We performed a search to identify available wearable sensors systems that can collect patient health data and have data sharing capabilities. Findings available in "Wearable sensors with possibilities for data exchange: Analyzing status and needs of different actors in mobile health monitoring systems" [1]. We performed an initial search of the Vandrico wearable database, and supplemented the resulting device list with an internet search. In addition to relevant meta-data (i.e. name, description, manufacturer, web-link, etc.) for each device, we also collected data on 13 attributes related to data exchange. I.e. device type, communication interface, data transfer protocol, smartphone and/or PC integration, direct integration to open health platform, 3rd platform integration with open health platform, support for health care system/middleware connection, recorded health data types, integrated sensors, medical device certification, whether or not the use can access collected data, device developer access, and device availability on the market. In addition, we grouped each device into three groups of actors that these devices are relevant for: electronic health record providers, software developers, and patients. The collected data can be used as an overview of available devices for future researchers with interest in the mobile health (mHealth) area.
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Wearable devices with an ability to collect various type of physiological data are increasingly becoming seamlessly integrated into everyday life of people. In the area of electronic health (eHealth), many of these devices provide remote transfer of health data, as a result of the increasing need for ambulatory monitoring of patients. This has a potential to reduce the cost of care due to prevention and early detection. OBJECTIVE: The objective of this study was to provide an overview of available wearable sensor systems with data exchange possibilities. Due to the heterogeneous capabilities these systems possess today, we aimed to systematize this in terms of usage, where there is a need of, or users benefit from, transferring self-collected data to health care actors. METHODS: We searched for and reviewed relevant sensor systems (i.e., devices) and mapped these into 13 selected attributes related to data-exchange capabilities. We collected data from the Vandrico database of wearable devices, and complemented the information with an additional internet search. We classified the following attributes of devices: type, communication interfaces, data protocols, smartphone/PC integration, connection to smartphone health platforms, 3rd party integration with health platforms, connection to health care system/middleware, type of gathered health data, integrated sensors, medical device certification, access to user data, developer-access to device, and market status. Devices from the same manufacturer with similar functionalities/characteristics were identified under the same device family. Furthermore, we classified the systems in three subgroups of relevance for different actors in mobile health monitoring systems: EHR providers, software developers, and patient users. RESULTS: We identified 362 different mobile health monitoring devices belonging to 193 device families. Based on an analysis of these systems, we identified the following general challenges: CONCLUSIONS: Few of the identified mobile health monitoring systems use standardized, open communication protocols, which would allow the user to directly acquire sensor data. Use of open protocols can provide mobile health (mHealth) application developers an alternative to proprietary cloud services and communication tools, which are often closely integrated with the devices. Emerging new types of sensors, often intended for everyday use, have a potential to supplement health records systems with data that can enrich patient care.
- MeSH
- lidé MeSH
- mobilní aplikace MeSH
- nositelná elektronika * MeSH
- poskytování zdravotní péče MeSH
- srdeční arytmie MeSH
- telemedicína MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
Mobilní a nositelná elektronika nabízí pacientům s diabetes mellitus nové možnosti sběru dat a jejich efektivnější analýzu. Aplikace pro chytré telefony Diabetesdagboka a webový portál Diani umožňují shromažďování a analýzu hodnot glykemie, dávek sacharidů a inzulinu a míry pohybové aktivity. Hodnoty jsou dostupné v příslušném mobilním telefonu, ale jsou též automatizovaně přenášeny do internetového portálu, kde mohou být doplněny o záznam z elektronického krokoměru a kontinuálního monitoru glykemie. Lze je též zobrazit v různých typech grafických výstupů a jsou dostupné nejenom pacientovi, ale i jeho lékaři. Kazuistika pacienta, který systém téměř 2 roky využíval, prokazuje významné zlepšení metabolické kompenzace (pokles průměrné hodnoty HbA1c o 18,6 mmol/mol v porovnání s předchozím obdobím).
Mobile and wearable technologies offer patients with diabetes mellitus new possibilities for data collection and their more effective analysis. The Diabesdagboga smartphone application and the Diani web portal enable to collect and analyze glycaemia values, carbohydrates intake, insulin doses and the level of physical activity. The data are not only accessible in the corresponding smartphone but also automatically transferred to an Internet portal, where they may be completed by the records from an electronic pedometer and continuous glucose monitor. All these data may then be displayed in various types of graphical outputs and are available to both the patient and the physician. The case report of a patient who has used the system for almost two years shows a significant improvement in metabolic compensation (a decrease in the mean HbA1c value by 18.6 mmol/mol as compared with the previous period).
- Klíčová slova
- diabetický deník, telemonitoring, webová aplikace, webový portál,
- MeSH
- deníky jako téma MeSH
- diabetes mellitus 1. typu * diagnóza terapie MeSH
- diabetes mellitus diagnóza terapie MeSH
- dospělí MeSH
- glykovaný hemoglobin analýza MeSH
- hypoglykemie prevence a kontrola MeSH
- lidé MeSH
- mobilní aplikace MeSH
- selfmonitoring glykemie metody MeSH
- telemedicína metody MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
- práce podpořená grantem MeSH
BACKGROUND: New fitness trackers and smartwatches are released to the consumer market every year. These devices are equipped with different sensors, algorithms, and accompanying mobile apps. With recent advances in mobile sensor technology, privately collected physical activity data can be used as an addition to existing methods for health data collection in research. Furthermore, data collected from these devices have possible applications in patient diagnostics and treatment. With an increasing number of diverse brands, there is a need for an overview of device sensor support, as well as device applicability in research projects. OBJECTIVE: The objective of this study was to examine the availability of wrist-worn fitness wearables and analyze availability of relevant fitness sensors from 2011 to 2017. Furthermore, the study was designed to assess brand usage in research projects, compare common brands in terms of developer access to collected health data, and features to consider when deciding which brand to use in future research. METHODS: We searched for devices and brand names in six wearable device databases. For each brand, we identified additional devices on official brand websites. The search was limited to wrist-worn fitness wearables with accelerometers, for which we mapped brand, release year, and supported sensors relevant for fitness tracking. In addition, we conducted a Medical Literature Analysis and Retrieval System Online (MEDLINE) and ClinicalTrials search to determine brand usage in research projects. Finally, we investigated developer accessibility to the health data collected by identified brands. RESULTS: We identified 423 unique devices from 132 different brands. Forty-seven percent of brands released only one device. Introduction of new brands peaked in 2014, and the highest number of new devices was introduced in 2015. Sensor support increased every year, and in addition to the accelerometer, a photoplethysmograph, for estimating heart rate, was the most common sensor. Out of the brands currently available, the five most often used in research projects are Fitbit, Garmin, Misfit, Apple, and Polar. Fitbit is used in twice as many validation studies as any other brands and is registered in ClinicalTrials studies 10 times as often as other brands. CONCLUSIONS: The wearable landscape is in constant change. New devices and brands are released every year, promising improved measurements and user experience. At the same time, other brands disappear from the consumer market for various reasons. Advances in device quality offer new opportunities for research. However, only a few well-established brands are frequently used in research projects, and even less are thoroughly validated.
- MeSH
- cvičení fyziologie MeSH
- fitness náramky trendy MeSH
- fotopletysmografie metody MeSH
- lidé MeSH
- mobilní aplikace trendy MeSH
- nositelná elektronika trendy MeSH
- srdeční frekvence fyziologie MeSH
- zápěstí MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Klíčová slova
- Český telemonitorovací systém DIANI,
- MeSH
- ambulantní monitorování metody využití MeSH
- automatizované zpracování dat metody využití MeSH
- databáze faktografické trendy využití MeSH
- diabetes mellitus 1. typu * diagnóza prevence a kontrola terapie MeSH
- hyperglykemie diagnóza prevence a kontrola MeSH
- hypoglykemie diagnóza prevence a kontrola MeSH
- informační systémy * trendy využití MeSH
- internet trendy využití MeSH
- lidé MeSH
- monitorování fyziologických funkcí metody využití MeSH
- monitorování léčiv metody využití MeSH
- počítačové komunikační sítě trendy využití MeSH
- sběr dat metody trendy využití MeSH
- statistika jako téma MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- abstrakt z konference MeSH
- Publikační typ
- abstrakt z konference MeSH
- Publikační typ
- abstrakt z konference MeSH
