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Mobile phone RCT

Satyan R Chari, Simon Smith, Alison Mudge, Alex A Black, Mariana Figueiro, Muhtashimuddin Ahmed, Mark Devitt, Terry P Haines
BACKGROUND: Falls among hospitalised patients impose a considerable burden on health systems globally and prevention is a priority. Some patient-level interventions have been effective in reducing falls, but others have not. An alternative and promising approach to reducing inpatient falls is through the modification of the hospital physical environment and the night lighting of hospital wards is a leading candidate for investigation. In this pilot trial, we will determine the feasibility of conducting a main trial to evaluate the effects of modified night lighting on inpatient ward level fall rates...
2016: Pilot and Feasibility Studies
Melinda Sarmiento Bender, Glenn-Milo Santos, Carissa Villanueva, Shoshana Arai
BACKGROUND: Filipino Americans are the second largest Asian subgroup in the United States, and were found to have the highest prevalence of obesity and type 2 diabetes (T2D) compared to all Asian subgroups and non-Hispanic whites. In addition to genetic factors, risk factors for Filipinos that contribute to this health disparity include high sedentary rates and high fat diets. However, Filipinos are seriously underrepresented in preventive health research. Research is needed to identify effective interventions to reduce Filipino diabetes risks, subsequent comorbidities, and premature death...
September 8, 2016: JMIR Research Protocols
Judy Robertson, Ruth Jepson, Andrew Macvean, Stuart Gray
Many public health interventions are less effective than expected in 'real life settings', yet little work is undertaken to understand the reasons why. The effectiveness of complex public health interventions can often be traced back to a robust programme theory (how and why an intervention brings about a change in outcome(s)) and assumptions that are made about the context in which it is implemented. Understanding whether effectiveness (or lack thereof) is due to the intervention or the context is hugely helpful in decisions about whether to a) modify the intervention; b) modify the context; c) stop providing the intervention...
2016: PloS One
Shivani Goyal, Gary Lewis, Catherine Yu, Michael Rotondi, Emily Seto, Joseph A Cafazzo
BACKGROUND: Patients with type 2 diabetes mellitus (T2DM) struggle with the management of their condition due to difficulty relating lifestyle behaviors with glycemic control. While self-monitoring of blood glucose (SMBG) has proven to be effective for those treated with insulin, it has been shown to be less beneficial for those only treated with oral medications or lifestyle modification. We hypothesized that the effective self-management of non-insulin treated T2DM requires a behavioral intervention that empowers patients with the ability to self-monitor, understand the impact of lifestyle behaviors on glycemic control, and adjust their self-care based on contextualized SMBG data...
August 19, 2016: JMIR Research Protocols
Natascha Wagner, Denis Ouedraogo, Luis Artavia-Mora, Arjun Bedi, Boundia Alexandre Thiombiano
BACKGROUND: Retention in care and adherence to antiretroviral therapy (ART) among people living with human immunodeficiency virus (PLHIV) is a critical challenge in many African countries including Burkina Faso. Delivering text messaging (short message service, SMS) interventions through mobile phones may help facilitate health service delivery and improve patient health. Despite this potential, no evaluations have been delivered for national scale settings to demonstrate the impact of mobile health (mHealth) for PLHIV...
2016: JMIR Research Protocols
Elina Mattila, Raimo Lappalainen, Pasi Välkkynen, Essi Sairanen, Päivi Lappalainen, Leila Karhunen, Katri Peuhkuri, Riitta Korpela, Marjukka Kolehmainen, Miikka Ermes
BACKGROUND: Mobile phone apps offer a promising medium to deliver psychological interventions. A mobile app based on Acceptance and Commitment Therapy (ACT) was developed and studied in a randomized controlled trial (RCT). OBJECTIVE: To study usage metrics of a mobile ACT intervention and dose-response relationship between usage and improvement in psychological flexibility. METHODS: An RCT was conducted to investigate the effectiveness of different lifestyle interventions for overweight people with psychological stress...
July 28, 2016: JMIR MHealth and UHealth
Patricia Opondo Awiti, Alessandra Grotta, Mia van der Kop, John Dusabe, Anna Thorson, Jonathan Mwangi, Rino Belloco, Richard Lester, Laura Ternent, Edwin Were, Anna Mia Ekström
BACKGROUND: Improving retention in prevention of mother to child transmission (PMTCT) of HIV programs is critical to optimize maternal and infant health outcomes, especially now that lifelong treatment is immediate regardless of CD4 cell count). The WelTel strategy of using weekly short message service (SMS) to engage patients in care in Kenya, where mobile coverage even in poor areas is widespread has been shown to improve adherence to antiretroviral therapy (ART) and viral load suppression among those on ART...
2016: BMC Medical Informatics and Decision Making
Margaret Allman-Farinelli, Stephanie Ruth Partridge, Kevin McGeechan, Kate Balestracci, Lana Hebden, Annette Wong, Philayrath Phongsavan, Elizabeth Denney-Wilson, Mark F Harris, Adrian Bauman
BACKGROUND: The unprecedented rise in obesity among young adults, who have limited interaction with health services, has not been successfully abated. OBJECTIVE: The objective of this study was to assess the maintenance outcomes of a 12-week mHealth intervention on prevention of weight gain in young adults and lifestyle behaviors at 9 months from baseline. METHODS: A two-arm, parallel, randomized controlled trial (RCT) with subjects allocated to intervention or control 1:1 was conducted in a community setting in Greater Sydney, Australia...
2016: JMIR MHealth and UHealth
Rebecca Sophia French, Ona McCarthy, Paula Baraitser, Kaye Wellings, Julia V Bailey, Caroline Free
BACKGROUND: The risk of poor sexual health, including unplanned pregnancy and sexually transmitted infections (STIs), is greatest amongst young people. Innovative and acceptable interventions to improve sexual health are required. Mobile phone text messaging (short message service, SMS) interventions have the potential to reach large numbers of people at relatively low cost, but greater understanding is needed on how these interventions should be developed and how they work. OBJECTIVES: The aim of this paper is to explore young people's views of and experiences with a mobile phone text messaging intervention to promote safer sex behavior...
2016: JMIR MHealth and UHealth
Janine Clarke, Judith Proudfoot, Alexis Whitton, Mary-Rose Birch, Megan Boyd, Gordon Parker, Vijaya Manicavasagar, Dusan Hadzi-Pavlovic, Andrea Fogarty
BACKGROUND: Studies of Internet-delivered psychotherapies suggest that clients report development of a therapeutic alliance in the Internet environment. Because a majority of the interventions studied to date have been therapist-assisted to some degree, it remains unclear whether a therapeutic alliance can develop within the context of an Internet-delivered self-guided intervention with no therapist support, and whether this has consequences for program outcomes. OBJECTIVE: This study reports findings of a secondary analysis of data from 90 participants with mild-to-moderate depression, anxiety, and/or stress who used a fully automated mobile phone and Web-based cognitive behavior therapy (CBT) intervention called "myCompass" in a recent randomized controlled trial (RCT)...
2016: JMIR Mental Health
Alexis E Whitton, Judith Proudfoot, Janine Clarke, Mary-Rose Birch, Gordon Parker, Vijaya Manicavasagar, Dusan Hadzi-Pavlovic
BACKGROUND: Internet-delivered mental health (eMental Health) interventions produce treatment effects similar to those observed in face-to-face treatment. However, there is a large degree of variation in treatment effects observed from program to program, and eMental Health interventions remain somewhat of a black box in terms of the mechanisms by which they exert their therapeutic benefit. Trials of eMental Health interventions typically use large sample sizes and therefore provide an ideal context within which to systematically investigate the therapeutic benefit of specific program features...
January 2015: JMIR Mental Health
Noah Wayne, Daniel F Perez, David M Kaplan, Paul Ritvo
BACKGROUND: Adoptions of health behaviors are crucial for maintaining good health after type 2 diabetes mellitus (T2DM) diagnoses. However, adherence to glucoregulating behaviors like regular exercise and balanced diet can be challenging, especially for people living in lower-socioeconomic status (SES) communities. Providing cost-effective interventions that improve self-management is important for improving quality of life and the sustainability of health care systems. OBJECTIVE: To evaluate a health coach intervention with and without the use of mobile phones to support health behavior change in patients with type 2 diabetes...
October 5, 2015: Journal of Medical Internet Research
Frank Pega, Sze Yan Liu, Stefan Walter, Stefan K Lhachimi
BACKGROUND: Unconditional cash transfers (UCTs) are a common social protection intervention that increases income, a key social determinant of health, in disaster contexts in low- and middle-income countries (LMICs). OBJECTIVES: To assess the effects of UCTs in improving health services use, health outcomes, social determinants of health, health care expenditure, and local markets and infrastructure in LMICs. We also compared the relative effectiveness of UCTs delivered in-hand with in-kind transfers, conditional cash transfers, and UCTs paid through other mechanisms...
2015: Cochrane Database of Systematic Reviews
Jamie I Forrest, Matthew Wiens, Steve Kanters, Sabin Nsanzimana, Richard T Lester, Edward J Mills
PURPOSE OF REVIEW: More people have mobile phones in Africa than at any point in history. Mobile health (m-health), the use of mobile phones to support the delivery of health services, has expanded in recent years. Several models have been proposed for conceptualizing m-health in the fields of maternal-child health and chronic diseases. We conducted a literature review of m-health interventions for HIV prevention and care in African countries and present the findings in the context of a simplified framework...
November 2015: Current Opinion in HIV and AIDS
Artur Direito, Yannan Jiang, Robyn Whittaker, Ralph Maddison
BACKGROUND: Given the global prevalence of insufficient physical activity (PA), effective interventions that attenuate age-related decline in PA levels are needed. Mobile phone interventions that positively affect health (mHealth) show promise; however, their impact on PA levels and fitness in young people is unclear and little is known about what makes a good mHealth app. OBJECTIVE: The aim was to determine the effects of two commercially available smartphone apps (Zombies, Run and Get Running) on cardiorespiratory fitness and PA levels in insufficiently active healthy young people...
2015: Journal of Medical Internet Research
P Daniel Patterson, Daniel J Buysse, Matthew D Weaver, Jack M Doman, Charity G Moore, Brian P Suffoletto, Kyle L McManigle, Clifton W Callaway, Donald M Yealy
BACKGROUND: We assessed performance characteristics and impact of a mobile phone text-message intervention for reducing intra-shift fatigue among emergency clinician shift workers. METHODS: We used a randomized controlled trial of 100 participants. All participants received text-message assessments at the start, every 4 hr during, and at end of scheduled shifts over a 90-day period. Text-message queries measured self-rated sleepiness, fatigue, and difficulty with concentration...
October 2015: American Journal of Industrial Medicine
R Sacha Bhatia, Noah Ivers, Cindy X Yin, Dorothy Myers, Gillian Nesbitt, Jeremy Edwards, Kibar Yared, Rishi Wadhera, Justina C Wu, Brian Wong, Mark Hansen, Adina Weinerman, Steven Shadowitz, Amer Johri, Michael Farkouh, Paaladinesh Thavendiranathan, Jacob A Udell, Sherryn Rambihar, Chi-Ming Chow, Judith Hall, Kevin E Thorpe, Harry Rakowski, Rory B Weiner
BACKGROUND: Appropriate use criteria (AUC) for transthoracic echocardiography (TTE) were developed to address concerns regarding inappropriate use of TTE. A previous pilot study suggests that an educational and feedback intervention can reduce inappropriate TTEs ordered by physicians in training. It is unknown if this type of intervention will be effective when targeted at attending level physicians in a variety of clinical settings. AIMS: The aim of this international, multicenter study is to evaluate the hypothesis that an AUC-based educational and feedback intervention will reduce the proportion of inappropriate echocardiograms ordered by attending physicians in the ambulatory environment...
August 2015: American Heart Journal
Bumjo Oh, Belong Cho, Min Kyu Han, Hochun Choi, Mi Na Lee, Hee-Cheol Kang, Chang Hee Lee, Heeseong Yun, Youngho Kim
BACKGROUND: Overweight and obesity, due to a Westernized diet and lack of exercise, are serious global problems that negatively affect not only personal health, but national economies as well. To solve these problems, preventative-based approaches should be taken rather than medical treatments after the occurrence of disease. The improvement of individual life habits, through continuous care, is thus a paramount, long-term treatment goal. This study describes the effects of ubiquitous health care (uHealth care) or SmartCare services in the treatment of weight loss and obesity...
August 20, 2015: JMIR MHealth and UHealth
Audrey Tonguet-Papucci, Lieven Huybregts, Myriam Ait Aissa, Jean-François Huneau, Patrick Kolsteren
BACKGROUND: Wasting is a public health issue but evidence gaps remain concerning preventive strategies not primarily based on food products. Cash transfers, as part of safety net approach, have potential to prevent under-nutrition. However, most of the cash transfer programs implemented and scientifically evaluated do not have a clear nutritional objective, which leads to a lack of evidence regarding their nutritional benefits. METHODS/DESIGN: The MAM'Out research project aims at evaluating a seasonal and multiannual cash transfer program to prevent acute malnutrition in children under 36 months, in terms of effectiveness and cost-effectiveness in the Tapoa province (Eastern region of Burkina Faso, Africa)...
2015: BMC Public Health
Alexandra S Ghadieh, Ghassan N Hamadeh, Dina M Mahmassani, Najla A Lakkis
BACKGROUND: Invasive pneumococcal disease is one of the most important vaccine-preventable diseases threatening the adult community due to missed opportunities for vaccination. This study compares the effect of three different types of patient reminder system on adulthood Streptococcus pneumoniae immunization in a primary care setting. METHODS: The study targeted patients aged 40 and older eligible for pneumococcal vaccine, but did not receive it yet (89.5% of 3072 patients) based on their electronic medical records in a family medicine center in Beirut...
October 26, 2015: Vaccine
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