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JMIR MHealth and UHealth

Sherif M Badawy, Lisa M Kuhns
BACKGROUND: The rate of chronic health conditions (CHCs) in children and adolescents has doubled in the past 20 years, with increased health care costs. Technology-based interventions have demonstrated efficacy to improving medication adherence. However, data to support the cost effectiveness of these interventions are lacking. OBJECTIVE: The objective of this study is to conduct an economic evaluation of text-messaging and smartphone-based interventions that focus on improving medication adherence in adolescents with CHCs...
October 25, 2016: JMIR MHealth and UHealth
Kristin Thomas, Catharina Linderoth, Marcus Bendtsen, Preben Bendtsen, Ulrika Müssener
BACKGROUND: Drinking of alcohol among university students is a global phenomenon; heavy episodic drinking is accepted despite several potential negative consequences. There is emerging evidence that short message service (SMS) text messaging interventions are effective to promote behavior change among students. However, it is still unclear how effectiveness can be optimized through intervention design or how user interest and adherence can be maximized. OBJECTIVE: The objective of this study was to develop an SMS text message-based intervention targeting alcohol drinking among university students using formative research...
October 20, 2016: JMIR MHealth and UHealth
Jonas Geuens, Thijs Willem Swinnen, Rene Westhovens, Kurt de Vlam, Luc Geurts, Vero Vanden Abeele
BACKGROUND: Chronic arthritis (CA), an umbrella term for inflammatory rheumatic and other musculoskeletal diseases, is highly prevalent. Effective disease-modifying antirheumatic drugs for CA are available, with the exception of osteoarthritis, but require a long-term commitment of patients to comply with the medication regimen and management program as well as a tight follow-up by the treating physician and health professionals. Additionally, patients are advised to participate in physical exercise programs...
October 13, 2016: JMIR MHealth and UHealth
Emily Johnson, Vamsi K Emani, Jinma Ren
BACKGROUND: With advances in mobile technology, accessibility of clinical resources at the point of care has increased. OBJECTIVE: The objective of this research was to identify if six selected mobile point-of-care tools meet the needs of clinicians in internal medicine. Point-of-care tools were evaluated for breadth of coverage, ease of use, and quality. METHODS: Six point-of-care tools were evaluated utilizing four different devices (two smartphones and two tablets)...
October 12, 2016: JMIR MHealth and UHealth
Sanchia Shibasaki, Karen Gardner, Beverly Sibthorpe
BACKGROUND: In Australia, there is growing use of technology supported knowledge translation (KT) strategies such as social media and mobile apps in health promotion and in Indigenous health. However, little is known about how individuals use technologies and the evidence base for the impact of these health interventions on health behavior change is meager. OBJECTIVE: The objective of our study was to examine how Facebook is used to promote health messages to Indigenous people and discuss how KT can support planning and implementing health messages to ensure chosen strategies are fit for the purpose and achieve impact...
October 5, 2016: JMIR MHealth and UHealth
Kisha Coa, Heather Patrick
BACKGROUND: Growing evidence suggests that text messaging programs are effective in facilitating health behavior change. However, high dropout rates limit the potential effectiveness of these programs. OBJECTIVE: This paper describes patterns of early dropout in the HealthyYou text (HYTxt) program, with a focus on the impact of baseline motivation quality on dropout, as characterized by Self-Determination Theory (SDT). METHODS: This analysis included 193 users of HYTxt, a diet and physical activity text messaging intervention developed by the US National Cancer Institute...
September 29, 2016: JMIR MHealth and UHealth
Quynh Pham, David Wiljer, Joseph A Cafazzo
BACKGROUND: Randomized controlled trials (RCTs) have long been considered the primary research study design capable of eliciting causal relationships between health interventions and consequent outcomes. However, with a prolonged duration from recruitment to publication, high-cost trial implementation, and a rigid trial protocol, RCTs are perceived as an impractical evaluation methodology for most mHealth apps. OBJECTIVE: Given the recent development of alternative evaluation methodologies and tools to automate mHealth research, we sought to determine the breadth of these methods and the extent that they were being used in clinical trials...
September 9, 2016: JMIR MHealth and UHealth
Meshari Alwashmi, John Hawboldt, Erin Davis, Carlo Marra, John-Michael Gamble, Waseem Abu Ashour
BACKGROUND: The prevalence and mortality rates of chronic obstructive pulmonary disease (COPD) are increasing worldwide. Therefore, COPD remains a major public health problem. There is a growing interest in the use of smartphone technology for health promotion and disease management interventions. However, the effectiveness of smartphones in reducing the number of patients having a COPD exacerbation is poorly understood. OBJECTIVE: To summarize and quantify the association between smartphone interventions and COPD exacerbations through a comprehensive systematic review and meta-analysis...
September 1, 2016: JMIR MHealth and UHealth
Jason Fanning, Michael Mackenzie, Sarah Roberts, Ines Crato, Diane Ehlers, Edward McAuley
BACKGROUND: A considerable portion of daily thought is spent in mind wandering. This behavior has been related to positive (eg, future planning, problem solving) and negative (eg, unhappiness, impaired cognitive performance) outcomes. OBJECTIVE: Based on previous research suggesting future-oriented (ie, prospective) mind wandering may support autobiographical planning and self-regulation, this study examined associations between hourly mind wandering and moderate-to-vigorous physical activity (MVPA), and the impact of affect and daily sleep on these relations...
August 31, 2016: JMIR MHealth and UHealth
Rebecca Gunter, Sara Fernandes-Taylor, Andrea Mahnke, Lola Awoyinka, Chad Schroeder, Jason Wiseman, Sarah Sullivan, Kyla Bennett, Caprice Greenberg, K Craig Kent
BACKGROUND: Surgical patients are increasingly using mobile health (mHealth) platforms to monitor recovery and communicate with their providers in the postdischarge period. Despite widespread enthusiasm for mHealth, few studies evaluate the usability or user experience of these platforms. OBJECTIVE: Our objectives were to (1) develop a novel image-based smartphone app for postdischarge surgical wound monitoring, and (2) rigorously user test it with a representative population of vascular and general surgery patients...
2016: JMIR MHealth and UHealth
Elena Huerta-Ramos, Maria Soledad Escobar-Villegas, Katya Rubinstein, Zsolt Szabolcs Unoka, Eva Grasa, Margarita Hospedales, Erika Jääskeläinen, Elena Rubio-Abadal, Asaf Caspi, István Bitter, Jesus Berdun, Jussi Seppälä, Susana Ochoa, Kata Fazekas, Iluminada Corripio, Judith Usall
BACKGROUND: Despite the theoretical potential of mHealth solutions in the treatment of patients with schizophrenia, there remains a lack of technological tools in clinical practice. OBJECTIVE: The aim of this study was to measure the receptivity of patients, informal carers, and clinicians to a European integral intervention model focused on patients with persistent positive symptoms: Mobile Therapeutic Attention for Patients with Treatment-Resistant Schizophrenia (m-RESIST)...
2016: JMIR MHealth and UHealth
Jane C Walsh, Teresa Corbett, Michael Hogan, Jim Duggan, Abra McNamara
BACKGROUND: Physical inactivity is a growing concern for society and is a risk factor for cardiovascular disease, obesity, and other chronic diseases. OBJECTIVE: This study aimed to determine the efficacy of the Accupedo-Pro Pedometer mobile phone app intervention, with the goal of increasing daily step counts in young adults. METHODS: Mobile phone users (n=58) between 17-26 years of age were randomized to one of two conditions (experimental and control)...
2016: JMIR MHealth and UHealth
Fabian Wahle, Tobias Kowatsch, Elgar Fleisch, Michael Rufer, Steffi Weidt
BACKGROUND: Depression is a burdensome, recurring mental health disorder with high prevalence. Even in developed countries, patients have to wait for several months to receive treatment. In many parts of the world there is only one mental health professional for over 200 people. Smartphones are ubiquitous and have a large complement of sensors that can potentially be useful in monitoring behavioral patterns that might be indicative of depressive symptoms and providing context-sensitive intervention support...
2016: JMIR MHealth and UHealth
Gregory M Dominick, Kyle N Winfree, Ryan T Pohlig, Mia A Papas
BACKGROUND: Wearable activity monitors such as Fitbit enable users to track various attributes of their physical activity (PA) over time and have the potential to be used in research to promote and measure PA behavior. However, the measurement accuracy of Fitbit in absolute free-living conditions is largely unknown. OBJECTIVE: To examine the measurement congruence between Fitbit Flex and ActiGraph GT3X for quantifying steps, metabolic equivalent tasks (METs), and proportion of time in sedentary activity and light-, moderate-, and vigorous-intensity PA in healthy adults in free-living conditions...
2016: JMIR MHealth and UHealth
Felix Naughton, Sarah Hopewell, Neal Lathia, Rik Schalbroeck, Chloë Brown, Cecilia Mascolo, Andy McEwen, Stephen Sutton
BACKGROUND: A major cause of lapse and relapse to smoking during a quit attempt is craving triggered by cues from a smoker's immediate environment. To help smokers address these cue-induced cravings when attempting to quit, we have developed a context-aware smoking cessation app, Q Sense, which uses a smoking episode-reporting system combined with location sensing and geofencing to tailor support content and trigger support delivery in real time. OBJECTIVE: We sought to (1) assess smokers' compliance with reporting their smoking in real time and identify reasons for noncompliance, (2) assess the app's accuracy in identifying user-specific high-risk locations for smoking, (3) explore the feasibility and user perspective of geofence-triggered support, and (4) identify any technological issues or privacy concerns...
2016: JMIR MHealth and UHealth
Tim Batink, Jindra Bakker, Thomas Vaessen, Zuzana Kasanova, Dina Collip, Jim van Os, Marieke Wichers, Inez Germeys, Frenk Peeters
BACKGROUND: With the development of mHealth, it is possible to treat patients in their natural environment. Mobile technology helps to bridge the gap between the therapist's office and the "real world." The ACT in Daily Life training (ACT-DL) was designed as an add-on intervention to help patients practice with acceptance and commitment therapy in their daily lives. The ACT-DL consists of two main components: daily monitoring using experience sampling and ACT training in daily life. OBJECTIVES: To assess the acceptability and feasibility of the ACT-DL in a general outpatient population...
2016: JMIR MHealth and UHealth
Courtney R Lyles, Andrea Altschuler, Neetu Chawla, Christine Kowalski, Deanna McQuillan, Elizabeth Bayliss, Michele Heisler, Richard W Grant
BACKGROUND: Complex patients with multiple chronic conditions often face significant challenges communicating and coordinating with their primary care physicians. These challenges are exacerbated by the limited time allotted to primary care visits. OBJECTIVE: Our aim was to employ a user-centered design process to create a tablet tool for use by patients for visit discussion prioritization. METHODS: We employed user-centered design methods to create a tablet-based waiting room tool that enables complex patients to identify and set discussion topic priorities for their primary care visit...
2016: JMIR MHealth and UHealth
Chad D Jensen, Kristina M Duncombe, Mark A Lott, Sanita L Hunsaker, Kara M Duraccio, Susan J Woolford
BACKGROUND: The efficacy of adolescent weight control treatments is modest, and effective treatments are costly and are not widely available. Smartphones may be an effective method for delivering critical components of behavioral weight control treatment including behavioral self-monitoring. OBJECTIVE: To examine the efficacy and acceptability of a smartphone assisted adolescent behavioral weight control intervention. METHODS: A total of 16 overweight or obese adolescents (mean age=14...
2016: JMIR MHealth and UHealth
Stefanie Painter, Gary Ditsch, Rezwan Ahmed, Nicholas Buck Hanson, Kevin Kachin, Jan Berger
BACKGROUND: Obesity is the leading cause of preventable death costing the health care system billions of dollars. Combining self-monitoring technology with personalized behavior change strategies results in clinically significant weight loss. However, there is a lack of real-world outcomes in commercial weight-loss program research. OBJECTIVE: Retrofit is a personalized weight management and disease-prevention solution. This study aimed to report Retrofit's weight-loss outcomes at 6, 12, and 24 months and characterize behaviors, age, and sex of high-performing participants who achieved weight loss of 10% or greater at 12 months...
2016: JMIR MHealth and UHealth
Emma Cotten, Harry Prapavessis
BACKGROUND: Sedentary behavior (SB) has been linked to many health problems such as type 2 diabetes and heart disease. Increasing the length and frequency of breaks from sitting and increasing the time spent standing and engaged in light and moderate physical activity are ways to decrease SB. Text message-based interventions have succeeded in aiding smoking cessation and increase both physical activity and healthy eating, but they have not been shown to reduce SB. OBJECTIVE: The primary purpose of this pilot study was to determine the effectiveness of a text message-based intervention in increasing nonsedentary behaviors in university students...
2016: JMIR MHealth and UHealth
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