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Monitoring health as an opportunity to categorize preventative and early-treatment actions in a self-care journey: our experience with a Healthcare Magenta Scorecard. 监测健康状况是在自我保健旅程中对预防和早期治疗行动进行分类的机会:我们使用保健品红记分卡的经验。
Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-04-24 eCollection Date: 2023-01-01 DOI: 10.21037/mhealth-22-56
Vinícius Ynoe de Moraes, Rafael Pereira Silva, Camila Kaory Kawagoe, Pedro Ricardo Pereira Távora, Nicolle Cassola, Mário Ferretti

Background: Applying a digital health intervention to measure health and wellbeing status offers opportunities to guide and augment healthcare and promotion. In our scenario, we consider mainly digital-native patients and present an evaluation of a new Healthcare Magenta Scorecard towards this end.

Methods: Grounded in the six domains of health and promotion (physical activity; sleep quality; nutrition; habits/lifestyle; mental health; quality of life) we developed a health Magenta Scorecard (Magenta Score), a mobile based Electronic Patient Reported Outcomes (e-PRO) that measures patients health and wellbeing every 3-5 months. The Magenta Scorecard was derived from previously published evidence-based instruments. We collected data as patients were onboarded into our healthcare system (T0 and T1, time span between measurements, 141 days) and provided correlations among our domains of care.

Results: A total of 1,622 participants responded to T0 and T1 our Magenta Scorecard. Participants mean age was 31.3 [95% confidence interval (CI): 31.2-31.5] years and female (63.4%). Fifty-five percent (n=892) of our sample were categorized as relating to Health and Wellbeing promotion, 8.5% (n=138) disease management, 35.7% (n=579) self-care care support and only 0.8% (n=13) pertained to case management. From our care coordination guided approach, our Magenta Scorecards reported mean improvement across the study cohort of 26 ± standard deviation (SD) points, from T0 (649, 95% CI: 643-656) to T1 (675, 95% CI: 668-682). Our Magenta Scorecard domains had significant, albeit weak spearman correlations.

Conclusions: We demonstrated our Magenta Scorecard rationale and its guided approach. The Magenta Scorecard displayed adequate responsiveness and was significantly correlated across all of the domains investigated. Further prospective research is needed to validate our results in the long term.

背景:应用数字健康干预措施来衡量健康和福祉状况,为指导和加强医疗保健和促进提供了机会。在我们的场景中,我们主要考虑数字原生患者,并为此目的对新的Healthcare Magenta记分卡进行评估。方法:以健康和促进的六个领域为基础(体育活动;睡眠质量;营养;习惯/生活方式;心理健康;我们开发了一种健康Magenta记分卡(Magenta Score),这是一种基于移动的电子患者报告结果(e-PRO),每3-5个月测量一次患者的健康和福祉。Magenta记分卡来源于以前发表的基于证据的工具。我们在患者进入我们的医疗保健系统时收集数据(T0和T1,测量之间的时间跨度,141天),并提供我们护理领域之间的相关性。结果:共有1,622名参与者对我们的Magenta记分卡的T0和T1有反应。参与者的平均年龄为31.3岁[95%可信区间(CI): 31.2-31.5],女性占63.4%。55% (n=892)的样本被归类为与健康和福祉促进有关,8.5% (n=138)的疾病管理,35.7% (n=579)的自我保健护理支持,只有0.8% (n=13)属于病例管理。根据我们的护理协调指导方法,我们的Magenta记分卡报告了整个研究队列中26±标准差(SD)点的平均改善,从T0 (649, 95% CI: 643-656)到T1 (675, 95% CI: 668-682)。我们的品红计分卡域有显著的,尽管是弱的spearman相关性。结论:我们展示了我们的Magenta记分卡原理和它的指导方法。Magenta记分卡显示了足够的反应性,并且在所有被调查的领域中都有显著的相关性。需要进一步的前瞻性研究来长期验证我们的结果。
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引用次数: 1
Development and feasibility of a web-based gestational weight gain intervention for women with pre-pregnancy overweight or obesity. 针对孕前超重或肥胖妇女的基于网络的妊娠体重增加干预措施的开发和可行性。
IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-02-20 eCollection Date: 2023-01-01 DOI: 10.21037/mhealth-22-49
Molly E Waring, Tiffany A Moore Simas, Grace E Heersping, Lauren R Rudin, Kavitha Balakrishnan, Abigail R Burdick, Sherry L Pagoto

Background: Excessive gestational weight gain is associated with negative maternal and infant health outcomes. Digital health approaches may help overcome barriers to participating in lifestyle interventions requiring in-person visits. The purpose of this study was to develop and examine the feasibility of a web-based gestational weight gain intervention.

Methods: Intervention development included feedback and input from pregnant women. We conducted a 12-week one-arm pilot study during which participants engaged in an online discussion board with coaches and other pregnant women, tracked their weight gain with an interactive graph, and accessed a list of online resources for pregnancy health. Feasibility outcomes were recruitment, retention, engagement and sustained participation, intervention acceptability, and website usability. Gestational weight gain was an exploratory outcome.

Results: Participants (n=12) were on average 16.8 [standard deviation (SD): 2.0] weeks gestation with average pre-pregnancy body mass index of 30.5 (SD: 4.8) kg/m2. Participant retention was 92% (n=11). Participants logged into the website a median of 21 times [interquartile range (IQR), 8-37; range, 2-98] over 12 weeks, and 58% (n=7) logged into the website during the last week of the intervention. All participants said they would be very likely or likely to participate again, and 100% said they would be very likely or likely to recommend the intervention to a pregnant friend. In post-intervention interviews, 64% (n=7) explicitly said that the website was easy to use, but 100% (n=11) mentioned usability issues. When asked their preferred intervention platform, 18% (n=2) somewhat or strongly preferred a private website, 18% (n=2) had no preference, and 64% (n=7) somewhat or strongly preferred Facebook. Seventy percent (n=7) had excessive gestational weight gain, 10% (n=1) inadequate gestational weight gain, and 20% (n=2) gained within recommended ranges.

Conclusions: Additional development work is needed before moving to efficacy testing. Most notably, usability issues with the investigator-developed website and participant preference suggest a switch to a commercial social media platform.

背景:妊娠期体重增加过多与母婴健康的不良后果有关。数字健康方法可能有助于克服参与需要亲自访问的生活方式干预的障碍。本研究的目的是开发一种基于网络的妊娠体重增加干预措施,并检验其可行性:方法:干预措施的开发包括孕妇的反馈和意见。我们进行了为期 12 周的单臂试点研究,在此期间,参与者与教练和其他孕妇一起参与在线讨论板,通过互动图表跟踪体重增加情况,并访问孕期健康在线资源列表。可行性结果包括招募、保留、参与和持续参与、干预的可接受性以及网站的可用性。妊娠体重增加是一项探索性结果:参与者(12 人)平均妊娠 16.8 周[标准差(SD):2.0],平均孕前体重指数为 30.5(SD:4.8)kg/m2。参与者保留率为 92%(n=11)。在 12 周内,参与者登录网站的中位数为 21 次[四分位数间距(IQR),8-37;范围,2-98],58%(n=7)的参与者在干预的最后一周登录网站。所有参与者都表示他们很有可能或有可能再次参与,100% 的参与者表示他们很有可能或有可能向怀孕的朋友推荐这项干预措施。在干预后的访谈中,64%(7 人)明确表示网站易于使用,但 100%(11 人)提到了可用性问题。当被问及他们首选的干预平台时,18%(n=2)在某种程度上或强烈偏好私人网站,18%(n=2)没有偏好,64%(n=7)在某种程度上或强烈偏好 Facebook。70%(n=7)妊娠体重增加过多,10%(n=1)妊娠体重增加不足,20%(n=2)体重增加在建议范围内:结论:在进行疗效测试之前,还需要进行更多的开发工作。最值得注意的是,研究者开发的网站的可用性问题和参与者的偏好建议改用商业社交媒体平台。
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引用次数: 0
Developing culturally-adapted mobile mental health interventions: a mixed methods approach. 发展适应文化的流动精神卫生干预措施:混合方法方法。
Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-28 eCollection Date: 2023-01-01 DOI: 10.21037/mhealth-22-19
Henry A Willis, Enrique W Neblett

Background: Black young adults suffer from psychological distress at either similar or greater rates than that of White Americans, yet they are seven times less likely to have access to or receive effective treatments. Fortunately, mobile-health (mHealth) technology may transform mental health services and address disparities in mental healthcare. The current study utilized focus groups of Black young adults to inform the development of culturally-adapted mHealth using quantitative and qualitative approaches.

Methods: The study utilized a mixed-methods approach, in that qualitative (i.e., mini focus groups, n=11) and quantitative methods (i.e., self-report surveys) were used to explore the research questions. Participants included African American young adults (n=38, Mage =21). Participants completed self-report questionnaires prior to focus group facilitation. Correlational analyses were used to answer the quantitative research questions, and thematic analysis was used to answer the qualitative research questions.

Results: The qualitative findings highlighted that sociocultural experiences impact mental health and treatment seeking attitudes. Despite these findings, participants highlighted a variety of desired features and content that should be incorporated into future culturally-adapted mHealth interventions. Participants also highlighted both positive and negative aspects of current mHealth technologies for mental health. Finally, the study found that on average, participants had positive attitudes towards mental health, mental health treatments, and utilizing mHealth for mental health. Participants also had strong desires for culturally-adapted mHealth interventions. Bivariate correlations also revealed significant associations between vicarious online racial discrimination and mHealth attitudes, as well as racial identity and mHealth attitudes.

Conclusions: In summary, the current study highlights that there is an urgent need for mHealth technology for mental health symptoms for African American young adults and presents a variety of features, content, and design/development considerations for future researchers.

背景:年轻的黑人成年人遭受心理困扰的比率与美国白人相似或更高,但他们获得或接受有效治疗的可能性是白人的七倍。幸运的是,移动健康(mHealth)技术可能会改变心理健康服务,并解决心理健康方面的差异。目前的研究利用黑人年轻人的焦点小组,利用定量和定性方法,为适应文化的移动医疗的发展提供信息。方法:本研究采用混合方法,采用定性方法(即小型焦点小组,n=11)和定量方法(即自我报告调查)来探讨研究问题。参与者包括非裔美国年轻人(n=38, Mage =21)。参与者在焦点小组引导前完成自我报告问卷。定量研究的问题采用相关分析,定性研究的问题采用专题分析。结果:质性研究结果强调了社会文化经历对心理健康和寻求治疗态度的影响。尽管有这些发现,参与者强调了各种期望的功能和内容,这些功能和内容应该纳入未来适应文化的移动健康干预措施中。与会者还强调了当前移动医疗技术对心理健康的积极和消极影响。最后,研究发现,平均而言,参与者对心理健康、心理健康治疗和利用移动健康进行心理健康持积极态度。参与者对适应文化的移动医疗干预也有强烈的愿望。双变量相关性还揭示了在线种族歧视与移动医疗态度之间的显著关联,以及种族认同与移动医疗态度之间的显著关联。结论:总之,目前的研究强调了迫切需要移动健康技术来治疗非裔美国年轻人的心理健康症状,并为未来的研究人员提供了各种功能、内容和设计/开发考虑。
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引用次数: 2
A pilot intervention of using a mobile health app (ONC Roadmap) to enhance health-related quality of life in family caregivers of pediatric patients with cancer. 使用移动健康应用程序(ONC路线图)的试点干预措施,以提高癌症儿科患者家庭护理人员的健康相关生活质量。
Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-28 eCollection Date: 2023-01-01 DOI: 10.21037/mhealth-22-24
Sarah B Koblick, Miao Yu, Matthew DeMoss, Qiaoxue Liu, Charles N Nessle, Michelle Rozwadowski, Jonathan P Troost, Jennifer A Miner, Afton Hassett, Noelle E Carlozzi, Debra L Barton, Muneesh Tewari, David A Hanauer, Sung Won Choi

Background: The Roadmap mobile health (mHealth) app was developed to provide health-related quality of life (HRQOL) support for family caregivers of patients with cancer.

Methods: Eligibility included: family caregivers (age ≥18 years) who self-reported as the primary caregiver of their pediatric patient with cancer; patients (age ≥5 years) who were receiving cancer care at the University of Michigan. Feasibility was calculated as the percentage of caregivers who logged into ONC Roadmap and engaged with it at least twice weekly for at least 50% of the 120-day study duration. Feasibility and acceptability was also assessed through a Feasibility and Acceptability questionnaire and the Mobile App Rating Scale to specifically assess app-quality. Exploratory analyses were also conducted to assess HRQOL self- or parent proxy assessments and physiological data capture.

Results: Between September 2020-September 2021, 100 participants (or 50 caregiver-patient dyads) consented and enrolled in the ONC Roadmap study for 120-days. Feasibility of the study was met, wherein the majority of caregivers (N=32; 65%) logged into ONC Roadmap and engaged with it at least twice weekly for at least 50% of the study duration (defined a priori in the Protocol). The Feasibility and Acceptability questionnaire responses indicated that the study was feasible and acceptable with the majority (>50%) reporting Agree or Strongly Agree with positive Net Favorability [(Agree + Strongly Agree) - (Disagree + Totally Disagree)] in each of the domains (e.g., Fitbit use, ONC Roadmap use, completing longitudinal assessments, engaging in similar future study, study expectations). Improvements were seen across the majority of the mental HRQOL domains across all groups; even though underpowered, there were significant improvements in caregiver-specific aspects of HRQOL and anxiety and in depression and fatigue for children (ages 8-17 years), and a trend toward improvement in depression for children ages 8-17 years and in fatigue for adult patients.

Conclusions: This study supports that mHealth technology may be a promising platform to provide HRQOL support for caregivers of pediatric patients with cancer. Importantly, the findings suggest that the study protocol was feasible, and participants were favorable to participate in future studies of this intervention alongside routine cancer care delivery.

背景:开发了Roadmap移动健康(mHealth)应用程序,为癌症患者的家庭护理人员提供与健康相关的生活质量(HRQOL)支持。方法:合格者包括:自我报告为癌症儿科患者主要照顾者的家庭照顾者(年龄≥18岁);在密歇根大学接受癌症治疗的患者(年龄≥5岁)。可行性计算为登录ONC路线图并在120天研究持续时间的至少50%内每周至少参与两次的护理人员的百分比。还通过可行性和可接受性问卷和移动应用评级量表评估了可行性和可可接受性,以专门评估应用质量。还进行了探索性分析,以评估HRQOL自我或父母代理评估和生理数据采集。结果:在2020年9月至2021年9月期间,100名参与者(或50名护理者-患者二人组)同意并参加ONC路线图研究,为期120天。符合该研究的可行性,其中大多数护理人员(N=32;65%)登录ONC路线图,并在至少50%的研究持续时间内每周至少参与两次(在协议中先验定义)。可行性和可接受性问卷调查表明,该研究是可行和可接受的,大多数(>50%)报告同意或强烈同意每个领域的正面净好感度[(同意+强烈同意)-(不同意+完全不同意)](例如,Fitbit的使用、ONC路线图的使用、完成纵向评估、参与类似的未来研究、研究预期)。所有组的大多数心理HRQOL领域都有所改善;尽管动力不足,但儿童(8-17岁)在照顾者特定方面的HRQOL和焦虑、抑郁和疲劳方面有显著改善,8-17岁儿童的抑郁和成年患者的疲劳有改善的趋势。结论:本研究支持mHealth技术可能是一个很有前途的平台,为癌症儿科患者的护理人员提供HRQOL支持。重要的是,研究结果表明,该研究方案是可行的,参与者有利于在常规癌症护理的同时参与该干预措施的未来研究。
{"title":"A pilot intervention of using a mobile health app (ONC Roadmap) to enhance health-related quality of life in family caregivers of pediatric patients with cancer.","authors":"Sarah B Koblick, Miao Yu, Matthew DeMoss, Qiaoxue Liu, Charles N Nessle, Michelle Rozwadowski, Jonathan P Troost, Jennifer A Miner, Afton Hassett, Noelle E Carlozzi, Debra L Barton, Muneesh Tewari, David A Hanauer, Sung Won Choi","doi":"10.21037/mhealth-22-24","DOIUrl":"10.21037/mhealth-22-24","url":null,"abstract":"<p><strong>Background: </strong>The Roadmap mobile health (mHealth) app was developed to provide health-related quality of life (HRQOL) support for family caregivers of patients with cancer.</p><p><strong>Methods: </strong>Eligibility included: family caregivers (age ≥18 years) who self-reported as the primary caregiver of their pediatric patient with cancer; patients (age ≥5 years) who were receiving cancer care at the University of Michigan. Feasibility was calculated as the percentage of caregivers who logged into <i>ONC Roadmap</i> and engaged with it at least twice weekly for at least 50% of the 120-day study duration. Feasibility and acceptability was also assessed through a Feasibility and Acceptability questionnaire and the Mobile App Rating Scale to specifically assess app-quality. Exploratory analyses were also conducted to assess HRQOL self- or parent proxy assessments and physiological data capture.</p><p><strong>Results: </strong>Between September 2020-September 2021, 100 participants (or 50 caregiver-patient dyads) consented and enrolled in the ONC Roadmap study for 120-days. Feasibility of the study was met, wherein the majority of caregivers (N=32; 65%) logged into ONC Roadmap and engaged with it at least twice weekly for at least 50% of the study duration (defined <i>a priori</i> in the Protocol). The Feasibility and Acceptability questionnaire responses indicated that the study was feasible and acceptable with the majority (>50%) reporting <i>Agree</i> or <i>Strongly Agree</i> with positive <i>Net Favorability</i> [(<i>Agree</i> + <i>Strongly Agree</i>) - (<i>Disagree</i> + <i>Totally Disagree</i>)] in each of the domains (e.g., Fitbit use, ONC Roadmap use, completing longitudinal assessments, engaging in similar future study, study expectations). Improvements were seen across the majority of the mental HRQOL domains across all groups; even though underpowered, there were significant improvements in caregiver-specific aspects of HRQOL and anxiety and in depression and fatigue for children (ages 8-17 years), and a trend toward improvement in depression for children ages 8-17 years and in fatigue for adult patients.</p><p><strong>Conclusions: </strong>This study supports that mHealth technology may be a promising platform to provide HRQOL support for caregivers of pediatric patients with cancer. Importantly, the findings suggest that the study protocol was feasible, and participants were favorable to participate in future studies of this intervention alongside routine cancer care delivery.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"9 ","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2023-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/70/mh-09-22-24.PMC9902233.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9550647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Baby Bites Text Messaging Project with randomized controlled trial: texting to improve infant feeding practices. 婴儿咬伤短信项目随机对照试验:短信改善婴儿喂养方法。
Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-01 DOI: 10.21037/mhealth-22-31
Kathleen E Davis, Adyson Klingenberg, Marilyn Massey-Stokes, Nusrath Habiba, Rupali Gautam, Cynthia Warren, Paul Yeatts

Background: Rapid weight gain and overweight in infancy are associated with childhood obesity. Thus, effective, accessible interventions to promote healthy infant feeding practices to prevent early obesity are essential.

Methods: This mixed-methods study involved diverse parents of infants in an urban, low-income pediatric clinic. Qualitative interviews explored parental attitudes towards feeding, early obesity, and communication with the pediatrician. A pilot, randomized controlled trial (RCT) informed by feedback provided by clinic parents compared text messages delivered for 12 months promoting healthy feeding practices to usual care to prevent early pediatric obesity. A computer-generated randomization schedule with balanced distribution for sex was used to place infants into groups. Weight-for-length percentiles and z-scores and feeding practices were measured at 0-2 weeks (baseline), 2-4 months, 6-9 months, and 12 months. Interviews were recorded, transcribed, and coded using thematic analysis. Weight for length percentile, Weight for length z scores, and feeding practices were compared between groups using repeated measures mixed analysis of variance (ANOVA).

Results: Participants in the interviews were 15 parents of infants less than 1 month old. RCT participants were 38 parents of newborns (17 control; 21 intervention). Most parents in the qualitative evaluation viewed breastfeeding positively but also discussed barriers. Most also wanted practical information regarding infant feeding. There were no differences in weight-for-length percentile (F=0.52; P=0.60) or z-scores (F=0.7922; P=0.79), breastfeeding persistence χ2[1] =1.45, P=0.23, or age of introduction of solids in the intervention (statistical analysis not possible due to low counts) compared to the control group; however, low response to surveys limited the study's power.

Conclusions: Text messaging has potential to extend the healthcare provider's communication beyond clinic. However, texting interventions should be flexible to mitigate barriers such as loss of phone service and challenges customizing messages to parent needs.

背景:婴儿期体重快速增加和超重与儿童期肥胖有关。因此,必须采取有效和可获得的干预措施,促进健康的婴儿喂养做法,以预防早期肥胖。方法:这项混合方法研究涉及城市低收入儿科诊所的不同婴儿父母。定性访谈探讨了父母对喂养、早期肥胖以及与儿科医生沟通的态度。一项试点、随机对照试验(RCT)根据诊所家长提供的反馈,将12个月的推广健康喂养做法的短信与预防儿童早期肥胖的常规护理短信进行了比较。使用计算机生成的性别均衡的随机化时间表将婴儿分组。在0-2周(基线)、2-4个月、6-9个月和12个月时测量体重-长度百分位数、z分数和喂养方法。访谈记录、转录和编码使用主题分析。采用重复计量混合方差分析(ANOVA)对组间体重长度百分位、体重长度z分数和饲养方式进行比较。结果:访谈对象为15名1个月以下婴儿的父母。随机对照试验参与者为38名新生儿父母(对照组17名;21干预)。在定性评估中,大多数家长对母乳喂养持积极态度,但也讨论了障碍。大多数人还希望获得有关婴儿喂养的实用信息。体重长度百分位数无差异(F=0.52;P=0.60)或z分数(F=0.7922;P=0.79),母乳喂养持续时间χ2[1] =1.45, P=0.23,或干预中引入固体物的年龄(由于计数低,无法进行统计分析);然而,对调查的低反应限制了研究的力量。结论:短信有可能将医疗保健提供者的沟通扩展到诊所之外。然而,短信干预应该是灵活的,以减轻障碍,如失去电话服务和挑战定制的信息,以满足家长的需要。
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引用次数: 1
A Chilean survey of perinatal women and health care professionals' views towards perinatal apps. 智利围产期妇女和卫生保健专业人员对围产期应用程序的看法的调查。
Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-01 DOI: 10.21037/mhealth-22-37
Pamela Franco, Marcia Olhaberry, Saskia Kelders, Antonia Muzard

Background: Women around the globe are increasingly engaging with pregnancy and parenting apps, almost becoming a routine part of the maternity experience. However, little is known about what perinatal women and health care professionals feel about those apps in Latin American countries, where the digital transformation has been slower but where digital technologies could also bridge gaps in access to quality health care.

Methods: This study aimed to assess views towards pregnancy and parenting apps in perinatal women and perinatal health care professionals in Chile through an online survey. In perinatal women, we explored app use, what they value in the apps they use, and what an "ideal app" would be for them. In health professionals, we explored opinions about women using perinatal apps and what they think a perfect app for their clients would be.

Results: The survey was completed by 451 perinatal women and 54 perinatal health care professionals. Results show that perinatal women in Chile frequently use perinatal apps, and they and health care professionals show a positive attitude towards them. The most valued attributes are information and monitoring of body changes during pregnancy, information and monitoring of the baby's development (in the uterus and after birth), information and tips on how to stay healthy, and having the possibility to interact with other women.

Conclusions: Perinatal apps are accepted by perinatal women and health care professionals in Chile. Some needs for an "ideal app" emerged. Participants mentioned the need to address mental health, including the mental health of their partner, and the need for support during the transition to parenthood.

背景:全球各地的女性越来越多地使用怀孕和育儿应用程序,几乎成为孕妇体验的常规部分。然而,对于拉丁美洲国家的围产期妇女和卫生保健专业人员对这些应用程序的感受,人们知之甚少,这些国家的数字化转型速度较慢,但数字技术也可以弥合在获得高质量卫生保健方面的差距。方法:本研究旨在通过在线调查评估智利围产期妇女和围产期保健专业人员对怀孕和育儿应用程序的看法。在围产期妇女中,我们研究了应用程序的使用情况,她们在使用的应用程序中看重什么,以及对她们来说什么是“理想的应用程序”。在健康专业人士中,我们探讨了女性使用围产期应用程序的看法,以及她们认为最适合自己客户的应用程序是什么。结果:共有451名围产期妇女和54名围产期保健专业人员完成了调查。结果显示,智利的围产期妇女经常使用围产期应用程序,她们和卫生保健专业人员对此表现出积极的态度。最有价值的属性是怀孕期间身体变化的信息和监测,婴儿(在子宫内和出生后)发育的信息和监测,如何保持健康的信息和提示,以及与其他妇女互动的可能性。结论:围产期应用程序是接受围产期妇女和卫生保健专业人员在智利。出现了一些对“理想应用”的需求。与会者提到需要解决心理健康问题,包括其伴侣的心理健康问题,以及在向为人父母过渡期间需要得到支持。
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引用次数: 2
Video selection and assessment for an app-based HIV prevention messaging intervention: formative research. 基于应用程序的艾滋病预防信息干预的视频选择和评估:形成性研究。
Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-01 DOI: 10.21037/mhealth-21-53
Martin J Downing, Sarah E Wiatrek, Ryan J Zahn, Gordon Mansergh, Evelyn Olansky, Deborah Gelaude, Patrick S Sullivan, Rob Stephenson, Aaron J Siegler, José Bauermeister, Keith J Horvath, Mary Ann Chiasson, Irene S Yoon, Steven T Houang, Anthony Jimenez Hernandez, Sabina Hirshfield

Background: Gay, bisexual, and other men who have sex with men (GBMSM) continue to be overrepresented in human immunodeficiency virus (HIV) infection in the United States. HIV prevention and care interventions that are tailored to an individual's serostatus have the potential to lower the rate of new infections among GBMSM. Mobile technology is a critical tool for disseminating targeted messaging and increasing uptake of basic prevention services including HIV testing, sexually transmitted infection (STI) testing, and pre-exposure prophylaxis (PrEP). Mobile Messaging for Men (M-Cubed) is a mobile health HIV prevention intervention designed to deliver video- and text-based prevention messages, provide STI and HIV information, and link GBMSM to prevention and healthcare resources. The current report describes an iterative process of identifying and selecting publicly available videos to be used as part of the M-Cubed intervention. We also conducted interviews with GBMSM to assess the acceptability, comprehension, and potential audience reach of the selected video messages.

Methods: The selection of videos included balancing of specific criteria [e.g., accuracy of scientific information, video length, prevention domains: HIV/STI testing, antiretroviral therapy (ART), PrEP, engagement in care, and condom use] to ensure that they were intended for our GBMSM audiences: HIV-negative men who engage in condomless anal sex, HIV-negative men who do not engage in condomless anal sex, and men living with HIV. This formative study included in-person interviews with 26 GBMSM from three U.S. cities heavily impacted by the HIV epidemic-New York City, Detroit, and Atlanta.

Results: Following a qualitative content analysis, the study team identified five themes across the interviews: participant reactions to the video messages, message comprehension, PrEP concerns, targeting of video messaging, and prompted action.

Conclusions: Study results informed a final selection of 12 video messages for inclusion in a randomized controlled trial of M-Cubed. Findings may serve as a guide for researchers who plan to develop HIV prevention interventions that utilize publicly available videos to promote behavioral change. Further, the findings presented here suggest the importance of developing videos with broad age and gender diversity for use in interventions such as M-Cubed, and in other health promotion settings.

背景:在美国,男同性恋、双性恋和其他男男性行为者(GBMSM)在人类免疫缺陷病毒(HIV)感染中仍然占很大比例。针对个人的血清状态量身定制的艾滋病毒预防和护理干预措施有可能降低gbmssm的新感染率。移动技术是传播有针对性信息和增加基本预防服务(包括艾滋病毒检测、性传播感染(STI)检测和暴露前预防(PrEP))的关键工具。男性移动信息(M-Cubed)是一项移动艾滋病毒预防保健干预措施,旨在提供基于视频和文本的预防信息,提供性传播感染和艾滋病毒信息,并将GBMSM与预防和保健资源联系起来。目前的报告描述了一个识别和选择公开可用视频的迭代过程,这些视频将被用作m - cube干预的一部分。我们还与GBMSM进行了访谈,以评估所选视频信息的可接受性、理解性和潜在受众范围。方法:视频的选择包括特定标准的平衡[例如,科学信息的准确性,视频长度,预防领域:艾滋病毒/STI检测,抗逆转录病毒治疗(ART), PrEP,参与护理和避孕套的使用],以确保它们是针对我们的GBMSM受众:从事无安全套肛交的艾滋病毒阴性男性,不从事无安全套肛交的艾滋病毒阴性男性和艾滋病毒感染者。这项形成性研究包括对来自美国三个受艾滋病毒流行严重影响的城市——纽约市、底特律和亚特兰大——的26名同性恋男性进行面对面访谈。结果:在定性内容分析之后,研究团队确定了访谈中的五个主题:参与者对视频信息的反应、信息理解、PrEP关注、视频信息的目标以及提示行动。结论:研究结果为m - cube随机对照试验中12个视频信息的最终选择提供了依据。研究结果可能为计划开发艾滋病预防干预措施的研究人员提供指导,这些干预措施利用公开的视频来促进行为改变。此外,本文提出的研究结果表明,开发具有广泛年龄和性别多样性的视频在m - cube等干预措施和其他健康促进环境中使用的重要性。
{"title":"Video selection and assessment for an app-based HIV prevention messaging intervention: formative research.","authors":"Martin J Downing,&nbsp;Sarah E Wiatrek,&nbsp;Ryan J Zahn,&nbsp;Gordon Mansergh,&nbsp;Evelyn Olansky,&nbsp;Deborah Gelaude,&nbsp;Patrick S Sullivan,&nbsp;Rob Stephenson,&nbsp;Aaron J Siegler,&nbsp;José Bauermeister,&nbsp;Keith J Horvath,&nbsp;Mary Ann Chiasson,&nbsp;Irene S Yoon,&nbsp;Steven T Houang,&nbsp;Anthony Jimenez Hernandez,&nbsp;Sabina Hirshfield","doi":"10.21037/mhealth-21-53","DOIUrl":"https://doi.org/10.21037/mhealth-21-53","url":null,"abstract":"<p><strong>Background: </strong>Gay, bisexual, and other men who have sex with men (GBMSM) continue to be overrepresented in human immunodeficiency virus (HIV) infection in the United States. HIV prevention and care interventions that are tailored to an individual's serostatus have the potential to lower the rate of new infections among GBMSM. Mobile technology is a critical tool for disseminating targeted messaging and increasing uptake of basic prevention services including HIV testing, sexually transmitted infection (STI) testing, and pre-exposure prophylaxis (PrEP). Mobile Messaging for Men (M-Cubed) is a mobile health HIV prevention intervention designed to deliver video- and text-based prevention messages, provide STI and HIV information, and link GBMSM to prevention and healthcare resources. The current report describes an iterative process of identifying and selecting publicly available videos to be used as part of the M-Cubed intervention. We also conducted interviews with GBMSM to assess the acceptability, comprehension, and potential audience reach of the selected video messages.</p><p><strong>Methods: </strong>The selection of videos included balancing of specific criteria [e.g., accuracy of scientific information, video length, prevention domains: HIV/STI testing, antiretroviral therapy (ART), PrEP, engagement in care, and condom use] to ensure that they were intended for our GBMSM audiences: HIV-negative men who engage in condomless anal sex, HIV-negative men who do not engage in condomless anal sex, and men living with HIV. This formative study included in-person interviews with 26 GBMSM from three U.S. cities heavily impacted by the HIV epidemic-New York City, Detroit, and Atlanta.</p><p><strong>Results: </strong>Following a qualitative content analysis, the study team identified five themes across the interviews: participant reactions to the video messages, message comprehension, PrEP concerns, targeting of video messaging, and prompted action.</p><p><strong>Conclusions: </strong>Study results informed a final selection of 12 video messages for inclusion in a randomized controlled trial of M-Cubed. Findings may serve as a guide for researchers who plan to develop HIV prevention interventions that utilize publicly available videos to promote behavioral change. Further, the findings presented here suggest the importance of developing videos with broad age and gender diversity for use in interventions such as M-Cubed, and in other health promotion settings.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":"9 ","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/6d/mh-09-21-53.PMC9902231.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10746501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
COVID-19 impacts and videoconference healthcare preferences in relation to depression and sexual risk behaviors among young adults assigned female at birth: a cross-sectional study. 在出生时被指定为女性的年轻人中,COVID-19的影响和视频会议医疗保健偏好与抑郁和性风险行为有关:一项横断面研究。
Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-01 DOI: 10.21037/mhealth-22-38
Brittany S Gluskin, Maddie O'Connell, Gretchen Falk, Lydia A Shrier, Carly E Guss

Background: Due to decreased access to sexual and reproductive health (SRH) services and an increase in depressive symptoms, the coronavirus disease 2019 (COVID-19) pandemic has exacerbated the risk of unsafe sexual behaviors among already vulnerable young adults assigned female at birth (AFAB). Despite its potential for improving SRH outcomes, little is known about how young adults view virtual SRH counseling. We designed a survey to examine these perspectives and further characterize pandemic-associated changes in mood and healthcare access in young adults AFAB.

Methods: Patients of a Midwest family planning organization who were AFAB and aged 21-24 years were recruited via convenience sampling between May and September 2021. Participants answered survey questions about how they perceived that the pandemic had affected their mood and healthcare access. The Patient Health Questionnaire (PHQ)-8 assessed depressive symptoms. Additional questions probed SRH risk behaviors and experience with and opinions on virtual healthcare and research. Non-responses to questions were not included in analyses. Associations among these variables were analyzed using non-parametric bivariate tests (chi-square and Mann-Whitney U).

Results: One hundred twenty people participated in the survey. Participants had a median age of 22 years and self-identified predominantly as female and White. Three-quarters of respondents reported their mood worsened as a result of the pandemic and more than 3 in 10 had depression. Those reporting pandemic-worsened mood had more severe depressive symptoms than those who did not (U=722.500, P=0.005). Most reported sexual intercourse in the past 3 months, nearly all of whom reported at least one SRH risk. Pandemic mood impacts were not associated with SRH risk. One in four participants reported pandemic-associated difficulty accessing healthcare, which was not associated with depression or SRH risk. Most reported comfort with videoconference healthcare, including technology, speaking with a provider, and having enough privacy.

Conclusions: The COVID-19 pandemic has increased depression and SRH risk among young adults AFAB and, at the same, impeded their access to healthcare. The study findings suggest that no matter the degree of depression or presence of SRH risk, videoconferencing may be an acceptable option for advancing research and addressing unmet SRH needs in this population.

背景:由于获得性健康和生殖健康(SRH)服务的机会减少以及抑郁症状增加,2019年冠状病毒病(COVID-19)大流行加剧了本已脆弱的出生时被分配为女性的年轻人(AFAB)发生不安全性行为的风险。尽管它有改善性生殖健康结果的潜力,但我们对年轻人如何看待虚拟性生殖健康咨询知之甚少。我们设计了一项调查来检验这些观点,并进一步表征年轻成人AFAB中情绪和医疗保健获取的大流行相关变化。方法:采用方便抽样的方法,于2021年5 - 9月在中西部某计划生育组织招募21-24岁的AFAB患者。参与者回答了关于他们如何认为大流行影响了他们的情绪和获得医疗保健的调查问题。患者健康问卷(PHQ)-8评估抑郁症状。其他问题探讨了性健康和生殖健康风险行为以及对虚拟医疗保健和研究的经验和意见。对问题的无反应不包括在分析中。使用非参数双变量检验(卡方检验和Mann-Whitney U检验)分析这些变量之间的关联。结果:120人参加了调查。参与者的平均年龄为22岁,自我认同主要是女性和白人。四分之三的受访者表示,他们的情绪因疫情而恶化,超过十分之三的人患有抑郁症。那些报告情绪大流行恶化的人比没有报告情绪大流行恶化的人有更严重的抑郁症状(U=722.500, P=0.005)。大多数报告在过去3个月内发生过性行为,几乎所有人报告至少有一次性生殖健康风险。大流行情绪影响与SRH风险无关。四分之一的参与者报告了与大流行相关的获得医疗保健的困难,这与抑郁症或性健康和生殖健康风险无关。大多数人表示,视频会议医疗服务让他们感到舒适,包括技术、与供应商交谈以及有足够的隐私。结论:2019冠状病毒病(COVID-19)大流行增加了AFAB年轻人抑郁和性生殖疾病的风险,同时也阻碍了他们获得医疗保健服务。研究结果表明,无论抑郁程度或是否存在性生殖健康风险,视频会议可能是推进研究和解决这一人群未满足的性生殖健康需求的可接受选择。
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引用次数: 0
Tele-health, tele-exercise and tele-assessment: an example of a fitness app for individuals with spinal cord injury. 远程保健、远程锻炼和远程评估:针对脊髓损伤患者的健身应用程序示例。
Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-01 DOI: 10.21037/mhealth-23-21
Rodrigo Rodrigues Gomes Costa, Frederico Ribeiro Neto, Ciro Winckler
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引用次数: 0
User-centered preferences for a gait-informed alcohol intoxication app. 以用户为中心的偏好为步态通知酒精中毒应用程序。
Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-01 DOI: 10.21037/mhealth-21-55
Allison Borges, Celeste Caviness, Ana M Abrantes, Debra Herman, Kristin Grimone, Emmanuel Agu, Michael D Stein

Background: mHealth technology can be used as a potential intervention for alcohol-related consequences. Applications designed to monitor alcohol use and relay information to the user may help to reduce risky behavior. Acceptability of such applications needs to be assessed.

Methods: Survey data from 139 participants (29.8 years on average, 58% female) completing a single-session study for developing an application to detect blood alcohol concentration (BAC) from gait was analyzed to examine user preferences. Participants reported on their interest in an application for monitoring BAC from gait. Participants also reported on their preference for controlling features of the application. Acceptability and feasibility data were collected. Data were examined for the entire sample as well as differences in preference by age and gender were examined.

Results: The majority of the sample indicated that they were interested in using an mHealth application to infer BAC from their gait. Users were interested in being able to control features of the application, such as monitoring BAC and reporting information to other individuals. Adults, as compared to emerging adults, preferred the ability to turn off the BAC-monitoring feature of the app. Females reported a preference for an app that does not allow the user to turn off notifications for BAC as well as safety features of the app.

Conclusions: Results of the survey data indicate general interest in mHealth technology that monitors BAC from passive input. These results suggest that such an app may be accepted and used as an intervention for monitoring alcohol levels, which could mediate drinking and alcohol-related consequences.

背景:移动健康技术可作为酒精相关后果的潜在干预手段。设计用于监控酒精使用并将信息传递给用户的应用程序可能有助于减少危险行为。这些申请的可接受性需要评估。方法:对139名参与者(平均29.8岁,58%为女性)的调查数据进行分析,以检查用户偏好,这些参与者完成了一项单次研究,旨在开发一种从步态中检测血液酒精浓度(BAC)的应用程序。参与者报告了他们对从步态监测BAC的应用的兴趣。参与者还报告了他们对应用程序控制功能的偏好。收集可接受性和可行性数据。对整个样本的数据进行了检查,并对年龄和性别偏好的差异进行了检查。结果:大多数样本表明他们有兴趣使用移动健康应用程序从他们的步态中推断BAC。用户感兴趣的是能够控制应用程序的功能,例如监视BAC和向其他人报告信息。与初生成人相比,成年人更喜欢关闭应用程序的BAC监测功能。女性报告说,她们更喜欢不允许用户关闭BAC通知以及应用程序安全功能的应用程序。结论:调查数据的结果表明,人们对从被动输入监测BAC的移动健康技术感兴趣。这些结果表明,这样的应用程序可以被接受并用作监测酒精水平的干预措施,这可能会调节饮酒和酒精相关的后果。
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引用次数: 0
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