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A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 15659

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Special Issue Editors

Dr. Lydia M. Martín-Martín

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Guest Editor

1. Department of Physiotherapy, University of Granada, E-18016, Granada, Spain
2. Biohealth Research Institute in Granada (ibs.GRANADA), E18016, Granada, Spain
Interests: cancer; functionality; cognition; telehealth; hip fracture; occupational therapy

Dr. Mario Lozano-Lozan

E-Mail Website
Guest Editor

1. Department of Physiotherapy, University of Granada, E-18016, Granada, Spain
2. Biohealth Research Institute in Granada (ibs.GRANADA), E18016, Granada, Spain
Interests: oncological rehabilitation; bone metastases; breast cancer; ultrasound-guided rehabilitation; mobile health; telehealth; functionality; quality of life; occupational therapy

Special Issue Information

Dear Colleagues,

The rapid progress of today's society in the management of different pathologies and their derived consequences has produced a change of paradigm in health care and disease. Similarly, different current situations of global impact have driven the rapid growth of the use of emerging technologies in the prevention, promotion, evaluation, and treatment of population health and clinical care. These emerging technologies; medical devices; mobile and web applications; and computer engineering, individual electronic assessment, and treatment devices have been postulated as useful and effective tools in the management of a wide range of pathologies. Therefore, the aim of this Special Issue is to explore new tools for addressing health and disease, through the design and evaluation of health innovations and emerging technologies.

Special interest:

New technologies applied to monitoring and assessment in rehabilitation and health;
New technologies applied to rehabilitation protocols in different health status.

The submission of other topics is welcome, and can be discussed with the Guest Editors.

Dr. Lydia M. Martín-Martín
Dr. Mario Lozano-Lozan
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

Telemedicine
Telehealth
Mobile health
mHealth
eHealth
Telerehabilitation
Remote consultation
Remote rehabilitation
Virtual rehabilitation
Wearable electronic device
Wearable technologies.

Published Papers (6 papers)

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Research

21 pages, 1006 KiB

Open AccessArticle

Teledermatological Follow-Up Consultations in Individual Prevention of Occupational Dermatoses: A Monocentric Feasibility Study on Quality and Satisfaction by Patients and Physicians

by Carina Gill, Ann-Kristin Fischer, Katja Dicke, Björn Teigelake, Richard Brans, Christoph Skudlik, Swen Malte John and Cara Symanzik

Int. J. Environ. Res. Public Health 2023, 20(12), 6127; https://doi.org/10.3390/ijerph20126127 - 14 Jun 2023

Cited by 1 | Viewed by 1063

Abstract

Teledermatology has become very popular, and not only due to the SARS-CoV-2 pandemic. Patients with occupational skin diseases (OSDs) could also benefit from teledermatology services as part of their follow-up care, but the opportunities and challenges for patients and dermatologists, especially regarding quality and satisfaction, need exploration. In this single-center feasibility study, 215 patients taking part in a tertiary prevention program for OSD were invited to participate. After obtaining consent, a follow-up video consultation appointment with the center’s dermatologists was made. Quality and satisfaction with the consultations were evaluated by fully standardized online questionnaires filled in by the patients and dermatologists. A total of 68 teledermatological follow-up consultations were conducted by 10 dermatologists on 42 patients. Half of the dermatologists (50.0%) and 87.6% of the patients were satisfied with the video consultations. However, the lack of physical examination seems to be a problem, especially from the physicians’ point of view (75.8%). A total of 66.1% of the dermatologists and 87.5% of the patients saw video consultations as useful supplements to face-to-face consultations. The results of our feasibility study indicate general satisfaction of patients and physicians with teledermatological sessions in occupational dermatology, especially as a useful supplement to face-to-face consultation. Full article

(This article belongs to the Special Issue New Technologies, Rehabilitation and Health)

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16 pages, 1378 KiB

Open AccessArticle

Digital Rehabilitation for Elbow Pain Musculoskeletal Conditions: A Prospective Longitudinal Cohort Study

by Dora Janela, Fabíola Costa, Maria Molinos, Robert G. Moulder, Jorge Lains, Virgílio Bento, Justin K. Scheer, Vijay Yanamadala, Steven P. Cohen and Fernando Dias Correia

Int. J. Environ. Res. Public Health 2022, 19(15), 9198; https://doi.org/10.3390/ijerph19159198 - 27 Jul 2022

Cited by 1 | Viewed by 2146

Abstract

Elbow musculoskeletal pain (EP) is a major cause of disability. Telerehabilitation has shown great potential in mitigating musculoskeletal pain conditions, but EP is less explored. This single-arm interventional study investigates clinical outcomes and engagement levels of a completely remote multimodal digital care program (DCP) in patients with EP. The DCP consisted of exercise, education, and cognitive-behavioral therapy for 8 weeks. Primary outcome: disability change (through the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire (QuickDASH), treatment response cut-offs: 12.0-point reduction and 30% change). Secondary outcomes: pain, analgesic intake, surgery intent, mental health, fear–avoidance beliefs, work productivity, and patient engagement. Of the 132 individuals that started the DCP, 112 (84.8%) completed the intervention. Significant improvements were observed in QuickDASH with an average reduction of 48.7% (11.9, 95% CI 9.8; 14.0), with 75.3% of participants reporting ≥30% change and 47.7% reporting ≥12.0 points. Disability change was accompanied by reductions in pain (53.1%), surgery intent (57.5%), anxiety (59.8%), depression (68.9%), fear–avoidance beliefs (34.2%), and productivity impairment (72.3%). Engagement (3.5 (SD 1.4) sessions per week) and satisfaction 8.5/10 (SD 1.6) were high. The significant improvement observed in clinical outcomes, alongside high engagement, and satisfaction suggests patient acceptance of this care delivery mode. Full article

(This article belongs to the Special Issue New Technologies, Rehabilitation and Health)

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12 pages, 4552 KiB

Open AccessArticle

Development of a Web-Based Mini-Driving Scene Screening Test (MDSST) for Clinical Practice in Driving Rehabilitation

by Myoung-Ok Park

Int. J. Environ. Res. Public Health 2022, 19(6), 3582; https://doi.org/10.3390/ijerph19063582 - 17 Mar 2022

Cited by 1 | Viewed by 1487

Abstract

(1) Background: For the elderly and disabled, self-driving is very important for social participation. An understanding of changing driving conditions is essential in order to drive safely. This study aimed to develop a web-based Korean Mini-Driving Scene Screening Test (MDSST) and to verify its reliability and validity for clinical application. (2) Methods: We developed a web-based MDSST, and its content validity was verified by an expert group. The tests were conducted with 102 elderly drivers to verify the internal consistency and reliability of items, and the validity of convergence with the existing Korean-Safe Driving Behavior Measure (K-SDBM) and the Korean-Adelaide Driving Self-Efficacy Scale (K-ADSES) driving tests was also verified. The test–retest reliability was verified using 54 individuals who participated in the initial test. (3) Results: The average content validity index of MDSST was 0.90, and the average internal consistency of all items was 0.822, indicating high content validity and internal consistency. The exploratory factor analysis for construct validity, the KOM value of the data, was 0.658, and Bartlett’s sphericity test also showed a strongly significant result. The four factors were road traffic and signal perception, situation understanding, risk factor recognition, and situation prediction. The explanatory power was reliable at 61.27%. For the convergence validation, MDSST and K-SDBM showed r = 0.435 and K-ADSES showed r = 0.346, showing a moderate correlation. In the evaluation–reevaluation reliability verification, the reliability increased to r = 0.952. (4) Conclusions: The web-based MDSST test developed in this study is a useful tool for detecting and understanding real-world driving situations faced by elderly drivers. It is hoped that the MDSST test can be applied more widely as a driving ability test that can be used in the clinical field of driving rehabilitation. Full article

(This article belongs to the Special Issue New Technologies, Rehabilitation and Health)

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10 pages, 535 KiB

Open AccessArticle

Feasibility and Efficacy of Telehealth-Based Resistance Exercise Training in Adolescents with Cystic Fibrosis and Glucose Intolerance

by Clifton J. Holmes, Susan B. Racette, Leslie Symonds, Ana Maria Arbeláez, Chao Cao and Andrea Granados

Int. J. Environ. Res. Public Health 2022, 19(6), 3297; https://doi.org/10.3390/ijerph19063297 - 11 Mar 2022

Cited by 10 | Viewed by 2722

Abstract

The aims of this study were to (1) determine the feasibility of a home-based resistance exercise training (RET) program in patients with cystic fibrosis and impaired glucose tolerance using virtual personal training and (2) observe the effects completion of the RET program had on glucose metabolism, pulmonary function, body composition, and physical fitness. The feasibility of the program was defined as 80% compliance. Ten participants (15.80 ± 2.20 yr, 25.1 ± 7.4 kg/m²) began a home-based resistance training program consisting of 36 sessions supervised via online videoconferencing. Compliance scores of 78.9% (all participants) and 81.8% (without one outlier) were observed. A significant increase was observed in 2-h C-peptide levels (2.1 ng/mL; p = 0.04), with a moderate decrease in fasting glucose (−5.2 mg/dL; p = 0.11) and a moderate increase in 2-h insulin (35.0 U/mL; p = 0.10). A small decrease in the fat percentage (−1.3%; p = 0.03) was observed in addition to increases in fat-free mass (1.5 kg; p = 0.01) and the fat-free mass index (0.4; p = 0.01). Small, yet statistically significant increases were observed in V̇O_2peak (0.1 L/min p = 0.01), V̇CO_2peak (0.1 L/min; p = 0.01), and ventilation (5.3 L/min; p = 0.04). Telehealth-based RET is feasible in adolescents with CF and impaired glucose tolerance and elicits small yet favorable changes in insulin secretion, body composition, and exercise capacity. Full article

(This article belongs to the Special Issue New Technologies, Rehabilitation and Health)

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13 pages, 5238 KiB

Open AccessArticle

Effects of Tele-Rehabilitation Compared with Home-Based in-Person Rehabilitation for Older Adult’s Function after Hip Fracture

by Mariana Ortiz-Piña, Pablo Molina-Garcia, Pedro Femia, Maureen C. Ashe, Lydia Martín-Martín, Susana Salazar-Graván, Zeus Salas-Fariña, Rafael Prieto-Moreno, Yolanda Castellote-Caballero, Fernando Estevez-Lopez and Patrocinio Ariza-Vega

Int. J. Environ. Res. Public Health 2021, 18(10), 5493; https://doi.org/10.3390/ijerph18105493 - 20 May 2021

Cited by 26 | Viewed by 4542

Abstract

This study aimed to examine the effect of a multidisciplinary tele-rehabilitation program on functional recovery of older adults with hip fracture compared with home-based in-person rehabilitation. In this single-blinded, non-randomized clinical trial, we included older with hip fracture. The tele-rehabilitation group received a 12-week tele-rehabilitation program (supervised by their family caregivers). The control group received the usual postoperative rehabilitation provided by the Andalusian health system (Spain). The primary outcome was the patient-reported functional status assessed with the Functional Independence Measure. We also measured performance-based functional recovery using the Timed Up and Go Test and Short Physical Performance Battery. We performed both a per-protocol (62 participants; 28 tele-rehabilitation and 34 control groups) and an intention-to-treat analysis (71 participants; 35 tele-rehabilitation and 36 control groups). Participants who used the tele-rehabilitation program had higher Functional Independence Measure scores (high effect size: 0.98 Cohen’s d; p < 0.001) and better performance in the Timed Up and Go Test (medium effect size: 0.63 Cohen’s d; p = 0.025) compared with the control group. Differences between groups post-intervention were not statistically significant in the Short Physical Performance Battery. The tele-rehabilitation intervention proposed in this study is a valuable treatment option in the recovery process for older adults with hip fracture. ClinicalTrials.gov Identifier: NCT02968589. Full article

(This article belongs to the Special Issue New Technologies, Rehabilitation and Health)

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10 pages, 1804 KiB

Open AccessArticle

Are Physicians in Saudi Arabia Ready for Patients with an Insulin Pump? An Examination of Physician Knowledge and Attitude

by Aqeel Alaqeel, Abdulaziz Almushaigeh, Muna Almijmaj, Raghad Almesned and Mohammed Alsuhaibani

Int. J. Environ. Res. Public Health 2020, 17(24), 9394; https://doi.org/10.3390/ijerph17249394 - 15 Dec 2020

Cited by 2 | Viewed by 2497

Abstract

Aims: The use of insulin pump therapy in patients with diabetes continues to expand worldwide. Although insulin pumps have been demonstrated to be successful and safe, physicians’ insufficient knowledge may carry a risk to the patients using insulin pumps. This study aimed to assess the attitude and knowledge among physicians in Saudi Arabia regarding insulin pump therapy. Methods: Three hundred and seven physicians, including 82 family physicians, 76 pediatricians, 48 internists, 27 pediatric endocrinologists, 17 adult endocrinologists, and 57 physicians from other specialties, completed a questionnaire that evaluated their knowledge and attitude toward insulin pump therapy. Results: Among the evaluated physicians, 56.7% had poor knowledge level, while 53.4% had positive attitude. Statistical tests revealed that older age, years of practice, consultancy, and endocrinology specialty were the influential factors of knowledge (p < 0.001). Non-endocrinologists demonstrated poor knowledge despite seeing patients with insulin pumps; however, those who had previously cared for such patients scored significantly higher knowledge scores. Conclusions: There was a significant lack of knowledge among physicians regarding insulin pump therapy; however, the perceived attitude of physicians toward this therapy was deemed positive. These findings support the implementation of insulin pump education programs. Full article

(This article belongs to the Special Issue New Technologies, Rehabilitation and Health)

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