International Journal of Technology Assessment in Health Care, 2019
IntroductionThere are more than 320,000 accessible health apps, with the most downloaded of those... more IntroductionThere are more than 320,000 accessible health apps, with the most downloaded of those related to physical exercise and weight control. However the initiatives for their validation address only partial aspects of the evaluation. The EVALAPPS project aims to develop an assessment tool for overweight and obesity management apps, based on the evaluation of efficacy, effectiveness and safety. In the present phase of the project, the team is co-creating the assessment tool considering both the evidence and the expertise of professionals (co-creation process).MethodsProposed co-creation methodology includes: 1) a modified Delphi process for selecting the assessment criteria. Criteria were identified through a) an exhaustive review of the criteria used by several mHealth assessment tools and b) a systematic review of efficacy, safety and effectiveness criteria used in mHealth interventions that assess overweight and obesity management. 2) a co-creation session using “Design Thin...
BACKGROUND The use of Mobile Applications (apps) for managing overweightness/obesity has increase... more BACKGROUND The use of Mobile Applications (apps) for managing overweightness/obesity has increased over recent years. However, there is a lack of evidence on the efficacy, effectiveness and safety of these apps. The EVALAPPS project will develop and validate an assessment tool for specifically assessing these dimensions in overweightness/obesity management apps. OBJECTIVE To reach a consensus among stakeholders on a comprehensive set of criteria to guide development of the EVALAPPS assessment tool. A modified Delphi process was used in order to: 1) verify the robustness of the criteria identified through a literature review; 2) prioritize a set of the identified criteria. METHODS 31 stakeholders were invited to participate in a 2 round Delphi process with an initial number of 114 criteria identified in the literature. In Round 1 participants rated criteria according to relevance (0 = “I suggest to exclude this criteria”, 5 = “This criterion is extremely relevant”). A criterion was a...
Background The use of apps to tackle overweight and obesity by tracking physical and dietary patt... more Background The use of apps to tackle overweight and obesity by tracking physical and dietary patterns and providing recommendations and motivation strategies to achieve personalized goals has increased over recent years. However, evidence of the efficacy, effectiveness, and safety of these apps is severely lacking. Objective The aim of this study was to identify efficacy, safety, and effectiveness criteria used to assess weight control, overweight, and obesity management in mobile health (mHealth) interventions through a systematic review. Methods PubMed, PsycINFO, Scopus, UK Trial Database, ClinicalTrials.gov, and the Cochrane Library were surveyed up to May 2018. All types of clinical studies were considered. A total of 2 independent reviewers assessed quality using Scottish Intercollegiate Guidelines Network (SIGN) criteria. Ratings were used to provide an overall score for each study (low, moderate, or high). Data were synthesized in evidence tables. Results From 233 potentially...
Background Current knowledge of the risk for postoperative pulmonary complications (PPCs) rests o... more Background Current knowledge of the risk for postoperative pulmonary complications (PPCs) rests on studies that narrowly selected patients and procedures. Hypothesizing that PPC occurrence could be predicted from a reduced set of perioperative variables, we aimed to develop a predictive index for a broad surgical population. Methods Patients undergoing surgical procedures given general, neuraxial, or regional anesthesia in 59 hospitals were randomly selected for this prospective, multicenter study. The main outcome was the development of at least one of the following: respiratory infection, respiratory failure, bronchospasm, atelectasis, pleural effusion, pneumothorax, or aspiration pneumonitis. The cohort was randomly divided into a development subsample to construct a logistic regression model and a validation subsample. A PPC predictive index was constructed. Results Of 2,464 patients studied, 252 events were observed in 123 (5%). Thirty-day mortality was higher in patients with ...
International Journal of Technology Assessment in Health Care, 2019
IntroductionThere are more than 320,000 accessible health apps, with the most downloaded of those... more IntroductionThere are more than 320,000 accessible health apps, with the most downloaded of those related to physical exercise and weight control. However the initiatives for their validation address only partial aspects of the evaluation. The EVALAPPS project aims to develop an assessment tool for overweight and obesity management apps, based on the evaluation of efficacy, effectiveness and safety. In the present phase of the project, the team is co-creating the assessment tool considering both the evidence and the expertise of professionals (co-creation process).MethodsProposed co-creation methodology includes: 1) a modified Delphi process for selecting the assessment criteria. Criteria were identified through a) an exhaustive review of the criteria used by several mHealth assessment tools and b) a systematic review of efficacy, safety and effectiveness criteria used in mHealth interventions that assess overweight and obesity management. 2) a co-creation session using “Design Thin...
BACKGROUND The use of Mobile Applications (apps) for managing overweightness/obesity has increase... more BACKGROUND The use of Mobile Applications (apps) for managing overweightness/obesity has increased over recent years. However, there is a lack of evidence on the efficacy, effectiveness and safety of these apps. The EVALAPPS project will develop and validate an assessment tool for specifically assessing these dimensions in overweightness/obesity management apps. OBJECTIVE To reach a consensus among stakeholders on a comprehensive set of criteria to guide development of the EVALAPPS assessment tool. A modified Delphi process was used in order to: 1) verify the robustness of the criteria identified through a literature review; 2) prioritize a set of the identified criteria. METHODS 31 stakeholders were invited to participate in a 2 round Delphi process with an initial number of 114 criteria identified in the literature. In Round 1 participants rated criteria according to relevance (0 = “I suggest to exclude this criteria”, 5 = “This criterion is extremely relevant”). A criterion was a...
Background The use of apps to tackle overweight and obesity by tracking physical and dietary patt... more Background The use of apps to tackle overweight and obesity by tracking physical and dietary patterns and providing recommendations and motivation strategies to achieve personalized goals has increased over recent years. However, evidence of the efficacy, effectiveness, and safety of these apps is severely lacking. Objective The aim of this study was to identify efficacy, safety, and effectiveness criteria used to assess weight control, overweight, and obesity management in mobile health (mHealth) interventions through a systematic review. Methods PubMed, PsycINFO, Scopus, UK Trial Database, ClinicalTrials.gov, and the Cochrane Library were surveyed up to May 2018. All types of clinical studies were considered. A total of 2 independent reviewers assessed quality using Scottish Intercollegiate Guidelines Network (SIGN) criteria. Ratings were used to provide an overall score for each study (low, moderate, or high). Data were synthesized in evidence tables. Results From 233 potentially...
Background Current knowledge of the risk for postoperative pulmonary complications (PPCs) rests o... more Background Current knowledge of the risk for postoperative pulmonary complications (PPCs) rests on studies that narrowly selected patients and procedures. Hypothesizing that PPC occurrence could be predicted from a reduced set of perioperative variables, we aimed to develop a predictive index for a broad surgical population. Methods Patients undergoing surgical procedures given general, neuraxial, or regional anesthesia in 59 hospitals were randomly selected for this prospective, multicenter study. The main outcome was the development of at least one of the following: respiratory infection, respiratory failure, bronchospasm, atelectasis, pleural effusion, pneumothorax, or aspiration pneumonitis. The cohort was randomly divided into a development subsample to construct a logistic regression model and a validation subsample. A PPC predictive index was constructed. Results Of 2,464 patients studied, 252 events were observed in 123 (5%). Thirty-day mortality was higher in patients with ...
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Papers by G. Paluzie