Exploration of Digital Health Technologies

Exploration of Digital Health Technologies

eISSN: 2996-9409

EiC: Atanas G. Atanasov, Austria

Frequency: Bimonthly

APC: No Article Processing Charge before November 30, 2028

Publishing Model: Open Access

Peer Review Model: Single Blind

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Open Access

Perspective

Advancing digital health in Yemen: challenges, opportunities, and way forward
The health sector in Yemen has experienced significant challenges due to prolonged conflict and suboptimal governance, making the development of digital health (DH) crucial. This study highlights th [...] Read more.

The health sector in Yemen has experienced significant challenges due to prolonged conflict and suboptimal governance, making the development of digital health (DH) crucial. This study highlights the urgent need for the strategic implementation of health interventions in a country where fully functional healthcare facilities, low-income levels, damaged infrastructure, and suboptimal governance limit the effectiveness of traditional interventions. It discusses the prioritized step for advancing DH as a root issue that needs to be addressed first and highlights the importance of effective and efficient management of available resources. The development of telecommunication infrastructure is a fundamental pillar for advancing DH in the country. This comes along with consideration of effective management of the available resources and collaborative efforts among all parties, which are critically important to remove restrictions and constraints relevant to the administrative division and fragmentation of the healthcare system and objectively ensure universal coverage of telecommunications and healthcare services nationwide. By leveraging DH technologies (DHTs), Yemen can overcome these obstacles and revolutionize healthcare delivery. Implementing DHTs and related projects can ensure equitable access to high-quality healthcare services, particularly for impoverished individuals. However, the success of these initiatives relies on a well-established supportive policy and regulatory framework, improved public communication systems, targeted strategies, community engagement, and collaboration between medical service providers and community healthcare workers. Awareness campaigns, workshops, research collaborations, and engagement with international organizations are highly recommended to address challenges and foster the growth and development of DH in Yemen.

Omar Abdulkarim Saeed Alhammadi ... Olalekan John Okesanya

Published: November 25, 2024 Explor Digit Health Technol. 2024;2:369–386
DOI: https://doi.org/10.37349/edht.2024.00035

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The health sector in Yemen has experienced significant challenges due to prolonged conflict and suboptimal governance, making the development of digital health (DH) crucial. This study highlights the urgent need for the strategic implementation of health interventions in a country where fully functional healthcare facilities, low-income levels, damaged infrastructure, and suboptimal governance limit the effectiveness of traditional interventions. It discusses the prioritized step for advancing DH as a root issue that needs to be addressed first and highlights the importance of effective and efficient management of available resources. The development of telecommunication infrastructure is a fundamental pillar for advancing DH in the country. This comes along with consideration of effective management of the available resources and collaborative efforts among all parties, which are critically important to remove restrictions and constraints relevant to the administrative division and fragmentation of the healthcare system and objectively ensure universal coverage of telecommunications and healthcare services nationwide. By leveraging DH technologies (DHTs), Yemen can overcome these obstacles and revolutionize healthcare delivery. Implementing DHTs and related projects can ensure equitable access to high-quality healthcare services, particularly for impoverished individuals. However, the success of these initiatives relies on a well-established supportive policy and regulatory framework, improved public communication systems, targeted strategies, community engagement, and collaboration between medical service providers and community healthcare workers. Awareness campaigns, workshops, research collaborations, and engagement with international organizations are highly recommended to address challenges and foster the growth and development of DH in Yemen.

Open Access

Perspective

Revolutionizing healthcare in Somalia: the role of digital innovations in enhancing access and quality
Somalia’s healthcare system faces significant challenges, including limited infrastructure, a shortage of healthcare professionals (2.5 physicians per 10,000 people), and geographic disparities in [...] Read more.

Somalia’s healthcare system faces significant challenges, including limited infrastructure, a shortage of healthcare professionals (2.5 physicians per 10,000 people), and geographic disparities in access to care, leading to only 35% of the population having access to basic health services. Despite these, Somalia is embracing digital health technologies to address these challenges and to improve healthcare delivery. Telehealth platforms such as Baano and SomDoctor provide remote consultations and specialized care to overcome geographical barriers. mHealth solutions, including Hello! Caafi, leverages Somalia’s expanding telecommunications network to deliver healthcare information and services. The development of an electronic immunization registry demonstrated the role of digital health records in streamlining health services and improving data accuracy. Despite the potential benefits, challenges persist, including limited and unreliable Internet access (27.6% penetration rate), and the need to ensure data privacy and security. Capacity building and digital literacy enhancement among healthcare providers and populations are crucial. Learning from successful digital health initiatives in African countries that have effectively used digital health technologies for medical supply delivery and for improved healthcare access is essential. The roadmap for Somalia emphasizes government leadership, public-private partnerships, context-specific solutions, and investment in digital infrastructure, capacity building, and data privacy measures. This perspective explores current digital health innovations in Somalia and their potential impact on healthcare access and quality, outlining a roadmap for establishing a sustainable digital health ecosystem.

Mohamed Mustaf Ahmed

Published: November 25, 2024 Explor Digit Health Technol. 2024;2:360–368
DOI: https://doi.org/10.37349/edht.2024.00034

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Somalia’s healthcare system faces significant challenges, including limited infrastructure, a shortage of healthcare professionals (2.5 physicians per 10,000 people), and geographic disparities in access to care, leading to only 35% of the population having access to basic health services. Despite these, Somalia is embracing digital health technologies to address these challenges and to improve healthcare delivery. Telehealth platforms such as Baano and SomDoctor provide remote consultations and specialized care to overcome geographical barriers. mHealth solutions, including Hello! Caafi, leverages Somalia’s expanding telecommunications network to deliver healthcare information and services. The development of an electronic immunization registry demonstrated the role of digital health records in streamlining health services and improving data accuracy. Despite the potential benefits, challenges persist, including limited and unreliable Internet access (27.6% penetration rate), and the need to ensure data privacy and security. Capacity building and digital literacy enhancement among healthcare providers and populations are crucial. Learning from successful digital health initiatives in African countries that have effectively used digital health technologies for medical supply delivery and for improved healthcare access is essential. The roadmap for Somalia emphasizes government leadership, public-private partnerships, context-specific solutions, and investment in digital infrastructure, capacity building, and data privacy measures. This perspective explores current digital health innovations in Somalia and their potential impact on healthcare access and quality, outlining a roadmap for establishing a sustainable digital health ecosystem.

Open Access

Review

Review on endoscopic capsules
This research provided an in-depth analysis of endoscopic capsules as an innovative application of the Internet of Things (IoT) in healthcare. The study revealed the importance of these systems in a [...] Read more.

This research provided an in-depth analysis of endoscopic capsules as an innovative application of the Internet of Things (IoT) in healthcare. The study revealed the importance of these systems in advancing gastrointestinal diagnostics due to their non-invasive nature and ability to provide comprehensive internal imaging. The work systematically investigated the device’s technical design, power management strategies, communication protocols, and how it performs its secure and efficient operations. Findings from this analysis highlighted the transformative impact of these capsules despite current constraints, such as battery limitations and procedural costs. Ultimately, this wide review confirmed that endoscopic capsules redefine medical diagnostics, fusing patient comfort with innovative technology. Moreover, as developments continue, these devices have promising potential to shape the future of intelligent, interconnected healthcare solutions.

Vasile Denis Manolescu ... Emanuele Lindo Secco

Published: November 25, 2024 Explor Digit Health Technol. 2024;2:346–359
DOI: https://doi.org/10.37349/edht.2024.00033
This article belongs to the special issue Wearable Technologies and Application of Machine Learning in Healthcare

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This research provided an in-depth analysis of endoscopic capsules as an innovative application of the Internet of Things (IoT) in healthcare. The study revealed the importance of these systems in advancing gastrointestinal diagnostics due to their non-invasive nature and ability to provide comprehensive internal imaging. The work systematically investigated the device’s technical design, power management strategies, communication protocols, and how it performs its secure and efficient operations. Findings from this analysis highlighted the transformative impact of these capsules despite current constraints, such as battery limitations and procedural costs. Ultimately, this wide review confirmed that endoscopic capsules redefine medical diagnostics, fusing patient comfort with innovative technology. Moreover, as developments continue, these devices have promising potential to shape the future of intelligent, interconnected healthcare solutions.

Open Access

Original Article

Assessing the accuracy and readability of ChatGPT-4 and Gemini in answering oral cancer queries—an exploratory study
Aim: This study aims to evaluate the accuracy and readability of responses generated by two large language models (LLMs) (ChatGPT-4 and Gemini) to frequently asked questions by lay persons (the g [...] Read more.

Aim:

This study aims to evaluate the accuracy and readability of responses generated by two large language models (LLMs) (ChatGPT-4 and Gemini) to frequently asked questions by lay persons (the general public) about signs and symptoms, risk factors, screening, diagnosis, treatment, prevention, and survival in relation to oral cancer.

Methods:

The accuracy of each response given in the two LLMs was rated by four oral cancer experts, blinded to the source of the responses. The accuracy was rated as 1: complete, 2: correct but insufficient, 3: includes correct and incorrect/outdated information, and 4: completely incorrect. Frequency, mean scores for each question, and overall were calculated. Readability was analyzed using the Flesch Reading Ease and the Flesch-Kincaid Grade Level (FKGL) tests.

Results:

The mean accuracy scores for ChatGPT-4 responses ranged from 1.00 to 2.00, with an overall mean score of 1.50 (SD 0.36), indicating that responses were usually correct but sometimes insufficient. Gemini responses had mean scores ranging from 1.00 to 1.75, with an overall mean score of 1.20 (SD 0.27), suggesting more complete responses. The Mann-Whitney U test revealed a statistically significant difference between the models’ scores (p = 0.02), with Gemini outperforming ChatGPT-4 in terms of completeness and accuracy. ChatGPT generally produces content at a lower grade level (average FKGL: 10.3) compared to Gemini (average FKGL: 12.3) (p = 0.004).

Conclusions:

Gemini provides more complete and accurate responses to questions about oral cancer that lay people may seek answers to compared to ChatGPT-4, although its responses were less readable. Further improvements in model training and evaluation consistency are needed to enhance the reliability and utility of LLMs in healthcare settings.

Márcio Diniz-Freitas ... Pedro Diz-Dios

Published: November 19, 2024 Explor Digit Health Technol. 2024;2:334–345
DOI: https://doi.org/10.37349/edht.2024.00032
This article belongs to the special issue Digital Health Technologies for the Early Detection of Oral Cancer

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Aim:

This study aims to evaluate the accuracy and readability of responses generated by two large language models (LLMs) (ChatGPT-4 and Gemini) to frequently asked questions by lay persons (the general public) about signs and symptoms, risk factors, screening, diagnosis, treatment, prevention, and survival in relation to oral cancer.

Methods:

The accuracy of each response given in the two LLMs was rated by four oral cancer experts, blinded to the source of the responses. The accuracy was rated as 1: complete, 2: correct but insufficient, 3: includes correct and incorrect/outdated information, and 4: completely incorrect. Frequency, mean scores for each question, and overall were calculated. Readability was analyzed using the Flesch Reading Ease and the Flesch-Kincaid Grade Level (FKGL) tests.

Results:

The mean accuracy scores for ChatGPT-4 responses ranged from 1.00 to 2.00, with an overall mean score of 1.50 (SD 0.36), indicating that responses were usually correct but sometimes insufficient. Gemini responses had mean scores ranging from 1.00 to 1.75, with an overall mean score of 1.20 (SD 0.27), suggesting more complete responses. The Mann-Whitney U test revealed a statistically significant difference between the models’ scores (p = 0.02), with Gemini outperforming ChatGPT-4 in terms of completeness and accuracy. ChatGPT generally produces content at a lower grade level (average FKGL: 10.3) compared to Gemini (average FKGL: 12.3) (p = 0.004).

Conclusions:

Gemini provides more complete and accurate responses to questions about oral cancer that lay people may seek answers to compared to ChatGPT-4, although its responses were less readable. Further improvements in model training and evaluation consistency are needed to enhance the reliability and utility of LLMs in healthcare settings.

Open Access

Systematic Review

The use of social media in plastic surgery biomedical research: scoping systematic review
Background: Social media has become ubiquitous; its uses reach beyond connecting individuals or organizations. Many biomedical researchers have found social media to be a useful tool in recruitin [...] Read more.

Background:

Social media has become ubiquitous; its uses reach beyond connecting individuals or organizations. Many biomedical researchers have found social media to be a useful tool in recruiting patients for clinical studies, crowdsourcing for cross-sectional studies, and even as a method of intervention. Social media usefulness in biomedical research has largely been in population health and non-surgical specialties, however, its usefulness in surgical specialties should not be overlooked. Specifically in plastic surgery, social media use to understand patient perceptions, identify populations, and provide care has become an important part of clinical practice.

Methods:

A scoping review was performed utilizing PubMed and Medline databases, and articles were screened for the use of social media as a method of recruitment to a clinical trial, as crowdsourcing (i.e., recruitment for a cross-sectional or survey-based study), or as a method of intervention.

Results:

A total of 28 studies were included, which focused on majority females between 18–34 years old. Despite the ability of the internet and social media to connect people worldwide, nearly all the studies focused on the researchers’ home countries. The studies largely focused on social media’s effect on self-esteem and acceptance of cosmetic surgery, but other notable trends were analyses of patient perceptions of a disease, or surgical outcomes as reported in social media posts.

Discussion:

Overall, social media can be a useful tool for plastic surgeons looking to recruit patients for a survey-based study or crowdsourcing of information.

Amanda Beneat ... Alisha Oropallo

Published: November 15, 2024 Explor Digit Health Technol. 2024;2:313–333
DOI: https://doi.org/10.37349/edht.2024.00031
This article belongs to the special issue Social Media Applications in Biomedical Research

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Background:

Social media has become ubiquitous; its uses reach beyond connecting individuals or organizations. Many biomedical researchers have found social media to be a useful tool in recruiting patients for clinical studies, crowdsourcing for cross-sectional studies, and even as a method of intervention. Social media usefulness in biomedical research has largely been in population health and non-surgical specialties, however, its usefulness in surgical specialties should not be overlooked. Specifically in plastic surgery, social media use to understand patient perceptions, identify populations, and provide care has become an important part of clinical practice.

Methods:

A scoping review was performed utilizing PubMed and Medline databases, and articles were screened for the use of social media as a method of recruitment to a clinical trial, as crowdsourcing (i.e., recruitment for a cross-sectional or survey-based study), or as a method of intervention.

Results:

A total of 28 studies were included, which focused on majority females between 18–34 years old. Despite the ability of the internet and social media to connect people worldwide, nearly all the studies focused on the researchers’ home countries. The studies largely focused on social media’s effect on self-esteem and acceptance of cosmetic surgery, but other notable trends were analyses of patient perceptions of a disease, or surgical outcomes as reported in social media posts.

Discussion:

Overall, social media can be a useful tool for plastic surgeons looking to recruit patients for a survey-based study or crowdsourcing of information.

Open Access

Original Article

AI bias in lung cancer radiotherapy
Aim: In lung cancer research, AI has been trained to read chest radiographs, which has led to improved health outcomes. However, the use of AI in healthcare settings is not without its own set of [...] Read more.

Aim:

In lung cancer research, AI has been trained to read chest radiographs, which has led to improved health outcomes. However, the use of AI in healthcare settings is not without its own set of drawbacks, with bias being primary among them. This study seeks to investigate AI bias in diagnosing and treating lung cancer patients. The research objectives of this study are threefold: 1) To determine which features of patient datasets are most susceptible to AI bias; 2) to then measure the extent of such bias; and 3) from the findings generated, offer recommendations for overcoming the pitfalls of AI in lung cancer therapy for the delivery of more accurate and equitable healthcare.

Methods:

We created a synthetic database consisting of 50 lung cancer patients using a large language model (LLM). We then used a logistic regression model to detect bias in AI-informed treatment plans.

Results:

The empirical results from our synthetic patient data illustrate AI bias along the lines of (1) patient demographics (specifically, age) and (2) disease classification/histology. As it concerns patient age, the model exhibited an accuracy rate of 82.7% for patients < 60 years compared to 85.7% for patients ≥ 60 years. Regarding disease type, the model was less adept in identifying treatment categories for adenocarcinoma (accuracy rate: 83.7%) than it was in predicting treatment categories for squamous cell carcinoma (accuracy rate: 92.3%).

Conclusions:

We address the implications of such results in terms of how they may exacerbate existing health disparities for certain patient populations. We conclude by outlining several strategies for addressing AI bias, including generating a more robust training dataset, developing software tools to detect bias, making the model’s code open access and soliciting user feedback, inviting oversight from an ethics review board, and augmenting patient datasets by synthesizing the underrepresented data.

Kai Ding ... Yian Qi

Published: November 12, 2024 Explor Digit Health Technol. 2024;2:302–312
DOI: https://doi.org/10.37349/edht.2024.00030
This article belongs to the special issue Cancer Diagnosis in the Digital Age

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Aim:

In lung cancer research, AI has been trained to read chest radiographs, which has led to improved health outcomes. However, the use of AI in healthcare settings is not without its own set of drawbacks, with bias being primary among them. This study seeks to investigate AI bias in diagnosing and treating lung cancer patients. The research objectives of this study are threefold: 1) To determine which features of patient datasets are most susceptible to AI bias; 2) to then measure the extent of such bias; and 3) from the findings generated, offer recommendations for overcoming the pitfalls of AI in lung cancer therapy for the delivery of more accurate and equitable healthcare.

Methods:

We created a synthetic database consisting of 50 lung cancer patients using a large language model (LLM). We then used a logistic regression model to detect bias in AI-informed treatment plans.

Results:

The empirical results from our synthetic patient data illustrate AI bias along the lines of (1) patient demographics (specifically, age) and (2) disease classification/histology. As it concerns patient age, the model exhibited an accuracy rate of 82.7% for patients < 60 years compared to 85.7% for patients ≥ 60 years. Regarding disease type, the model was less adept in identifying treatment categories for adenocarcinoma (accuracy rate: 83.7%) than it was in predicting treatment categories for squamous cell carcinoma (accuracy rate: 92.3%).

Conclusions:

We address the implications of such results in terms of how they may exacerbate existing health disparities for certain patient populations. We conclude by outlining several strategies for addressing AI bias, including generating a more robust training dataset, developing software tools to detect bias, making the model’s code open access and soliciting user feedback, inviting oversight from an ethics review board, and augmenting patient datasets by synthesizing the underrepresented data.

Archives Current Volume

Open Access

Original Article

Digital health and mobile health: a bibliometric analysis of the 100 most cited papers and their contributing authors
Aim: This study aimed to identify and analyze the top 100 most cited digital health and mobile health (m-health) publications. It could aid researchers in the identification of promising new rese [...] Read more.

Aim:

This study aimed to identify and analyze the top 100 most cited digital health and mobile health (m-health) publications. It could aid researchers in the identification of promising new research avenues, additionally supporting the establishment of international scientific collaboration between interdisciplinary research groups with demonstrated achievements in the area of interest.

Methods:

On 30th August, 2023, the Web of Science Core Collection (WOSCC) electronic database was queried to identify the top 100 most cited digital health papers with a comprehensive search string. From the initial search, 106 papers were identified. After screening for relevance, six papers were excluded, resulting in the final list of the top 100 papers. The basic bibliographic data was directly extracted from WOSCC using its “Analyze” and “Create Citation Report” functions. The complete records of the top 100 papers were downloaded and imported into a bibliometric software called VOSviewer (version 1.6.19) to generate an author keyword map and author collaboration map.

Results:

The top 100 papers on digital health received a total of 49,653 citations. Over half of them (n = 55) were published during 2013–2017. Among these 100 papers, 59 were original articles, 36 were reviews, 4 were editorial materials, and 1 was a proceeding paper. All papers were written in English. The University of London and the University of California system were the most represented affiliations. The USA and the UK were the most represented countries. The Journal of Medical Internet Research was the most represented journal. Several diseases and health conditions were identified as a focus of these works, including anxiety, depression, diabetes mellitus, cardiovascular diseases, and coronavirus disease 2019 (COVID-19).

Conclusions:

The findings underscore key areas of focus in the field and prominent contributors, providing a roadmap for future research in digital and m-health.

Andy Wai Kan Yeung ... Atanas G. Atanasov

Published: April 22, 2024 Explor Digit Health Technol. 2024;2:86–100
DOI: https://doi.org/10.37349/edht.2024.00013

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Aim:

This study aimed to identify and analyze the top 100 most cited digital health and mobile health (m-health) publications. It could aid researchers in the identification of promising new research avenues, additionally supporting the establishment of international scientific collaboration between interdisciplinary research groups with demonstrated achievements in the area of interest.

Methods:

On 30th August, 2023, the Web of Science Core Collection (WOSCC) electronic database was queried to identify the top 100 most cited digital health papers with a comprehensive search string. From the initial search, 106 papers were identified. After screening for relevance, six papers were excluded, resulting in the final list of the top 100 papers. The basic bibliographic data was directly extracted from WOSCC using its “Analyze” and “Create Citation Report” functions. The complete records of the top 100 papers were downloaded and imported into a bibliometric software called VOSviewer (version 1.6.19) to generate an author keyword map and author collaboration map.

Results:

The top 100 papers on digital health received a total of 49,653 citations. Over half of them (n = 55) were published during 2013–2017. Among these 100 papers, 59 were original articles, 36 were reviews, 4 were editorial materials, and 1 was a proceeding paper. All papers were written in English. The University of London and the University of California system were the most represented affiliations. The USA and the UK were the most represented countries. The Journal of Medical Internet Research was the most represented journal. Several diseases and health conditions were identified as a focus of these works, including anxiety, depression, diabetes mellitus, cardiovascular diseases, and coronavirus disease 2019 (COVID-19).

Conclusions:

The findings underscore key areas of focus in the field and prominent contributors, providing a roadmap for future research in digital and m-health.

Open Access

Original Article

Use of responsible artificial intelligence to predict health insurance claims in the USA using machine learning algorithms
Aim: This study investigates the potential of artificial intelligence (AI) in revolutionizing healthcare insurance claim processing in the USA. It aims to determine the most effective machine lea [...] Read more.

Aim:

This study investigates the potential of artificial intelligence (AI) in revolutionizing healthcare insurance claim processing in the USA. It aims to determine the most effective machine learning (ML) model for predicting health insurance claims, leading to cost savings for insurance companies.

Methods:

Six ML algorithms were used to predict health insurance claims, and their performance was evaluated using various metrics. The algorithms examined include support vector machine (SVM), decision tree (DT), random forest (RF), linear regression (LR), extreme gradient boosting (XGBoost), and k-nearest neighbors (KNN). The research involves a performance assessment that encompasses key metrics. Additionally, a feature importance analysis is conducted to illuminate the critical variables that exert influence on the prediction of insurance claims.

Results:

The findings demonstrate that the XGBoost and RF models outperformed the other algorithms, displaying the highest R-squared values of 79% and 77% and the lowest prediction errors. The feature importance analysis underscores the pivotal role of variables such as smoking habits, body mass index (BMI), and blood pressure levels in the domain of insurance claim prediction. These results emphasize the degree to which these variables should be included in the formulation of insurance policies and pricing strategies.

Conclusions:

This study supports the transformative potential of AI, with specific emphasis on the XGBoost model, in extending the precision and efficiency of healthcare insurance claim processing. The identification of key variables and the mitigation of prediction errors not only signal the potential for substantial cost savings but also affirm the potential to integrate AI into healthcare insurance processes. This research supports the value of the utilization of AI as an emerging tool for process optimization and data-informed decision-making within the healthcare insurance domain.

Ashrafe Alam, Victor R. Prybutok

Published: February 28, 2024 Explor Digit Health Technol. 2024;2:30–45
DOI: https://doi.org/10.37349/edht.2024.00009
This article belongs to the special issue Data-informed Decision Making in Healthcare

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Aim:

This study investigates the potential of artificial intelligence (AI) in revolutionizing healthcare insurance claim processing in the USA. It aims to determine the most effective machine learning (ML) model for predicting health insurance claims, leading to cost savings for insurance companies.

Methods:

Six ML algorithms were used to predict health insurance claims, and their performance was evaluated using various metrics. The algorithms examined include support vector machine (SVM), decision tree (DT), random forest (RF), linear regression (LR), extreme gradient boosting (XGBoost), and k-nearest neighbors (KNN). The research involves a performance assessment that encompasses key metrics. Additionally, a feature importance analysis is conducted to illuminate the critical variables that exert influence on the prediction of insurance claims.

Results:

The findings demonstrate that the XGBoost and RF models outperformed the other algorithms, displaying the highest R-squared values of 79% and 77% and the lowest prediction errors. The feature importance analysis underscores the pivotal role of variables such as smoking habits, body mass index (BMI), and blood pressure levels in the domain of insurance claim prediction. These results emphasize the degree to which these variables should be included in the formulation of insurance policies and pricing strategies.

Conclusions:

This study supports the transformative potential of AI, with specific emphasis on the XGBoost model, in extending the precision and efficiency of healthcare insurance claim processing. The identification of key variables and the mitigation of prediction errors not only signal the potential for substantial cost savings but also affirm the potential to integrate AI into healthcare insurance processes. This research supports the value of the utilization of AI as an emerging tool for process optimization and data-informed decision-making within the healthcare insurance domain.

Open Access

Perspective

Turbulence at Twitter with leadership change: implications for health research and science communication
Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists [...] Read more.

Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists interact with the platform and has led some to worry about its future. This article discusses the current changes at Twitter and what implications these may have for future health research and communication.

Ronan Lordan, Hari Prasad Devkota

Published: November 01, 2023 Explor Digit Health Technol. 2023;1:4–10
DOI: https://doi.org/10.37349/edht.2023.00002
This article belongs to the special issue Social Media Applications in Biomedical Research

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Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists interact with the platform and has led some to worry about its future. This article discusses the current changes at Twitter and what implications these may have for future health research and communication.

Open Access

Commentary

Identifying children’s environmental health risks, needs, misconceptions, and opportunities for research translation using social media
As part of the Advancing Science, Practice, Programming, and Policy in Research Translation for Children’s Environmental Health (ASP³IRE) center, machine learning, geographic information systems ( [...] Read more.

As part of the Advancing Science, Practice, Programming, and Policy in Research Translation for Children’s Environmental Health (ASP³IRE) center, machine learning, geographic information systems (GIS), and natural language processing to analyze more than 650 million posts related to children’s environmental health are being used. Using preliminary analyses as examples, this commentary discusses the potential opportunities, benefits, challenges, and limitations of children’s health social media analytics. Social media contains large volumes of contextually rich data that describe children’s health risks and needs, characteristics of homes and childcare locations important to environmental exposures, and parent and childcare provider perceptions, awareness of, and misconceptions about children’s environmental health. Twenty five million unique conversations mentioning children, with likes, views, and replies from more than 33 million X (formerly Twitter) users were identified. Many of these posts can be linked to traditional environmental and health data. However, social media analytics have several challenges and limitations. Challenges include a need for interdisciplinary collaborations, selectivity and sensitivity of analytical methods, the dynamic, evolving communication methods and platform preferences of social media users, and operational policies. Limitations include data availability, generalizability, and self-report bias. Social media analytics has significant potential to contribute to children’s environmental health research and translation.

Andrew Larkin ... Perry Hystad

Published: April 08, 2024 Explor Digit Health Technol. 2024;2:59–66
DOI: https://doi.org/10.37349/edht.2024.00011
This article belongs to the special issue Social Media Applications in Biomedical Research

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As part of the Advancing Science, Practice, Programming, and Policy in Research Translation for Children’s Environmental Health (ASP³IRE) center, machine learning, geographic information systems (GIS), and natural language processing to analyze more than 650 million posts related to children’s environmental health are being used. Using preliminary analyses as examples, this commentary discusses the potential opportunities, benefits, challenges, and limitations of children’s health social media analytics. Social media contains large volumes of contextually rich data that describe children’s health risks and needs, characteristics of homes and childcare locations important to environmental exposures, and parent and childcare provider perceptions, awareness of, and misconceptions about children’s environmental health. Twenty five million unique conversations mentioning children, with likes, views, and replies from more than 33 million X (formerly Twitter) users were identified. Many of these posts can be linked to traditional environmental and health data. However, social media analytics have several challenges and limitations. Challenges include a need for interdisciplinary collaborations, selectivity and sensitivity of analytical methods, the dynamic, evolving communication methods and platform preferences of social media users, and operational policies. Limitations include data availability, generalizability, and self-report bias. Social media analytics has significant potential to contribute to children’s environmental health research and translation.

Open Access

Systematic Review

Data science techniques to gain novel insights into quality of care: a scoping review of long-term care for older adults
Background: The increase in powerful computers and technological devices as well as new forms of data analysis such as machine learning have resulted in the widespread availability of data scienc [...] Read more.

Background:

The increase in powerful computers and technological devices as well as new forms of data analysis such as machine learning have resulted in the widespread availability of data science in healthcare. However, its role in organizations providing long-term care (LTC) for older people LTC for older adults has yet to be systematically synthesized. This analysis provides a state-of-the-art overview of 1) data science techniques that are used with data accumulated in LTC and for what specific purposes and, 2) the results of these techniques in researching the study objectives at hand.

Methods:

A scoping review based on guidelines of the Joanna Briggs Institute. PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched using keywords related to data science techniques and LTC. The screening and selection process was carried out by two authors and was not limited by any research design or publication date. A narrative synthesis was conducted based on the two aims.

Results:

The search strategy yielded 1,488 studies: 27 studies were included of which the majority were conducted in the US and in a nursing home setting. Text-mining/natural language processing (NLP) and support vector machines (SVMs) were the most deployed methods; accuracy was the most used metric. These techniques were primarily utilized for researching specific adverse outcomes including the identification of risk factors for falls and the prediction of frailty. All studies concluded that these techniques are valuable for their specific purposes.

Discussion:

This review reveals the limited use of data science techniques on data accumulated in or by LTC facilities. The low number of included articles in this review indicate the need for strategies aimed at the effective utilization of data with data science techniques and evidence of their practical benefits. There is a need for a wider adoption of these techniques in order to exploit data to their full potential and, consequently, improve the quality of care in LTC by making data-informed decisions.

Ard Hendriks ... Sil Aarts

Published: April 12, 2024 Explor Digit Health Technol. 2024;2:67–85
DOI: https://doi.org/10.37349/edht.2024.00012
This article belongs to the special issue Data-informed Decision Making in Healthcare

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Background:

The increase in powerful computers and technological devices as well as new forms of data analysis such as machine learning have resulted in the widespread availability of data science in healthcare. However, its role in organizations providing long-term care (LTC) for older people LTC for older adults has yet to be systematically synthesized. This analysis provides a state-of-the-art overview of 1) data science techniques that are used with data accumulated in LTC and for what specific purposes and, 2) the results of these techniques in researching the study objectives at hand.

Methods:

A scoping review based on guidelines of the Joanna Briggs Institute. PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched using keywords related to data science techniques and LTC. The screening and selection process was carried out by two authors and was not limited by any research design or publication date. A narrative synthesis was conducted based on the two aims.

Results:

The search strategy yielded 1,488 studies: 27 studies were included of which the majority were conducted in the US and in a nursing home setting. Text-mining/natural language processing (NLP) and support vector machines (SVMs) were the most deployed methods; accuracy was the most used metric. These techniques were primarily utilized for researching specific adverse outcomes including the identification of risk factors for falls and the prediction of frailty. All studies concluded that these techniques are valuable for their specific purposes.

Discussion:

This review reveals the limited use of data science techniques on data accumulated in or by LTC facilities. The low number of included articles in this review indicate the need for strategies aimed at the effective utilization of data with data science techniques and evidence of their practical benefits. There is a need for a wider adoption of these techniques in order to exploit data to their full potential and, consequently, improve the quality of care in LTC by making data-informed decisions.

Open Access

Editorial

Exploration of Digital Health Technologies

Atanas G. Atanasov

Published: November 01, 2023 Explor Digit Health Technol. 2023;1:1–3
DOI: https://doi.org/10.37349/edht.2023.00001

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Open Access

Original Article

Digital health and mobile health: a bibliometric analysis of the 100 most cited papers and their contributing authors
Aim: This study aimed to identify and analyze the top 100 most cited digital health and mobile health (m-health) publications. It could aid researchers in the identification of promising new rese [...] Read more.

Aim:

This study aimed to identify and analyze the top 100 most cited digital health and mobile health (m-health) publications. It could aid researchers in the identification of promising new research avenues, additionally supporting the establishment of international scientific collaboration between interdisciplinary research groups with demonstrated achievements in the area of interest.

Methods:

On 30th August, 2023, the Web of Science Core Collection (WOSCC) electronic database was queried to identify the top 100 most cited digital health papers with a comprehensive search string. From the initial search, 106 papers were identified. After screening for relevance, six papers were excluded, resulting in the final list of the top 100 papers. The basic bibliographic data was directly extracted from WOSCC using its “Analyze” and “Create Citation Report” functions. The complete records of the top 100 papers were downloaded and imported into a bibliometric software called VOSviewer (version 1.6.19) to generate an author keyword map and author collaboration map.

Results:

The top 100 papers on digital health received a total of 49,653 citations. Over half of them (n = 55) were published during 2013–2017. Among these 100 papers, 59 were original articles, 36 were reviews, 4 were editorial materials, and 1 was a proceeding paper. All papers were written in English. The University of London and the University of California system were the most represented affiliations. The USA and the UK were the most represented countries. The Journal of Medical Internet Research was the most represented journal. Several diseases and health conditions were identified as a focus of these works, including anxiety, depression, diabetes mellitus, cardiovascular diseases, and coronavirus disease 2019 (COVID-19).

Conclusions:

The findings underscore key areas of focus in the field and prominent contributors, providing a roadmap for future research in digital and m-health.

Andy Wai Kan Yeung ... Atanas G. Atanasov

Published: April 22, 2024 Explor Digit Health Technol. 2024;2:86–100
DOI: https://doi.org/10.37349/edht.2024.00013

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Aim:

This study aimed to identify and analyze the top 100 most cited digital health and mobile health (m-health) publications. It could aid researchers in the identification of promising new research avenues, additionally supporting the establishment of international scientific collaboration between interdisciplinary research groups with demonstrated achievements in the area of interest.

Methods:

On 30th August, 2023, the Web of Science Core Collection (WOSCC) electronic database was queried to identify the top 100 most cited digital health papers with a comprehensive search string. From the initial search, 106 papers were identified. After screening for relevance, six papers were excluded, resulting in the final list of the top 100 papers. The basic bibliographic data was directly extracted from WOSCC using its “Analyze” and “Create Citation Report” functions. The complete records of the top 100 papers were downloaded and imported into a bibliometric software called VOSviewer (version 1.6.19) to generate an author keyword map and author collaboration map.

Results:

The top 100 papers on digital health received a total of 49,653 citations. Over half of them (n = 55) were published during 2013–2017. Among these 100 papers, 59 were original articles, 36 were reviews, 4 were editorial materials, and 1 was a proceeding paper. All papers were written in English. The University of London and the University of California system were the most represented affiliations. The USA and the UK were the most represented countries. The Journal of Medical Internet Research was the most represented journal. Several diseases and health conditions were identified as a focus of these works, including anxiety, depression, diabetes mellitus, cardiovascular diseases, and coronavirus disease 2019 (COVID-19).

Conclusions:

The findings underscore key areas of focus in the field and prominent contributors, providing a roadmap for future research in digital and m-health.

Open Access

Original Article

Use of responsible artificial intelligence to predict health insurance claims in the USA using machine learning algorithms
Aim: This study investigates the potential of artificial intelligence (AI) in revolutionizing healthcare insurance claim processing in the USA. It aims to determine the most effective machine lea [...] Read more.

Aim:

This study investigates the potential of artificial intelligence (AI) in revolutionizing healthcare insurance claim processing in the USA. It aims to determine the most effective machine learning (ML) model for predicting health insurance claims, leading to cost savings for insurance companies.

Methods:

Six ML algorithms were used to predict health insurance claims, and their performance was evaluated using various metrics. The algorithms examined include support vector machine (SVM), decision tree (DT), random forest (RF), linear regression (LR), extreme gradient boosting (XGBoost), and k-nearest neighbors (KNN). The research involves a performance assessment that encompasses key metrics. Additionally, a feature importance analysis is conducted to illuminate the critical variables that exert influence on the prediction of insurance claims.

Results:

The findings demonstrate that the XGBoost and RF models outperformed the other algorithms, displaying the highest R-squared values of 79% and 77% and the lowest prediction errors. The feature importance analysis underscores the pivotal role of variables such as smoking habits, body mass index (BMI), and blood pressure levels in the domain of insurance claim prediction. These results emphasize the degree to which these variables should be included in the formulation of insurance policies and pricing strategies.

Conclusions:

This study supports the transformative potential of AI, with specific emphasis on the XGBoost model, in extending the precision and efficiency of healthcare insurance claim processing. The identification of key variables and the mitigation of prediction errors not only signal the potential for substantial cost savings but also affirm the potential to integrate AI into healthcare insurance processes. This research supports the value of the utilization of AI as an emerging tool for process optimization and data-informed decision-making within the healthcare insurance domain.

Ashrafe Alam, Victor R. Prybutok

Published: February 28, 2024 Explor Digit Health Technol. 2024;2:30–45
DOI: https://doi.org/10.37349/edht.2024.00009
This article belongs to the special issue Data-informed Decision Making in Healthcare

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Aim:

This study investigates the potential of artificial intelligence (AI) in revolutionizing healthcare insurance claim processing in the USA. It aims to determine the most effective machine learning (ML) model for predicting health insurance claims, leading to cost savings for insurance companies.

Methods:

Six ML algorithms were used to predict health insurance claims, and their performance was evaluated using various metrics. The algorithms examined include support vector machine (SVM), decision tree (DT), random forest (RF), linear regression (LR), extreme gradient boosting (XGBoost), and k-nearest neighbors (KNN). The research involves a performance assessment that encompasses key metrics. Additionally, a feature importance analysis is conducted to illuminate the critical variables that exert influence on the prediction of insurance claims.

Results:

The findings demonstrate that the XGBoost and RF models outperformed the other algorithms, displaying the highest R-squared values of 79% and 77% and the lowest prediction errors. The feature importance analysis underscores the pivotal role of variables such as smoking habits, body mass index (BMI), and blood pressure levels in the domain of insurance claim prediction. These results emphasize the degree to which these variables should be included in the formulation of insurance policies and pricing strategies.

Conclusions:

This study supports the transformative potential of AI, with specific emphasis on the XGBoost model, in extending the precision and efficiency of healthcare insurance claim processing. The identification of key variables and the mitigation of prediction errors not only signal the potential for substantial cost savings but also affirm the potential to integrate AI into healthcare insurance processes. This research supports the value of the utilization of AI as an emerging tool for process optimization and data-informed decision-making within the healthcare insurance domain.

Open Access

Perspective

Turbulence at Twitter with leadership change: implications for health research and science communication
Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists [...] Read more.

Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists interact with the platform and has led some to worry about its future. This article discusses the current changes at Twitter and what implications these may have for future health research and communication.

Ronan Lordan, Hari Prasad Devkota

Published: November 01, 2023 Explor Digit Health Technol. 2023;1:4–10
DOI: https://doi.org/10.37349/edht.2023.00002
This article belongs to the special issue Social Media Applications in Biomedical Research

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Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists interact with the platform and has led some to worry about its future. This article discusses the current changes at Twitter and what implications these may have for future health research and communication.

Open Access

Commentary

Identifying children’s environmental health risks, needs, misconceptions, and opportunities for research translation using social media
As part of the Advancing Science, Practice, Programming, and Policy in Research Translation for Children’s Environmental Health (ASP³IRE) center, machine learning, geographic information systems ( [...] Read more.

As part of the Advancing Science, Practice, Programming, and Policy in Research Translation for Children’s Environmental Health (ASP³IRE) center, machine learning, geographic information systems (GIS), and natural language processing to analyze more than 650 million posts related to children’s environmental health are being used. Using preliminary analyses as examples, this commentary discusses the potential opportunities, benefits, challenges, and limitations of children’s health social media analytics. Social media contains large volumes of contextually rich data that describe children’s health risks and needs, characteristics of homes and childcare locations important to environmental exposures, and parent and childcare provider perceptions, awareness of, and misconceptions about children’s environmental health. Twenty five million unique conversations mentioning children, with likes, views, and replies from more than 33 million X (formerly Twitter) users were identified. Many of these posts can be linked to traditional environmental and health data. However, social media analytics have several challenges and limitations. Challenges include a need for interdisciplinary collaborations, selectivity and sensitivity of analytical methods, the dynamic, evolving communication methods and platform preferences of social media users, and operational policies. Limitations include data availability, generalizability, and self-report bias. Social media analytics has significant potential to contribute to children’s environmental health research and translation.

Andrew Larkin ... Perry Hystad

Published: April 08, 2024 Explor Digit Health Technol. 2024;2:59–66
DOI: https://doi.org/10.37349/edht.2024.00011
This article belongs to the special issue Social Media Applications in Biomedical Research

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As part of the Advancing Science, Practice, Programming, and Policy in Research Translation for Children’s Environmental Health (ASP³IRE) center, machine learning, geographic information systems (GIS), and natural language processing to analyze more than 650 million posts related to children’s environmental health are being used. Using preliminary analyses as examples, this commentary discusses the potential opportunities, benefits, challenges, and limitations of children’s health social media analytics. Social media contains large volumes of contextually rich data that describe children’s health risks and needs, characteristics of homes and childcare locations important to environmental exposures, and parent and childcare provider perceptions, awareness of, and misconceptions about children’s environmental health. Twenty five million unique conversations mentioning children, with likes, views, and replies from more than 33 million X (formerly Twitter) users were identified. Many of these posts can be linked to traditional environmental and health data. However, social media analytics have several challenges and limitations. Challenges include a need for interdisciplinary collaborations, selectivity and sensitivity of analytical methods, the dynamic, evolving communication methods and platform preferences of social media users, and operational policies. Limitations include data availability, generalizability, and self-report bias. Social media analytics has significant potential to contribute to children’s environmental health research and translation.

Open Access

Systematic Review

Data science techniques to gain novel insights into quality of care: a scoping review of long-term care for older adults
Background: The increase in powerful computers and technological devices as well as new forms of data analysis such as machine learning have resulted in the widespread availability of data scienc [...] Read more.

Background:

The increase in powerful computers and technological devices as well as new forms of data analysis such as machine learning have resulted in the widespread availability of data science in healthcare. However, its role in organizations providing long-term care (LTC) for older people LTC for older adults has yet to be systematically synthesized. This analysis provides a state-of-the-art overview of 1) data science techniques that are used with data accumulated in LTC and for what specific purposes and, 2) the results of these techniques in researching the study objectives at hand.

Methods:

A scoping review based on guidelines of the Joanna Briggs Institute. PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched using keywords related to data science techniques and LTC. The screening and selection process was carried out by two authors and was not limited by any research design or publication date. A narrative synthesis was conducted based on the two aims.

Results:

The search strategy yielded 1,488 studies: 27 studies were included of which the majority were conducted in the US and in a nursing home setting. Text-mining/natural language processing (NLP) and support vector machines (SVMs) were the most deployed methods; accuracy was the most used metric. These techniques were primarily utilized for researching specific adverse outcomes including the identification of risk factors for falls and the prediction of frailty. All studies concluded that these techniques are valuable for their specific purposes.

Discussion:

This review reveals the limited use of data science techniques on data accumulated in or by LTC facilities. The low number of included articles in this review indicate the need for strategies aimed at the effective utilization of data with data science techniques and evidence of their practical benefits. There is a need for a wider adoption of these techniques in order to exploit data to their full potential and, consequently, improve the quality of care in LTC by making data-informed decisions.

Ard Hendriks ... Sil Aarts

Published: April 12, 2024 Explor Digit Health Technol. 2024;2:67–85
DOI: https://doi.org/10.37349/edht.2024.00012
This article belongs to the special issue Data-informed Decision Making in Healthcare

Full Text

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View:5038

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Times Cited: 0

Background:

The increase in powerful computers and technological devices as well as new forms of data analysis such as machine learning have resulted in the widespread availability of data science in healthcare. However, its role in organizations providing long-term care (LTC) for older people LTC for older adults has yet to be systematically synthesized. This analysis provides a state-of-the-art overview of 1) data science techniques that are used with data accumulated in LTC and for what specific purposes and, 2) the results of these techniques in researching the study objectives at hand.

Methods:

A scoping review based on guidelines of the Joanna Briggs Institute. PubMed and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched using keywords related to data science techniques and LTC. The screening and selection process was carried out by two authors and was not limited by any research design or publication date. A narrative synthesis was conducted based on the two aims.

Results:

The search strategy yielded 1,488 studies: 27 studies were included of which the majority were conducted in the US and in a nursing home setting. Text-mining/natural language processing (NLP) and support vector machines (SVMs) were the most deployed methods; accuracy was the most used metric. These techniques were primarily utilized for researching specific adverse outcomes including the identification of risk factors for falls and the prediction of frailty. All studies concluded that these techniques are valuable for their specific purposes.

Discussion:

This review reveals the limited use of data science techniques on data accumulated in or by LTC facilities. The low number of included articles in this review indicate the need for strategies aimed at the effective utilization of data with data science techniques and evidence of their practical benefits. There is a need for a wider adoption of these techniques in order to exploit data to their full potential and, consequently, improve the quality of care in LTC by making data-informed decisions.

Open Access

Editorial

Exploration of Digital Health Technologies

Atanas G. Atanasov

Published: November 01, 2023 Explor Digit Health Technol. 2023;1:1–3
DOI: https://doi.org/10.37349/edht.2023.00001

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View:4922

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Times Cited: 4

Archives Current Volume

Open Access

Perspective

Turbulence at Twitter with leadership change: implications for health research and science communication
Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists [...] Read more.

Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists interact with the platform and has led some to worry about its future. This article discusses the current changes at Twitter and what implications these may have for future health research and communication.

Ronan Lordan, Hari Prasad Devkota

Published: November 01, 2023 Explor Digit Health Technol. 2023;1:4–10
DOI: https://doi.org/10.37349/edht.2023.00002
This article belongs to the special issue Social Media Applications in Biomedical Research

Full Text

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View:7130

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Times Cited: 5

Twitter has been an invaluable social media platform for scientists to share research and host discourse among academics and the public. The change of ownership at Twitter has changed how scientists interact with the platform and has led some to worry about its future. This article discusses the current changes at Twitter and what implications these may have for future health research and communication.

Open Access

Editorial

Exploration of Digital Health Technologies

Atanas G. Atanasov

Published: November 01, 2023 Explor Digit Health Technol. 2023;1:1–3
DOI: https://doi.org/10.37349/edht.2023.00001

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Times Cited: 4

Open Access

Letter to the Editor

Harnessing the untapped potential of digital twin technology in digital public health interventions
Digital technologies have garnered more attention in this epoch of public health emergencies like coronavirus disease 2019 (COVID-19) and monkeypox (mpox). Digital twin (DT) is the virtual cyberneti [...] Read more.

Digital technologies have garnered more attention in this epoch of public health emergencies like coronavirus disease 2019 (COVID-19) and monkeypox (mpox). Digital twin (DT) is the virtual cybernetic equivalent of a physical object (e.g., a device, a human, a community) used to better understand the complexity of the latter and predict, prevent, monitor, and optimize real-world outcomes. The possible use cases of DT systems in public health ranging from mass vaccination planning to understanding disease transmission patterns have been discussed. Despite potential applications in healthcare, several economic, social, and ethical challenges might hinder the universal implementation of DT. Nevertheless, devising appropriate policies, reinforcing good governance, and launching multinational collaborative efforts ascertain early espousal of DT technology.

Salman Khan ... ArunSundar MohanaSundaram

Published: November 01, 2023 Explor Digit Health Technol. 2023;1:11–16
DOI: https://doi.org/10.37349/edht.2023.00003
This article belongs to the special issue Social Media Applications in Biomedical Research

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Digital technologies have garnered more attention in this epoch of public health emergencies like coronavirus disease 2019 (COVID-19) and monkeypox (mpox). Digital twin (DT) is the virtual cybernetic equivalent of a physical object (e.g., a device, a human, a community) used to better understand the complexity of the latter and predict, prevent, monitor, and optimize real-world outcomes. The possible use cases of DT systems in public health ranging from mass vaccination planning to understanding disease transmission patterns have been discussed. Despite potential applications in healthcare, several economic, social, and ethical challenges might hinder the universal implementation of DT. Nevertheless, devising appropriate policies, reinforcing good governance, and launching multinational collaborative efforts ascertain early espousal of DT technology.

Open Access

Perspective

Science communication on X (formerly Twitter): A picture is worth a thousand characters?
X (formerly Twitter), a microblogging social media platform, is being used by scientists and researchers to disseminate their research findings and promote the visibility of their work to the public [...] Read more.

X (formerly Twitter), a microblogging social media platform, is being used by scientists and researchers to disseminate their research findings and promote the visibility of their work to the public. Tweets can be posted with text messages, images, hyperlinks, or a combination of these features. Importantly, for the majority of users, the text must be limited to 280 characters. In this perspective, this study aimed to observe if adding an image is able to increase outreach for scientific communication on X. Therefore, the characteristics of tweets posted with the hashtag #SciComm (short for science communication) for a period of one year (28 May 2020 to 28 May 2021) were analyzed with the X analytics tool Symplur Signals. The conducted analysis revealed that when a science communication (#SciComm-containing) tweet is accompanied by an image added by the user, there is on average a 529% increase in the number of retweets, and adding a hyperlink is similarly effective in increasing the number of retweets. However, combining both an image and hyperlink in the same tweet did not yield an additive effect. Hence, for increased visibility, researchers may consider adding images or hyperlinks (e.g., to research publications or popular science articles) while communicating science to the public on X.

Himel Mondal ... Harald Willschke

Published: November 28, 2023 Explor Digit Health Technol. 2023;1:28–34
DOI: https://doi.org/10.37349/edht.2023.00005

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Times Cited: 3

X (formerly Twitter), a microblogging social media platform, is being used by scientists and researchers to disseminate their research findings and promote the visibility of their work to the public. Tweets can be posted with text messages, images, hyperlinks, or a combination of these features. Importantly, for the majority of users, the text must be limited to 280 characters. In this perspective, this study aimed to observe if adding an image is able to increase outreach for scientific communication on X. Therefore, the characteristics of tweets posted with the hashtag #SciComm (short for science communication) for a period of one year (28 May 2020 to 28 May 2021) were analyzed with the X analytics tool Symplur Signals. The conducted analysis revealed that when a science communication (#SciComm-containing) tweet is accompanied by an image added by the user, there is on average a 529% increase in the number of retweets, and adding a hyperlink is similarly effective in increasing the number of retweets. However, combining both an image and hyperlink in the same tweet did not yield an additive effect. Hence, for increased visibility, researchers may consider adding images or hyperlinks (e.g., to research publications or popular science articles) while communicating science to the public on X.

Open Access

Review

Social media applications in biomedical research
Information and communication technologies (ICTs) have transformed global connectivity, offering significant support to underserved populations and small businesses in developing nations. The integr [...] Read more.

Information and communication technologies (ICTs) have transformed global connectivity, offering significant support to underserved populations and small businesses in developing nations. The integration of social media into the ICT landscape has further revolutionized communication and information sharing worldwide. However, despite its widespread adoption, the precise impact of social media on biomedical research remains uncertain. This manuscript seeks to examine the multifaceted roles of social media in healthcare, focusing on its applications in patient care, professional networking, education, organizational promotion, and public health programs. Additionally, it investigates social media’s significance in research, particularly its potential for data collection and analysis. A comprehensive literature review was undertaken to consolidate existing knowledge on social media’s utilization in healthcare and research. Various platforms, including social networking sites and academic networking sites, were assessed, along with their respective applications and consequences. Social media platforms have become essential tools in healthcare, facilitating professional networking, patient education, organizational promotion, and public health initiatives. In the realm of research, social media provides extensive opportunities for data collection, analysis, and collaboration, although challenges persist regarding privacy, data accuracy, and ethical considerations. The pervasive influence of social media in healthcare and research highlights its potential to enhance communication, engagement, and knowledge dissemination. However, careful adherence to ethical guidelines and privacy concerns is essential to maximize its benefits while minimizing risks. As social media continues to evolve, its role in shaping biomedical research and healthcare practices is anticipated to grow, necessitating ongoing exploration and adaptation by stakeholders.

Md Sadique Hussain, Devesh Tewari

Published: July 04, 2024 Explor Digit Health Technol. 2024;2:167–182
DOI: https://doi.org/10.37349/edht.2024.00019
This article belongs to the special issue Social Media Applications in Biomedical Research

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Times Cited: 2

Information and communication technologies (ICTs) have transformed global connectivity, offering significant support to underserved populations and small businesses in developing nations. The integration of social media into the ICT landscape has further revolutionized communication and information sharing worldwide. However, despite its widespread adoption, the precise impact of social media on biomedical research remains uncertain. This manuscript seeks to examine the multifaceted roles of social media in healthcare, focusing on its applications in patient care, professional networking, education, organizational promotion, and public health programs. Additionally, it investigates social media’s significance in research, particularly its potential for data collection and analysis. A comprehensive literature review was undertaken to consolidate existing knowledge on social media’s utilization in healthcare and research. Various platforms, including social networking sites and academic networking sites, were assessed, along with their respective applications and consequences. Social media platforms have become essential tools in healthcare, facilitating professional networking, patient education, organizational promotion, and public health initiatives. In the realm of research, social media provides extensive opportunities for data collection, analysis, and collaboration, although challenges persist regarding privacy, data accuracy, and ethical considerations. The pervasive influence of social media in healthcare and research highlights its potential to enhance communication, engagement, and knowledge dissemination. However, careful adherence to ethical guidelines and privacy concerns is essential to maximize its benefits while minimizing risks. As social media continues to evolve, its role in shaping biomedical research and healthcare practices is anticipated to grow, necessitating ongoing exploration and adaptation by stakeholders.

Open Access

Original Article

Functionality and feasibility of cognitive function training via mobile health application among youth at risk for psychosis
Aim: Mobile health applications (MHAs) have been rapidly designed and urgently need evaluation. Existing evaluation methods, such as platform, development, and subjective overall user observation [...] Read more.

Aim:

Mobile health applications (MHAs) have been rapidly designed and urgently need evaluation. Existing evaluation methods, such as platform, development, and subjective overall user observations, are mostly based on application (app) design. This study aimed to evaluate the functionality and feasibility of an MHA to train cognitive function in youth at clinical high risk (CHR) for psychosis with a tool that allows a comprehensive user experience evaluation of mobile apps from multiple dimensions.

Methods:

Eighty participants with CHR for psychosis were recruited and randomly assigned to the intervention and the group control. Participants in the intervention group used the Specific Memory Attention Resource and Training (SMART) app for three months. MHA’s functionality and feasibility were measured by the mobile app rating scale (MARS) and qualitative tools.

Results:

Participants in the SMART group report that the form and design of this app are simple to operate, and the content is trustworthy. They reported improvement in cognitive function and more motivation to seek help to improve their cognitive function. They also pointed out areas of improvement.

Conclusions:

SMART usability and functionality were measured by a multidimensional tool. It shows promise in improving CHR memory and attention and demonstrates appropriate usability and functionality.

Huijun Li ... Jijun Wang

Published: February 27, 2024 Explor Digit Health Technol. 2024;2:7–19
DOI: https://doi.org/10.37349/edht.2024.00007

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Times Cited: 1

Aim:

Mobile health applications (MHAs) have been rapidly designed and urgently need evaluation. Existing evaluation methods, such as platform, development, and subjective overall user observations, are mostly based on application (app) design. This study aimed to evaluate the functionality and feasibility of an MHA to train cognitive function in youth at clinical high risk (CHR) for psychosis with a tool that allows a comprehensive user experience evaluation of mobile apps from multiple dimensions.

Methods:

Eighty participants with CHR for psychosis were recruited and randomly assigned to the intervention and the group control. Participants in the intervention group used the Specific Memory Attention Resource and Training (SMART) app for three months. MHA’s functionality and feasibility were measured by the mobile app rating scale (MARS) and qualitative tools.

Results:

Participants in the SMART group report that the form and design of this app are simple to operate, and the content is trustworthy. They reported improvement in cognitive function and more motivation to seek help to improve their cognitive function. They also pointed out areas of improvement.

Conclusions:

SMART usability and functionality were measured by a multidimensional tool. It shows promise in improving CHR memory and attention and demonstrates appropriate usability and functionality.

Archives Current Volume

Special Issues

Ongoing Special Issues

Completed Special Issues

Expert Opinions on Digital Health Innovations

Prof. Marco Tatullo

Submission Deadline: March 31, 2025

Published Articles: 0

Digital Health Technologies for the Early Detection of Oral Cancer

Saman Warnakulasuriya

Submission Deadline: April 30, 2025

Published Articles: 6

Digital Health Innovations in the Battle Against Psychological Problems: Progress, Hurdles, and Prospects

Pasquale Caponnetto Mirko Casu

Submission Deadline: April 30, 2025

Published Articles: 0

Deep Learning Methods and Applications for Biomedical Imaging

Robertas Damaševičius

Submission Deadline: April 30, 2025

Published Articles: 1

Telepsychiatry in Low-and Middle-income Countries: an Update

Subho Chakrabarti

Submission Deadline: April 30, 2025

Published Articles: 1

Data-informed Decision Making in Healthcare

Sil Aarts

Submission Deadline: April 30, 2025

Published Articles: 5

Cancer Diagnosis in the Digital Age

Mohammad Reza Saeb

Submission Deadline: April 30, 2025

Published Articles: 1

Wearable Technologies and Application of Machine Learning in Healthcare

Shariful Islam

Submission Deadline: April 30, 2025

Published Articles: 1

Biosensors for Bioactive Molecules

J. G. Manjunatha Chaudhery Mustansar Hussain

Submission Deadline: April 30, 2025

Published Articles: 2

Social Media Applications in Biomedical Research

Devesh Tewari

Submission Deadline: November 30, 2024

Published Articles: 7

From the Editor-in-Chief

It gives me a great pleasure to announce the launching of Exploration of Digital Health Technologies (EDHT), an open access journal published by Open Exploration Publishing in the field of digital health. The aim of the journal will be to attract high-quality global research contributions from scientists working on different aspects related to digital technologies with biomedical relevance worldwide. The open access publishing model ensures high visibility of the works published in the journal, and focused effort of the journal team will be allocated for the wide dissemination of the published works both within the scientific community and the general public. Within the original works published in the journal, special attention will be given to critical discussion of findings by the authors and to providing of sufficient information to ensure research reproducibility. A rigorous peer-review process involving an international expert Editorial Board has been established to ensure the high-quality standard required for publication in Exploration of Digital Health Technologies (EDHT).
Atanas G. Atanasov
Editor-in-Chief of Exploration of Digital Health Technologies

Exploration of Digital Health Technologies

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