Chapter 6: The Use of Technology in Health Promotion

Vocabulary practice flashcards covering telehealth modalities, telemedicine, remote monitoring, mobile health, EHR integration, and behavioral change frameworks.

Telehealth

The delivery of healthcare services where patients and providers are separated by distance, using technology for information exchange, diagnosis, treatment, research, evaluation, and continuing professional education.

Telemedicine

A curative-focused subcategory of telehealth directed specifically toward patient clinical care, offering both synchronous and asynchronous visit options.

Artificial Intelligence (AI) in Health Care

A machine's ability to imitate human intelligence by absorbing and analyzing large amounts of data to recognize and predict patterns (e.g., assisting with radiology diagnoses).

Digital Divide

A limitation of telehealth characterized by limited access to technology stemming from economic, educational, or social inequities.

Digital Health Literacy

A patient's ability to seek, understand, navigate, and utilize electronic technologies and information to support their health and healthcare needs.

Technophobia

An aversion to, anxiety toward, or fear of advanced technology, representing a key barrier to telehealth adoption.

Synchronous Telemedicine

Real-time, remotely conducted healthcare visits using videoconferencing technology that mirror in-person workflows to examine, diagnose, and treat patients.

Synchronous Visit Workflow

The three-stage clinical sequence comprising Pre-visit (confirming tech literacy, copays, consent, paperwork), 'Rooming' patient (prepping EHR, assessing vitals, pre-visit orders, gathering RPM/mHealth data), and During visit (limited assessment, entering orders, portal referrals, documentation).

Mobile Health (mHealth)

The practice of medicine and public health supported by mobile devices (phones, tablets, computers), wearable sensors, and health applications to assist with medication reminders, exercise tracking, and chronic disease management.

Remote Patient Monitoring (RPM)

A technology system using specific Wi-Fi-enabled sensors to capture and transmit biometric data (e.g., blood pressure, glucose levels) in real time to a monitoring facility or provider's office.

Patient-Generated Health Data (PGHD)

Health-related data—such as symptoms, lifestyle measures, and biometric indicators—created, recorded, or gathered directly by patients or family members through tools like RPM or mHealth.

Smart Inhaler

A remote patient monitoring sensor attached to an inhaler that tracks and transmits the time, frequency, and geographic location of medication usage for asthma management.

CBT MobileWork-DM©

A mobile cognitive behavioral therapy application developed by Judith Callan of the University of Pittsburgh to assist with lifestyle modifications and mood monitoring via features like thought records and skill navigators.

Health HCP Quality Considerations

Evaluation concerns regarding healthcare programs and apps, including lack of formal regulation unless classified as a medical device, developer-dependent content quality, absence of standardized evaluation criteria, and minimal tracking of adverse clinical events.

Health HCP Security Considerations

Privacy and security hazards associated with mobile healthcare programs, including third-party data sharing, failure to protect sensitive data, unenforced privacy policies, and falling outside HIPAA regulations.

Assessment (5As Framework)

The EHR documentation phase that captures the patient's current medical problems, risk factors, baseline behaviors, and personal health goals.

Advising (5As Framework)

The EHR documentation phase where personalized patient education and the patient's response are recorded to maintain alignment with their health goals.

Agree (5As Framework)

The EHR documentation phase where the collaborative lifestyle prescription and mutually defined behavioral plan are recorded.

Assist (5As Framework)

The EHR documentation phase dedicated to helping the patient implement collection techniques for Patient-Generated Health Data (PGHD) to review at future healthcare appointments.

Flow Sheets

EHR tools that provide visual displays of data trends over time, expediting provider evaluation of patient monitoring data and behavior change.