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EmERGE mHealth Platform: Implementation and Technical Evaluation of a Digital Supported Pathway of Care for Medically Stable HIV

Author

Listed:
  • Francisco J. Gárate

    (Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain)

  • Paloma Chausa

    (Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain)

  • Jennifer Whetham

    (Department of Sexual Health and HIV Medicine, Brighton and Sussex University Hospitals NHS Trust, BN2 5BE Brighton, UK)

  • Christopher Iain Jones

    (Brighton and Sussex Medical School, BN1 9PH Falmer, UK)

  • Felipe García

    (Infectious Diseases Department, Fundacio Privada Clinic per a la Recerca Biomedica—IDIBAPS, University of Barcelona, 08036 Barcelona, Spain)

  • César Cáceres

    (Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain
    Computer Science Department, Universidad Rey Juan Carlos, 28933 Madrid, Spain)

  • Patricia Sánchez-González

    (Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain
    Centro de Investigación Biomédica en Red, Biomateriales y Nanomedicina (CIBER-BBN), 28029 Madrid, Spain)

  • Edward Wallitt

    (Podmedics, HA6 2UE Northwood, UK)

  • Enrique J. Gómez

    (Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain
    Centro de Investigación Biomédica en Red, Biomateriales y Nanomedicina (CIBER-BBN), 28029 Madrid, Spain)

  • on behalf of the EmERGE Consortium

    (Membership of the EmERGE Consortium is provided in the Acknowledgments.)

Abstract

In this article, we described a new mobile-Health (mHealth) supported clinical pathway of care for people living with medically stable HIV in terms of platform acceptability, usability and technical feasibility. The EmERGE mHealth platform was codesigned with clinicians and the community, developed using Scrum agile methodology, integrated with hospital information systems and validated in a large prospective cohort study of 2251 participants. The evaluation of this new paradigm of care was conducted using a tailored Health Technology Assessment: the Model for Assessment of Telemedicine Applications. Usability and acceptability were assessed through the System Usability Score and a Patient Reported Experience Measure. The EmERGE platform was successfully deployed across diverse care settings in five European countries and used by 2251 patients and more than 20 clinicians for up to 30 months. Results from the formal evaluation demonstrated that the EmERGE platform is feasible and acceptable, with a high level of usability (median System Usability Score (SUS) 85.0%) and very positive patient-reported experiences (94.2% would recommend to a friend). The EmERGE platform is a secure and General Data Protection Regulation (GDPR)-compliant system with a complete set of functionalities that could be easily adapted to other clinical conditions, clinical sites and health systems thanks to its modular technical architecture.

Suggested Citation

  • Francisco J. Gárate & Paloma Chausa & Jennifer Whetham & Christopher Iain Jones & Felipe García & César Cáceres & Patricia Sánchez-González & Edward Wallitt & Enrique J. Gómez & on behalf of the EmERG, 2021. "EmERGE mHealth Platform: Implementation and Technical Evaluation of a Digital Supported Pathway of Care for Medically Stable HIV," IJERPH, MDPI, vol. 18(6), pages 1-15, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:6:p:3156-:d:519925
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    References listed on IDEAS

    as
    1. Marent, Benjamin & Henwood, Flis & Darking, Mary, 2018. "Ambivalence in digital health: Co-designing an mHealth platform for HIV care," Social Science & Medicine, Elsevier, vol. 215(C), pages 133-141.
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