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Hispanic Mobile Health

Christopher V Almario, Megana L Ballal, William D Chey, Carl Nordstrom, Dinesh Khanna, Brennan M R Spiegel
OBJECTIVES: Digestive diseases account for >100 million ambulatory care visits annually in the U.S. Yet, comparatively less is known about the true burden of gastrointestinal (GI) symptoms in the general U.S. POPULATION: The aim of this study was to use data from the "National GI Survey"-a population-based audit of GI symptoms in >71,000 participants-to determine the prevalence and predictors of GI symptoms in community-dwelling Americans. METHODS: We conducted the National GI Survey using a mobile app called MyGiHealth, which employs a computer algorithm that systematically collects participants' GI symptoms...
October 15, 2018: American Journal of Gastroenterology
John S Luque, Brian H Bossak, Caroline B Davila, Jose Antonio Tovar-Aguilar
Heat-related illness (HRI) among migrant and seasonal farmworkers is an occupational risk addressed through varying mitigation strategies by individual workers and supervisors. The purpose of this pilot study was to describe farmworkers' experience with HRI prevention strategies and assess HRI information seeking preferences, especially the feasibility of using mobile phone apps to access this information. Five focus groups were administered to Hispanic farmworkers in South Carolina. Questions included the following topics: health information seeking preferences; farmworkers' perceptions of occupational risks; coping strategies; past experiences with HRIs; water, rest, and shade practices; access to health care; and any employer-provided training received...
October 15, 2018: Journal of Agromedicine
Melinda S Bender, Bruce A Cooper, Elena Flowers, Raymond Ma, Shoshana Arai
Introduction: Filipino Americans are at higher risk for obesity and related Type 2 diabetes (T2D) compared to other Asian subgroups and non-Hispanic whites. Yet, there are limited research studies to reduce health disparities and improve health outcomes for Filipinos. Weight loss lifestyle intervention trials such as the Diabetes Prevention Program (DPP) can reduce obesity and T2D risks through physical activity and healthy eating. Methods: Thus, we conducted a pilot Fit&Trim (DPP-based) intervention study - a randomized controlled trial 3-month intervention augmented with mobile technology + 3-month maintenance follow-up with a waitlist control...
December 2018: Contemporary Clinical Trials Communications
Melinda S Bender, Bruce A Cooper, Linda G Park, Sara Padash, Shoshana Arai
BACKGROUND: Filipino Americans have a high prevalence of obesity, type 2 diabetes (T2D), and cardiovascular disease compared with other Asian American subgroups and non-Hispanic whites. Mobile health (mHealth) weight loss interventions can reduce chronic disease risks, but these are untested in Filipino Americans with T2D. OBJECTIVE: The objective of this study was to assess feasibility and potential efficacy of a pilot, randomized controlled trial (RCT) of a culturally adapted mHealth weight loss lifestyle intervention (Pilipino Americans Go4Health [PilAm Go4Health]) for overweight Filipino Americans with T2D...
December 12, 2017: JMIR diabetes
Shervin Assari
Background. Socioeconomic status (SES) has smaller protective effects on the health of African Americans, and the differential association between social mobility and stress may explain the diminished returns of SES for African Americans. Aim. This study tested the race/ethnic differences in the association between upward and downward social mobility and stress in a nationally representative sample of African American and White American adults. Methods. This study included 3570 African Americans and 891 non-Hispanic White Americans from the National Survey of American Life (NSAL), 2003...
September 20, 2018: Behavioral Sciences
Laura Corlin, Shannon Ball, Mark Woodin, Allison P Patton, Kevin Lane, John L Durant, Doug Brugge
Emerging evidence suggests long-term exposure to ultrafine particulate matter (UFP, aerodynamic diameter < 0.1 µm) is associated with adverse cardiovascular outcomes. We investigated whether annual average UFP exposure was associated with measured systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), and hypertension prevalence among 409 adults participating in the cross-sectional Community Assessment of Freeway Exposure and Health (CAFEH) study. We used measurements of particle number concentration (PNC, a proxy for UFP) obtained from mobile monitoring campaigns in three near-highway and three urban background areas in and near Boston, Massachusetts to develop PNC regression models (20-m spatial and hourly temporal resolution)...
September 18, 2018: International Journal of Environmental Research and Public Health
Nita Vangeepuram, Victoria Mayer, Kezhen Fei, Emily Hanlen-Rosado, Cesar Andrade, Shari Wright, Carol Horowitz
Background: Individuals from low-income and racial/ethnic minority backgrounds have traditionally had less access to mobile health (mHealth) technologies, but there is evidence that this gap has been rapidly narrowing. Given the increase in access to mobile technologies recently seen in vulnerable populations, mHealth has been championed as a strategy for improving population health and reducing health disparities. However, members of low-income and racial/ethnic minority populations have had a limited role in the development and implementation of mHealth interventions designed to impact them...
2018: MHealth
Lesli Biediger Friedman, Monica Silva, Kenneth Smith
Objective In this study, we sought to determine technology acceptance of a mobile application (app) to facilitate healthy behaviors as perceived by English- and Spanish-speaking participants of the Supplemental Nutrition Program for Women, Infants, and Children (WIC). Methods Our sample was 48 mothers (78% Hispanic-American) at WIC clinics in south-central Texas. Through 6 focus groups, we explored user intention of a wireframe app prototype. Discussion probes were based on the construct of behavioral intention...
November 1, 2018: American Journal of Health Behavior
Kim M Gans, Patricia Markham Risica, Akilah Dulin Keita, Laura Dionne, Jennifer Mello, Kristen Cooksey Stowers, George Papandonatos, Shannon Whittaker, Gemma Gorham
BACKGROUND: Fruit and vegetable (F&V) intake can reduce risks for chronic disease, but is much lower than recommended amounts in most Western populations, especially for those with low income levels. Rigorous research is needed on practical, cost-effective interventions that address environmental as well as personal determinants of F&V intake. This paper presents the results of a cluster randomized controlled trial evaluating the efficacy of 'Live Well, Viva Bien' (LWVB), a multicomponent intervention that included discount, mobile fresh F&V markets in conjunction with nutrition education...
August 20, 2018: International Journal of Behavioral Nutrition and Physical Activity
Abhishek Pratap, Brenna N Renn, Joshua Volponi, Sean D Mooney, Adam Gazzaley, Patricia A Arean, Joaquin A Anguera
BACKGROUND: Most people with mental health disorders fail to receive timely access to adequate care. US Hispanic/Latino individuals are particularly underrepresented in mental health care and are historically a very difficult population to recruit into clinical trials; however, they have increasing access to mobile technology, with over 75% owning a smartphone. This technology has the potential to overcome known barriers to accessing and utilizing traditional assessment and treatment approaches...
August 9, 2018: Journal of Medical Internet Research
Emily L Mueller, Anneli R Cochrane, William E Bennett, Aaron E Carroll
BACKGROUND: The use of mobile health (mHealth) has grown exponentially, even by caregivers of vulnerable populations. The study objective was to understand mobile technology usage, barriers, and desires by caregivers of children with cancer. PROCEDURE: Paper surveys were mailed to caregivers of children diagnosed with cancer at Riley Hospital for Children between June 2015 and June 2017. The survey contained 13 questions, both fixed and open-ended, and was sent in both English and Spanish up to three times...
July 17, 2018: Pediatric Blood & Cancer
Antoneta Granic, Helen Mossop, Gabriella Engstrom, Karen Davies, Richard Dodds, James Galvin, Joseph G Ouslander, Ruth Tappen, Avan A Sayer
Objective: To explore the association between ethnicity, sociodemographic, health, and lifestyle factors, and physical performance (PP) in ethnically diverse community-dwelling older adults from one geographic area. Method: We used multivariable linear regression to identify factors associated with upper (grip strength [GS], arm curls [AC]) and lower (chair stands [CS]) body strength and mobility (gait speed [GSp]) in 577 older adults (mean age 74 ± 8; 104 African American, 142 Afro-Caribbean, 123 Hispanic, and 208 European American) from South Florida...
January 2018: Gerontology & Geriatric Medicine
Jennifer Zink, Britni R Belcher, Eldin Dzubur, Wangjing Ke, Sydney O'Connor, Jimi Huh, Nanette Lopez, Jaclyn P Maher, Genevieve F Dunton
BACKGROUND: To address the limitations of the retrospective self-reports of activity, such as its susceptibility to recall bias, researchers have shifted toward collecting real-time activity data on mobile devices via ecological momentary assessment (EMA). Although EMA is becoming increasingly common, it is not known how EMA self-reports of physical activity and sedentary behaviors relate to the objective measures of activity or whether there are factors that may influence the strength of association between these two measures...
June 28, 2018: JMIR MHealth and UHealth
Elizabeth S Barnert, Laura S Abrams, Rebecca Dudovitz, Tumaini R Coker, Eraka Bath, Lello Tesema, Bergen B Nelson, Christopher Biely, Paul J Chung
OBJECTIVE: We sought to quantify the association between child incarceration in the United States and subsequent adult health outcomes. METHODS: We analyzed National Longitudinal Study of Adolescent to Adult Health data from 1727 adult (Wave IV) participants first incarcerated at age <25 years. Using chi-square tests and multivariate logistic regression models, we compared adult health outcomes (ie, mobility limitations, depressive symptoms, and suicidal thoughts) among those first incarcerated at age ≤14 years, 15 to 17 years, and 18 to 20 years, with those first incarcerated at 21 to 24 years as the reference group...
June 21, 2018: Academic Pediatrics
Yoshimi Fukuoka, Teri G Lindgren, Yonatan Dov Mintz, Julie Hooper, Anil Aswani
BACKGROUND: Regular physical activity is associated with reduced risk of chronic illnesses. Despite various types of successful physical activity interventions, maintenance of activity over the long term is extremely challenging. OBJECTIVE: The aims of this original paper are to 1) describe physical activity engagement post intervention, 2) identify motivational profiles using natural language processing (NLP) and clustering techniques in a sample of women who completed the physical activity intervention, and 3) compare sociodemographic and clinical data among these identified cluster groups...
June 20, 2018: JMIR MHealth and UHealth
Andy Sharma
INTRODUCTION: While the Body Mass Index (BMI) did not change significantly for men from 2005 to 2014 in the United States, women exhibited an upward linear trend. Hispanic and Black women, in particular, showed a dramatic increase. Therefore, the objective of this study was to examine the association between BMI and mobility limitations for non-institutionalised middle-aged and older Black, Hispanic, and White women. METHODS: The International Classification of Functioning, Disability, and Health model was applied to a sample of 2865 Black, 1846 Hispanic, and 9721 White women categorised as middle-aged and older (i...
June 16, 2018: Obesity Research & Clinical Practice
Charkarra Anderson-Lewis, Gabrielle Darville, Rebeccah Eve Mercado, Savannah Howell, Samantha Di Maggio
BACKGROUND: The proportion of people in the United States who are members of at least two ethnic groups is projected to increase to 10% by the year 2050. This makes addressing health disparities and health inequities in minority populations increasingly more difficult. Minority populations, including those who classify themselves as African American and Hispanic, are using mobile phones to access health information via the internet more frequently than those who classify themselves as white, providing unique opportunities for those in public health and health education to reach these traditionally underserved populations using mobile health (mHealth) interventions...
June 18, 2018: JMIR MHealth and UHealth
Rebecca Dillingham, Karen Ingersoll, Tabor E Flickinger, Ava Lena Waldman, Marika Grabowski, Colleen Laurence, Erin Wispelwey, George Reynolds, Mark Conaway, Wendy F Cohn
Mobile health interventions may help People Living with HIV (PLWH) improve engagement in care. We designed and piloted PositiveLinks, a clinic-affiliated mobile intervention for PLWH, and assessed longitudinal impact on retention in care and viral suppression. The program was based at an academic Ryan White Clinic serving a nonurban population in Central Virginia. The PL intervention included a smartphone app that connected participants to clinic staff and provided educational resources, daily queries of stress, mood and medication adherence, weekly quizzes, appointment reminders, and a virtual support group...
June 2018: AIDS Patient Care and STDs
Tanvee Singh, Emmanuelle Bélanger, Kali Thomas
OBJECTIVES: Emerging research suggests Black older adults experience a 30% decreased risk for falls compared with their White U.S. counterparts, and this is mediated neither by physical performance nor activity. Fear of falling (FOF) is a significant risk factor for falls, yet we know little about how FOF varies by race/ethnicity. The purpose of this original research brief was to investigate the relationship between race/ethnicity and FOF among older adults. METHODS: 4,981 community-dwelling Medicare beneficiaries from the National Health and Aging Trends Study (NHATS) who had not self-reported a fall in the past 12 months were analyzed...
April 25, 2018: Clinical Gerontologist
Janiece L Taylor, Lauren J Parker, Sarah L Szanton, Roland J Thorpe
Gait speed is an important indicator of mobility and quality of life in older adults. Pain is related to gait speed; however, it is unknown if this relationship varies by race in a population based national sample. The aim of this study was to examine if the association between slow gait speed and pain differed between 7,025 older African Americans and non Hispanic Whites in the National Health and Aging Trends Study. Those with pain in the last month had higher odds of slow gait speed (odds ratio = 1.38, 95% confidence interval = 1...
May 8, 2018: Geriatric Nursing
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