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Development of mHealth system for supporting self-management and remote consultation of skincare

机译：开发mHealth系统以支持皮肤自我管理和远程咨询

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Individuals with spina bifida (SB) are vulnerable to chronic skin complications such as wounds on the buttocks and lower extremities. Most of these complications can be prevented with adherence to self-care routines. We have developed a mobile health (mHealth) system for supporting self-care and management of skin problems called SkinCare as part of an mHealth suite called iMHere (interactive Mobile Health and Rehabilitation). The objective of this research is to develop an innovative mHealth system to support self-skincare tasks, skin condition monitoring, adherence to self-care regimens, skincare consultation, and secure two-way communications between patients and clinicians. In order to support self-skincare tasks, the SkinCare app requires three main functions: (1) self-care task schedule and reminders, (2) skin condition monitoring and communications that include imaging, information about the skin problem, and consultation with clinician, and (3) secure two-way messaging between the patient and clinician (wellness coordinator). The SkinCare system we have developed consists of the SkinCare app, a clinician portal, and a two-way communication protocol connecting the two. The SkinCare system is one component of a more comprehensive system to support a wellness program for individuals with SB. The SkinCare app has several features that include reminders to perform daily skin checks as well as the ability to report skin breakdown and injury, which uses a combination of skin images and descriptions. The SkinCare app provides reminders to visually inspect one’s skin as a preventative measure, often termed a “skin check.” The data is sent to the portal where clinicians can monitor patients’ conditions. Using the two-way communication, clinicians can receive pictures of the skin conditions, track progress in healing over time, and provide instructions for how to best care for the wound. The system was capable of supporting self-care and adherence to regimen, monitoring adherence, and supporting clinician engagement with patients, as well as testing its feasibility in a long-term implementation. The study shows the feasibility of a long-term implementation of skincare mHealth systems to support self-care and two-way interactions between patients and clinicians.
机译：脊柱裂患者（SB）易患慢性皮肤并发症，例如臀部和下肢的伤口。坚持自我护理可以预防大多数并发症。我们开发了一个移动健康（mHealth）系统，用于支持自我保健和皮肤问题管理，称为SkinCare，是称为iMHere（交互式移动健康与康复）的mHealth套件的一部分。这项研究的目的是开发一种创新的mHealth系统，以支持自我皮肤护理任务，皮肤状况监测，遵守自我护理方案，进行皮肤护理咨询，并确保患者与临床医生之间的双向通信。为了支持自我皮肤护理任务，SkinCare应用程序需要三个主要功能：（1）自我护理任务计划和提醒，（2）皮肤状况监测和通信，包括成像，有关皮肤问题的信息以及与临床医生的咨询，以及（3）确保患者和临床医生（健康协调员）之间的双向通讯。我们开发的SkinCare系统由SkinCare应用程序，临床医生门户网站以及连接两者的双向通讯协议组成。 SkinCare系统是更全面的系统的组成部分之一，可为SB个人提供健康计划支持。 SkinCare应用程序具有多项功能，包括提醒您执行日常皮肤检查以及报告皮肤损坏和伤害的功能，该功能结合了皮肤图像和描述。 SkinCare应用程序可提供提醒，以视觉方式检查皮肤，这是一种预防措施，通常称为“皮肤检查”。数据被发送到门户网站，临床医生可以在其中监视患者的状况。使用双向通讯，临床医生可以接收皮肤状况的图片，跟踪随着时间推移的愈合进度，并提供有关如何最佳护理伤口的说明。该系统能够支持自我护理和对方案的依从性，监测依从性并支持临床医生与患者的互动，以及测试其在长期实施中的可行性。研究表明，长期实施皮肤保健mHealth系统以支持患者和临床医生之间的自我保健和双向互动的可行性。

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