BackgroundStress is a critical factor in the operating room (OR) and affects both the performance and well-being of surgical staff. Measuring and mitigating this stress can therefore improve patient safety and healthcare worker health.ObjectiveThis study aimed to evaluate the stress levels of OR staff in a simulated surgical setting using electrodermal activity (EDA) and to […]
Bioethical considerations in deploying mobile mental health apps in LMIC settings: insights from the MITHRA pilot study in rural India
IntroductionIn India, untreated depression among women contributes significantly to morbidity and mortality, underscoring an urgent need for accessible and ethically grounded mental health interventions. Mobile health (mHealth) tools offer scalable solutions; however, their implementation in low- and middle-income country (LMIC) settings raises important bioethical considerations.MethodsThis study was conducted at the conclusion of a pilot randomized […]
Real-world outcomes from 2,905 episodes of hospital at home care: a propensity-matched cohort study
BackgroundHospital at home (HAH) services within the UK have expanded rapidly over the last 5 years, but there is comparatively little evidence demonstrating their clinical effectiveness. In this study, we evaluated the clinical outcomes, safety, and cost-effectiveness of a comprehensive HAH service in England.MethodsWe conducted a retrospective cohort study of patients admitted to our HAH […]
User experience design methodologies for developing a tele-round platform in public intensive care units in northern and northeastern Brazil
IntroductionDesigning digital health solutions for critical environments like intensive care units (ICUs) is challenging, especially in resource-constrained settings. The integration of user experience (UX) design methods into digital health development may improve alignment with clinical workflows, reduce barriers to adoption, and enhance perceived usefulness.ObjectiveTo apply user experience design methodologies to develop the interface of a […]
Preparing real-world data through common data model harmonization of cancer patient records in the COMNet platform at the Modena Oncology Center
ObjectivesThe transition from paper medical records to electronic health records (EHRs) has enabled the extraction of substantial real-world data, which can support future real-world evidence generation. This study aimed to convert heterogeneous oncology data from local EHR systems—collectively referred to as COMNet—into a standardized data model. In particular, the Observational Medical Outcomes Partnership Common Data […]
Creating customized chatbots with ChatGPT to promote physical activity: a mini review
Artificial intelligence (AI) chatbots powered by large language models (LLMs) such as ChatGPT offer a promising approach for delivering scalable, personalized physical activity interventions. Despite growing interest in applying these tools to health behaviour change, concerns remain regarding accuracy, safety, hallucinations, privacy, and theoretical grounding. This mini-review summarizes current methods for creating customized ChatGPT-based chatbots […]
Editorial: Advancing vocal biomarkers and voice AI in healthcare: multidisciplinary focus on responsible and effective development and use
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A randomized, unblinded, controlled clinical study to assess the mobile digital health application INKA in the management of therapy refractory overactive bladder and mixed incontinence
BackgroundThis exploratory, two-arm, randomized, unblinded, controlled, multicentre study assessed the health benefits of the INKA app, a MDR class I CE-marked digital therapy companion for patients with overactive bladder (OAB) and mixed incontinence (MI). INKA offers self-guided educational, behavioural, and motivational content, along with physiotherapy modules and supports daily self-management, in accordance with current clinical […]
Digital rehabilitation in a low-resource setting: lessons from building an integrated ecosystem in Burundi
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Maccabi-RED, mHealth innovation in community emergency care: a 4-year analysis of adoption patterns and impact on healthcare utilization
IntroductionEmergency department overcrowding due to non-urgent visits places a considerable burden on the healthcare system. Mobile health (mHealth) technologies offer potential solutions by providing community-based alternatives for emergency care.MethodsIn this study, we analyzed 4 years of implementation data from Maccabi-RED, a smartphone app-based emergency care service launched in 2019 by Israel’s second-largest healthcare maintenance organization. […]
Co-designing animated videos to explain large language models and their use in healthcare and research
IntroductionThe increasing development of large language models (LLM) in healthcare research is taking place without patient and public involvement and engagement (PPIE). Part of the challenge is the lack of accessible educational resources to promote literacy around LLMs.MethodsWe employed a co-design approach with 6 PPIE contributors from Tower Hamlets, London to develop educational animations about […]
Distribution of pulmonary ventilation in women with post-COVID-19 before and after the use of a respiratory incentive device (UBICU): a pilot study
IntroductionIn the aftermath of the COVID-19 pandemic, restrictive pulmonary complications have emerged as a common long-term sequela. To address these impairments, a novel flow-based respiratory incentive device, UBICU, was developed to promote lung expansion through gamification and visual feedback. The aim of this study was to describe the pulmonary ventilation distribution using Electrical Impedance Tomography […]