TY - JOUR
T1 - Current and future applications of mobile health technology for evaluating spine surgery patients
T2 - A review
AU - Greenberg, Jacob K.
AU - Javeed, Saad
AU - Zhang, Justin K.
AU - Benedict, Braeden
AU - Frumkin, Madelyn R.
AU - Xu, Ziqi
AU - Zhang, Jingwen
AU - Rodebaugh, Thomas L.
AU - Lu, Chenyang
AU - Piccirillo, Jay F.
AU - Steinmetz, Michael
AU - Ghogawala, Zoher
AU - Bydon, Mohamad
AU - Ray, Wilson Z.
N1 - Publisher Copyright:
©AANS 2023, except where prohibited by US copyright law.
PY - 2023/5
Y1 - 2023/5
N2 - Mobile health (mHealth) technology has assumed a pervasive role in healthcare and society. By capturing real-time features related to spine health, mHealth assessments have the potential to transform multiple aspects of spine care. Yet mHealth applications may not be familiar to many spine surgeons and other spine clinicians. Consequently, the objective of this narrative review is to provide an overview of the technology, analytical considerations, and applications of mHealth tools for evaluating spine surgery patients. Reflecting their near-ubiquitous role in society, smartphones are the most commonly available form of mHealth technology and can provide measures related to activity, sleep, and even social interaction. By comparison, wearable devices can provide more detailed mobility and physiological measures, although capabilities vary substantially by device. To date, mHealth evaluations in spine surgery patients have focused on the use of activity measures, particularly step counts, in an attempt to objectively quantify spine health. However, the correlation between step counts and patient-reported disease severity is inconsistent, and further work is needed to define the mobility metrics most relevant to spine surgery patients. mHealth assessments may also support a variety of other applications that have been studied less frequently, including those that prevent postoperative complications, predict surgical outcomes, and serve as motivational aids to patients. These areas represent key opportunities for future investigations. To maximize the potential of mHealth evaluations, several barriers must be overcome, including technical challenges, privacy and regulatory concerns, and questions related to reimbursement. Despite those obstacles, mHealth technology has the potential to transform many aspects of spine surgery research and practice, and its applications will only continue to grow in the years ahead.
AB - Mobile health (mHealth) technology has assumed a pervasive role in healthcare and society. By capturing real-time features related to spine health, mHealth assessments have the potential to transform multiple aspects of spine care. Yet mHealth applications may not be familiar to many spine surgeons and other spine clinicians. Consequently, the objective of this narrative review is to provide an overview of the technology, analytical considerations, and applications of mHealth tools for evaluating spine surgery patients. Reflecting their near-ubiquitous role in society, smartphones are the most commonly available form of mHealth technology and can provide measures related to activity, sleep, and even social interaction. By comparison, wearable devices can provide more detailed mobility and physiological measures, although capabilities vary substantially by device. To date, mHealth evaluations in spine surgery patients have focused on the use of activity measures, particularly step counts, in an attempt to objectively quantify spine health. However, the correlation between step counts and patient-reported disease severity is inconsistent, and further work is needed to define the mobility metrics most relevant to spine surgery patients. mHealth assessments may also support a variety of other applications that have been studied less frequently, including those that prevent postoperative complications, predict surgical outcomes, and serve as motivational aids to patients. These areas represent key opportunities for future investigations. To maximize the potential of mHealth evaluations, several barriers must be overcome, including technical challenges, privacy and regulatory concerns, and questions related to reimbursement. Despite those obstacles, mHealth technology has the potential to transform many aspects of spine surgery research and practice, and its applications will only continue to grow in the years ahead.
KW - activity monitoring
KW - ecological momentary assessment
KW - patient assessments
KW - spine surgery
KW - wearable trackers
UR - http://www.scopus.com/inward/record.url?scp=85158896755&partnerID=8YFLogxK
U2 - 10.3171/2022.12.SPINE221302
DO - 10.3171/2022.12.SPINE221302
M3 - Article
C2 - 36670535
AN - SCOPUS:85158896755
SN - 1547-5654
VL - 38
SP - 617
EP - 626
JO - Journal of Neurosurgery: Spine
JF - Journal of Neurosurgery: Spine
IS - 5
ER -