The Wild Wild West: A Framework to Integrate mHealth Software Applications and Wearables to Support Physical Activity Assessment, Counseling and Interventions for Cardiovascular Disease Risk Reduction

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• 作者：Felipe Lobelo^a ; ^b ; ^{felipelobelo@emory.edu" class="auth_mail" title="E-mail the corresponding author} ; Heval M. Kelli^c ; Sheri Chernetsky Tejedor^d ; Michael Pratt^a ; Michael V. McConnell^e ; Seth S. Martin^f ; Gregory J. Welk^g
• 关键词：Apps ; applications ; CMS ; Center for Medicare and Medicaid services ; CVD ; cardiovascular disease ; FTC ; Federal Trade Commission ; HIPAA ; Health Insurance Portability and Accountability Act ; HITECH ; Health Information Technology for Economic and Clinical Health ; IDC ; International Data Corporation ; EMR ; electronic medical record ; Mhealth ; mobile health ; PA ; physical activity ; USPSTF ; U.S. Preventive Services Task Force ; WAMS ; wearable activity monitors
• 刊名：Progress in Cardiovascular Diseases
• 出版年：2016
• 出版时间：May-June 2016
• 年：2016
• 卷：58
• 期：6
• 页码：584-594
• 全文大小：563 K

文摘

Physical activity (PA) interventions constitute a critical component of cardiovascular disease (CVD) risk reduction programs. Objective mobile health (mHealth) software applications (apps) and wearable activity monitors (WAMs) can advance both assessment and integration of PA counseling in clinical settings and support community-based PA interventions. The use of mHealth technology for CVD risk reduction is promising, but integration into routine clinical care and population health management has proven challenging. The increasing diversity of available technologies and the lack of a comprehensive guiding framework are key barriers for standardizing data collection and integration. This paper reviews the validity, utility and feasibility of implementing mHealth technology in clinical settings and proposes an organizational framework to support PA assessment, counseling and referrals to community resources for CVD risk reduction interventions. This integration framework can be adapted to different clinical population needs. It should also be refined as technologies and regulations advance under an evolving health care system landscape in the United States and globally.