K4Health
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This Digital Health Resource Library houses three legacy collections previously maintained by the Knowledge for Health (K4Health) Project. K4Health’s work was made possible by the support of the American People through the United States Agency for International Development (USAID) . K4Health was supported from 2008-2019 by USAID's Office of Population and Reproductive Health, Bureau for Global Health, under cooperative agreements with the Johns Hopkins University. K4Health was implemented by the Johns Hopkins Center for Communication Programs (CCP) in collaboration with FHI 360, Management Sciences for Health (MSH), and IntraHealth International. The K4Health Project ended in September 2019.
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Browsing K4Health by Subject "Alcohol use"
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- ItemBalance--a pragmatic randomized controlled trial of an online intensive self-help alcohol intervention.(2014-01-15) Brendryen, Håvar; Lund, Ingunn Olea; Johansen, Ayna Beate; Riksheim, Marianne; Nesvåg, Sverre; Duckert, FannyAIMS To compare a brief versus a brief plus intensive self help version of Balance a fully automated online alcohol intervention on self reported alcohol consumption DESIGN A pragmatic randomized controlled trial Participants in both conditions received an online single session screening procedure including personalized normative feedback The control group also received an online booklet about the effects of alcohol The treatment group received the online multi session follow up program Balance SETTING Online study in Norway PARTICIPANTS At risk drinkers were recruited by internet advertisements and assigned randomly to one of the two conditions n 244 MEASUREMENTS The primary outcome was self reported alcohol consumption the previous week measured 6 months after screening FINDINGS Regression analysis using baseline carried forward imputation intent to treat with baseline variables as covariates showed that intervention significantly affected alcohol consumption at 6 months B 2 96 95 confidence interval 0 02 5 90 P 0 049 Participants in the intensive self help group drank an average of three fewer standard alcohol units compared with participants in the brief self help group CONCLUSIONS The online Balance intervention added to a brief online screening intervention may aid reduction in alcohol consumption compared with the screening intervention and an educational booklet
- ItemConcurrent drinking and smoking among college students: An event-level analysis.(2012-09-18) Witkiewitz, Katie; Desai, Sruti A; Steckler, Gillian; Jackson, Kristina M; Bowen, Sarah; Leigh, Barbara C; Larimer, Mary ECigarette smoking and drinking commonly co occur among college students a population that is at high risk for developing alcohol and nicotine use disorders Several studies have been conducted that have examined predictors of drinking or smoking to gain a better understanding of the antecedents of engaging in these behaviors Yet few studies have examined specific factors that influence concurrent smoking and drinking in this population The current study used data from a 21 day electronic diary based study of college students n 86 who engaged in concurrent drinking and smoking to examine event level associations between alcohol use and cigarette smoking in the student s natural environment We specifically focused on within person analyses of contexts in which students reported smoking and drinking simultaneously in comparison to contexts in which students reporting drinking without smoking Situational contexts included environmental setting whether s he was alone or with others and changes in stress and urges to smoke before initiating drinking Results indicated that students drank more while smoking and smoked three times as many cigarettes on average during drinking episodes Being with others at a party or a bar was associated with increased odds of smoking while drinking Likewise increased stress since the prior assessment predicted a greater likelihood of smoking while drinking Based on the findings from the present study it is important for future prevention and intervention efforts to consider social settings and heightened stress among students as potential risk factors for engaging in concurrent drinking and smoking
- ItemDeveloping a theory driven text messaging intervention for addiction care with user driven content.(2013-03-19) Muench, Frederick; Weiss, Rebecca A; Kuerbis, Alexis; Morgenstern, JonThe number of text messaging interventions designed to initiate and support behavioral health changes have been steadily increasing over the past 5 years Messaging interventions can be tailored and adapted to an individual s needs in their natural environment fostering just in time therapies and making them a logical intervention for addiction continuing care This study assessed the acceptability of using text messaging for substance abuse continuing care and the intervention preferences of individuals in substance abuse treatment in order to develop an interactive mobile text messaging intervention Fifty individuals enrolled in intensive outpatient substance abuse treatment completed an assessment battery relating to preferred logistics of mobile interventions behavior change strategies and types of messages they thought would be most helpful to them at different time points Results indicated that 98 participants were potentially interested in using text messaging as a continuing care strategy Participants wrote different types of messages that they perceived might be most helpful based on various hypothetical situations often encountered during the recovery process Although individuals tended to prefer benefit driven over consequence driven messages differences in the perceived benefits of change among individuals predicted message preference Implications for the development of mobile messaging interventions for the addictions are discussed PsycINFO Database Record c 2013 APA all rights reserved
- ItemExecutive functioning in alcoholics following an mHealth cognitive stimulation program: randomized controlled trial.(2014-04-18) Gamito, Pedro; Oliveira, Jorge; Lopes, Paulo; Brito, Rodrigo; Morais, Diogo; Silva, Diana; Silva, Ana; Rebelo, Sara; Bastos, Marta; Deus, AlbertoBACKGROUND The consequences of alcohol dependence are severe and may range from physical disease to neuropsychological deficits in several cognitive domains Alcohol abuse has also been related to brain dysfunction specifically in the prefrontal cortex Conventional neuropsychological interventions paper and pencil cognitive stimulation training have a positive effect but are time consuming costly and not motivating for patients OBJECTIVE Our goal was to test the cognitive effects of a novel approach to neuropsychological intervention using mobile technology and serious games on patients with alcohol dependence METHODS The trial design consisted of a two arm study assessing the cognitive outcomes of neuropsychological intervention with mobile serious games mHealth versus control treatment as usual with no neuropsychological intervention in patients undergoing treatment for alcohol dependence syndrome Sixty eight patients were recruited from an alcohol rehab clinic and randomly assigned to the mHealth n 33 or control condition n 35 The intervention on the experimental group consisted of a therapist assisted cognitive stimulation therapy for 4 weeks on a 2 3 days week basis RESULTS Fourteen patients dropped out of the study The results of the neuropsychological assessments with the remaining 54 patients showed an overall increase PUnder 05 of general cognitive abilities mental flexibility psychomotor processing speed and attentional ability in both experimental n 26 and control groups n 28 However there was a more pronounced improvement P 01 specifically in frontal lobe functions from baseline mean 13 89 SE 0 58 to follow up mean 15 50 SE 0 46 in the experimental group but not in the control group CONCLUSIONS The overall increase in general cognitive function for both experimental and control groups supports the beneficial role of existing alcohol treatment protocols aimed at minimizing withdrawal symptoms but the differential improvements observed in frontal lobe functioning supports the use of mobile serious games for neuropsychological stimulation to overcome executive dysfunction in patients with alcohol dependence This trial was negative on two neuropsychological cognitive tests and positive on one TRIAL REGISTRATION ClinicalTrials gov NCT01942954 http www clinicaltrials gov ct2 show NCT01942954
- ItemExplicating an evidence-based, theoretically informed, mobile technology-based system to improve outcomes for people in recovery for alcohol dependence.(2010-12-30) Gustafson, David H; Shaw, Bret R; Isham, Andrew; Baker, Timothy; Boyle, Michael G; Levy, MichaelPost treatment relapse to uncontrolled alcohol use is common Currently available communication technology can use existing models for relapse prevention to cost effectively improve long term relapse prevention This paper describes 1 research based elements of alcohol consumption related relapse prevention and how they can be encompassed in self determination theory SDT and Marlatt s cognitive behavioral relapse prevention model 2 how technology could help address the needs of people seeking recovery 3 a technology based prototype organized around sexual transmitted disease and Marlatt s model and 4 how we are testing a system based on the ideas in this article and related ethical and operational considerations
- ItemFactors associated with cell phone use in adolescents in the community of Madrid (Spain).(2009-04-13) Sánchez-Martínez, Mercedes; Otero, AngelThe purpose of this research is to measure cell phone use among high school adolescents and the factors associated with intensive cell phone use depressive symptoms social isolation drug and alcohol use school failure and cell phone dependence We conducted a cross sectional survey study of 1 328 adolescents aged 13 to 20 years in nine secondary schools of the Community of Madrid between January to April 2007 The mean age of sample participants was 15 7 years Almost all 96 5 had their own cell phone 80 5 had one and 15 9 had two or more Some 54 8 take it to school and 46 1 keep it on during class 41 7 use it intensively The estimated prevalence of cell phone dependence was 20 26 1 in females 13 in males Intensive cell phone use was associated with female sex rural school location good family economy smoking tobacco excessive alcohol consumption depression cell phone dependence and school failure More health education is needed to promote correct and effective cell phone use among adolescents Factors associated with intensive use and dependence should be considered for possible intervention activities
- ItemFeasibility of using text messaging for unhealthy behaviors screening in a clinical setting: a case study on adolescent hazardous alcohol use.(2013-02-12) Ríos-Bedoya, Carlos Francisco; Hay, CaseyUnderage alcohol use is the leading cause of preventable mortality among adolescents in the USA Moreover the average age of onset of underage drinking is 13 years This study examined the feasibility of using a text messaging survey TMS to assess adolescent alcohol use A sample of 29 adolescents aged 13 17 years was recruited from two primary care clinics They completed a 16 question TMS while in the waiting room and a two question exit TMS The participation rate was 87 Two out of 25 8 adolescents met the criteria for hazardous drinking and 28 reported alcohol use It was found that 38 and 25 of adolescents who completed the exit TMS were asked or advised about drinking respectively Text messaging to assess adolescent alcohol use in this setting seems feasible does not disrupt patient workflow and can assess many health behaviors before a clinical encounter
- ItemHarm reduction text messages delivered during alcohol drinking: feasibility study protocol.(2013-04-24) Renner, Karen Adell; ,BACKGROUND Recent research using mobile phone interventions to address public health issues such as smoking obesity depression and diabetes provides a basis for trialing a similar approach toward reducing the negative consequences of risky drinking OBJECTIVE This feasibility study aims to recruit drinkers between 18 34 years to a website where they will design and enter their own personal messages repeating or one off to be sent to their mobile phones when they are drinking to remind them of their pre drinking safety intentions METHODS DESIGN Participants in the treatment group will have access to the messaging function for 3 months and will be compared to a control group who will have 3 months access to a web chat site only Data collection will occur at baseline 3 months and 6 months The primary outcome is a change in unintended negative consequences from drinking at 3 months Secondary outcomes include the acceptability of the intervention to this population recruitment rate participant retention reduction in alcohol consumption and the self motivation discourse in participant messages DISCUSSION Existing alcohol interventions in New Zealand attempt to reduce alcohol consumption in the population but with little effect This study aims to target unintended negative consequences resulting from drinking by empowering the drinkers themselves to deliver safety messages during the drinking session If proven effective this strategy could provide a cost effective means of reducing the public health burden associated with risky drinking TRIAL REGISTRATION Australia and New Zealand Clinical Trials Register ANZCTR ACTRN12611000242921
- Item[Internet and mobile phone interventions to decrease alcohol consumption and to support smoking cessation in adolescents: a review].(2012-03-16) Haug, S; Sannemann, J; Meyer, C; John, UOBJECTIVE The aim of this study was to review the published literature on Internet and mobile phone interventions to decrease alcohol consumption and for smoking cessation in adolescents METHODS Electronic searches of PubMed MEDLINE Web of Science PsycINFO ERIC and the Cochrane Register of Controlled Trials were conducted in August 2009 Additionally reference lists of previously published reviews and meta analyses within this topic were checked Studies published in scientific journals containing English abstracts and reporting results about the effectiveness of an intervention were included into the review RESULTS Initial searches in the literature databases identified 2 263 articles of which 31 were eligible for inclusion in this review 19 articles address internet interventions to decrease alcohol consumption 7 Internet interventions for smoking cessation and 5 mobile phone text messaging interventions for smoking cessation No articles concerning mobile phone interventions to decrease alcohol consumption in adolescents were identified 16 out of the 19 studies that aimed at decreasing alcohol consumption by the use of the Internet were conducted in college or university students from the United States or New Zealand and the majority of these studies were based on the social norms approach Good empirical evidence exists concerning the efficacy of web based social norms interventions to decrease alcohol consumption in students In the field of smoking cessation Internet interventions are much more heterogeneous concerning the target group and the provided interventions So far 5 controlled studies concerning Internet interventions for smoking cessation in adolescents are available 2 of these studies were effective in decreasing the smoking prevalence at the last follow up Interventions using mobile phone text messaging for smoking cessation were well accepted and promising however they were primarily tested within pilot studies and conclusions about their efficacy are not possible so far CONCLUSION Suggestions for the implementation of certain intervention approaches in Germany could not be derived from the existing studies For research in Germany it is suggested to work on the following topics 1 testing the efficacy of web based social norms interventions to decrease alcohol consumption in student and non student samples 2 testing the efficacy of Internet interventions for smoking cessation and 3 testing the efficacy of text messaging interventions for smoking cessation
- ItemMicrofluidic CD4+ and CD8+ T lymphocyte counters for point-of-care HIV diagnostics using whole blood.(2013-12-05) Watkins, Nicholas N; Hassan, Umer; Damhorst, Gregory; Ni, Hengkan; Vaid, Awais; Rodriguez, William; Bashir, RashidRoughly 33 million people worldwide are infected with HIV disease burden is highest in resource limited settings One important diagnostic in HIV disease management is the absolute count of lymphocytes expressing the CD4 and CD8 receptors The current diagnostic instruments and procedures require expensive equipment and trained technicians In response we have developed microfluidic biochips that count CD4 and CD8 lymphocytes in whole blood samples without the need for off chip sample preparation The device is based on differential electrical counting and relies on five on chip modules that in sequence chemically lyses erythrocytes quenches lysis to preserve leukocytes enumerates cells electrically depletes the target cells CD4 or CD8 with antibodies and enumerates the remaining cells electrically We demonstrate application of this chip using blood from healthy and HIV infected subjects Erythrocyte lysis and quenching durations were optimized to create pure leukocyte populations in less than 1 min Target cell depletion was accomplished through shear stress based immunocapture using antibody coated microposts to increase the contact surface area and enhance depletion efficiency With the differential electrical counting method device based CD4 and CD8 T cell counts closely matched control counts obtained from flow cytometry over a dynamic range of 40 to 1000 cells l By providing accurate cell counts in less than 20 min from samples obtained from one drop of whole blood this approach has the potential to be realized as a handheld battery powered instrument that would deliver simple HIV diagnostics to patients anywhere in the world regardless of geography or socioeconomic status
- ItemMobile phone text message intervention to reduce binge drinking among young adults: study protocol for a randomized controlled trial.(2013-05-14) Suffoletto, Brian; Callaway, Clifton W; Kristan, Jeffrey; Monti, Peter; Clark, Duncan BBACKGROUND Heavy episodic binge drinking is common among young adults and can lead to injury and illness Young adults who seek care in the Emergency Department ED may be disproportionately affected with binge drinking behavior therefore provide an opportunity to reduce future risk through screening brief intervention and referral to treatment SBIRT Mobile phone text messaging SMS is a common form of communication among young adults and has been shown to be effective at providing behavioral support to young adult drinkers after ED discharge Efficacy of SMS programs to reduce binge drinking remains unknown METHODS DESIGN We will conduct a three parallel arm randomized trial A convenience sample of adults aged 18 to 25 years attending three EDs in Pittsburgh PA and willing to participate in the study will be screened for hazardous alcohol consumption Participants identified as hazardous drinkers will then be allocated to either 12 weeks of weekly SMS drinking assessments with feedback SA F SMS drinking assessments without feedback SA or a control group Randomization will be via an independent and remote computerized randomization and will be stratified by study site The SA F group will be asked to provide pre weekend drinking intention as well as post weekend consumption via SMS and will receive feedback messages focused on health consequences of alcohol consumption personalized normative feedback protective drinking strategies and goal setting Follow up data on alcohol use and injury related to alcohol will be collected through a password protected website three six and nine months later The primary outcome for the study is binge drinking days 4 drinks for women 5 drinks for men during the previous month and the main secondary outcome is the proportion of participants who report any injury related to alcohol in the prior three months DISCUSSION This study will test the hypothesis that a mobile phone text messaging program will result in immediate and durable reductions in binge drinking among at risk young adults By testing an intervention group to an assessment only and control group we will be able to separate the effect of assessment reactivity By collecting pre weekend drinking intentions and post weekend consumption data in the SA F group we will be able to better understand mechanism of change TRIAL REGISTRATION Clinicaltrials gov NCT01688245
- ItemPerceptions of adult trauma patients on the acceptability of text messaging as an aid to reduce harmful drinking behaviours.(2014-01-08) Kool, Bridget; Smith, Emily; Raerino, Kimiora; Ameratunga, ShanthiBACKGROUND Brief interventions BIs have been shown to be effective in modifying hazardous drinking behaviours in a range of settings However they are underutilised in hospitals due to resource constraints We explored the perspectives of admitted trauma patients about the appeal acceptability and content of a Brief Intervention BI delivered via text messages METHODS Thirty mobile phone users 16 years old admitted to Auckland City Hospital as a result of injury were recruited December 2010 January 2011 Participants were interviewed face to face during their hospital stay using a semi structured interview guide that explored topics including perceptions of the proposed intervention to reduce hazardous drinking and related harm and perceived acceptability of an m health program Where issues relating to content of messages were raised by participants these were also captured In addition a brief survey captured information on demographic information mobile phone usage and type of phone along with the frequency of alcohol use RESULTS 22 of the 30 participants were male and almost half were aged 20 to 39 years The majority of participants identified as New Zealand Europeans six as M ori New Zealand s indigenous population and of the remainder two each identified as Pacific and of Asian ethnicity Most 28 30 participants used a mobile phone daily 18 participants were deemed to be drinking in a non hazardous manner seven were hazardous drinkers and three were non drinkers Most participants 21 30 indicated that text messages could be effective in reducing hazardous drinking and related harms with more than half 17 30 signalling they would sign up Factors identified that would increase receptiveness included awareness that the intervention was evidence based participants readiness to change informative messages that include the consequences of drinking and practical advice non judgemental messages and ease of use Areas of potential concern included confidentiality and frequency of messages The cultural relevance of the messages for M ori was highlighted as important CONCLUSIONS This study indicates that trauma patients recognize potential benefits of mobile health interventions designed to reduce hazardous drinking The feedback provided will inform the development of an intervention to be evaluated in a randomised controlled trial
- ItemPromoting behavior change from alcohol use through mobile technology: the future of ecological momentary assessment.(2011-11-21) Cohn, Amy M; Hunter-Reel, Dorian; Hagman, Brett T; Mitchell, JessicaBACKGROUND Interactive and mobile technologies i e smartphones such as Blackberries iPhones and palm top computers show promise as an efficacious and cost effective means of communicating health behavior risks improving public health outcomes and accelerating behavior change The present study was conducted as a needs assessment to examine the current available mobile smartphone applications e g apps that utilize principles of ecological momentary assessment EMA daily self monitoring or near real time self assessment of alcohol use behavior to promote positive behavior change alcohol harm reduction psycho education about alcohol use or abstinence from alcohol METHODS Data were collected and analyzed from iTunes for Apple iPhone An inventory assessed the number of available apps that directly addressed alcohol use and consumption alcohol treatment or recovery and whether these apps incorporated empirically based components of alcohol treatment RESULTS Findings showed that few apps addressed alcohol use behavior change or recovery Aside from tracking drinking consumption a minority utilized empirically based components of alcohol treatment Some apps claimed they could serve as an intervention however no empirical evidence was provided CONCLUSIONS More studies are needed to examine the efficacy of mobile technology in alcohol intervention studies The large gap between availability of mobile apps and their use in alcohol treatment programs indicates several important future directions for research
- ItemA randomized study of cellphone technology to reinforce alcohol abstinence in the natural environment.(2013-04-16) Alessi, Sheila M; Petry, Nancy MAIMS Contingency management CM uses tangible incentives to systematically reinforce abstinence and is among the most efficacious psychosocial substance abuse treatments This study assessed the feasibility and initial efficacy of a portable CM procedure designed to address technical limitations for detecting drinking that have prevented using CM for alcohol problems DESIGN Participants received a cellphone breathalyzer and training on video recording alcohol breath tests BrACs and texting results For 4 weeks staff texted participants one to three times daily indicating that a breath alcohol concentration test BrAC was due within the hour Participants were randomized to 1 modest compensation for submitting dated time stamped BrAC videos regardless of results or 2 the same plus CM with escalating vouchers for on time alcohol negative tests n BrAC Under02 g dl Thank you texts were sent with CM patients also informed of results based earnings SETTING Participants natural environment PARTICIPANTS Adults n 30 21 years who drank frequently but were not physiologically dependent MEASUREMENTS Drinking and related problems were assessed at intake and week 4 BrACs and self reports of drinking were collected throughout The primary outcome was the percentage of n BrACs Other outcomes were the longest duration of consecutive n BrACs longest duration of abstinence and self reports of drinking FINDINGS On average 88 6 10 4 of BrACs were submitted on time without group differences P 0 18 The percentage of n BrACs and LDA were greater with CM and there was an interaction effect on drinking frequency and negative consequences with decreases over time with CM P 0 00 effect sizes d 0 52 0 62 CONCLUSION Cellphone technology may be useful for extending contingency management to treatment for alcohol problems
- ItemTemporal mood changes associated with different levels of adolescent drinking: using mobile phones and experience sampling methods to explore motivations for adolescent alcohol use.(2013-04-17) Crooke, Alexander H D; Reid, Sophie C; Kauer, Sylvia D; McKenzie, Dean P; Hearps, Stephen J C; Khor, Angela S; Forbes, Andrew BINTRODUCTION AND AIMS Alcohol use during adolescence is associated with the onset of alcohol use disorders mental health disorders substance abuse as well as socially and physically damaging behaviours the effects of which last well into adulthood Nevertheless alcohol use remains prevalent in this population Understanding motivations behind adolescent alcohol consumption may help in developing more appropriate and effective interventions This study aims to increase this understanding by exploring the temporal relationship between mood and different levels of alcohol intake in a sample of young people DESIGN AND METHODS Forty one secondary school students used a purpose designed mobile phone application to monitor their daily mood and alcohol use for 20 random days within a 31 day period Generalised estimating equations were used to examine the relationship between differing levels of alcohol consumption light intermediate and heavy and positive and negative mood three days before and after drinking episodes RESULTS While there was no relationship between light and heavy drinking and positive mood there was an increase in positive mood before and after the drinking event for those that drank intermediate amounts No statistically significant relationships were found between negative mood and any of the three drinking categories DISCUSSION AND CONCLUSION Adolescents who drank in intermediate amounts on a single drinking occasion experienced an increase in positive mood over the three days leading up to and three days following a drinking event These findings contribute to an understanding of the motivations that underpin adolescent alcohol use which may help inform future interventions
- ItemUse of inexpensive technology to enhance adolescent health screening and counseling.(2009-02-03) Olson, Ardis L; Gaffney, Cecelia A; Hedberg, Viking A; Gladstone, Gwendolyn ROBJECTIVES To describe the health issues reported using a personal digital assistant PDA to conduct screening at adolescent well visits and to determine the effect of a PDA screening tool on the content and quality of the clinical interaction DESIGN The PDA screening tool was used to record adolescent health risk behaviors and cross sectional exit surveys were administered before and after PDA introduction SETTING Five primary care practices in New England PARTICIPANTS The PDA screening was completed by 1052 youth aged 11 to 19 years In addition youth seen before n 65 and after n 98 PDA screening implementation completed exit surveys Intervention Adolescents completed the PDA screening immediately before the well visit Branching questions explored risk behaviors in more depth including motivation to change Physicians viewed the summarized findings before the adolescent health visit MAIN OUTCOME MEASURES Health risk behaviors based on PDA data Exit surveys assessed the quality of the visit and of any discussion of nutrition exercise screen time tobacco use alcohol and other drug use and mood RESULTS Multiple risk behaviors n 3 9 were reported by 30 of 11 to 14 year olds and 45 of 15 to 19 year olds Exit surveys showed that with PDA use the proportion of visits that included discussions of health risk behaviors increased for fruit vegetable intake 60 4 vs 41 7 without PDA use P 03 tobacco use 54 9 vs 40 0 P 07 and alcohol use 53 9 vs 38 0 P 05 With PDA use more adolescents rated the visit as confidential 83 7 vs 61 5 P 002 more thought they were listened to carefully 87 8 vs 64 6 P Under 001 and more were very satisfied 87 8 vs 63 1 P Under 001 CONCLUSION Use of a PDA based screening tool enhances physician counseling and improves adolescents perceptions of the well visit
- ItemUse of media technologies by Native American teens and young adults in the Pacific Northwest: exploring their utility for designing culturally appropriate technology-based health interventions.(2011-08-31) Rushing, Stephanie Craig; Stephens, DavidAmerican Indian and Alaska Native AI AN youth are disproportionally burdened by many common adolescent health issues including drug and alcohol use injury and violence sexually transmitted infections and teen pregnancy Media technologies including the Internet cell phones and video games offer new avenues for reaching adolescents on a wide range of sensitive health topics While several studies have informed the development of technology based interventions targeting mainstream youth no such data have been reported for AI AN youth To fill this gap this study quantified media technology use among 405 AI AN youth 13 21 years old living in tribes and urban communities in the Pacific Northwest and identified patterns in their health information seeking practices and preferences Overall technology use was exceptionally common among survey respondents mirroring or exceeding national rates High rates of online health information seeking were also reported Over 75 of AI AN youth reported searching online for health information These data are now being used by the Northwest Portland Area Indian Health Board and NW tribes to design culturally appropriate technology based health interventions targeting AI AN youth
- ItemYouth mental health interventions via mobile phones: a scoping review.(2014-09-12) Seko, Yukari; Kidd, Sean; Wiljer, David; McKenzie, KwameMobile phone technologies have been hailed as a promising means for delivering mental health interventions to youth and adolescents the age group with high cell phone penetration and with the onset of 75 of all lifetime mental disorders Despite the growing evidence in physical health and adult mental health however little information is available about how mobile phones are implemented to deliver mental health services to the younger population The purpose of this scoping study was to map the current state of knowledge regarding mobile mental health mMental Health for young people age 13 24 years identify gaps and consider implications for future research Seventeen articles that met the inclusion criteria provided evidence for mobile phones as a way to engage youth in therapeutic activities The flexibility interactivity and spontaneous nature of mobile communications were also considered advantageous in encouraging persistent and continual access to care outside clinical settings Four gaps in current knowledge were identified the scarcity of studies conducted in low and middle income countries the absence of information about the real life feasibility of mobile tools the need to address the issue of technical and health literacy of both young users and health professionals and the need for critical discussion regarding diverse ethical issues associated with mobile phone use We suggest that mMental Health researchers and clinicians should carefully consider the ethical issues related to patient practitioner relationship best practices and the logic of self surveillance