Development and validation of a mobile health app for the self-management and education of cardiac patients

The introduction of mobile devices such as smartphones and tablets in health care has propitiated the creation of a new software industry of health care apps that try to help fight against chronic diseases, specially heart diseases. Since there is a lack of apps for the self-management of these diseases, the authors created one, called Heartkeeper. The objective of this paper is to show the steps followed and the results obtained. The process of the creation of Heartkeeper is divided into three phases. The first is the design of the app, focusing on its functional requirements and its general aspect. The second is its implementation, where the operating system of the app is thought, along with the tools used for its development. The final phase is the validation, where Heartkeeper is tested in different mobile devices. The interface created offers a clear application easy to use at first time based on image buttons. The response times of Heartkeeper operations are of the order of milliseconds except for encryption/decryption operations, which can reach 2 seconds in old devices. Heartkeeper were successfully tested in 5 devices with different screen sizes.

[1]  T. Erol,et al.  Interpretation of electrocardiogram images sent through the mobile phone multimedia messaging service. , 2012, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[2]  Jinseok Lee,et al.  A novel application for the detection of an irregular pulse using an iPhone 4S in patients with atrial fibrillation. , 2013, Heart rhythm.

[3]  Tk Chan,et al.  New Era of CPR: Application of I-Technology in Resuscitation , 2012 .

[4]  Miguel López-Coronado,et al.  Mobile Apps in Cardiology: Review , 2013, JMIR mHealth and uHealth.

[5]  Nancy E. Brown-Connolly,et al.  Mobile health is worth it! Economic benefit and impact on health of a population-based mobile screening program in new Mexico. , 2014, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[6]  B. Norrving,et al.  Global atlas on cardiovascular disease prevention and control. , 2011 .

[7]  A. Goette,et al.  Potential role of telemedical service centers in managing remote monitoring data transmitted daily by cardiac implantable electronic devices: results of the early detection of cardiovascular events in device patients with heart failure (detecT-Pilot) study. , 2013, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[8]  Juan Miguel García-Gómez,et al.  Mobile Clinical Decision Support Systems and Applications: A Literature and Commercial Review , 2013, Journal of Medical Systems.

[9]  Adolfo Rubinstein,et al.  The impact of mobile health interventions on chronic disease outcomes in developing countries: a systematic review. , 2014, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[10]  Borja Martínez-Pérez,et al.  Mobile Health Applications for the Most Prevalent Conditions by the World Health Organization: Review and Analysis , 2013, Journal of medical Internet research.

[11]  Piotr Augustyniak,et al.  A cardiac telerehabilitation application for mobile devices , 2011, 2011 Computing in Cardiology.

[12]  Ali Yalcin,et al.  Designing patient-centric applications for chronic disease management , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[13]  Yang Yu,et al.  M-HELP: a miniaturized total health examination system launched on a mobile phone platform. , 2013, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[14]  A. Alwan Global status report on noncommunicable diseases 2010. , 2011 .

[15]  Satish T. S. Bukkapatnam,et al.  A Low-Cost, Portable, High-Throughput Wireless Sensor System for Phonocardiography Applications , 2012, Sensors.

[16]  Borja Martínez-Pérez,et al.  Comparison of Mobile Apps for the Leading Causes of Death Among Different Income Zones: A Review of the Literature and App Stores , 2014, JMIR mHealth and uHealth.