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Article

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

1
Biomedical Engineering and Telemedicine Centre, ETSI Telecomunicación, Center for Biomedical Technology, Universidad Politécnica de Madrid, 28040 Madrid, Spain
2
Department of Sexual Health and HIV Medicine, Brighton and Sussex University Hospitals NHS Trust, BN2 5BE Brighton, UK
3
Brighton and Sussex Medical School, BN1 9PH Falmer, UK
4
Infectious Diseases Department, Fundacio Privada Clinic per a la Recerca Biomedica—IDIBAPS, University of Barcelona, 08036 Barcelona, Spain
5
Computer Science Department, Universidad Rey Juan Carlos, 28933 Madrid, Spain
6
Centro de Investigación Biomédica en Red, Biomateriales y Nanomedicina (CIBER-BBN), 28029 Madrid, Spain
7
Podmedics, HA6 2UE Northwood, UK
*
Authors to whom correspondence should be addressed.
Membership of the EmERGE Consortium is provided in the Acknowledgments.
Academic Editor: Paul Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(6), 3156; https://doi.org/10.3390/ijerph18063156
Received: 12 February 2021 / Revised: 12 March 2021 / Accepted: 15 March 2021 / Published: 18 March 2021
(This article belongs to the Special Issue M-Health: Emerging Mobile Health Systems)
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. View Full-Text
Keywords: mHealth; patient empowerment; self-management; HIV; health technology assessment; co-design; model for assessment of telemedicine applications; feasibility; user acceptance; SUS; PREM mHealth; patient empowerment; self-management; HIV; health technology assessment; co-design; model for assessment of telemedicine applications; feasibility; user acceptance; SUS; PREM
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MDPI and ACS Style

Gárate, F.J.; Chausa, P.; Whetham, J.; Jones, C.I.; García, F.; Cáceres, C.; Sánchez-González, P.; Wallitt, E.; Gómez, E.J.; on behalf of the EmERGE Consortium. EmERGE mHealth Platform: Implementation and Technical Evaluation of a Digital Supported Pathway of Care for Medically Stable HIV. Int. J. Environ. Res. Public Health 2021, 18, 3156. https://doi.org/10.3390/ijerph18063156

AMA Style

Gárate FJ, Chausa P, Whetham J, Jones CI, García F, Cáceres C, Sánchez-González P, Wallitt E, Gómez EJ, on behalf of the EmERGE Consortium. EmERGE mHealth Platform: Implementation and Technical Evaluation of a Digital Supported Pathway of Care for Medically Stable HIV. International Journal of Environmental Research and Public Health. 2021; 18(6):3156. https://doi.org/10.3390/ijerph18063156

Chicago/Turabian Style

Gárate, Francisco J., Paloma Chausa, Jennifer Whetham, Christopher I. Jones, Felipe García, César Cáceres, Patricia Sánchez-González, Edward Wallitt, Enrique J. Gómez, and on behalf of the EmERGE Consortium. 2021. "EmERGE mHealth Platform: Implementation and Technical Evaluation of a Digital Supported Pathway of Care for Medically Stable HIV" International Journal of Environmental Research and Public Health 18, no. 6: 3156. https://doi.org/10.3390/ijerph18063156

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