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Med 2.0 digital health divide and mhealth
1. Med 2.0 Digital Divide & mHealth
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2. Med 2.0 Digital Divide & mHealth
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3. Med 2.0 Digital Divide & mHealth
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4. Med 2.0 Digital Divide & mHealth
Source: Wodchis W et al. The concentration of healthcare spending: little ado (yet) about much money. Presented at CAHSPR
2012 at https://www.longwoods.com/articles/images/The_Concentration_of_Healthcare_Spending_from_ICES.pdf
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5. Med 2.0 Digital Divide & mHealth
Source: Stanton & Rutherford. The high concentration of US healthcare expenditures. AHRQ 2006.
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6. Med 2.0 Digital Divide & mHealth
Often patients with multiple conditions, complex care needs and people who "don't feel their best." mHealth needs to be
designed for this group.
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7. Med 2.0 Digital Divide & mHealth
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8. Med 2.0 Digital Divide & mHealth
Source: http://www.imshealth.com/portal/site/imshealth/menuitem.762a961826aad98f53c753c71ad8c22a/?vgnextoid=e0f913850
c8b1410VgnVCM10000076192ca2RCRD&vgnextchannel=736de5fda6370410VgnVCM10000076192ca2RCRD&vgnextfmt=defa
ult
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9. Med 2.0 Digital Divide & mHealth
Source: http://www.imshealth.com/portal/site/imshealth/menuitem.762a961826aad98f53c753c71ad8c22a/?vgnextoid=e0f913850
c8b1410VgnVCM10000076192ca2RCRD&vgnextchannel=736de5fda6370410VgnVCM10000076192ca2RCRD&vgnextfmt=defa
ult
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10. Med 2.0 Digital Divide & mHealth
Source: http://www.imshealth.com/portal/site/imshealth/menuitem.762a961826aad98f53c753c71ad8c22a/?vgnextoid=e0f913850
c8b1410VgnVCM10000076192ca2RCRD&vgnextchannel=736de5fda6370410VgnVCM10000076192ca2RCRD&vgnextfmt=defa
ult
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11. Med 2.0 Digital Divide & mHealth
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12. Med 2.0 Digital Divide & mHealth
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13. Med 2.0 Digital Divide & mHealth
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14. Med 2.0 Digital Divide & mHealth
Source: Rogers, E. Diffusion of Innovations, 5th Edition. Simon and Schuster: 2003 ISBN 978-0-7432-5823-4.
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15. Med 2.0 Digital Divide & mHealth
Source: Rogers, E. Diffusion of Innovations, 5th Edition. Simon and Schuster: 2003 ISBN 978-0-7432-5823-4.
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page 15 of 100
16. Med 2.0 Digital Divide & mHealth
Source: Rogers, E. Diffusion of Innovations, 5th Edition. Simon and Schuster: 2003 ISBN 978-0-7432-5823-4.
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17. Med 2.0 Digital Divide & mHealth
Source: Rogers, E. Diffusion of Innovations, 5th Edition. Simon and Schuster: 2003 ISBN 978-0-7432-5823-4.
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18. Med 2.0 Digital Divide & mHealth
Source: Rogers, E. Diffusion of Innovations, 5th Edition. Simon and Schuster: 2003 ISBN 978-0-7432-5823-4.
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19. Med 2.0 Digital Divide & mHealth
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20. Med 2.0 Digital Divide & mHealth
Ajzen I & Fishbein M. Understanding attitudes and predicting social behavior, Englewood Cliffs, NJ: Prentice-Hall, 1980.
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21. Med 2.0 Digital Divide & mHealth
Bandura, A. (1994). Self-efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of human behavior (Vol. 4, pp. 71-81). New York:
Academic Press. (Reprinted in H. Friedman [Ed.], Encyclopedia of mental health. San Diego: Academic Press, 1998).
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22. Med 2.0 Digital Divide & mHealth
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23. Med 2.0 Digital Divide & mHealth
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24. Med 2.0 Digital Divide & mHealth
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25. Med 2.0 Digital Divide & mHealth
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26. Med 2.0 Digital Divide & mHealth
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27. Med 2.0 Digital Divide & mHealth
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28. Med 2.0 Digital Divide & mHealth
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29. Med 2.0 Digital Divide & mHealth
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30. Med 2.0 Digital Divide & mHealth
McConnaughey J et al. Online and on point: broadband usage in Canada and in the US. J Information Policy 2013: 123-157.
http://jip.vmhost.psu.edu/ojs/index.php/jip/article/download/120/78
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31. Med 2.0 Digital Divide & mHealth
Statistics Canada. Table 358-0152 - Canadian Internet use survey, Internet use, by age group and household income for
Canada, provinces and census metropolitan areas (CMAs), occasional (percent), CANSIM (database). (accessed: 2014-11-14)
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32. Med 2.0 Digital Divide & mHealth
Statistics Canada. Table 358-0152 - Canadian Internet use survey, Internet use, by age group and household income for
Canada, provinces and census metropolitan areas (CMAs), occasional (percent), CANSIM (database). (accessed: 2014-11-14)
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page 32 of 100
33. Med 2.0 Digital Divide & mHealth
Statistics Canada. Table 358-0152 - Canadian Internet use survey, Internet use, by age group and household income for
Canada, provinces and census metropolitan areas (CMAs), occasional (percent), CANSIM (database). (accessed: 2014-11-14)
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page 33 of 100
34. Med 2.0 Digital Divide & mHealth
http://www.census.gov/content/dam/Census/library/publications/2014/acs/acs-28.pdf
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35. Med 2.0 Digital Divide & mHealth
http://www.census.gov/content/dam/Census/library/publications/2014/acs/acs-28.pdf
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36. Med 2.0 Digital Divide & mHealth
Statistics Canada. Table 358-0152 - Canadian Internet use survey, Internet use, by age group and household income for
Canada, provinces and census metropolitan areas (CMAs), occasional (percent), CANSIM (database). (accessed: 2014-11-14)
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By Kelly Grindrod
page 36 of 100
37. Med 2.0 Digital Divide & mHealth
Statistics Canada. Table 358-0152 - Canadian Internet use survey, Internet use, by age group and household income for
Canada, provinces and census metropolitan areas (CMAs), occasional (percent), CANSIM (database). (accessed: 2014-11-14)
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38. Med 2.0 Digital Divide & mHealth
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39. Med 2.0 Digital Divide & mHealth
Source: http://dare.uva.nl/document/506413
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40. Med 2.0 Digital Divide & mHealth
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41. Med 2.0 Digital Divide & mHealth
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42. Med 2.0 Digital Divide & mHealth
Grindrod K, Li M, Gates A. Evaluating User Perceptions of Mobile Medication Management Applications With Older Adults: A
Usability Study. JMIR mHealth uHealth 2014; 2(1). Jan-Mar. http://mhealth.jmir.org/2014/1/e11/
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43. Med 2.0 Digital Divide & mHealth
Grindrod KA, Gates A, Dolovich L, Slavcev R, Drimmie R, Aghaei B, Poon C, Khan S, Leat SJ
ClereMed: Lessons Learned From a Pilot Study of a Mobile Screening Tool to Identify and Support Adults Who Have Difficulty
With Medication Labels
JMIR mHealth uHealth 2014;2(3):e35 http://mhealth.jmir.org/2014/3/e35/
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44. Med 2.0 Digital Divide & mHealth
Unpublished (Nov 2014). See poster from Medicine 2.o (Maui): http://www.slideshare.net/grindrod/wearables-poster-nov-2014
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45. Med 2.0 Digital Divide & mHealth
To promote learning by trial and error say this again, and again, and again, and again...
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46. Med 2.0 Digital Divide & mHealth
Be careful with liquids, washing machines, coffee and ceramic tile.
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47. Med 2.0 Digital Divide & mHealth
Make learning fun by having a few games in your back pocket to help people familiarize themselves with a touchscreen.
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48. Med 2.0 Digital Divide & mHealth
This was the favourite of an 85yo participant...
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49. Med 2.0 Digital Divide & mHealth
This was the favourite of a 62yo participant...
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50. Med 2.0 Digital Divide & mHealth
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51. Med 2.0 Digital Divide & mHealth
If you have a new technology, make a nice, slow video that can be watched at home. Include the things that can go wrong (e.g.,
look what happens when I insert the battery upside down).
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52. Med 2.0 Digital Divide & mHealth
If you are planning a study, budget for some extra help to support your participants with the technology. An undergraduate
volunteer or graduate research assistant is a great resource.
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53. Med 2.0 Digital Divide & mHealth
Before you do anything, make sure your user group can both see and hear your device.
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54. Med 2.0 Digital Divide & mHealth
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55. Med 2.0 Digital Divide & mHealth
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56. Med 2.0 Digital Divide & mHealth
Many mHealth tools focus on data collection, but many older adults have simple strategies for tracking data (e.g., paper
calendars for tracking blood sugar, microsoft word for keeping a list of medications). What they often need is a way to interpret
they data they have already collected.
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57. Med 2.0 Digital Divide & mHealth
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http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/
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61. Med 2.0 Digital Divide & mHealth
http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/
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62. Med 2.0 Digital Divide & mHealth
Balde et al. J Aging Phys Act 2003;11(1):90.
Barnes et al. NCHS Data Brief 2012;(86):1–8.
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63. Med 2.0 Digital Divide & mHealth
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64. Med 2.0 Digital Divide & mHealth
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4016223/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4201471/
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http://www.canalys.com/newsroom/fitbit-accounted-nearly-half-global-wearable-band-shipments-q1-2014
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74. Med 2.0 Digital Divide & mHealth
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Welk GJ1, Blair SN, et. al. A comparative evaluation of three accelerometry-based physical activity monitors. Med Sci Sports
Exerc. 2000 Sep;32(9 Suppl):S489-97.
Van Remoortel H, Giavedoni S, et.al. Validity of activity monitors in health and chronic disease: a systematic review. Int J
Behav Nutr Phys Act. 2012 Jul 9;9:84. doi: 10.1186/1479-5868-9-84.
Van Remoortel H, Raste Y, Louvaris Z, et. al. Validity of six activity monitors in chronic obstructive pulmonary disease: a
comparison with indirect calorimetry. PLoS One. 2012;7(6):e39198. doi: 10.1371/journal.pone.0039198. Epub 2012 Jun 20.
Lee JM, Kim Y, Welk GJ. Validity of consumer-based physical activity monitors. Med Sci Sports Exerc. 2014 Sep;46(9):1840-8.
doi: 10.1249/MSS.0000000000000287.
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81. Med 2.0 Digital Divide & mHealth
Lauritzen J,Munoz A, Luis J, Civit A. The usefulness of activity trackers in elderly with reduced mobility: a case study.
JOURNAL???
Schmalzried TP, Szuszczewicz ES, Northfield MR, Aki- zuki KH, Frankel RE, Belcher G and Amstutz HC. Quan- titative
assessment of walking activity after total hip or knee replacement. J Bone Joint Surg 1998: 80-A: 54–9.
Kochersberger G, McConnell E, Kuchibhatla MN, and Pieper C. The reliability, validity, and stability of a meas- ure of physical
activity in the elderly. Arch Phys Med Rehabil 1996: 77: 793–5.
Macko RF, Haeuber E, Shaughnessy M, Coleman KL, Boone DA, Smith GV and Silver KH. Microprocessor based ambulatory
activity monitoring in stroke patients. Med Sci Sports Exerc 2002: 34: 394–9.
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82. Med 2.0 Digital Divide & mHealth
Lauritzen J,Munoz A, Luis J, Civit A. The usefulness of activity trackers in elderly with reduced mobility: a case study.
JOURNAL???
Schmalzried TP, Szuszczewicz ES, Northfield MR, Aki- zuki KH, Frankel RE, Belcher G and Amstutz HC. Quan- titative
assessment of walking activity after total hip or knee replacement. J Bone Joint Surg 1998: 80-A: 54–9.
Kochersberger G, McConnell E, Kuchibhatla MN, and Pieper C. The reliability, validity, and stability of a meas- ure of physical
activity in the elderly. Arch Phys Med Rehabil 1996: 77: 793–5.
Macko RF, Haeuber E, Shaughnessy M, Coleman KL, Boone DA, Smith GV and Silver KH. Microprocessor based ambulatory
activity monitoring in stroke patients. Med Sci Sports Exerc 2002: 34: 394–9.
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100. Med 2.0 Digital Divide & mHealth
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