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Digital Health - 1st Edition - ISBN: 9780128200773

Digital Health

1st Edition

Mobile and Wearable Devices for Participatory Health Applications

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Editors: Shabbir Syed-Abdul Xinxin Zhu Luis Fernandez-Luque
Paperback ISBN: 9780128200773
Imprint: Elsevier
Published Date: 1st October 2020
Page Count: 204
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Digital Health: Mobile and Wearable Devices for Participatory Health Applications is a key reference for engineering or clinical professionals who are considering the development or implementation of mobile and wearable solutions in the healthcare domain. The book presents a comprehensive overview of devices and appropriateness for the respective applications. It also explores the ethical, privacy and cybersecurity aspects inherent in networked and mobile technologies. The book also offers expert perspectives on various approaches to the implementation and integration of these devices and applications across all areas of healthcare.

The book is designed with a multidisciplinary audience in mind, from software developers and biomedical engineers who are designing these devices, to clinical professionals working with patients and engineers on device testing, human factors design, and user engagement/compliance.

Key Features

  • Presents an overview of the most important aspects of mHealth, from patient privacy and data security, to the development and implementation of networks, systems and devices
  • Provides a toolbox for stakeholders involved in decision-making, surrounding the design, development and implementation of mHealth solutions
  • Includes case studies, key references and insights from a wide range of global experts


Graduate students, researchers, and professionals in biomedical engineering, clinical engineering, computer science, and medical informatics, working with the design, development, and implementation of mobile and wearable medical devices. Healthcare professionals (clinicians, nurses) working with engineers on the implementation and human factors design of mobile and wearable medical devices

Table of Contents

Contributors ix

Preface xi

1. Introduction to digital health approach and mHealth applications

for participatory health 1

Mohy Uddin and Shabbir Syed-Abdul

References 5

2. Digital health in the era of personalized healthcare:

opportunities and challenges for bringing research and patient

care to a new level 7

Jorge Cancela, Iliàs Charlafti, Seya Colloud and Catherine Wu

1. An introduction to the promise of the digital era 7

2. Opportunities for digital health in the context of personalized healthcare 9

3. Challenges throughout the life cycle of digital health solutions 19

4. Conclusions 27

Acknowledgments 28

Conflicts of interest 28

References 28

3. Digital health regulatory and policy considerations 33

Robert Jarrin, JD and Kapil Parakh, MD, MPH, PhD

1. Learning objectives 33

2. Flow and rationale of the chapter structure 34

3. Fundamentals of government and healthcare 34

4. How the US federal government is organized 34

5. Health and human services law, regulations, and policy 35

6. Government and its impact on digital health 36

7. International regulation of digital health 48

8. Conclusion 49

9. Description of pedagogical elements (e.g., case study, infographics

required, key references) 49

4. How to use the Integrated-Change Model to design digital

health programs 51

Kei Long Cheung, Santiago Hors-Fraile and Hein de Vries

1. Theory to understand health behavior 52

2. Integrated-Change Model 56

3. Digital health and tailoring 58

4. Pragmatic methodology to design digital health 59

5. Conclusions 64

References 64

5. Illustration of tailored digital health and potential new avenues 67

Kei Long Cheung, Santiago Hors-Fraile and Hein de Vries

1. Case of tobacco smoking 68

2. New avenues of computer tailoring 72

3. Use of artificial intelligence to progress computer tailoring 72

4. Conclusions 75

References 76

6. Wearables, smartphones, and artificial intelligence for digital

phenotyping and health 79

Ignacio Perez-Pozuelo, Dimitris Spathis, Emma A.D. Clifton and

Cecilia Mascolo

1. Towards digital phenotyping 79

2. Mobile health 80

3. Artificial intelligence 83

4. Toward objective measures of physical behaviors in epidemiology 85

5. Conclusion 95

Acknowledgments 96

References 96

7. mHealth for research: participatory research applications to

gain disease insights 101

Ipek Ensari and Noémie Elhadad

Learning objectives 101

1. Background on research mHealth applications 102

2. User engagement and participatory design in mHealth research 103

3. User engagement strategies and metrics 108

4. Making disease discoveries and insights from self-tracked data 116

5. Conclusion and discussion 118

Acknowledgments 119

References 119

8. Mobile health apps: the quest from laboratory to the market 125

Juan José Lull, Antonio Martínez-Millana and Vicente Traver

1. Introduction 126

2. Business model 126

3. Context: business models 127

4. From business models to products 128

5. Product dependencies 129

6. Marketing strategy 130

7. Intellectual property rights 131

8. Business scenarios 132

9. Distribution: exploitation models 136

10. Product use cases 137

11. Conclusion 143

References 143

9. mHealth in public health sector: challenges and opportunities

in low- and middle-income countries: a case study of Sri Lanka 145

Pamod Amarakoon, Roshan Hewapathirana and Vajira H.W. Dissanayake

1. Introduction 146

2. Use of mobile technology in the public health sector: Asian Regional

context 150

3. Opportunities 152

4. Challenges 156

References 163

10. Sustainability of mHealth solutions for healthcare system

strengthening 165

Mohamed-Amine Choukou

1. Introduction 165

2. mHealth solutions: disruptive technologies as a remedy for a system

under strain 167

3. Digital twin technology as an example of technology-driven healthcare

system change 170

4. mHealth solutions sustainability 171

5. mHealth solutions: path to sustainability 173

6. Conclusion and future directions 175

References 181

Index 185


No. of pages:
© Elsevier 2021
1st October 2020
Paperback ISBN:

About the Editors

Shabbir Syed-Abdul

Shabbir Syed-Abdul

Shabbir Syed-Abdul MD., PhD: an associate professor at Institute of Biomedical Informatics, Taipei Medical University. He is a leading researcher and a principal investigator at the International Center for Health Information Technology, Taipei, Taiwan. Dr. Shabbir has 15 years experience of research in the domain of Long-term care with Wearable technologies, mHealth, Big data analysis and visualisation, Artificial Intelligence, Personal Health Records, Social Network in healthcare and Hospital Information System. He wants to empower care providers and improve patient participation and engagement. Dr. Shabbir is an editor of the book ‘Participatory Health Through Social Media’ published by Elsevier in 2016. Also, Dr. Shabbir is guest editor for the Journal Sensors since March 2018.

Affiliations and Expertise

Associate professor at Institute of Biomedical Informatics, Taipei Medical University, Taiwan R.O.C.

Xinxin Zhu

Dr. Xinxin (Katie) Zhu brings diverse knowledge and experience across medicine, health program management, and biomedical informatics to her role as the Executive Director of the Center for Biomedical Data Science at Yale University School of Medicine. In addition to her medical training and practice in anesthesiology, she also received her M.S. in Computer Science from Rensselaer Polytechnic Institute and Ph.D. in Biomedical Informatics from Columbia University through the U.S. National Library of Medicine’s fellowship. Prior to joining Yale faculty, Dr. Zhu served as an External Advisory Board member of the Center for Advanced Technology at Columbia University, physician scientist lead for the Center for Computational Health at IBM Watson Research Center, associate medical director at Pfizer, and clinical project manager at Philips. She also worked among a group of healthcare subject matter experts at the U.S. Department of Veterans Affairs through Kforce Government Solutions where she served as Chief Medical Information Officer. She is the recipient of many excellence awards, and author of dozens of scientific publications and 13 filed patents. Dr. Zhu has also served as Chair for the American Medical Informatics Association’s Global Health Informatics Working Group, Membership Chair for the Consumer and Pervasive Health Informatics Working Group, as well as Scientific Program and Women Leadership Committee members.

Affiliations and Expertise

Center for Biomedical Data Science, Yale School of Medicine, New Haven, CT, USA

Luis Fernandez-Luque

Dr. Fernandez-Luque is co-founder of digital therapeutics company Adhera Health Inc (USA), and currently leads operations at its subsidiary Salumedia Labs (Spain). He has over 15 years of experience in digital health research with a strong focus on mobile health for behavioural change. He has worked in digital health initiatives across the globe including the Americas, Europe, Asia and Africa. He has served in multiple positions the International Medical Informatics Association, being one of the founders of its working group focused on participatory health and social media.

Affiliations and Expertise

Salumedia Labs, Sevilla, Spain

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