Journal of mobile technology in medicine最新文献_第10页

Setting the framework for intelligent apps 为智能应用设置框架

Journal of mobile technology in medicine

Pub Date : 2014-07-28 DOI: 10.7309/JMTM.3.2.1

R. Chakrabarti, C. Perera

It is with great privilege that we present this second issue of the Journal for the year with a poignant publication on the framework of app development by Marvel et al. Many of our readership audience, who themselves are app developers are overtly aware of the need for closer examination of app quality over quantity. Recent reviews of apps in medical subspecialties have highlighted deficiencies in what is largely an unsolicited market. Issues that have emerged on review of medical apps include scientific accuracy of content, achieving the intended objectives, paucity of peer review/ expert involvement, and consideration of the needs the end-user. Regulation of medical apps in particular is tantamount given they are readily accessible to a public audience. Thus misleading information or inaccuracies of the app may have ramifications upon individual health directly.

我们非常荣幸地在今年的第二期《华尔街日报》上发表了一篇关于Marvel等人的应用程序开发框架的尖锐文章。我们的许多读者(他们本身就是应用开发者)都清楚地意识到，比起数量，我们更需要审视应用的质量。最近对医疗亚专业应用程序的评论凸显了这个基本上是不请自来的市场的缺陷。医疗应用审查中出现的问题包括内容的科学准确性、实现预期目标、缺乏同行评审/专家参与以及对最终用户需求的考虑。对医疗应用程序的监管尤其重要，因为它们很容易被公众使用。因此，应用程序的误导性信息或不准确性可能直接影响个人健康。

引用次数: 1

USE OF SMARTPHONES AMONG MEDICAL STUDENTS IN THE CLINICAL YEARS AT A MEDICAL SCHOOL IN SUB- SAHARA AFRICA :A PILOT STUDY 撒哈拉以南非洲一所医学院临床年医科学生使用智能手机的情况:一项试点研究

Journal of mobile technology in medicine

Pub Date : 2014-07-28 DOI: 10.7309/JMTM.3.2.5

A. Nasiru, Mohammad, FWACPaed, A. Abiodun, I. Taofeeq

Nasiru A Ibrahim, MBBS, FWACS, Mohammad Salisu, MBBS, FWACPaed, Abiodun A Popoola, MBBS, FWACS, Taofeeq I Ibrahim, MBBS Department of Surgery, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria; Department of Paediatrics, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria; Department of Radiology, Lagos State University College of Medicine, Ikeja, Lagos State, Nigeria; Federal Medical Centre, Ebute Metta, Lagos State, Nigeria Corresponding author: Nasiru A Ibrahim, Department of Surgery, Lagos State University College of Medicine, 1 4 Oba Akinjobi Street, Ikeja, Lagos State, Nigeria. Tel: 2348023044971, E-mail: ibrahimakanmu@yahoo.com

Nasiru A Ibrahim, MBBS, FWACS, Mohammad Salisu, MBBS, FWACPaed, Abiodun A Popoola, MBBS, FWACS, Taofeeq I Ibrahim, MBBS外科，拉各斯州立大学医学院，尼日利亚拉各斯州Ikeja;尼日利亚拉各斯州Ikeja拉各斯州立大学医学院儿科;尼日利亚拉各斯州Ikeja市拉各斯州立大学医学院放射学系;通讯作者:Nasiru A Ibrahim，尼日利亚拉各斯州Ikeja Oba Akinjobi街14号拉各斯州立大学医学院外科学系。电话:2348023044971，邮箱:ibrahimakanmu@yahoo.com

引用次数: 28

THE ROLE OF SMARTPHONES IN THE RECORDING AND DISSEMINATION OF MEDICAL IMAGES 智能手机在记录和传播医学图像中的作用

Journal of mobile technology in medicine

Pub Date : 2014-07-28 DOI: 10.7309/JMTM.3.2.7

Michael Kirk, Sarah R Hunter-Smith, Katrina M. Smith, D. Hunter-Smith

Background:Smartphones have evolved rapidly in the medical profession, and can now produce highquality medical images, providing a quick and simple method of image distribution. This has thepotential to improve clinical care of patients, but comes with specific ethical and medico-legalconsiderations that include issues of confidentiality, privacy and policy control.Aim: To quantify the use, distribution and storage of medical images taken using smartphones byclinicians, along with their perceptions regarding policies, practices and patient care.Methods: All clinicians and medical students employed or undergoing rotation at Peninsula Healthduring March 2012 were asked to participate in a de-identified, 36 item, online survey administeredby SurveyMonkey. The survey questioned respondent’s demographics, and issues surrounding therecording and dissemination of medical images using smartphones.Results: 134 responses were received. Most respondents were from the surgical discipline, followedby medicine, then emergency. Sixty five per cent admitted to taking medical images on theirsmartphones, yet no consent was obtained in almost a quarter (24%). When consent was taken, itwas predominantly verbal, but only documented 23% of the time. Of those who took medicalimages, 64% stored them personally and 82% shared them with someone else, mostly for input fromanother clinician. Forty three per cent were aware that an institutional policy existed, but only 28%had read the policy.Conclusion: Whilst the use of smartphones in a hospital setting is inevitable, the results obtainedhighlight issues related to privacy, confidentiality and patient care. This study will enable discussionand formulation of an evidence-based hospital policy

背景:智能手机在医疗行业发展迅速，现在可以产生高质量的医学图像，提供了一种快速简单的图像分发方法。这有可能改善患者的临床护理，但也会带来具体的伦理和医学法律方面的考虑，包括保密、隐私和政策控制等问题。目的:量化临床医生使用智能手机拍摄的医学图像的使用、分发和存储情况，以及他们对政策、做法和患者护理的看法。方法:2012年3月在半岛医疗中心工作或轮岗的所有临床医生和医学生都被要求参加一项由SurveyMonkey管理的36项匿名在线调查。该调查询问了受访者的人口统计数据，以及使用智能手机记录和传播医学图像的相关问题。结果:共收到134份回复。大多数受访者来自外科学科，其次是内科，然后是急诊。65%的人承认用智能手机拍摄过医学图像，但有近四分之一(24%)的人没有征得同意。当同意被采纳时，它主要是口头的，但只有23%的时间记录在案。在那些拍摄医学图像的人中，64%的人将其存储在个人中，82%的人与他人分享，主要是为了从其他临床医生那里获得信息。43%的人知道存在制度性政策，但只有28%的人读过该政策。结论:虽然在医院环境中使用智能手机是不可避免的，但获得的结果突出了与隐私、保密和患者护理相关的问题。本研究将促进循证医院政策的讨论和制定

{"title":"THE ROLE OF SMARTPHONES IN THE RECORDING AND DISSEMINATION OF MEDICAL IMAGES","authors":"Michael Kirk, Sarah R Hunter-Smith, Katrina M. Smith, D. Hunter-Smith","doi":"10.7309/JMTM.3.2.7","DOIUrl":"https://doi.org/10.7309/JMTM.3.2.7","url":null,"abstract":"Background:Smartphones have evolved rapidly in the medical profession, and can now produce highquality medical images, providing a quick and simple method of image distribution. This has thepotential to improve clinical care of patients, but comes with specific ethical and medico-legalconsiderations that include issues of confidentiality, privacy and policy control.Aim: To quantify the use, distribution and storage of medical images taken using smartphones byclinicians, along with their perceptions regarding policies, practices and patient care.Methods: All clinicians and medical students employed or undergoing rotation at Peninsula Healthduring March 2012 were asked to participate in a de-identified, 36 item, online survey administeredby SurveyMonkey. The survey questioned respondent’s demographics, and issues surrounding therecording and dissemination of medical images using smartphones.Results: 134 responses were received. Most respondents were from the surgical discipline, followedby medicine, then emergency. Sixty five per cent admitted to taking medical images on theirsmartphones, yet no consent was obtained in almost a quarter (24%). When consent was taken, itwas predominantly verbal, but only documented 23% of the time. Of those who took medicalimages, 64% stored them personally and 82% shared them with someone else, mostly for input fromanother clinician. Forty three per cent were aware that an institutional policy existed, but only 28%had read the policy.Conclusion: Whilst the use of smartphones in a hospital setting is inevitable, the results obtainedhighlight issues related to privacy, confidentiality and patient care. This study will enable discussionand formulation of an evidence-based hospital policy","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"40-45"},"PeriodicalIF":0.0,"publicationDate":"2014-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71136478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Validation of a Portable Electronic Visual Acuity System 便携式电子视力系统的验证

Journal of mobile technology in medicine

Pub Date : 2014-07-28 DOI: 10.7309/JMTM.3.2.6

Mbbs Pavindran A Gounder, Mbbs Eliza Cole, Mbbs Franzco Stephen Colley, D. Hille

Background: The use of tablet devices and smartphones in medicine as assessment tools is becoming more widespread. These devices now run mobile applications or ‘‘apps’’ that have traditionally been the domain of desktop computers or more dedicated hardware. It is important that health professionals have confidence in the accuracy of measurements obtained from these new tools. The ‘‘EyeSnellen’’ app for the iPhone/iPad (running Apple Inc’s iOS operating system) allows users to measure visual acuity using a portable Snellen chart installed on a tablet device. Aims: To compare the visual acuity measurements obtained from EyeSnellen iPad app with a standard illuminated Snellen Chart. Methods: Participants were recruited from a tertiary level eye clinic in Western Australia. Visual acuity was measured using the Snellen light box chart and a visual acuity measurement was obtained using EyeSnellen app installed on an Apple iPad mini with the use of an Apple Iphone as a remote that was connected via Bluetooth. Results: 122 eyes were tested. Bland-Altman analysis revealed a mean difference of 0.001 logMAR units between the visual acuity measurements obtained from EyeSnellen app and those taken on the light box chart with 95% limits of agreement of 0.169 to 0.171. Conclusion: The Snellen Chart function on EyeSnellen app is equivalent to the traditional Snellen chart at measuring visual acuity at a test distance of 6 metres.

背景:在医学中使用平板设备和智能手机作为评估工具正变得越来越普遍。这些设备现在运行移动应用程序或“应用程序”，这些应用程序传统上属于台式电脑或更专用的硬件领域。重要的是，卫生专业人员对从这些新工具获得的测量结果的准确性有信心。用于iPhone/iPad(运行苹果公司的iOS操作系统)的“EyeSnellen”应用程序允许用户使用安装在平板设备上的便携式Snellen表来测量视力。目的:比较eyeesnellen iPad应用程序与标准照明Snellen表的视力测量结果。方法:参与者从西澳大利亚州的一家三级眼科诊所招募。使用Snellen灯箱表测量视力，使用安装在Apple iPad mini上的EyeSnellen应用程序测量视力，使用Apple Iphone作为通过蓝牙连接的遥控器。结果:共检查122只眼。Bland-Altman分析显示，eyeesnellen应用程序获得的视力测量值与灯箱图上的测量值之间的平均差异为0.001 logMAR单位，95%的一致性限为0.169至0.171。结论:eyeesnellen app上的Snellen表功能与传统的Snellen表在测试距离为6米时测量视力的效果相当。

{"title":"Validation of a Portable Electronic Visual Acuity System","authors":"Mbbs Pavindran A Gounder, Mbbs Eliza Cole, Mbbs Franzco Stephen Colley, D. Hille","doi":"10.7309/JMTM.3.2.6","DOIUrl":"https://doi.org/10.7309/JMTM.3.2.6","url":null,"abstract":"Background: The use of tablet devices and smartphones in medicine as assessment tools is becoming more widespread. These devices now run mobile applications or ‘‘apps’’ that have traditionally been the domain of desktop computers or more dedicated hardware. It is important that health professionals have confidence in the accuracy of measurements obtained from these new tools. The ‘‘EyeSnellen’’ app for the iPhone/iPad (running Apple Inc’s iOS operating system) allows users to measure visual acuity using a portable Snellen chart installed on a tablet device. Aims: To compare the visual acuity measurements obtained from EyeSnellen iPad app with a standard illuminated Snellen Chart. Methods: Participants were recruited from a tertiary level eye clinic in Western Australia. Visual acuity was measured using the Snellen light box chart and a visual acuity measurement was obtained using EyeSnellen app installed on an Apple iPad mini with the use of an Apple Iphone as a remote that was connected via Bluetooth. Results: 122 eyes were tested. Bland-Altman analysis revealed a mean difference of 0.001 logMAR units between the visual acuity measurements obtained from EyeSnellen app and those taken on the light box chart with 95% limits of agreement of 0.169 to 0.171. Conclusion: The Snellen Chart function on EyeSnellen app is equivalent to the traditional Snellen chart at measuring visual acuity at a test distance of 6 metres.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"35-39"},"PeriodicalIF":0.0,"publicationDate":"2014-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71136497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Epilepsy Treatment Simplified through Mobile Ketogenic Diet Planning. 通过移动生酮饮食计划简化癫痫治疗。

Journal of mobile technology in medicine

Pub Date : 2014-07-01 DOI: 10.7309/jmtm.3.2.3

Hanzhou Li, Jeffrey L Jauregui, Cagla Fenton, Claire M Chee, A G Christina Bergqvist

Background: The Ketogenic Diet (KD) is an effective, alternative treatment for refractory epilepsy. This high fat, low protein and carbohydrate diet mimics the metabolic and hormonal changes that are associated with fasting.

Aims: To maximize the effectiveness of the KD, each meal is precisely planned, calculated, and weighed to within 0.1 gram for the average three-year duration of treatment. Managing the KD is time-consuming and may deter caretakers and patients from pursuing or continuing this treatment. Thus, we investigated methods of planning KD faster and making the process more portable through mobile applications.

Methods: Nutritional data was gathered from the United States Department of Agriculture (USDA) Nutrient Database. User selected foods are converted into linear equations with n variables and three constraints: prescribed fat content, prescribed protein content, and prescribed carbohydrate content. Techniques are applied to derive the solutions to the underdetermined system depending on the number of foods chosen.

Results: The method was implemented on an iOS device and tested with varieties of foods and different number of foods selected. With each case, the application's constructed meal plan was within 95% precision of the KD requirements.

Conclusion: In this study, we attempt to reduce the time needed to calculate a meal by automating the computation of the KD via a linear algebra model. We improve upon previous KD calculators by offering optimal suggestions and incorporating the USDA database. We believe this mobile application will help make the KD and other dietary treatment preparations less time consuming and more convenient.

背景:生酮饮食(KD)是治疗难治性癫痫的一种有效的替代疗法。这种高脂肪、低蛋白质和碳水化合物的饮食模仿了与禁食相关的代谢和激素变化。目的:为了最大限度地提高KD的有效性，在平均三年的治疗期间，每顿饭都被精确地计划、计算和称重到0.1克以内。管理KD是耗时的，可能会阻止护理人员和患者追求或继续这种治疗。因此，我们研究了更快地规划KD的方法，并通过移动应用程序使该过程更加便携。方法:营养数据来自美国农业部(USDA)营养数据库。用户选择的食物被转换成具有n个变量和三个约束条件的线性方程:规定的脂肪含量、规定的蛋白质含量和规定的碳水化合物含量。根据所选食物的数量，应用技术推导出欠定系统的解。结果:该方法在iOS设备上实现，并进行了多种食物和不同食物选择数量的测试。在每种情况下，应用程序构建的膳食计划都在95%的KD要求精度内。结论:在本研究中，我们试图通过线性代数模型自动计算KD来减少计算一顿饭所需的时间。我们通过提供最佳建议和纳入USDA数据库来改进以前的KD计算器。我们相信这个移动应用程序将帮助KD和其他膳食治疗制剂更省时，更方便。

{"title":"Epilepsy Treatment Simplified through Mobile Ketogenic Diet Planning.","authors":"Hanzhou Li, Jeffrey L Jauregui, Cagla Fenton, Claire M Chee, A G Christina Bergqvist","doi":"10.7309/jmtm.3.2.3","DOIUrl":"https://doi.org/10.7309/jmtm.3.2.3","url":null,"abstract":"Background: The Ketogenic Diet (KD) is an effective, alternative treatment for refractory epilepsy. This high fat, low protein and carbohydrate diet mimics the metabolic and hormonal changes that are associated with fasting.Aims: To maximize the effectiveness of the KD, each meal is precisely planned, calculated, and weighed to within 0.1 gram for the average three-year duration of treatment. Managing the KD is time-consuming and may deter caretakers and patients from pursuing or continuing this treatment. Thus, we investigated methods of planning KD faster and making the process more portable through mobile applications.Methods: Nutritional data was gathered from the United States Department of Agriculture (USDA) Nutrient Database. User selected foods are converted into linear equations with n variables and three constraints: prescribed fat content, prescribed protein content, and prescribed carbohydrate content. Techniques are applied to derive the solutions to the underdetermined system depending on the number of foods chosen.Results: The method was implemented on an iOS device and tested with varieties of foods and different number of foods selected. With each case, the application's constructed meal plan was within 95% precision of the KD requirements.Conclusion: In this study, we attempt to reduce the time needed to calculate a meal by automating the computation of the KD via a linear algebra model. We improve upon previous KD calculators by offering optimal suggestions and incorporating the USDA database. We believe this mobile application will help make the KD and other dietary treatment preparations less time consuming and more convenient.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 2","pages":"11-15"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5546754/pdf/nihms884675.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35255038","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: 5

Policy Panel: Opportunities and Challenges Related to Using Technology-based Interventions for HIV Prevention and Care 政策小组:与使用基于技术的干预措施进行艾滋病毒预防和护理有关的机遇和挑战

Journal of mobile technology in medicine

Pub Date : 2014-05-30 DOI: 10.7309/JMTM.3.1S.7

K. Farrell, I. Holloway

The purpose of the policy panel session was to gather experts in health technology development, HIV service delivery, and law and policy to discuss the benefits and challenges of providing technology-based HIV prevention and care, with a particular focus on health information security and privacy protection. The key discussion questions were: What are the primary concerns of clients regarding privacy and to what extent do clients have control over their private health information? What are the necessary precautions that clients can take to ensure that their health information is kept private? How can technology companies who interact with researchers and healthcare providers improve their privacy protections for clients?

政策小组会议的目的是召集卫生技术开发、艾滋病毒服务提供以及法律和政策方面的专家，讨论提供基于技术的艾滋病毒预防和护理的好处和挑战，特别侧重于卫生信息安全和隐私保护。关键的讨论问题是:客户对隐私的主要关注是什么?客户在多大程度上控制了他们的私人健康信息?客户可以采取哪些必要的预防措施来确保他们的健康信息保密?与研究人员和医疗保健提供者互动的科技公司如何改善对客户的隐私保护?

引用次数: 0

USING TEXT MESSAGING TO REDUCE METHAMPHETAMINE USE AND SEXUAL RISK BEHAVIORS AND INCREASE ART ADHERENCE AMONG MEN WHO HAVE SEX WITH MEN 使用短信减少甲基苯丙胺的使用和性危险行为，并增加男男性行为者的艺术依从性

Journal of mobile technology in medicine

Pub Date : 2014-05-30 DOI: 10.7309/JMTM.3.1S.6

C. Reback

Methamphetamine use among MSM is deeply integrated into socio-sexual networks including physical risk venues such as circuit parties, sex clubs, and bathhouses and digital spaces such as cell phone applications, websites, and digital chat rooms to ‘‘hook up’’ for sex. Thus, methamphetamine use is highly associated with HIV infection due specifically to concomitant high-risk sexual behaviors that occur while using the drug. Textmessaging is a feasible and sustainable approach for targeting high-risk, methamphetamine-using MSM; particularly, those who fail to attend face-to-face or site-based interventions. A real-time text-messaging intervention capitalizes on a communication channel to which this population will attend at the exact time they are most likely to make high-risk sexual decisions. In the Stage I (N 52) open label pilot study there were significant decreases in frequency of methamphetamine use and unprotected sex while on methamphetamine (both p B.01), and a significant increase in self-reported abstinence from methamphetamine use (13.3% vs. 48.9%; p B.001) from baseline to follow-up. Additionally, participants reported reductions of unprotected anal intercourse with HIV-positive partners (p B.01); with HIV-negative partners, participants reported fewer insertive and receptive episodes (both p B.05). The Stage II randomized controlled trial, which will begin enrollment in February 2014, will assess the impact of the theory-based text-messaging intervention on reductions in methamphetamine use and HIV sexual risk behavior and, for the HIV-infected participants, simultaneously increases in HIV antiretroviral treatment/adherence, and determine the cost effectiveness of the text-messaging intervention. Participants will receive text messages that are personally tailored to fit their risk profile. Participants will be randomized into one of three conditions: Group 1: culturally relevant theory-based text messages interactively transmitted by peer health educators; or, Group 2: the same culturally relevant theory-based text messages transmitted by automation; or, Group 3: assessment-only control with no theoretically based text messages.

男男性接触者使用甲基苯丙胺深深融入了社会性网络，包括物理风险场所，如巡回派对、性俱乐部、澡堂和数字空间，如手机应用程序、网站和数字聊天室，以“勾搭”性行为。因此，甲基苯丙胺的使用与艾滋病毒感染高度相关，特别是由于在使用该药物时发生的高危性行为。发短信是针对高风险、使用甲基苯丙胺的男男性行为者的一种可行和可持续的方法;特别是那些没有参加面对面或现场干预的人。实时短信干预利用了一种沟通渠道，在人们最有可能做出高风险性决定的时候，他们会参加这种交流渠道。在I期(N 52)开放标签试点研究中，甲基苯丙胺使用频率和无保护的性行为在甲基苯丙胺使用期间显著降低(p b.p 01)，自我报告戒断甲基苯丙胺使用的频率显著增加(13.3% vs. 48.9%;p B.001)从基线到随访。此外，参与者报告与艾滋病毒阳性伴侣无保护肛交的减少(p B.01);对于hiv阴性伴侣，参与者报告的插入性和接受性发作较少(p b.p 05)。第二阶段随机对照试验将于2014年2月开始招募，将评估基于理论的短信干预对减少甲基苯丙胺使用和艾滋病毒性风险行为的影响，并对感染艾滋病毒的参与者，同时增加艾滋病毒抗逆转录病毒治疗/坚持治疗的影响，并确定短信干预的成本效益。参与者将收到根据他们的风险状况量身定制的短信。参与者将被随机分为三组:第一组:由同伴健康教育者互动传播的基于文化相关理论的短信;或第二组:由自动化传输的基于相同文化相关理论的文本信息;第三组:只进行评估的控制，没有基于理论的短信。

{"title":"USING TEXT MESSAGING TO REDUCE METHAMPHETAMINE USE AND SEXUAL RISK BEHAVIORS AND INCREASE ART ADHERENCE AMONG MEN WHO HAVE SEX WITH MEN","authors":"C. Reback","doi":"10.7309/JMTM.3.1S.6","DOIUrl":"https://doi.org/10.7309/JMTM.3.1S.6","url":null,"abstract":"Methamphetamine use among MSM is deeply integrated into socio-sexual networks including physical risk venues such as circuit parties, sex clubs, and bathhouses and digital spaces such as cell phone applications, websites, and digital chat rooms to ‘‘hook up’’ for sex. Thus, methamphetamine use is highly associated with HIV infection due specifically to concomitant high-risk sexual behaviors that occur while using the drug. Textmessaging is a feasible and sustainable approach for targeting high-risk, methamphetamine-using MSM; particularly, those who fail to attend face-to-face or site-based interventions. A real-time text-messaging intervention capitalizes on a communication channel to which this population will attend at the exact time they are most likely to make high-risk sexual decisions. In the Stage I (N 52) open label pilot study there were significant decreases in frequency of methamphetamine use and unprotected sex while on methamphetamine (both p B.01), and a significant increase in self-reported abstinence from methamphetamine use (13.3% vs. 48.9%; p B.001) from baseline to follow-up. Additionally, participants reported reductions of unprotected anal intercourse with HIV-positive partners (p B.01); with HIV-negative partners, participants reported fewer insertive and receptive episodes (both p B.05). The Stage II randomized controlled trial, which will begin enrollment in February 2014, will assess the impact of the theory-based text-messaging intervention on reductions in methamphetamine use and HIV sexual risk behavior and, for the HIV-infected participants, simultaneously increases in HIV antiretroviral treatment/adherence, and determine the cost effectiveness of the text-messaging intervention. Participants will receive text messages that are personally tailored to fit their risk profile. Participants will be randomized into one of three conditions: Group 1: culturally relevant theory-based text messages interactively transmitted by peer health educators; or, Group 2: the same culturally relevant theory-based text messages transmitted by automation; or, Group 3: assessment-only control with no theoretically based text messages.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"8-8"},"PeriodicalIF":0.0,"publicationDate":"2014-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71135846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Socially Optimized Learning in Virtual Environments (SOLVE): Developing, Evaluating, and Disseminating A Game HIV Prevention Intervention Nationally Over the Web 虚拟环境中的社会优化学习(SOLVE):通过网络在全国范围内开发、评估和传播一种游戏HIV预防干预

Journal of mobile technology in medicine

Pub Date : 2014-05-30 DOI: 10.7309/JMTM.3.1S.2

L. Miller, John L. Christensen, P. Appleby, S. Read, S. Marsella, Charisse L. Corsbie-Massay, C. Godoy, Mei Si, Janeane N. Anderson, David C. Jeong, Mina Park

Young men (1824) who have sex with men (YMSM) are at high risk for contracting HIV. Most existing HIV prevention interventions focus on changing intervening cognitive and deliberative processes or outcomes (e.g., beliefs, norms, self-efficacy, intentions) to change behavior. Many MSM, however, guided by contextual cues in emotionally arousing scenarios, make more automatic risky decisions they later regret. One emotion in a sexual narrative that might precipitate more automatic risky choices for young MSM may be shame (e.g., in one’s sexual desires). But, HIV prevention interventions are not designed to reduce MSM’s shame. SOLVE (Socially Optimized Learning in Virtual Environments), as demonstrated by an NIAID-funded randomized control trial, used a sex-positive game to reduce MSM’s shame, increase traditional immediate cognitive outcomes, and reduce unprotected anal intercourse for young Black, Latino, and White MSM (1824) over 3 months. Could interactive interventions be delivered more broadly over the web? In prior CHRP funded work, a SOLVE interactive video (IAV) intervention was streamed over the web throughout California. However, an IAV approach limits the amount of user interaction, risk challenges users receive, and intervention tailoring to MSM’s decisions. This is addressed using a nationally deliverable 3D animated intelligent agents/interactive digital storytelling game in UNITY. MSM design their own characters, make choices for them on dates and sexual interactions, and are scaffolded by the user character’s virtual future self (participant’s older chosen self-character) to enhance self-regulation when risky. The NIMH-funded SOLVE-IT game development process for young MSM is discussed. Preliminary results from a 6-month randomized controlled trial conducted nationally, over the web, are promising.

年轻男性(1824)与男性发生性关系(YMSM)感染艾滋病毒的风险很高。大多数现有的艾滋病毒预防干预措施侧重于改变干预的认知和审议过程或结果(如信仰、规范、自我效能、意图)，以改变行为。然而，许多男同性恋者在情绪激动的场景中受到情境线索的引导，做出了更多自动的冒险决定，他们后来会后悔。在性叙事中，有一种情绪可能会促使年轻的男同性恋者自动做出更冒险的选择，那就是羞耻(例如，对自己的性欲)。但是，艾滋病预防干预并不是为了减少男同性恋者的羞耻感而设计的。在niaid资助的一项随机对照试验中，SOLVE(虚拟环境中的社会优化学习)使用一种性阳性游戏来减少MSM的羞耻感，增加传统的即时认知结果，并减少年轻黑人、拉丁裔和白人MSM(1824)在3个月内的无保护肛交。互动式干预能否通过网络更广泛地传播?在先前CHRP资助的工作中，SOLVE交互式视频(IAV)干预在整个加利福尼亚州的网络上进行了流式传输。然而，IAV方法限制了用户交互的数量，用户接受的风险挑战，以及根据MSM的决定进行干预。这是通过在UNITY中使用全国性的3D动画智能代理/交互式数字故事游戏来解决的。MSM设计他们自己的角色，为他们在约会和性互动中做出选择，并由用户角色的虚拟未来自我(参与者的老选择的自我角色)作为脚手架，以增强风险时的自我调节。本文讨论了nimh资助的针对年轻男男性行为者的SOLVE-IT游戏开发过程。在全国范围内通过网络进行的为期6个月的随机对照试验的初步结果很有希望。

{"title":"Socially Optimized Learning in Virtual Environments (SOLVE): Developing, Evaluating, and Disseminating A Game HIV Prevention Intervention Nationally Over the Web","authors":"L. Miller, John L. Christensen, P. Appleby, S. Read, S. Marsella, Charisse L. Corsbie-Massay, C. Godoy, Mei Si, Janeane N. Anderson, David C. Jeong, Mina Park","doi":"10.7309/JMTM.3.1S.2","DOIUrl":"https://doi.org/10.7309/JMTM.3.1S.2","url":null,"abstract":"Young men (1824) who have sex with men (YMSM) are at high risk for contracting HIV. Most existing HIV prevention interventions focus on changing intervening cognitive and deliberative processes or outcomes (e.g., beliefs, norms, self-efficacy, intentions) to change behavior. Many MSM, however, guided by contextual cues in emotionally arousing scenarios, make more automatic risky decisions they later regret. One emotion in a sexual narrative that might precipitate more automatic risky choices for young MSM may be shame (e.g., in one’s sexual desires). But, HIV prevention interventions are not designed to reduce MSM’s shame. SOLVE (Socially Optimized Learning in Virtual Environments), as demonstrated by an NIAID-funded randomized control trial, used a sex-positive game to reduce MSM’s shame, increase traditional immediate cognitive outcomes, and reduce unprotected anal intercourse for young Black, Latino, and White MSM (1824) over 3 months. Could interactive interventions be delivered more broadly over the web? In prior CHRP funded work, a SOLVE interactive video (IAV) intervention was streamed over the web throughout California. However, an IAV approach limits the amount of user interaction, risk challenges users receive, and intervention tailoring to MSM’s decisions. This is addressed using a nationally deliverable 3D animated intelligent agents/interactive digital storytelling game in UNITY. MSM design their own characters, make choices for them on dates and sexual interactions, and are scaffolded by the user character’s virtual future self (participant’s older chosen self-character) to enhance self-regulation when risky. The NIMH-funded SOLVE-IT game development process for young MSM is discussed. Preliminary results from a 6-month randomized controlled trial conducted nationally, over the web, are promising.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"4-4"},"PeriodicalIF":0.0,"publicationDate":"2014-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71135983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

HOW TECHNOLOGY REDUCES THE RISK-TAKING OF HOMELESS YOUTH 科技如何减少无家可归的年轻人的冒险行为

Journal of mobile technology in medicine

Pub Date : 2014-05-30 DOI: 10.7309/JMTM.3.1S.5

E. Rice

BACKGROUND Homeless youth are at extreme risk for HIV/AIDS. Their risk taking behaviors have consistently been linked to their engagement with risk-taking peer networks. Modern communication technologies such as social media, cell phones, and email have changed what it means to be homeless. Youth today are not limited to connecting only with other high-risk youth, in person on the streets. Now, technologyusing youth are able to connect to pro-social networks comprised of family and friends who are not involved in the high-risk activities of street life.

无家可归的青少年感染艾滋病毒/艾滋病的风险极高。他们的冒险行为一直与他们参与冒险同伴网络有关。现代通信技术，如社交媒体、手机和电子邮件，已经改变了无家可归者的定义。今天的年轻人不仅仅局限于与其他高风险的年轻人在街上面对面交流。现在，使用科技的年轻人能够连接到亲社会的网络，由家人和朋友组成，他们不参与街头生活的高风险活动。

引用次数: 0

HIV Prevention is 215 Feet Away: Developing Geosocial Networking Interventions for Young Gay, Bisexual and Other Men Who Have Sex With Men 艾滋病预防在215英尺之外:为年轻同性恋、双性恋和其他男男性行为者开发地理社交网络干预

Journal of mobile technology in medicine

Pub Date : 2014-05-30 DOI: 10.7309/JMTM.3.1S.4

I. Holloway

HIV continues to rise among young gay, bisexual and other men who have sex with men (YMSM) despite current prevention efforts. Increasingly, YMSM are using smartphone applications (‘‘apps’’) to communicate with friends, meet romantic partners and seek information about health. A growing number of apps for YMSM contain a geosocial networking component, allowing users to send text messages, photos and pin drops to other users according to geographic proximity. These apps are becoming increasingly specialized for targeted subpopulations of MSM and attract millions of users worldwide. Our research team used the geolocation feature of a popular app to recruit a probability sample of YMSM (ages 18-24; N195) in Southern California. Participants completed an anonymous online survey on a variety of topics, including sexual health and technology use. YMSM in our study were single (87%), educated (85% college degree or higher), gay-identified (87%) and largely out to family and friends (94%). Over three-quarters had used the app to meet a sexual partner and 29% indicated their primary reason for using the app was to ‘‘hook up.’’ However, YMSM also used the app to connect to the gay community (65%), make new friends (80%) and kill time when bored (86%). Eighty-eight percent of users logged onto the app daily (50% logged on five or more times a day); 46% used at least one other gay geosocial networking app and 70% indicated willingness to receive HIV prevention information via smartphone. Results indicate that geosocial networking apps represent a prime opportunity for discreet, targeted outreach for YMSM. Possible functionality could include geolocation-based HIV test finders, automated behavioral and biomedical prevention reminders, gay-specific content on health and well-being and network-based health promotion. Future community-based research with YMSM and smartphone app companies on optimal design and functionality of geosocial networking interventions for YMSM is needed.

尽管目前采取了预防措施，但艾滋病毒在年轻同性恋、双性恋和其他男男性行为者(YMSM)中的感染率仍在上升。越来越多的YMSM使用智能手机应用程序(“应用程序”)与朋友交流，与恋人会面并寻求健康信息。越来越多的YMSM应用程序包含地理社交网络组件，允许用户根据地理位置向其他用户发送短信、照片和pin drop。这些应用程序正变得越来越专门针对MSM的目标人群，并吸引了全球数百万用户。我们的研究团队使用了一款流行应用的地理定位功能，招募了一组YMSM(年龄在18-24岁;N195)在南加州。参与者完成了一项关于性健康和技术使用等各种主题的匿名在线调查。在我们的研究中，YMSM是单身(87%)，受过教育(85%大学或更高学历)，同性恋(87%)，主要是向家人和朋友出柜(94%)。超过四分之三的人使用这款应用与性伴侣见面，29%的人表示他们使用这款应用的主要原因是“勾搭”。然而，YMSM也用这款应用与同性恋社区联系(65%)，结交新朋友(80%)，消磨时间(86%)。88%的用户每天登录应用程序(50%的用户每天登录5次以上);46%的人至少使用一个其他同性恋地理社交网络应用程序，70%的人表示愿意通过智能手机接收艾滋病预防信息。结果表明，地理社交网络应用程序代表了一个谨慎的、有针对性的推广YMSM的主要机会。可能的功能包括基于地理位置的艾滋病毒检测发现、自动行为和生物医学预防提醒、针对同性恋的健康和福祉内容以及基于网络的健康促进。未来需要与YMSM和智能手机应用公司一起开展基于社区的研究，以优化YMSM的地理社交网络干预设计和功能。

{"title":"HIV Prevention is 215 Feet Away: Developing Geosocial Networking Interventions for Young Gay, Bisexual and Other Men Who Have Sex With Men","authors":"I. Holloway","doi":"10.7309/JMTM.3.1S.4","DOIUrl":"https://doi.org/10.7309/JMTM.3.1S.4","url":null,"abstract":"HIV continues to rise among young gay, bisexual and other men who have sex with men (YMSM) despite current prevention efforts. Increasingly, YMSM are using smartphone applications (‘‘apps’’) to communicate with friends, meet romantic partners and seek information about health. A growing number of apps for YMSM contain a geosocial networking component, allowing users to send text messages, photos and pin drops to other users according to geographic proximity. These apps are becoming increasingly specialized for targeted subpopulations of MSM and attract millions of users worldwide. Our research team used the geolocation feature of a popular app to recruit a probability sample of YMSM (ages 18-24; N195) in Southern California. Participants completed an anonymous online survey on a variety of topics, including sexual health and technology use. YMSM in our study were single (87%), educated (85% college degree or higher), gay-identified (87%) and largely out to family and friends (94%). Over three-quarters had used the app to meet a sexual partner and 29% indicated their primary reason for using the app was to ‘‘hook up.’’ However, YMSM also used the app to connect to the gay community (65%), make new friends (80%) and kill time when bored (86%). Eighty-eight percent of users logged onto the app daily (50% logged on five or more times a day); 46% used at least one other gay geosocial networking app and 70% indicated willingness to receive HIV prevention information via smartphone. Results indicate that geosocial networking apps represent a prime opportunity for discreet, targeted outreach for YMSM. Possible functionality could include geolocation-based HIV test finders, automated behavioral and biomedical prevention reminders, gay-specific content on health and well-being and network-based health promotion. Future community-based research with YMSM and smartphone app companies on optimal design and functionality of geosocial networking interventions for YMSM is needed.","PeriodicalId":87305,"journal":{"name":"Journal of mobile technology in medicine","volume":"3 1","pages":"6-6"},"PeriodicalIF":0.0,"publicationDate":"2014-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71135766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2