficial to the patient and the patient's family and also to the healthcare provider in reduction in time and travel The aim of this study is to explore patient and provider attitudes and interest in a proposed clinicbased tablet system for personal health information exchange NOT APPLICABLE clinic (a community health center) Patients and providers were concerned about privacy and security of data collected using the tablets.
The primary barrier cited by physicians that limit the use of educational materials and patient-provider discussions on treatment decisions is time constraint.
Providers expressed some concerns about the feasibility of using tablets in the clinic. One concern was coordinating the distribution and return of equipment. A second concern of providers was that some patients may not be able to make effective use of tablet-based systems. Research has found that patients who are older and with lower levels of income and education have more difficulty using tablets improve clinical workflow and patient education Both patients and providers were highly amenable to integrating tablets into the clinical experience, and tablets may be useful in improving patients' health knowledge, the collection of patient reported outcome measures, and improved patient-provider communication. A majority of patients believed the tablet system would have positive effects on their health knowledge, assist in making decisions regarding their health, and help them to feel more comfortable communicating with their provider. Patients thought the proposed system would be more engaging, motivating, and informative than other communication channels. Providers thought the tablet system would enable more personalized delivery of health education content to patients and the collection of patient-reported data for use during the clinical encounter Engaging patients in their health and medical care is understood to be key to achieving better health outcomes and higher patient satisfaction with care . Tablets used in an inpatient setting have been found to reduce the time required to check the EHR and increase the time providers spend with patients A point of care tool that delivers information, prompts patients to take action or change behaviors, and supports patient-provider communication and shared decision making may be the most effective model to improving engagement.
Patients responded positively to the proposed tablet system and thought it would help them to improve their knowledge, assist in making decisions about their health, and feel more comfortable communicating with their providers.

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Pérez-Gandía C, NOT APPLICABLE providing caregivers with automated updates and guidance on self-care support may enhance the beneficial effects of mHealth for HF patients'health and selfmanagement mHealth+CP may also decrease patients' risk of HF exacerbations related to shortness of breath and sudden weight gains. mHealth+CP may improve quality of life among patients with greater depressive symptoms. this suggests that involvement in mHealth information exchange may significantly improve relationship quality and self-management assistance for patients with chronic health problems. Major recommendations for improving the eHM-DP encompassed: an active search functionality based on predefined terms, the implementation of a chatroom for caregivers, an upload function and alerts for MPs, as well as the overall design.
The perceived benefits and willingness to use the system, combined with an increasing number of adults who use the internet regularly, emphasize the potential of personalized and web-based support services for caregivers. Assistance in decision making and empowering caregivers are essential to lowering and preventing caregiver burden affiliated work and/or stresses. E-health interventions can be an efficient alternative to provide personalized support for caregivers at reduced costs Upon implementing the reported pilot results into the eHM-DP, further research will focus on a) the cost-effectiveness and benefits of the eHM-DP in real-life settings (at home/at work), b) the perceived benefits for specific user subgroups as well as c) the integration of the eHM-DP into existing healthcare infrastructures Caregivers indicated a high degree of perceived support by the eHM-DP and of provided decision aid. The primary benefits participants perceived were the acquisition of individualized information, computerized interaction between caregivers and MPs, empowerment in health-related decisions and comprehensive insights into the progress of the disease for caregivers with regard to caregiver empowerment (knowledge, decision aid), facilitated access to health care services, and promoting interaction with MPs Currently, self-care among CHF patients is far from satisfactory. Poor knowledge of symptom recognition and treatment and lack of confidence in treatment have restricted the implementation of self-care.
full-course individualized health education (FCIHE) helps to improve cardiac function in CHF patients, helps to improve self-care behavior, helps to improve quality of life,increasing their confidence in disease treatment. improved self-care behavior and cardiac function in CHF patients. Age, cardiac function, and education level affected the implementation of self-care among CHF patients self-care based on full-course individualized health education can better assist clinical treatment and can achieve therapeutic effects similar to treatment by intervening in the overall behavior of patients. The individualization and continuity of health education was guaranteed, which, to a certain extent, ensured the seamless transition from hospital to family. FCIHE has the following advantages. (1) The full-course dynamic management helps the medical staff to learn the patient's medical condition and self-care needs in a more comprehensive and real-time manner. According to the real situation of the patients, the health guidance programs can be adjusted timeously; (2) the full-course participation of medical staff in the health education of patients helps to establish a good doctor-patient relationship and thus increase adherence to treatment and care protocols; and (3) participation of multidisciplinary teams can facilitate healthcare professional development and increase their ability to serve patients.