{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T18:54:21Z","timestamp":1766516061617,"version":"3.37.3"},"reference-count":43,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T00:00:00Z","timestamp":1659139200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T00:00:00Z","timestamp":1659139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Ambient Intell Human Comput"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In this paper, we share our experience in designing and developing a mobile health (mHealth) infrastructure for non-communicable diseases (NCD) in rural areas in Indonesia called NusaHealth. The NusaHealth project builds a digital healthcare infrastructure involving universities, healthcare providers, and communities in an mHealth approach that puts patients at the center of health care. The Design Science Research Methodology (DSRM) framework was adopted in designing the mHealth application. The infrastructure to connect the mobile device network with the hospital information system was also developed. Our finding indicates that designing and developing an mHealth solution for rural areas in developing countries needs comprehensive approach and the implementation process should involve related partners and stakeholders. The NusaHealth was implemented in rural areas in Yogyakarta province in Indonesia. While Yogyakarta province successfully implemented the NusaHealth in rural areas, different activities need to be conducted to enhance community health by developing a formal mHealth system supported by local health district offices\u2019 policies and regulations.<\/jats:p>","DOI":"10.1007\/s12652-022-04322-w","type":"journal-article","created":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T20:29:51Z","timestamp":1659212991000},"page":"12563-12574","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Development of a mobile health infrastructure for non-communicable diseases using design science research method: a case study"],"prefix":"10.1007","volume":"14","author":[{"given":"Surahyo","family":"Sumarsono","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Intan Sulistyaningrum","family":"Sakkinah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adhistya Erna","family":"Permanasari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2992-697X","authenticated-orcid":false,"given":"Bernardi","family":"Pranggono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,7,30]]},"reference":[{"key":"4322_CR1","doi-asserted-by":"publisher","DOI":"10.5812\/ijem.18791","author":"BB Abbas","year":"2015","unstructured":"Abbas BB, Al Fares A, Jabbari M, El Dali A, Al Orifi F (2015) Effect of mobile phone short text messages on glycemic control in type 2 diabetes. Int J Endocrinol Metab. https:\/\/doi.org\/10.5812\/ijem.18791","journal-title":"Int J Endocrinol Metab"},{"key":"4322_CR2","doi-asserted-by":"publisher","DOI":"10.1109\/ACCESS.2021.3105450","author":"W Ahmed","year":"2021","unstructured":"Ahmed W, Rasool A, Javed AR, Kumar N, Gadekallu TR, Jalil Z, Kryvinska N (2021) Security in next generation mobile payment systems: a comprehensive survey. IEEE Access. https:\/\/doi.org\/10.1109\/ACCESS.2021.3105450","journal-title":"IEEE Access"},{"key":"4322_CR3","doi-asserted-by":"publisher","first-page":"3660","DOI":"10.1109\/ACCESS.2020.3047960","volume":"9","author":"F Alshehri","year":"2021","unstructured":"Alshehri F, Muhammad G (2021) A comprehensive survey of the Internet of Things (IoT) and AI-based smart healthcare. IEEE Access 9:3660\u20133678. https:\/\/doi.org\/10.1109\/ACCESS.2020.3047960","journal-title":"IEEE Access"},{"key":"4322_CR4","first-page":"662","volume":"6","author":"N Angula","year":"2017","unstructured":"Angula N, Dlodlo N (2017) Mobile technology for healthcare information dissemination to low resource areas of Namibia. Int J Sci Res 6:662\u2013274","journal-title":"Int J Sci Res"},{"key":"4322_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-2458-14-188","volume":"14","author":"CB Aranda-Jan","year":"2014","unstructured":"Aranda-Jan CB, Mohutsiwa-Dibe N, Loukanova S (2014) Systematic review on what works, what does not work and why of implementation of mobile health (mHealth) projects in Africa. BMC Public Health 14:1\u201315","journal-title":"BMC Public Health"},{"key":"4322_CR6","first-page":"143","volume":"36","author":"S Arora","year":"2014","unstructured":"Arora S, Yttri J, Nilsen W (2014) Privacy and security in mobile health (mHealth) research Alcohol research. Curr Rev 36:143","journal-title":"Curr Rev"},{"key":"4322_CR7","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.w5.19","author":"DJ Brailer","year":"2005","unstructured":"Brailer DJ (2005) Interoperability: the key to the future health care system: interoperability will bind together a wide network of real-time, life-critical data that not only transform but become health care. Health Aff. https:\/\/doi.org\/10.1377\/hlthaff.w5.19","journal-title":"Health Aff"},{"key":"4322_CR8","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1177\/2050157912459502","volume":"1","author":"A Chib","year":"2013","unstructured":"Chib A (2013) The promise and peril of mHealth in developing countries. Mobile Media Commun 1:69\u201375","journal-title":"Mobile Media Commun"},{"issue":"3","key":"4322_CR9","doi-asserted-by":"publisher","first-page":"319","DOI":"10.2307\/249008","volume":"13","author":"FD Davis","year":"1989","unstructured":"Davis FD (1989) Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q 13(3):319\u2013340","journal-title":"MIS Q"},{"key":"4322_CR10","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001395","volume":"10","author":"PM Editors","year":"2013","unstructured":"Editors PM (2013) A reality checkpoint for mobile health: three challenges to overcome. PLoS Med 10:e1001395","journal-title":"PLoS Med"},{"key":"4322_CR11","doi-asserted-by":"publisher","first-page":"1024","DOI":"10.1016\/j.procs.2016.09.276","volume":"100","author":"E Eze","year":"2016","unstructured":"Eze E, Gleasure R, Heavin C (2016) Reviewing mHealth in developing countries: a stakeholder perspective. Procedia Comput Sci 100:1024\u20131032","journal-title":"Procedia Comput Sci"},{"key":"4322_CR12","doi-asserted-by":"publisher","first-page":"1193","DOI":"10.1093\/heapol\/czu110","volume":"30","author":"L Haddad","year":"2015","unstructured":"Haddad L, Cameron L, Barnett I (2015) The double burden of malnutrition in SE Asia and the Pacific: priorities, policies and politics. Health Policy Planning 30:1193\u20131206","journal-title":"Health Policy Planning"},{"key":"4322_CR13","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1007\/s10209-010-0212-x","volume":"10","author":"A Holzinger","year":"2011","unstructured":"Holzinger A, Searle G, Wernbacher M (2011) The effect of previous exposure to technology on acceptance and its importance in usability and accessibility engineering. Univ Access Inf Soc 10:245\u2013260","journal-title":"Univ Access Inf Soc"},{"key":"4322_CR14","unstructured":"Hootsuite, Social WA (2021) Digital in Indonesia: All the Statistics You Need in 2021. DataReportal - Global Digital Insights"},{"issue":"4","key":"4322_CR15","doi-asserted-by":"publisher","first-page":"2792","DOI":"10.1177\/1460458220937102","volume":"26","author":"MR Hoque","year":"2020","unstructured":"Hoque MR, Rahman MS, Nipa NJ, Hasan MR (2020) Mobile health interventions in developing countries: a systematic review. Health Info J 26(4):2792\u20132810","journal-title":"Health Info J"},{"key":"4322_CR16","doi-asserted-by":"crossref","unstructured":"Hussain Z, Slany W, Holzinger A Current state of agile user-centered design: a survey. In: Symposium of the Austrian HCI and Usability Engineering Group, 2009. Springer, pp 416\u2013427","DOI":"10.1007\/978-3-642-10308-7_30"},{"key":"4322_CR17","doi-asserted-by":"crossref","unstructured":"Iyawa GE, Hamunyela S mHealth apps and services for maternal healthcare in developing countries. In: 2019 IST-Africa Week Conference (IST-Africa), 2019. IEEE, pp 1\u201310","DOI":"10.23919\/ISTAFRICA.2019.8764878"},{"key":"4322_CR18","doi-asserted-by":"publisher","DOI":"10.2196\/18072","volume":"8","author":"C Jacob","year":"2020","unstructured":"Jacob C, Sanchez-Vazquez A, Ivory C (2020) Understanding clinicians\u2019 adoption of mobile health tools: a qualitative review of the most used frameworks. JMIR Mhealth Uhealth 8:e18072. https:\/\/doi.org\/10.2196\/18072","journal-title":"JMIR Mhealth Uhealth"},{"key":"4322_CR19","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1109\/RBME.2018.2868896","volume":"12","author":"G Karageorgos","year":"2018","unstructured":"Karageorgos G, Andreadis I, Psychas K, Mourkousis G, Kiourti A, Lazzi G, Nikita KS (2018) The promise of mobile technologies for the health care system in the developing world: a systematic review. IEEE Rev Biomed Eng 12:100\u2013122","journal-title":"IEEE Rev Biomed Eng"},{"key":"4322_CR20","doi-asserted-by":"publisher","DOI":"10.1007\/s12652-021-03302-w","author":"S Krishnamoorthy","year":"2021","unstructured":"Krishnamoorthy S, Dua A, Gupta S (2021) Role of emerging technologies in future IoT-driven Healthcare 4.0 technologies: a survey, current challenges and future directions. J Ambient Intell Human Comput. https:\/\/doi.org\/10.1007\/s12652-021-03302-w","journal-title":"J Ambient Intell Human Comput"},{"key":"4322_CR21","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1016\/j.jns.2017.04.050","volume":"378","author":"S Liu","year":"2017","unstructured":"Liu S, Feng W, Chhatbar PY, Liu Y, Ji X, Ovbiagele B (2017) Mobile health as a viable strategy to enhance stroke risk factor control: a systematic review and meta-analysis. J Neurol Sci 378:140\u2013145","journal-title":"J Neurol Sci"},{"key":"4322_CR22","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1016\/j.comnet.2017.05.018","volume":"129","author":"J Lloret","year":"2017","unstructured":"Lloret J, Parra L, Taha M, Tom\u00e1s J (2017) An architecture and protocol for smart continuous eHealth monitoring using 5G. Comput Netw 129:340\u2013351","journal-title":"Comput Netw"},{"key":"4322_CR23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-019-2531-0","volume":"19","author":"F Mbuthia","year":"2019","unstructured":"Mbuthia F, Reid M, Fichardt A (2019) mHealth communication to strengthen postnatal care in rural areas: a systematic review. BMC Pregnancy Childbirth 19:1\u201310","journal-title":"BMC Pregnancy Childbirth"},{"key":"4322_CR24","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1007\/978-3-540-73279-2_51","volume-title":"Universal acess in human computer interaction. Coping with diversity","author":"T Memmel","year":"2007","unstructured":"Memmel T, Reiterer H, Holzinger A (2007) Agile methods and visual specification in software development: a chance to ensure universal access. In: Stephanidis C (ed) Universal acess in human computer interaction. Coping with diversity. Springer, Berlin, pp 453\u2013462"},{"key":"4322_CR25","doi-asserted-by":"publisher","first-page":"10699","DOI":"10.1007\/s12652-020-02880-5","volume":"12","author":"I Nedjai-Merrouche","year":"2021","unstructured":"Nedjai-Merrouche I, Saadia N, RamdaneCherif A, Makhlouf A (2021) Outdoor multimodal system based on smartphone for health monitoring and incident detection. J Ambient Intell Human Comput 12:10699\u201310721","journal-title":"J Ambient Intell Human Comput"},{"key":"4322_CR26","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1007\/s12553-014-0093-8","volume":"4","author":"P Olla","year":"2015","unstructured":"Olla P, Shimskey C (2015) mHealth taxonomy: a literature survey of mobile health applications. Health Technol 4:299\u2013308","journal-title":"Health Technol"},{"key":"4322_CR27","doi-asserted-by":"publisher","first-page":"45","DOI":"10.2753\/MIS0742-1222240302","volume":"24","author":"K Peffers","year":"2007","unstructured":"Peffers K, Tuunanen T, Rothenberger MA, Chatterjee S (2007) A design science research methodology for information systems research. J Manage Info Syst 24:45\u201377","journal-title":"J Manage Info Syst"},{"key":"4322_CR28","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1007\/s11219-014-9239-1","volume":"23","author":"B Peischl","year":"2015","unstructured":"Peischl B, Ferk M, Holzinger A (2015) The fine art of user-centered software development. Software Qual J 23:509\u2013536","journal-title":"Software Qual J"},{"key":"4322_CR29","doi-asserted-by":"publisher","first-page":"2829","DOI":"10.1007\/s12652-021-03154-4","volume":"13","author":"DS Rajput","year":"2021","unstructured":"Rajput DS, Basha SM, Xin Q, Gadekallu TR, Kaluri R, Lakshmanna K, Maddikunta PKR (2021) Providing diagnosis on diabetes using cloud computing environment to the people living in rural areas of India. J Ambient Intell Human Comput 13:2829\u20132840","journal-title":"J Ambient Intell Human Comput"},{"key":"4322_CR30","doi-asserted-by":"publisher","DOI":"10.1016\/S2589-7500(19)30153-0","author":"E Richard","year":"2019","unstructured":"Richard E et al (2019) Healthy ageing through internet counselling in the elderly (HATICE): a multinational, randomised controlled trial. The Lancet Digital Health. https:\/\/doi.org\/10.1016\/S2589-7500(19)30153-0","journal-title":"The Lancet Digital Health"},{"key":"4322_CR31","doi-asserted-by":"publisher","first-page":"e356","DOI":"10.1016\/S2214-109X(15)00054-6","volume":"3","author":"G Royston","year":"2015","unstructured":"Royston G, Hagar C, Long L-A, McMahon D, Pakenham-Walsh N, Wadhwani N (2015) Mobile health-care information for all: a global challenge. Lancet Glob Health 3:e356\u2013e357","journal-title":"Lancet Glob Health"},{"key":"4322_CR32","doi-asserted-by":"publisher","DOI":"10.2196\/mhealth.4882","volume":"3","author":"R Schnall","year":"2015","unstructured":"Schnall R, Mosley JP, Iribarren SJ, Bakken S, Carballo-Di\u00e9guez A, Brown W III (2015) Comparison of a user-centered design self-management app to existing mHealth apps for persons living with HIV. JMIR mHealth uHealth 3:e91. https:\/\/doi.org\/10.2196\/mhealth.4882","journal-title":"JMIR mHealth uHealth"},{"key":"4322_CR33","first-page":"1037","volume":"2014","author":"R Schnall","year":"2014","unstructured":"Schnall R, Rojas M, Travers J, Brown W 3rd, Bakken S (2014) Use of design science for informing the development of a mobile app for persons living with HIV. AMIA Annu Symp Proc 2014:1037\u20131045","journal-title":"AMIA Annu Symp Proc"},{"key":"4322_CR34","first-page":"166","volume":"25","author":"M Shahid","year":"2015","unstructured":"Shahid M, Mahar SA, Shaikh S, Shaikh Z (2015) Mobile phone intervention to improve diabetes care in rural areas of Pakistan: a randomized controlled trial. J Coll Physicians Surg Pak 25:166\u2013171","journal-title":"J Coll Physicians Surg Pak"},{"key":"4322_CR35","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1001\/jama.2018.8102","volume":"320","author":"SR Steinhubl","year":"2018","unstructured":"Steinhubl SR et al (2018) Effect of a home-based wearable continuous ECG monitoring patch on detection of undiagnosed atrial fibrillation: the mSToPS randomized clinical trial. JAMA 320:146\u2013155. https:\/\/doi.org\/10.1001\/jama.2018.8102","journal-title":"JAMA"},{"key":"4322_CR36","first-page":"7","volume":"5","author":"J van Olmen","year":"2020","unstructured":"van Olmen J et al (2020) Implementation barriers for mHealth for non-communicable diseases management in low and middle income countries: a scoping review and field-based views from implementers. Wellcome Open Res 5:7","journal-title":"Wellcome Open Res"},{"key":"4322_CR37","first-page":"451","volume":"27","author":"V Venkatesh","year":"1996","unstructured":"Venkatesh V, Davis FD (1996) A model of the antecedents of perceived ease of use: development and test decision. Sciences 27:451\u2013481","journal-title":"Sciences"},{"key":"4322_CR38","doi-asserted-by":"publisher","DOI":"10.1109\/TEM.2021.3072601","author":"A Viljoen","year":"2021","unstructured":"Viljoen A, Klinker K, Wiesche M, Uebernickel F, Krcmar H (2021) Design principles for mhealth application development in rural parts of developing countries: the case of noncommunicable diseases in Kenya. IEEE Trans Eng Manag. https:\/\/doi.org\/10.1109\/TEM.2021.3072601","journal-title":"IEEE Trans Eng Manag"},{"key":"4322_CR39","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s40860-017-0038-x","volume":"3","author":"N Vithanwattana","year":"2017","unstructured":"Vithanwattana N, Mapp G, George C (2017) Developing a comprehensive information security framework for mHealth: a detailed analysis. J Reliable Intell Environ 3:21\u201339","journal-title":"J Reliable Intell Environ"},{"key":"4322_CR40","doi-asserted-by":"publisher","first-page":"1204","DOI":"10.1016\/S0140-6736(20)30925-9","volume":"396","author":"T Vos","year":"2020","unstructured":"Vos T et al (2020) Global burden of 369 diseases and injuries in 204 countries and territories, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study. The Lancet 396:1204\u20131222","journal-title":"The Lancet"},{"key":"4322_CR41","unstructured":"WHO (2016) Indonesia - Risk of premature death due to NCDS"},{"key":"4322_CR42","doi-asserted-by":"publisher","first-page":"94","DOI":"10.12688\/wellcomeopenres.15135.1","volume":"4","author":"MF Wibowo","year":"2019","unstructured":"Wibowo MF, Kumar AA, Surahyo Sumarsono RR (2019) Perceived usefulness of receiving a potential smoking cessation intervention via mobile phones among smokers in Indonesia. Wellcome Open Res 4:94","journal-title":"Wellcome Open Res"},{"key":"4322_CR43","doi-asserted-by":"publisher","DOI":"10.1109\/JBHI.2021.3112693","author":"H Xiong","year":"2021","unstructured":"Xiong H et al (2021) On the design of blockchain-based ECDSA with fault-tolerant batch verication protocol for blockchain-enabled IoMT. IEEE J Biomed Health Info. https:\/\/doi.org\/10.1109\/JBHI.2021.3112693","journal-title":"IEEE J Biomed Health Info"}],"container-title":["Journal of Ambient Intelligence and Humanized Computing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12652-022-04322-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s12652-022-04322-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s12652-022-04322-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T16:35:05Z","timestamp":1690216505000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s12652-022-04322-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,30]]},"references-count":43,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["4322"],"URL":"https:\/\/doi.org\/10.1007\/s12652-022-04322-w","relation":{},"ISSN":["1868-5137","1868-5145"],"issn-type":[{"type":"print","value":"1868-5137"},{"type":"electronic","value":"1868-5145"}],"subject":[],"published":{"date-parts":[[2022,7,30]]},"assertion":[{"value":"9 November 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}