TY - JOUR
T1 - EmERGE mHealth Platform
T2 - Implementation and Technical Evaluation of a Digital Supported Pathway of Care for Medically Stable HIV
AU - Emerge Consortium
AU - Gárate, Francisco J
AU - Chausa, Paloma
AU - Whetham, Jennifer
AU - Jones, Christopher Iain
AU - García, Felipe
AU - Cáceres, César
AU - Sánchez-González, Patricia
AU - Wallitt, Edward
AU - Gómez, Enrique J
AU - Harding, Richard
N1 - Funding Information:
Funding: This project received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 643736. The dissemination activities within the EmERGE project do not represent the opinion of the European Community and only reflects the opinion of the authors.
Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/3/18
Y1 - 2021/3/18
N2 - 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.
AB - 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.
KW - Diagnostic Tests, Routine
KW - Europe
KW - HIV Infections/therapy
KW - Humans
KW - Mobile Applications
KW - Prospective Studies
KW - Telemedicine
UR - http://www.scopus.com/inward/record.url?scp=85102627916&partnerID=8YFLogxK
U2 - 10.3390/ijerph18063156
DO - 10.3390/ijerph18063156
M3 - Article
C2 - 33803821
SN - 1660-4601
VL - 18
SP - 1
EP - 16
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 6
M1 - 3156
ER -