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Emerge mhealth platform: implementation and technical evaluation of a digital supported pathway of care for medically stable HIV

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journal contribution
posted on 2023-06-10, 01:48 authored by Francisco J Gárate, Paloma Chausa, Jennifer Whetham, Chris JonesChris Jones, Felipe García, César Cáceres, Patricia Sánchez-González, Edward Wallitt, Enrique J Gómez
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 com-munity, 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 demon-strated 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 architec-ture.

History

Publication status

  • Published

File Version

  • Published version

Journal

International Journal of Environmental Research and Public Health

ISSN

1660-4601

Publisher

MDPI

Issue

6

Volume

18

Page range

1-15

Article number

a3156

Event location

Switzerland

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2021-11-17

First Open Access (FOA) Date

2021-11-17

First Compliant Deposit (FCD) Date

2021-11-16