02584nas a2200289   4500000000100000008004100001653001000042653001100052653001100063653000900074653002800083653004200111653002400153653002400177653001500201653001700216100001800233700001500251700002400266700001700290700002600307245004300333300001000376490000700386520188700393022001402280       2016                            d10aAdult10aFemale10aHumans10aMale10aCardiovascular Diseases10aRandomized Controlled Trials as Topic10aMobile Applications10aElectrocardiography10aSmartphone10aTelemedicine1 aRedfern Julie1 aChow Clara1 aAriyarathna Nilshan1 aIslam Sheikh1 aThiagalingam Aravinda00amHealth in Cardiovascular Health Care.  a802-70 v253 a<p>
Mobile health (mHealth) has been defined as medical and public health practice supported by mobile devices, such as mobile phones, patient monitoring devices and personal digital assistants. Cardiovascular mHealth is, arguably, leading the mHealth space, through innovation, research and implementation, and especially in the areas of prevention, cardiac rehabilitation and education. mHealth includes simple strategies, such as the use of short message service (SMS) or text messages in successful short-term smoking-cessation, weight loss and diabetes management programs. The recent Australian Tobacco, Exercise and Diet Messages (TEXT ME) randomised clinical trial addressed multiple cardiovascular risk factors. mHealth can also involve more complex strategies, such as smart phone applications (apps), global positioning systems (GPS) and Bluetooth technologies. Although many apps could be considered suitable for primary prevention, they are largely unregulated and most are not evidence-based. Some have been well-developed, such as the Food Switch app and an iPhone electrocardiogram (ECG) system. The "explosion" of apps has driven initiatives such as the Mobile Applications Rating Scale (MARS). More recently, the use of sensors to monitor and provide feedback to patients and healthcare providers is being explored. With almost two billion people currently owning a Smartphone, and 50% of adults (globally) predicted to own one by 2018, mHealth provides the prospect of delivering efficient, affordable healthcare services to widespread populations both locally and globally. In particular, it has the potential to reduce socioeconomic disparity and alleviate the burden of cardiovascular disease. There is now a need to rethink traditional health service structures and bioengineering capacity, to ensure mHealth systems are also safe, secure and robust.
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