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Challenges in conducting mHealth research with underserved populations: Lessons learned.

https://arctichealth.org/en/permalink/ahliterature283746
Source
J Telemed Telecare. 2016 Oct;22(7):436-40
Publication Type
Article
Date
Oct-2016
Author
Lonnie A Nelson
Anna Zamora-Kapoor
Source
J Telemed Telecare. 2016 Oct;22(7):436-40
Date
Oct-2016
Language
English
Publication Type
Article
Keywords
Alaska
Biomedical Research - methods
Cell Phones - utilization
Humans
Indians, North American - statistics & numerical data
Mobile Applications - utilization
Surveys and Questionnaires
Telemedicine - methods
Vulnerable Populations - statistics & numerical data
Washington
Abstract
Previous studies have recognized the potential of mobile technology to improve health outcomes among underserved populations, but the challenges in conducting research into the use of mobile technology to improve health (mHealth) are not well understood. This manuscript identifies some of the most important challenges in conducting mHealth research with a sample of urban American Indian and Alaska Native mothers. We examined these challenges through an existing partnership with a community health agency. We conducted community consultations and a process monitoring phase for a pilot trial aimed at measuring the effect of a brief counselling session on participants' adherence to use of a mobile app. We identify generalizable challenges in administrative, technological, and logistical domains that will be useful foreknowledge to other investigators planning to conduct mHealth research with underserved populations.
PubMed ID
26468214 View in PubMed
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Exploring physical therapists' perceptions of mobile application usage utilizing the FITT framework.

https://arctichealth.org/en/permalink/ahliterature286350
Source
Inform Health Soc Care. 2017 Mar;42(2):180-193
Publication Type
Article
Date
Mar-2017
Author
Alice Noblin
Madhu Shettian
Kendall Cortelyou-Ward
Judi Schack Dugre
Source
Inform Health Soc Care. 2017 Mar;42(2):180-193
Date
Mar-2017
Language
English
Publication Type
Article
Keywords
Efficiency, Organizational
Finland
Humans
Mobile Applications - utilization
Patient compliance
Perception
Physical Therapists - psychology
Quality Improvement
Treatment Outcome
Abstract
The use of mobile apps in clinical settings is becoming a widely accepted tool for many healthcare professionals. Physical therapists (PTs) have been underresearched in this area, leaving little information regarding the challenges in using mobile apps in the PT environment. The FITT framework provides a theoretical underpinning for this investigation.
A survey was developed based on the FITT framework and research questions. Licensed PTs in attendance at the FPTA conference were asked to complete the survey. A descriptive analysis was conducted for the study and demographic variables. A factor analysis was performed to determine the appropriateness of the FITT framework.
The individual-technology dimension showed the best fit to the framework, with the weakest fit being the individual-task dimension. The majority of PTs surveyed do not currently use apps in their professional practice nor do they feel that their organizational leadership endorses app usage.
The integration of mobile apps into physical therapy practice can improve the standard of care. Additional apps and marketing of these apps could elevate use of this technology. However, leadership support with the necessary resources for app usage will be key to improved overall FITT.
PubMed ID
27259680 View in PubMed
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Feasibility of an interactive ICT-platform for early assessment and management of patient-reported symptoms during radiotherapy for prostate cancer.

https://arctichealth.org/en/permalink/ahliterature274871
Source
Eur J Oncol Nurs. 2015 Oct;19(5):523-8
Publication Type
Article
Date
Oct-2015
Author
Kay Sundberg
Ann Langius Eklöf
Karin Blomberg
Ann-Kristin Isaksson
Yvonne Wengström
Source
Eur J Oncol Nurs. 2015 Oct;19(5):523-8
Date
Oct-2015
Language
English
Publication Type
Article
Keywords
Aged
Cell Phones - utilization
Feasibility Studies
Hospitals, University
Humans
Male
Medical Informatics
Middle Aged
Mobile Applications - utilization
Monitoring, Physiologic - instrumentation - methods
Prostatic Neoplasms - pathology - radiotherapy
Quality Control
Sampling Studies
Self Report
Sweden
Symptom Assessment - instrumentation - methods
Abstract
The aim of this study was to test the feasibility and acceptability of an Information and Communication Technology platform for assessing and managing patient reported symptoms during radiotherapy for prostate cancer.
In cooperation with a health management company, using a patient experience co-design, we developed the platform operated by an interactive application for reporting and managing symptoms in real time. Nine patients diagnosed with prostate cancer and receiving radiotherapy were recruited from two university hospitals in Sweden. Evidence-based symptoms and related self-care advice specific to prostate cancer were implemented in the application based on a literature review and interviews with patients and health care professionals. In the test of the platform the patients reported symptoms, via a mobile phone, daily for two weeks and were afterwards interviewed about their experiences.
Overall, the patients found the symptom questionnaire and the self-care advice relevant and the application user friendly. The alert system was activated on several occasions when the symptoms were severe leading to a nurse contact and support so the patients felt safe and well cared for.
The platform enabled increased patient involvement and facilitated symptom assessment and communication between the patient and the health care provider. The study's results support further development of the platform, as well as tests in full-scale studies and in other populations.
PubMed ID
25813529 View in PubMed
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