Browsing by Author "Street, Richard L"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
- ItemFeasibility of a symptom management intervention for adolescents recovering from a hematopoietic stem cell transplant.(2013-08-21) Rodgers, Cheryl C; Krance, Robert; Street, Richard L; Hockenberry, Marilyn JBACKGROUND Adolescents undergoing a hematopoietic stem cell transplantation HSCT experience a variety of adverse effects and eating difficulties Few interventions exist to assist patients with self care after HSCT hospitalization The Eating After Transplant EAT program is a mobile phone applications developed to assist adolescents with self management of common eating related issues during HSCT recovery OBJECTIVE This study examined the acceptability and usability of the EAT program among adolescents and assessed the competency of the participants using the program after hospital discharge through the first 100 days after HSCT METHODS A repeated measures design was used to evaluate the EAT application with 16 adolescent patients recovering from an allogeneic HSCT Participants provided verbal feedback and used a Likert scale to rate acceptability and usability of the application In addition a tracking device monitored use of the application Competency was measured with orientation time and independent demonstration of use of the application RESULTS Acceptability remained high throughout the study but use significantly decreased over time Patients reported familiarity with the program s content as the reason for the declining use Competency was excellent with a short orientation period and independent demonstration throughout the study CONCLUSIONS A mobile phone application is a feasible intervention to educate adolescents with symptom management strategies Future research needs to examine factors affecting sustainability of use over time IMPLICATIONS FOR PRACTICE Healthcare providers need to continue to develop and evaluate innovative methods to educate adolescents on effective self care strategies throughout HSCT recovery
- ItemMitigating HIV health disparities: the promise of mobile health for a patient-initiated solution.(2014-11-13) Arya, Monisha; Kumar, Disha; Patel, Sajani; Street, Richard L; Giordano, Thomas Peter; Viswanath, KasisomayajulaThe HIV epidemic is an ongoing public health problem fueled in part by undertesting for HIV When HIV infected people learn their status many of them decrease risky behaviors and begin therapy to decrease viral load both of which prevent ongoing spread of HIV in the community Some physicians face barriers to testing their patients for HIV and would rather their patients ask them for the HIV test A campaign prompting patients to ask their physicians about HIV testing could increase testing A mobile health mHealth campaign would be a low cost accessible solution to activate patients to take greater control of their health especially populations at risk for HIV This campaign could achieve Healthy People 2020 objectives improve patient physician communication improve HIV testing and increase use of mHealth
- ItemSymptom prevalence and physiologic biomarkers among adolescents using a mobile phone intervention following hematopoietic stem cell transplantation.(2014-04-28) Rodgers, Cheryl C; Krance, Robert; Street, Richard L; Hockenberry, Marilyn JPURPOSE OBJECTIVES To examine symptom reports and physiologic parameters in adolescents using the Eating After Transplant EAT intervention during recovery after hematopoietic stem cell transplantation HSCT DESIGN Repeated measures design SETTING HSCT service at a pediatric teaching institution in the southern United States SAMPLE 16 adolescents recovering from a first time allogeneic HSCT METHODS Use of EAT was monitored electronically symptom reports were obtained from a questionnaire and physiologic parameters were obtained from the medical record at HSCT hospital discharge and 20 40 and 60 days postdischarge MAIN RESEARCH VARIABLES EAT use symptom prevalence symptom related distress and physiologic parameters including weight body mass index BMI pre albumin and albumin FINDINGS Symptom prevalence was highest at hospital discharge and steadily declined however mean symptom distress scores remained stable Mean weight and BMI significantly declined during the first 60 days postdischarge pre albumin and albumin markers were unchanged No correlation was noted among use of EAT and any research variables CONCLUSIONS The most frequent symptoms were not always the most distressing symptoms Weight and BMI significantly declined during HSCT recovery IMPLICATIONS FOR NURSING Nurses should assess symptom frequency and distress to fully understand patients symptom experiences Nurses should monitor weight and BMI throughout HSCT recovery