mhealth Evidence
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mHealth Evidence was launched in 2012 to bring together the world’s literature on “mHealth” (broadly speaking, the application of mobile technologies to health service delivery). The collection was intended to help program managers, researchers, government leaders, donors, software developers, and other key decision-makers quickly get up to speed on the current state-of-the-art and evidence-based best practices. It included 11,000 bibliographic records of peer-reviewed and gray literature from low-, middle- and high-resource settings, with basic and advanced search. The database categorized evidence according to a taxonomy developed in partnership with the World Health Organization’s mHealth Technical and Evidence Review Group (mTERG).
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Browsing mhealth Evidence by Subject "Alignment with local norms"
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- ItemAcceptability and factors associated with willingness to receive short messages for improving antiretroviral therapy adherence in China.(2014-05-15) Xiao, Yongkang; Ji, Guoping; Tian, Cuicui; Li, Hui; Biao, Wei; Hu, ZhiThis study aimed to understand the acceptability of short message service SMS as a reminder for improving antiretroviral therapy ART adherence and determine the factors associated with willingness to accept SMS among people living HIV PLH in China A total of 801 adult patients were recruited in a cross sectional survey Factors associated with willingness in unadjusted analyses 0 10 were included in a logistic regression model 88 4 of the participants owned mobile phones 49 6 read every short message and 16 2 read only if the phone number was familiar 79 5 reported daily SMS to remind taking medicine would be helpful and 68 9 were willing to receive them In the final model willingness to accept was positively associated with being young odds ratio OR 0 32 95 confidence interval CI 0 11 0 99 p 0 048 living in the middle or north region OR 2 36 95 CI 1 24 4 50 p 0 009 OR 71 79 95 CI 21 53 239 37 p Under 0 001 respectively having primary or junior or higher education OR 5 80 95 CI 2 13 15 86 p 0 001 OR 3 20 95 CI 1 20 8 58 p 0 021 respectively having serious disease condition of stage OR 10 01 95 CI 2 12 47 30 p 0 004 being a rural resident OR 2 96 95 CI 1 72 5 10 p Under 0 001 having side effect OR 4 74 95 CI 1 24 18 03 p 0 023 and taking a dose two or more hours late in the last 30 days OR 2 45 95 CI 1 26 4 78 p 0 009 SMS as a reminder for improving ART adherence is acceptable The survey results indicate that to be effective messages need to be more acceptable to elderly patients urban residents individuals with earlier stage of HIV disease and individuals not experiencing side effects Nonetheless these results suggest that for a high proportion of PLH in China reminder messages through mobile phones would be useful for increasing compliance with HIV regimens
- ItemAcceptability of delivering and accessing health information through text messaging among community health advisors.(2014-08-07) Schoenberger, Yu-Mei; Phillips, Janice; Mohiuddin, Mohammed Omar; McNees, Patrick; Scarinci, IsabelBACKGROUND Communication technologies can play a significant role in decreasing communication inequalities and cancer disparities by promoting cancer control and enhancing population and individual health Studies have shown that technology such as the mobile phone short message service SMS or text messaging can be an effective health communication strategy that influences individuals health related decisions behaviors and outcomes OBJECTIVE The purpose of this study was to explore usage of communication technologies assess the acceptability of mobile technology for delivery and access of health information and identify cancer and health information needs among Deep South Network for Cancer Control trained Community Health Advisors as Research Partners CHARPs METHODS A mixed method design was used and a triangulation protocol was followed to combine quantitative and qualitative data Focus groups 4 focus groups n 37 and self administered surveys n 77 were conducted to determine CHARPs mobile phone and text message usage The objective was to include identification of barriers and facilitators to a mobile phone intervention RESULTS All participants were African American 37 37 100 11 37 89 were women and the mean age was 53 4 SD 13 9 focus groups and 59 9 SD 8 7 survey Nearly all 33 37 89 of focus group participants reported owning a mobile phone Of those 8 33 24 owned a smartphone 22 33 67 had a text messaging plan and 18 33 55 and 11 33 33 received and sent text messages several times a week or day respectively Similar responses were seen among the survey participants with 75 77 97 reporting owning a mobile phone and of those 22 75 30 owned a smartphone 39 75 53 had a text messaging plan and 37 75 50 received and 27 75 37 sent text messages several times a week or day The benefits of a text messaging system mentioned by focus group participants included alternative form of communication quick method for disseminating information and privacy of communication The main barriers reported by both groups to using mobile technology to receive health information were cost and not knowing how to text message Ways to overcome barriers were explored with focus group participants and education was the most proposed solution Majority of CHARPs were in favor of receiving a weekly text message that would provide cancer health information CONCLUSIONS The findings from this study indicate that CHARPs are receptive to receiving text messages focusing on cancer health information and would be likely to engage in mobile health research These findings represent the first step in the development of an interactive mobile health program designed to provide cancer health information and a support network for the Deep South Network Community Health Advisors as Research Partners DSN CHARPs
- ItemAcceptability of smartphone application-based HIV prevention among young men who have sex with men.(2014-01-29) Holloway, Ian W; Rice, Eric; Gibbs, Jeremy; Winetrobe, Hailey; Dunlap, Shannon; Rhoades, HarmonyYoung men who have sex with men YMSM are increasingly using mobile smartphone applications apps such as Grindr to meet sex partners A probability sample of 195 Grindr using YMSM in Southern California were administered an anonymous online survey to assess patterns of and motivations for Grindr use in order to inform development and tailoring of smartphone based HIV prevention for YMSM The number one reason for using Grindr 29 was to meet hook ups Among those participants who used both Grindr and online dating sites a statistically significantly greater percentage used online dating sites for hook ups 42 compared to Grindr 30 Seventy percent of YMSM expressed a willingness to participate in a smartphone app based HIV prevention program Development and testing of smartphone apps for HIV prevention delivery has the potential to engage YMSM in HIV prevention programming which can be tailored based on use patterns and motivations for use
- ItemAcceptance of information and communication technologies for healthcare delivery: a SingHealth Polyclinics study.(2009-06-30) Luo, Nan; Koh, Woon-Puay; Ng, Wai-Yee; Yau, Joachim Wen-Kien; Lim, Lian-Kiat; Sim, Samuel Syn-Pin; Tay, Ee-GuanOBJECTIVE This study aimed to determine the prevalence of short message system SMS and internet usage in patients visiting the SingHealth Polyclinics and to measure patients acceptance of using these technologies in healthcare delivery MATERIALS AND METHODS A representative sample of patients visiting the 9 SingHealth Polyclinics were interviewed in person by trained medical students Collected information included demographic characteristics access to and usage of mobile phone SMS and internet as well as acceptance and concerns on using these technologies in primary healthcare delivery RESULTS Among 705 patients surveyed mean age 54 6 years female 50 6 response rate 92 407 57 7 were SMS users and 158 22 4 were internet users Two hundred and eighty four of 412 SMS and or internet users 40 3 of the entire sample were comfortable with the use of these technologies in healthcare delivery Malay or Indian ethnicity better education and visiting the clinic for acute symptoms or screening were factors positively associated with willingness to use such technologies The main concerns associated with the use of SMS and internet in healthcare delivery were preference for in person consultation with a doctor 23 5 reduced patient doctor interaction 23 0 and increased healthcare cost 20 8 CONCLUSION The present prevalence of SMS and internet usage among patients visiting the SingHealth Polyclinics and their concerns towards use of these technologies in healthcare delivery do not support current widespread implementation of services entailing SMS and internet in the study sites
- ItemActors and intentions in the development process of a mobile phone platform for self-management of hypertension.(2014-06-24) Ranerup, Agneta; Hallberg, IngerAim The aim of this study was to enhance the knowledge regarding actors and intentions in the development process of a mobile phone platform for self management of hypertension Methods Our research approach was a 14 month longitudinal real time ethnography method of description and analysis Data were collected through focus groups with patients and providers patient interviews and design meetings with researchers and experts The analysis was informed by the concepts of actors and inscriptions in actor network theory ANT Results Our study showed that laypersons scientific actors as well as technology itself might influence development processes of support for self management of hypertension The intentions were inscribed into the technology design as well as the models of learning and treatment Conclusions The study highlighted important aspects of how actors and intentions feature in the development of the mobile phone platform to support self management of hypertension The study indicated the multifacetedness of the participating actors including the prominent role of technology The concrete results of such processes included questions in the self report system learning and treatment models
- ItemAn adaptive physical activity intervention for overweight adults: a randomized controlled trial.(2013-12-18) Adams, Marc A; Sallis, James F; Norman, Gregory J; Hovell, Melbourne F; Hekler, Eric B; Perata, ElyseBACKGROUND Physical activity PA interventions typically include components or doses that are static across participants Adaptive interventions are dynamic components or doses change in response to short term variations in participant s performance Emerging theory and technologies make adaptive goal setting and feedback interventions feasible OBJECTIVE To test an adaptive intervention for PA based on Operant and Behavior Economic principles and a percentile based algorithm The adaptive intervention was hypothesized to result in greater increases in steps per day than the static intervention METHODS Participants N 20 were randomized to one of two 6 month treatments 1 static intervention SI or 2 adaptive intervention AI Inactive overweight adults 85 women M 36 9 9 2 years 35 non white in both groups received a pedometer email and text message communication brief health information and biweekly motivational prompts The AI group received daily step goals that adjusted up and down based on the percentile rank algorithm and micro incentives for goal attainment This algorithm adjusted goals based on a moving window an approach that responded to each individual s performance and ensured goals were always challenging but within participants abilities The SI group received a static 10 000 steps day goal with incentives linked to uploading the pedometer s data RESULTS A random effects repeated measures model accounted for 180 repeated measures and autocorrelation After adjusting for covariates the treatment phase showed greater steps day relative to the baseline phase pUnder 001 and a group by study phase interaction was observed p 017 The SI group increased by 1 598 steps day on average between baseline and treatment while the AI group increased by 2 728 steps day on average between baseline and treatment a significant between group difference of 1 130 steps day Cohen s d 74 CONCLUSIONS The adaptive intervention outperformed the static intervention for increasing PA The adaptive goal and feedback algorithm is a behavior change technology that could be incorporated into mHealth technologies and scaled to reach large populations TRIAL REGISTRATION ClinicalTrials gov NCT01793064
- ItemAddressing medication nonadherence by mobile phone: development and delivery of tailored messages.(2014-12-03) Gatwood, Justin; Balkrishnan, Rajesh; Erickson, Steven R; An, Lawrence C; Piette, John D; Farris, Karen BBACKGROUND Medication nonadherence remains a significant public health problem and efforts to improve adherence have shown only limited impact The tailoring of messages has become a popular method of developing communication to influence specific health related behaviors but the development and impact of tailored text messages on medication use is poorly understood OBJECTIVES The aim of this paper is to describe an approach to developing theory based tailored messages for delivery via mobile phone to improve medication adherence among patients with diabetes METHODS Kreuter s five step tailoring process was followed to create tailored messages for mobile phone delivery Two focus group sessions using input from 11 people and expert review of message content were used to adapt the survey instrument on which the messages were tailored and edit the developed messages for the target population RESULTS AND CONCLUSIONS Following established tailoring methods a library of 168 theory driven and 128 medication specific tailored messages were developed and formatted for automated delivery to mobile phones Concepts from the Health Belief Model and Self Determination Theory were used to craft the messages and an algorithm was applied to determine the order and timing of messages with the aim of progressively influencing disease and treatment related beliefs driving adherence to diabetes medication The process described may be applied to future investigations aiming to improve medication adherence in patients with diabetes and the effectiveness of the current messages will be tested in a planned analysis
- ItemApplication of information and communication technology for scaling up youth sexual and reproductive health.(2012-08-24) Edouard, Elizabeth; Edouard, LindsayThe pervasive presence of the internet and the commonality of mobile devices for communication technology have changed modalities for information exchange Recent developments in information and communication technology ICT have specific implications regarding dissemination of information among youth as exemplified by the Arab spring The opportunity of those emerging technologies should be seized upon ICT platforms should be used to scale up policies and programmes that promote the sexual and reproductive health of youth due to their low cost increased access to remote populations better efficiency and improved flexibility for programming Successful models should be identified through programme evaluation
- ItemAre medical school students ready for e-readers?(2013-02-11) Atlas, Michel CCollege textbook publishers are planning to make college and professional education textbooks available online to be downloaded to personal communication devices e g smartphones digital audio players e g iPods and digital readers e g Kindles The current literature on the attitudes of current students to this technological change especially as it relates to medical school students is reviewed A short survey attempted to determine how ready the first year medical students at the University of Louisville are to accept this change in their study habits
- ItemAssessing the applicability of e-therapies for depression, anxiety, and other mood disorders among lesbians and gay men: analysis of 24 web- and mobile phone-based self-help interventions.(2014-07-05) Rozbroj, Tomas; Lyons, Anthony; Pitts, Marian; Mitchell, Anne; Christensen, HelenBACKGROUND Lesbians and gay men have disproportionately high rates of depression and anxiety and report lower satisfaction with treatments In part this may be because many health care options marginalize them by assuming heterosexuality or misunderstand and fail to respond to the challenges specifically faced by these groups E therapies have particular potential to respond to the mental health needs of lesbians and gay men but there is little research to determine whether they do so or how they might be improved OBJECTIVE We sought to examine the applicability of existing mental health e therapies for lesbians and gay men METHODS We reviewed 24 Web and mobile phone based e therapies and assessed their performance in eight key areas including the use of inclusive language and content and whether they addressed mental health stressors for lesbians and gay men such as experiences of stigma related to their sexual orientation coming out and relationship issues that are specific to lesbians and gay men RESULTS We found that e therapies seldom addressed these stressors Furthermore 58 14 24 of therapies contained instances that assumed or suggested the user was heterosexual with instances especially prevalent among better evidenced programs CONCLUSIONS Our findings and a detailed review protocol presented in this article may be used as guides for the future development of mental health e therapies to better accommodate the needs of lesbians and gay men
- ItemAssessing the quality and usability of smartphone apps for pain self-management.(2014-06-26) Reynoldson, Charmian; Stones, Catherine; Allsop, Matthew; Gardner, Peter; Bennett, Michael I; Closs, S José; Jones, Rick; Knapp, PeterOBJECTIVE To evaluate smartphone apps intended for self management of pain using quality assessment criteria and usability testing with prospective users DESIGN 1 Survey and content analysis of available apps and 2 individual usability study of two apps SETTING University of Leeds United Kingdom PARTICIPANTS Forty one participants aged 19 59 years with experience of chronic or recurrent pain episodes METHODS We undertook a survey content analysis and quality appraisal of all currently available mobile phone apps for self management of pain Two apps were then selected and assessed with usability testing RESULTS Twelve apps met the inclusion criteria The quality assessment revealed wide variation in their clinical content interface design and usability to support self management of pain Very little user or clinician involvement was identified in the development of the apps From the usability testing participants stated a preference for an interface design employing a lighter color scheme and particular text font Although very few participants were aware of pain reporting apps prior to participation many would consider use in the future CONCLUSIONS Variation in app quality and a lack of user and clinician engagement in development were found across the pain apps in this research Usability testing identified a range of user preferences Although useful information was obtained it would be beneficial to involve users earlier in the process of development as well as establishing ways to merge end user requirements with evidence based content to provide high quality and usable apps for self management of pain
- ItemAssessing user preferences for e-readers and tablets.(2013-02-11) Le Ber, Jeanne M; Lombardo, Nancy T; Honisett, Amy; Jones, Peter Stevens; Weber, AliceLibrarians purchased 12 e readers and six tablets to provide patrons the opportunity to experiment with the latest mobile technologies After several train the trainer sessions librarians shared device information with the broader health sciences community Devices were cataloged and made available for a two week checkout A limited number of books and applications apps were preloaded for all the devices and patrons were allowed to download their own content Each tablet has Google Books iBooks Kindle and Nook apps available to allow choice in reading e books Upon return patrons were asked to complete a ten question survey to determine preferences for device use
- ItemBarriers to acceptance of personal digital assistants for HIV/AIDS data collection in Angola.(2011-07-11) Cheng, Karen G; Ernesto, Francisco; Ovalle-Bahamón, Ricardo E; Truong, Khai NPURPOSE Handheld computers have potential to improve HIV AIDS programs in healthcare settings in low resource countries by improving the speed and accuracy of collecting data However the acceptability of the technology i e user attitude and reaction is critical for its successful implementation Acceptability is particularly critical for HIV AIDS behavioral data as it depends on respondents giving accurate information about a highly sensitive topic sexual behavior METHODS To explore the acceptability of handheld computers for HIV AIDS data collection and to identify potential barriers to acceptance five focus groups of 8 10 participants each were conducted in Luanda Angola Facilitators presented Palm Tungsten E handhelds to the focus groups probed participants perceptions of the handheld computer and asked how they felt about disclosing intimate sexual behavior to an interviewer using a handheld computer Discussions were conducted in Portuguese the official language of Angola and audio taped They were then transcribed and translated into English for analysis RESULTS In total 49 people participated in the focus groups PDAs were understood through the lens of social and cultural beliefs Themes that emerged were suspicion of outsiders concern with longevity views on progress and development and concern about social status CONCLUSIONS The findings from this study suggest that personal and cultural beliefs influence participant acceptance of PDAs in Angola While PDAs provide great advantages in terms of speed and efficiency of data collection these barriers if left unaddressed may lead to biased reporting of HIV AIDS risk data An understanding of the barriers and why they are relevant in Angola may help researchers and practitioners to reduce the impact of these barriers on HIV AIDS data collection
- ItemCell phone usage among adolescents in Uganda: acceptability for relaying health information.(2011-09-08) Mitchell, Kimberly J; Bull, Sheana; Kiwanuka, Julius; Ybarra, Michele LThe increase in cell phone use has manifested a growing interest in using this technology for health promotion The portability and always on features of the cell phone along with increasing capability for the devices to carry and transfer data suggest that they will reach more people than computers and the Internet in coming years Self reported quantitative survey data from 1503 secondary school students in Mbarara Uganda collected in 2008 2009 suggest that 27 currently have cell phones and about half 51 of all students and 61 of those who owned a cell phone believe that they would access a text messaging based HIV prevention program if it were available Other forms of program delivery modality e g Internet religious organizations schools were preferred to text messaging however We are in need of effective HIV prevention programs that can reach large audiences at low cost and are culturally relevant for the East African context Researchers are encouraged to consider translation of effective HIV prevention programs for cell phone delivery in Africa
- ItemThe cellular generation and a new risk environment: implications for texting-based sexual health promotion interventions among minority young men who have sex with men.(2013-01-10) George, Sheba; Phillips, Robert; McDavitt, Bryce; Adams, Wallis; Mutchler, Matt GAfrican American and Latino young men who have sex with men YMSM are at the forefront of the U S HIV epidemic As members of the cellular generation these youth are very likely to use text messaging yet relatively little research has explored use of text messaging as a tool for sexual health promotion particularly among racial ethnic minorities who are also sexual minorities We report on the results of ten focus groups conducted among African American and Latino YMSM aged 18 25 regarding their current texting practices and the feasibility acceptability of text messaging as a means of conducting sexual health promotion Our analyses revealed four main themes around their texting behaviors texting preferences perceived advantages disadvantages of texting and the etiquette of texting We consider implications of these findings for the development of texting based sexual health promotion interventions particularly in conjunction with other existing interventions operating in a new risk environment
- ItemCommunication technologies and maternal interest in health-promotion information about postpartum weight and parenting practices.(2012-07-27) Walker, Lorraine O; Im, Eun-Ok; Vaughan, Misha WOBJECTIVE To describe postpartum women s access perceived skill confidence and use of Internet and mobile technologies their views about receiving health information about postpartum weight and parenting and whether these factors varied by race ethnicity or income level DESIGN Health survey of a stratified random sample SETTING County in central Texas PARTICIPANTS One hundred forty five 145 White Anglo African American or Hispanic women of higher and lower income RESULTS Overall 122 84 1 of respondents had access to a computer with an Internet connection at home and made daily use of the following the Internet 77 6 e mail 75 4 cell phone 97 1 and text messaging 66 7 Significant racial ethnic and income differences occurred in home Internet access frequency of Internet and e mail use and perceived confidence or skill favoring White Anglo women over ethnic minority women and those of higher over lower income Overall 35 9 of women expressed a lot of interest in an Internet based weight loss program 38 9 in a weight loss program sent by mail 44 8 in an Internet based parenting advice and 38 6 in parenting advice sent by mail Women of higher and lower income differed significantly in their interest in three of the four types of health promotion information and methods of delivery CONCLUSION Generally women with lower income were more likely to express high interest in receiving health information related to parenting by mail than those of higher incomes whereas women of higher incomes were more likely to express high interest in receiving weight loss and parenting information through the Internet
- ItemComparison of the middle-aged and older users' adoption of mobile health services in China.(2014-01-20) Deng, Zhaohua; Mo, Xiuting; Liu, ShanOBJECTIVE Given the increasing number of older people China has become an aging society A mobile health service is a type of health informatics that provides personalized healthcare advice to those who require it especially the older people and the middle aged However few studies consider the adoption of mobile health services with regard to older and middle aged users This paper explored a research model based on the value attitude behavior model theory of planned behavior and four aging characteristic constructs to investigate how older and middle aged citizens adopted mobile health services METHOD The hypothesized model was empirically tested using data collected from a survey of 424 residents older than 40 years in China Structural equation modeling was used to estimate the significance of the path coefficients RESULTS The findings revealed that 1 perceived value attitude perceived behavior control and resistance to change can be used to predict intention to use mobile health services for the middle aged group 2 perceived value attitude perceived behavior control technology anxiety and self actualization need positively affected the behavior intention of older users and 3 subjective norm and perceived physical condition showed no significant effects on the behavior intention to use mobile health services for the two groups The theoretical and practical implications and contributions of this study are then discussed
- ItemA cross-sectional study to assess the feasibility of a short message service to improve adherence of outpatients undergoing sedation gastrointestinal endoscopy in the People's Republic of China.(2014-10-03) Deng, Xiaoqian; Ye, Ling; Wang, Yuting; Zhu, TaoBACKGROUND Adherence to the prescribed preparation regimen for patients scheduled for sedation gastrointestinal endoscopy SGIE often fails to meet health care providers expectations Therefore the feasibility of using mobile phones to improve the adherence of outpatients was assessed among outpatients scheduled for SGIE METHODS The study was designed as a cross sectional study using survey questionnaires Outpatients who would be undergoing SGIE were enrolled The main outcomes included proportions of outpatients who have access to mobile phones and the use of text messaging among outpatients Willingness to receive text messages and personal opinions about short message service SMS were also investigated Characteristics of outpatients including socio demographic factors with a mobile phone or those who could receive and read messages compared with those without a mobile phone or those who could not receive and read messages were compared using the chi square test Logistic regression was used to analyze significant contributing factors associated with mobile phone ownership and the use of text messages RESULTS A large majority of outpatients owned personal mobile phones 94 9 and could receive and read the messages 78 9 Most of the outpatients were willing to receive a pre procedure education via text message 81 9 Outpatients aged 16 39 years old and those with a college education or higher were more likely to use mobile phones and read SMS than outpatients aged 60 80 years old and those with only a primary education level PUnder0 0001 Outpatients who lived in an urban setting were more likely to own a mobile phone than outpatients who lived in a rural setting P 0 002 CONCLUSION The accessibility of mobile phones and the frequent use of message functions on mobile phones provide support for the initiation of an SMS reminder system for outpatients who will undergo SGIE in the People s Republic of China In addition the characteristics of the target study population should be considered when carrying out an SMS intervention
- ItemDemographic and psychosocial characteristics of mobile phone ownership and usage among youth living in the slums of Kampala, Uganda.(2014-08-26) Swahn, Monica H; Braunstein, Sarah; Kasirye, RogersINTRODUCTION The use of mobile phones and other technology for improving health through research and practice is growing quickly in particular in areas with difficult to reach population or where the research infrastructure is less developed In Sub Saharan Africa there appears to be a dramatic increase in mobile phone ownership and new initiatives that capitalize on this technology to support health promotion campaigns to change behavior and to increase health literacy However the extent to which difficult to reach youth in the slums of Kampala may own and use mobile phones has not been reported despite the burden of injuries substance use and HIV that they face The purpose of this study is to determine the prevalence of mobile phone ownership and use in this high risk population and to identify psychosocial characteristics that may differentiate those owning and using a phone from those who do not METHODS We conducted secondary analyses of the Kampala Youth Survey N 457 Data collection took place in 2011 and the survey was designed to quantify high risk behaviors in a convenience sample of urban youth living on the streets or in the slums 14 24 years of age who were participating in a Uganda Youth Development Link drop in center for disadvantaged street youth We computed chi square analyses to determine any significant differences in psychosocial characteristics based on phone ownership and use RESULTS Overall 46 9 of youth reported owning a mobile phone and ownership did not vary by sex but was more common among youth older than 18 years of age Mobile phone ownership was also more common among those who reported taking care of themselves at night who reported current drug use and who reported trading sex for money food or other things CONCLUSION Given that nearly half of the youth own and use phones daily new research is needed to determine next steps for mobile health mhealth including the feasibility of using mobile phones for data collection and interventions with this hard to reach population Moreover this technology may also be suitable for injury specific research given that there were few differences with respect to injury related variables in mobile phone ownership and usage
- ItemDevelopment and feasibility of a text messaging and interactive voice response intervention for low-income, diverse adults with type 2 diabetes mellitus.(2013-06-13) Osborn, Chandra Y; Mulvaney, Shelagh ALow income racial ethnic minorities are often nonadherent to diabetes medications have uncontrolled glycemia and have high rates of diabetes related morbidity Cell phones provide a viable modality to support medication adherence but few cell phone based interventions have been designed for low income persons a population with more feature phone penetration than smartphone penetration In an effort to reach the broadest range of patients we leveraged the voice and text messaging capabilities shared by all cell phones to design the MEssaging for Diabetes intervention We specifically advanced and adapted an existing tailored text messaging system to include interactive voice response functionality and support the medication adherence barriers of low income diverse adults with type 2 diabetes mellitus We report on the design process and feasibility testing results i e technical use patterns and subjective user experiences from patients from the target population who used the intervention in one of three user centered design iterations The types of challenges encountered in design were related to providing text message content with valued information and support that engages patients The design process also highlighted the value of obtaining mixed methods data to provide insight into legitimate versus illegitimate missing data patterns of use and subjective user experiences The iterative testing process and results outlined here provide a potential template for other teams seeking to design technology based self care support solutions for comparable patient populations