{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:02:04Z","timestamp":1788998524097,"version":"build-2803163510"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Background:<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic toggle=\"yes\">HABITS for Life was a 3-year initiative to broadly deliver a statewide biometric and retinal screening program via a mobile unit throughout New Mexico at no charge to participants. The program goal\u2014to identify health risk and improve population health status\u2014was tested over a 3-year period. Value to participants and impact to the healthcare system were measured to quantify impact and value of investing in prevention at the community level.<\/jats:italic>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Materials and Methods:<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic toggle=\"yes\">\n                      We used the Mobile Health Map Return-on-Investment Calculator, a mobile screening unit, biometric screening, retinography, and community coordination. Our systems included satellite, DSL, and 3G connectivity, a Tanita\n                      <jats:sup>\u00ae<\/jats:sup>\n                      (Arlington Heights, IL) automated body mass index\u2013measuring scale, the Cholestec\n                      <jats:sup>\u00ae<\/jats:sup>\n                      (Alere\u2122, Waltham, MA) system for biomarkers and glycosylated hemoglobin, a Canon (Melville, NY) CR-1 Mark II camera, and the Picture Archiving Communication System.\n                    <\/jats:italic>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Results:<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic toggle=\"yes\">In this report for the fiscal year 2011 time frame, 6,426 individuals received biometric screening, and 5,219 received retinal screening. A 15:1 return on investment was calculated; this excluded retinal screening for the under-65 year olds, estimated at $10 million in quality-adjusted life years saved. Statistically significant improvement in health status evidenced by sequential screening included a decrease in total cholesterol level (<\/jats:italic>\n                    p\n                    <jats:italic toggle=\"yes\">=0.002) (<\/jats:italic>\n                    n\n                    <jats:italic toggle=\"yes\">=308) and an increase in high-density lipoprotein level after the first and second screening (<\/jats:italic>\n                    p\n                    <jats:italic toggle=\"yes\">=0.02 and<\/jats:italic>\n                    p\n                    <jats:italic toggle=\"yes\">=0.01, respectively), but a decrease in mean random glucose level was not statistically significant (<\/jats:italic>\n                    p\n                    <jats:italic toggle=\"yes\">=0.62). Retinal results indicate 28.4% (<\/jats:italic>\n                    n\n                    <jats:italic toggle=\"yes\">=1,482) with a positive\/abnormal finding, of which 1.79% (<\/jats:italic>\n                    n\n                    <jats:italic toggle=\"yes\">=93) required immediate referral for sight-threatening retinopathy and 27% (<\/jats:italic>\n                    n\n                    <jats:italic toggle=\"yes\">=1,389) required follow-up of from 3 months to 1 year.<\/jats:italic>\n                    <jats:bold>\n                      <jats:italic toggle=\"yes\">Conclusions:<\/jats:italic>\n                    <\/jats:bold>\n                    <jats:italic toggle=\"yes\">Screening programs are cost-effective and provide value in preventive health efforts. Broad use of screening programs should be considered in healthcare redesign efforts. Community-based screening is an effective strategy to identify health risk, improve access, provide motivation to change health habits, and improve physical status while returning significant value.<\/jats:italic>\n                  <\/jats:p>","DOI":"10.1089\/tmj.2013.0080","type":"journal-article","created":{"date-parts":[[2013,11,15]],"date-time":"2013-11-15T09:33:53Z","timestamp":1384508033000},"page":"18-23","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":31,"title":["Mobile Health Is Worth It! Economic Benefit and Impact on Health of a Population-Based Mobile Screening Program in New Mexico"],"prefix":"10.1177","volume":"20","author":[{"given":"Nancy E.","family":"Brown-Connolly","sequence":"first","affiliation":[{"name":"Project HOPE","place":["New Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeannie B.","family":"Concha","sequence":"additional","affiliation":[{"name":"Project HOPE","place":["New Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"English","sequence":"additional","affiliation":[{"name":"Project HOPE","place":["New Mexico"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,1,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.17.5.440"},{"key":"e_1_3_3_3_2","unstructured":"Policy brief screening in Europe\u2014World Health Organization. Available at www.euro.who.int\/document\/e88698.pdf (last accessed December3 2012)."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.6.1038"},{"key":"e_1_3_3_5_2","unstructured":"UK National Screening Committee. Criteria for appraising the viability effectiveness and appropriateness of a screening programme. 2009. Available at www.screening.nhs.uk\/criteria (last accessed December15 2012)."},{"key":"e_1_3_3_6_2","unstructured":"Screening in England 2011\u20132012. Annual Report. Available at www.screening.nhs.uk\/publications#fileid14375 (last accessed December15 2012)."},{"key":"e_1_3_3_7_2","volume-title":"New Mexico Department of Health, Region 3. OCAPE, NMHDDS, non-Federal hospital 2008\u20132009 report","author":"Scharma T","year":"2010","unstructured":"Scharma T. New Mexico Department of Health, Region 3. OCAPE, NMHDDS, non-Federal hospital 2008\u20132009 report. Albuquerque: New Mexico Department of Health, 2010."},{"key":"e_1_3_3_8_2","unstructured":"Mobile Health Clinics Association. www.mobilehealthclinicsnetwork.org (last accessed November11 2012)."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-7-27"},{"key":"e_1_3_3_10_2","unstructured":"U.S. Government Accountability Office. Preventive health activities: Available information on Federal spending cost savings and international comparisons has limitations. Report number GAO-13-49. Available at www.gao.gov\/products\/GAO-13-49 (last accessed December6 2012)."},{"key":"e_1_3_3_11_2","unstructured":"National Center for Injury Prevention and Control Centers for Disease Control and Prevention. Injury prevention and control: Data & statistics (WISQARS\u2122). 2007. Available at www.cdc.gov\/injury\/wisqars\/index.html (accessed November10 2011)."},{"key":"e_1_3_3_12_2","unstructured":"New Mexico selected health statistics annual report for 2006. Santa Fe: Bureau of Vital Records and Health Statistics New Mexico Department of Health 2008."},{"key":"e_1_3_3_13_2","unstructured":"Diabetic retinopathy occurs in pre-diabetes. NIH News. June 12 2005. Available at www.nih.gov\/news\/pr\/jun2005\/niddk-12.htm (last accessed December2 2012)."},{"key":"e_1_3_3_14_2","doi-asserted-by":"crossref","unstructured":"American Diabetes Association. Diabetic retinopathy. Diabetes Care 2002; 25(Suppl 1):S90\u2013S93. Available at http:\/\/care.diabetesjournals.org\/content\/25\/suppl_1\/s90.full (last accessed November18 2011).","DOI":"10.2337\/diacare.25.2007.S90"},{"key":"e_1_3_3_15_2","unstructured":"Available at www.mobilehealthmap.org\/explanation.html (last accessed October23 2012)."},{"key":"e_1_3_3_16_2","unstructured":"Mobile Health Map.org ROI tool. Available at www.mobilehealthmap.org\/roi.php (last accessed October23 2012)."},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-0843"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/tmj.2013.0080","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2013.0080","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/tmj.2013.0080","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:21:29Z","timestamp":1777587689000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/tmj.2013.0080"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,1]]}},"alternative-id":["10.1089\/tmj.2013.0080"],"URL":"https:\/\/doi.org\/10.1089\/tmj.2013.0080","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,1]]}}}