Journal articles on the topic 'E-health intervention'
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Chin, Kuo-Kai, David Svec, Benjamin Leung, Christopher Sharp, and Lisa Shieh. "E-HeaRT BPA: electronic health record telemetry BPA." Postgraduate Medical Journal 96, no. 1139 (May 28, 2020): 556–59. http://dx.doi.org/10.1136/postgradmedj-2019-137421.
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IntroductionContinuous cardiac monitoring in non-critical care settings is expensive and overutilised. As such, it is an important target of hospital interventions to establish cost-effective, high-quality care. Since inappropriate telemetry use was persistently elevated at our institution, we devised an electronic best practice alert (BPA) and tested it in a randomised controlled fashion.MethodsBetween 4 March 2018 and 5 July 2018 at our 600-bed academic hospital, all non-critical care patients who had at least one telemetry order were randomised to the control or intervention group. The intervention group received daily BPAs if telemetry was active.Results275 and 283 patients were randomised to the intervention and control groups, respectively. The intervention group triggered 1042 alerts and trended toward fewer telemetry days (3.8 vs 5.0, p=0.017). The intervention group stopped telemetry 31.7% of the alerted patient-days compared with 23.3% for the control group (OR 1.53, 95% CI 1.24 to 1.88, p<0.001). There were no significant differences in length of stay, rapid responses, code blues, or mortality between the two groups.ConclusionsUsing a randomised controlled design, we show that BPAs significantly reduce telemetry without negatively affecting patient outcomes. They should have a role in promoting high-value telemetry use.
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Alghamdi, Saeed M., Ahmed M. Al Rajah, Yousef S. Aldabayan, Abdulelah M. Aldhahir, Jaber S. Alqahtani, and Abdulaziz A. Alzahrani. "Chronic Obstructive Pulmonary Disease Patients’ Acceptance in E-Health Clinical Trials." International Journal of Environmental Research and Public Health 18, no. 10 (May 14, 2021): 5230. http://dx.doi.org/10.3390/ijerph18105230.
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Introduction: Telehealth (TH) interventions with Chronic Obstructive Pulmonary Disease (COPD) management were introduced in the literature more than 20 years ago with different labeling, but there was no summary for the overall acceptance and dropout rates as well as associated variables. Objective: This review aims to summarize the acceptance and dropout rates used in TH interventions and identify to what extent clinical settings, sociodemographic factors, and intervention factors might impact the overall acceptance and completion rates of TH interventions. Methods: We conducted a systematic search up to April 2021 on CINAHL, PubMed, MEDLINE (Ovid), Cochrane, Web of Sciences, and Embase to retrieve randomized and non-randomized control trials that provide TH interventions alone or accompanied with other interventions to individuals with COPD. Results: Twenty-seven studies met the inclusion criteria. Overall, the unweighted average of acceptance and dropout rates for all included studies were 80% and 19%, respectively. A meta-analysis on the pooled difference between the acceptance rates and dropout rates (weighted by the sample size) revealed a significant difference in acceptance and dropout rates among all TH interventions 51% (95% CI 49% to 52; p < 0.001) and 63% (95% CI 60% to 67; p < 0.001), respectively. Analysis revealed that acceptance and dropout rates can be impacted by trial-related, sociodemographic, and intervention-related variables. The most common reasons for dropouts were technical difficulties (33%), followed by complicated system (31%). Conclusions: Current TH COPD interventions have a pooled acceptance rate of 51%, but this is accompanied by a high dropout rate of 63%. Acceptance and dropout levels in TH clinical trials can be affected by sociodemographic and intervention-related factors. This knowledge enlightens designs for well-accepted future TH clinical trials. PROSPERO registration number CRD4201707854.
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Bateman, Chris. "Pretoria intervention saves E Cape health corruption-buster." South African Medical Journal 102, no. 7 (July 2, 2012): 591. http://dx.doi.org/10.7196/samj.6051.
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Gee, Rebekah E., William R. Boles, and Dean G. Smith. "E-Cigarettes: A Public Health Threat, Not a Population Health Intervention." American Journal of Public Health 111, no. 2 (February 2021): 224–26. http://dx.doi.org/10.2105/ajph.2020.306072.
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Alrobai, Amen, John McAlaney, Keith Phalp, and Raian Ali. "Exploring the Risk Factors of Interactive E-Health Interventions for Digital Addiction." International Journal of Sociotechnology and Knowledge Development 8, no. 2 (April 2016): 1–15. http://dx.doi.org/10.4018/ijskd.2016040101.
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Digital Addiction refers to a problematic usage of digital devices characterised by being excessive, compulsive, impulsive and hasty. It is often associated with negative life experience such as anxiety and depression. To combat Digital Addiction, interactive e-health intervention applications started to appear to aid users adjust their usage style. The present study aims to understand the risks related to such e-health interventions. The authors conducted an empirical research to investigate such risks from users' perspectives through a diary study. Fourteen participants were recruited and asked to install popular “digital diet” applications and use them for two weeks and record their significant moments. The authors then interviewed the participants to discuss their experience. Self-governed interactive e-health intervention for digital addiction could lead to adverse side effects such as lower self-esteem, misconception of the healthy usage and creating an alternative addictive experience. Thus, there is a need for theory-based development and rigorous testing for such e-health solutions.
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Sampaio, Joana, Joana Carvalho, Andreia Pizarro, Joana Pinto, André Moreira, Patrícia Padrão, Paula Guedes de Pinho, Pedro Moreira, and Renata Barros. "Multidimensional Health Impact of Multicomponent Exercise and Sustainable Healthy Diet Interventions in the Elderly (MED-E): Study Protocol." Nutrients 15, no. 3 (January 25, 2023): 624. http://dx.doi.org/10.3390/nu15030624.
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Data concerning the combined effect of diet and exercise interventions on overall health in the elderly are scarce. The MED-E project’s primary aim is to assess the effect of the different 3-month sustainable healthy diet (SHD) and multicomponent training (MT) interventions on several health outcomes in the elderly. A quasi-experimental study assigned older adults into four groups: (1) SHD, (2) MT, (3) SHD + MT, or (4) control group (CG). The SHD intervention included a weekly offer of a mixed food supply and individual and group nutritional sessions on the principles of an SHD. The MT groups were submitted to 50-min exercise sessions three times a week. The primary outcomes were blood biomarkers and metabolic profile alterations that were assessed pre- and post-intervention. Additionally, data on dietary intake and nutritional adequacy, physical fitness, body composition and anthropometry, cognitive function, quality of life, and geographical data were assessed at the same time points. The MED-E project’s study protocol and future results will add to knowledge about the importance and beneficial contribution of combined SHD and MT interventions on healthy ageing policies.
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Brown, Adrian. "Alcohol health work an opportunistic A&E intervention." Clinical Effectiveness in Nursing 9 (January 2006): e253-e259. http://dx.doi.org/10.1016/j.cein.2006.11.004.
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Ruiz-Segovia, Natalia, Maria Fe Rodriguez-Muñoz, Maria Eugenia Olivares, Nuria Izquierdo, Pluvio Coronado, and Huynh-Nhu Le. "Healthy Moms and Babies Preventive Psychological Intervention Application: A Study Protocol." International Journal of Environmental Research and Public Health 18, no. 23 (November 27, 2021): 12485. http://dx.doi.org/10.3390/ijerph182312485.
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Depression is the most common psychological disorder during the perinatal period, and its negative effects extend to mothers, babies, their family and society. Scientific evidence points to the urgency of designing preventive interventions and concludes that the gestational period is the most appropriate time to implement these interventions. However, many pregnant women do not seek professional help due to a lack of knowledge about the importance of mental health, its impact, and the available intervention options, as well as a lack of time and financial resources. E-health interventions can be an efficient, cost-effective, and accessible resource for preventing postpartum depression that can circumvent the barriers that pregnant women face. This randomized clinical trial will examine the efficacy of Healthy Moms and Babies, an app aimed at preventing postpartum depressive symptomatology. The second objective of this study is to analyze the effectiveness of the tool in preventing anxious symptomatology. The primary outcome measure is the difference in the mean score between the intervention and control groups on the Patient Health Questionnaire-9 (PHQ-9) at the end of the intervention and at 3 and 6 months postpartum. The secondary outcome will be determined by using the Generalized Anxiety Disorder Screener (GAD-7) at the same time points. The research findings can be used to determine pregnant women’s use of the e-health application for the prevention of postpartum depression, whether the Healthy Moms and Babies intervention app is an effective and useful resource, and what modifications will need to be made to the tool in future updates.
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Carter, Sophie E., Richard Draijer, Joseph D. Maxwell, Abigail S. Morris, Scott J. Pedersen, Lee E. F. Graves, Dick H. J. Thijssen, and Nicola D. Hopkins. "Using an e-Health Intervention to Reduce Prolonged Sitting in UK Office Workers: A Randomised Acceptability and Feasibility Study." International Journal of Environmental Research and Public Health 17, no. 23 (December 1, 2020): 8942. http://dx.doi.org/10.3390/ijerph17238942.
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Low-cost workplace interventions are required to reduce prolonged sitting in office workers as this may improve employees’ health and well-being. This study aimed to assess the acceptability and feasibility of an e-health intervention to reduce prolonged sitting among sedentary UK-based office workers. Secondary aims were to describe preliminary changes in employee health, mood and work productivity after using an e-health intervention. Healthy, university office workers (n = 14) completed this study. An 8 week randomised crossover design was used, consisting of two trials: Intervention (computer-based prompts) and Control. Eligibility and retention rates were recorded to assess the feasibility of the trial and interviews were conducted following the intervention to explore its acceptability. Sitting, standing and stepping were objectively assessed prior to and during week 8 of each trial. Before and after each trial, measurements of vascular function, cerebrovascular function, mood and work productivity were obtained. This study had eligibility and retention rates of 54.5% and 77.8%, respectively. Participants expressed a lack of autonomy and disruption to their workflow when using the e-health intervention, raising concerns over its acceptability and long-term implementation. Preliminary data indicate that the intervention may improve the patterning of activity accrued during work hours, with increases in the number of standing and stepping bouts completed, in addition to improving vascular function. This e-health intervention is feasible to deliver in a cohort of university office workers. However, adaptations to its implementation, such as personalised settings, are needed to increase acceptability before larger trials can be conducted.
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Vanden Auweele, Yves, Filip Boen, Wanda Schapendonk, and Karen Dornez. "Promoting Stair Use among Female Employees: The Effects of a Health Sign Followed by an E-mail." Journal of Sport and Exercise Psychology 27, no. 2 (June 2005): 188–96. http://dx.doi.org/10.1123/jsep.27.2.188.
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This study evaluated the impact of two simple interventions aimed at promoting stair use among female employees at a five-floor worksite. The first intervention involved a “health” sign that linked stair use to health and fitness; it was placed at the junction between the staircase and the elevator. The second intervention involved an additional e-mail sent a week later by the worksite’s doctor, pointing out the health benefits of regular stair use. Stair use increased significantly from 69% at baseline to 77% in the week after the first intervention, 2 (1) = 12.97, p < .001. Moreover, compared with the first intervention, stair use increased significantly to 85% in the week after the second intervention, 2 (1) = 15.58, p < .001. However, stair use decreased to 67% in a follow-up one month after the sign was removed, and was not significantly different from baseline, 2 (1) = 0.41, p = .52. These results suggest that simple and inexpensive interventions such as a health sign in combination with an e-mail sent by the worksite’s doctor can encourage female employees to use the stairs. However, it appears that sustained effort is needed to consolidate these effects.
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Dominguez-Rodriguez, Alejandro, Reyna Jazmín Martínez-Arriaga, Paulina Erika Herdoiza-Arroyo, Eduardo Bautista-Valerio, Anabel de la Rosa-Gómez, Rosa Olimpia Castellanos Vargas, Laura Lacomba-Trejo, et al. "E-Health Psychological Intervention for COVID-19 Healthcare Workers: Protocol for its Implementation and Evaluation." International Journal of Environmental Research and Public Health 19, no. 19 (October 5, 2022): 12749. http://dx.doi.org/10.3390/ijerph191912749.
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(1) Background: Healthcare workers have been affected by the COVID-19 pandemic. Digital interventions have been carried out that have been effective with this population; however, few have been reported in Latin America. Our aim is to describe the components and methods to evaluate the feasibility and utility of an online multi-component psychological intervention for healthcare workers in Mexico during COVID-19. (2) Methods: This study is a randomized clinical trial with two arms: (1) self-applied intervention and (2) intervention delivered online by therapists. The participants are randomly assigned to one arm, receiving the same treatment contents in both groups. The “Personal COVID” intervention consists of an internet platform containing 9 nuclear and 3 complementary modules. The objectives of the intervention are: (1) to reduce anxiety, depressive symptoms, burnout, and compassion fatigue, and (2) to increase the quality of life, sleep quality, self-care, and their skills to give bad news. The protocol has been registered on ClinicalTrials.gov (identifier: NCT04890665). (3) Discussion: This protocol is designed according to the highest scientific standards following the SPIRIT guidelines. The “Personal COVID” intervention is expected to be of high efficacy in treating the emotional distress of healthcare workers and promoting their health during the COVID-19 pandemic.
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Bardus, Marco, Holly Blake, Scott Lloyd, and L. Suzanne Suggs. "Reasons for participating and not participating in a e-health workplace physical activity intervention." International Journal of Workplace Health Management 7, no. 4 (November 4, 2014): 229–46. http://dx.doi.org/10.1108/ijwhm-11-2013-0040.
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Purpose – The purpose of this paper is to investigate the reasons for participating and not participating in an e-health workplace physical activity (PA) intervention. Design/methodology/approach – Semi-structured interviews and two focus groups were conducted with a purposive sample of employees who enrolled and participated in the intervention and with those who did not complete enrolment, hence did not participate in it. Data were examined using thematic analysis according to the clusters of “reasons for participation” and for “non-participation”. Findings – Reported reasons for participation included a need to be more active, to increase motivation to engage in PA, and to better manage weight. Employees were attracted by the perceived ease of use of the programme and by the promise of receiving reminders. Many felt encouraged to enrol by managers or peers. Reported reasons for non-participation included lack of time, loss of interest towards the programme, or a lack of reminders to complete enrolment. Practical implications – Future e-health workplace behavioural interventions should consider focusing on employees’ needs and motivators to behaviour change, provide regular reminders for participants to complete enrolment and ensure that procedures are completed successfully. Barriers to participation could be identified through formative research with the target population and feasibility studies. Originality/value – This study combines a qualitative analysis of the reasons why some employees decided to enrol in a workplace PA intervention and why some others did not. This study highlights factors to consider when designing, implementing and promoting similar interventions and that could inform strategies to enhance participation in workplace PA interventions.
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Cole-Lewis, Heather, Nnamdi Ezeanochie, and Jennifer Turgiss. "Understanding Health Behavior Technology Engagement: Pathway to Measuring Digital Behavior Change Interventions." JMIR Formative Research 3, no. 4 (October 10, 2019): e14052. http://dx.doi.org/10.2196/14052.
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Researchers and practitioners of digital behavior change interventions (DBCI) use varying and, often, incongruent definitions of the term “engagement,” thus leading to a lack of precision in DBCI measurement and evaluation. The objective of this paper is to propose discrete definitions for various types of user engagement and to explain why precision in the measurement of these engagement types is integral to ensuring the intervention is effective for health behavior modulation. Additionally, this paper presents a framework and practical steps for how engagement can be measured in practice and used to inform DBCI design and evaluation. The key purpose of a DBCI is to influence change in a target health behavior of a user, which may ultimately improve a health outcome. Using available literature and practice-based knowledge of DBCI, the framework conceptualizes two primary categories of engagement that must be measured in DBCI. The categories are health behavior engagement, referred to as “Big E,” and DBCI engagement, referred to as “Little e.” DBCI engagement is further bifurcated into two subclasses: (1) user interactions with features of the intervention designed to encourage frequency of use (ie, simple login, games, and social interactions) and make the user experience appealing, and (2) user interactions with behavior change intervention components (ie, behavior change techniques), which influence determinants of health behavior and subsequently influence health behavior. Achievement of Big E in an intervention delivered via digital means is contingent upon Little e. If users do not interact with DBCI features and enjoy the user experience, exposure to behavior change intervention components will be limited and less likely to influence the behavioral determinants that lead to health behavior engagement (Big E). Big E is also dependent upon the quality and relevance of the behavior change intervention components within the solution. Therefore, the combination of user interactions and behavior change intervention components creates Little e, which is, in turn, designed to improve Big E. The proposed framework includes a model to support measurement of DBCI that describes categories of engagement and details how features of Little e produce Big E. This framework can be applied to DBCI to support various health behaviors and outcomes and can be utilized to identify gaps in intervention efficacy and effectiveness.
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Howarth, Ana, Jose Quesada, Todd Donnelly, and Peter R. Mills. "The development of ‘Make One Small Change’: an e-health intervention for the workplace developed using the Person-Based Approach." DIGITAL HEALTH 5 (January 2019): 205520761985285. http://dx.doi.org/10.1177/2055207619852856.
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Background The application of digital health interventions is widespread and many employers are implementing employee e-health programs. Intended to enhance productivity by increasing wellbeing, workplace interventions often lack evidence of effectiveness and have low rates of retention. Use of the person-based approach (PBA) is one solution, which offers a systematic framework for developing effective digital health interventions. This paper describes the application of the PBA to the development of ‘Make one small change’ (Cigna MSC™), an online behaviour change system for lifestyle habits focused on resilience, movement, eating and sleep. Method and results The development of Cigna MSC™ took place over four stages with colleagues ( n = 79) across Cigna globally. Application of the PBA entailed using high amounts of qualitative data to inform development and a cyclical process of ‘listening, applying and delivering’ was adhered to throughout. Early stages involved review of current literature and the collection of feedback in relation to existing interventions. Combined, results revealed key intervention development issues that were then used to form guiding principles. Guiding principles ensured intervention objectives translated into relevant design features. The final stages of evaluation included testing images, text and content approaches. Feedback dictated that the intervention should be fun, easy to use and include milestones for self-monitoring. The resulting version was finalised and made ready to pilot so future analysis can be made in relation to real-world engagement and the embedded evaluative content can be used to provide evidence of intervention effectiveness. Conclusions Using the PBA, which was evolved specifically to improve development of digital interventions, resulted in a workplace intervention embedded with in-depth user input combined with evidenced-based theory. This paper illustrates how using a rigorous methodology can drive the creation of an effective digital health intervention that uniquely allows for refinement at each stage.
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Rich, Michael. "E-mail intervention decreases online health risk references among adolescents." Journal of Pediatrics 155, no. 1 (July 2009): 147. http://dx.doi.org/10.1016/j.jpeds.2009.03.052.
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Bewick, Bridgette M., Steven J. Ondersma, Mette T. Høybye, Oskar Blakstad, Matthijs Blankers, Håvar Brendryen, Pål F. Helland, et al. "Key Intervention Characteristics in e-Health: Steps Towards Standardized Communication." International Journal of Behavioral Medicine 24, no. 5 (April 12, 2017): 659–64. http://dx.doi.org/10.1007/s12529-016-9630-3.
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Duffecy, Jennifer, Stacy Sanford, Lynne Wagner, Mark Begale, Ewa Nawacki, and David C. Mohr. "Project onward: an innovative e-health intervention for cancer survivors." Psycho-Oncology 22, no. 4 (March 21, 2012): 947–51. http://dx.doi.org/10.1002/pon.3075.
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Romli, Rodziah, Rahana Abd Rahman, Kah Teik Chew, Syahnaz Mohd Hashim, Emma Mirza Wati Mohamad, and Azmawati Mohammed Nawi. "Empirical investigation of e-health intervention in cervical cancer screening: A systematic literature review." PLOS ONE 17, no. 8 (August 19, 2022): e0273375. http://dx.doi.org/10.1371/journal.pone.0273375.
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Cervical cancer (CC) screening can detect the cancer early but is underutilized, especially among the developing countries and low- to middle-income countries. Electronic health (e-health) has the potential for disseminating health education and is widely used in the developed countries. This systematic literature review investigates the effectiveness of e-health intervention for improving knowledge of CC and the intention or uptake for CC screening. We followed the PRISMA 2020 guideline and registered with PROSPERO (registration ID CRD42021276036). We searched the Web of Science, Scopus and EBSCO Medline Complete databases for eligible studies. Studies that conveyed informational material through e-health intervention were selected. The results were analyzed using narrative synthesis, and the pooled estimates were calculated using meta-analysis. A total of six studies involving 1886 women were included in this review. The use of e-health aids alone led to increased knowledge. The meta-analysis demonstrated that the mixed-education method of e-health movies and video education with didactic sessions increased CC screening uptake. A random-effects model revealed that CC screening uptake following e-health interventions were almost double of that of their comparison (odds ratio = 2.29, 95% confidence interval: 1.28–4.10, p < 0.05). Various areas of study demonstrated e-health intervention effectiveness (minority communities, urban areas, rural areas). Health education through e-health intervention has huge potential for promoting CC screening in the community. Nevertheless, the use of appropriate frameworks, user engagement and culturally tailored e-health need to be prioritized.
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Ricci, Federico, Alberto Modenese, Fabriziomaria Gobba, and Isabella Morlini. "Evaluation of an Online Course Promoting Health and Wellbeing for University Students and Employees." European Journal of Investigation in Health, Psychology and Education 12, no. 9 (September 12, 2022): 1369–90. http://dx.doi.org/10.3390/ejihpe12090096.
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Published studies dealing with health promotion activities, such as the improvement of physical activity and healthy eating, for workers and students prove the effectiveness of these preventive interventions. The consequent benefits include better prevention of cardiovascular risk and an improvement in quality of life. Considering this, an intervention aimed at promoting healthy eating and non-sedentary lifestyles has been implemented within an Italian university: the aim of the present research is to evaluate its effectiveness. The intervention consisted of a targeted asynchronous e-learning two-hour course on healthy eating and non-sedentary lifestyles. The attendants were 2004 university students and employees. We conducted two surveys before and after the training intervention, and, through the responses obtained, we evaluated the effectiveness of the intervention. We applied different statistical methods, including unpaired t-tests and nonparametric tests, principal components and cluster analysis. Our results indicate that the post-training knowledge has been significantly improved, compared to that pre-training (7.3 vs. 8.7, p < 0.001). Moreover, the whole sample showed an improved awareness of the importance of healthy behaviors, and perception of the University as an institution promoting a healthy lifestyle. Through the principal components analysis, we identified a unidimensional latent factor named “health and behaviors”. The cluster analysis highlighted that the sub-group reporting the lowest scores at the survey before the training was the one with the highest improvement after the intervention. To the best of our knowledge, this is the first Italian study testing, before and after a health promotion intervention, the knowledge and the attitudes and behaviors towards healthy lifestyles of a group of students and workers. Moreover, we also evaluated the pre- and post-intervention perceived health status, as well as the level of engagement of the attendants, with respect to their colleagues and management in an educational institution promoting wellbeing. The conclusions of our study support the need for further adoption of health promotion training interventions, similar to the one we performed, in order to improve healthy eating and non-sedentary behaviors among workers and students.
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Tran, Dang, Bonnie Westra, and Kevin Smith. "Sinusitis Treatment Guideline Adherence in the e-visit Setting." Applied Clinical Informatics 07, no. 02 (April 2016): 299–307. http://dx.doi.org/10.4338/aci-2015-10-cr-0143.
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SummaryStudies demonstrate poor guideline adherence by health care providers for the treatment of upper respiratory infections, particularly acute bacterial rhinosinusitis (ABRS), in the appropriate prescribing of antibiotic medications.The purpose of this quality improvement project was to evaluate the effect of implementing interventions for improving adherence to a clinical practice guideline for the management of ABRS for patients treated in the e-visit setting. Interventions included: providing a report to providers of their adherence to the ABRS clinical guideline prior to the intervention, providing updated education on the ABRS guideline, and implementing a clinical decision support system reminder.A pre and post intervention evaluation design was used. Data were obtained from a retrospective electronic health record (EHR) data extract of all 316 diagnoses for ABRS in the preintervention 2-month time period and all 368 diagnoses of ABRS in the post-intervention 2-month time period. A review of the structured clinical data elements was performed to determine whether the provider adhered to the clinical guideline, meaning that only patients meeting the criteria for ABRS were to receive an antibiotic prescription.The interventions resulted in a 3.3% improvement in adherence to the ABRS clinical guideline from 95.25% adherence pre-intervention to 98.4% post-intervention. These results demonstrated that the use of an educational intervention and clinical decision support resulted in improved adherence to the ABRS clinical guideline in the e-visit setting. The implications for practice could be significant in that these quality improvement interventions improve guideline adherence and reduce unnecessary prescribing of antibiotics.
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Arandia, Gabriela, Amber E. Vaughn, Lori A. Bateman, Dianne S. Ward, and Laura A. Linnan. "Development of a Workplace Intervention for Child Care Staff: Caring and Reaching for Health’s (CARE) Healthy Lifestyles Intervention." Health Promotion Practice 21, no. 2 (July 22, 2018): 277–87. http://dx.doi.org/10.1177/1524839918786214.
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Child care staff are among the lowest wage workers, a group at increased risk for a wide array of chronic diseases. To date, the health of child care staff has been largely ignored, and there have been very few interventions designed for child care staff. This article describes the development of the Caring and Reaching for Health (CARE) Healthy Lifestyles intervention, a workplace intervention aimed at improving physical activity and health behaviors among child care staff. Theory and evidence-based behavior change techniques informed the development of intervention components with targets at multiple social ecological levels. Final intervention components included an educational workshop held at a kick-off event, followed by three 8-week campaigns. Intervention components within each campaign included (1) an informational magazine, (2) goal setting and weekly behavior self-monitoring, (3) weekly tailored feedback, (4) e-mail/text prompts, (5) center-level displays that encouraged team-based goals and activities, and (6) coaching for center directors. This multilevel, theory-driven intervention is currently being evaluated as part of a larger randomized controlled trial. Process evaluation efforts will assess the extent to which child care staff participated in, engaged with, and were satisfied with the intervention. Lessons learned will guide future intervention research engaging child care workers.
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Simblett, Sara, Jennifer Birch, Faith Matcham, Lidia Yaguez, and Robin Morris. "A Systematic Review and Meta-Analysis of e-Mental Health Interventions to Treat Symptoms of Posttraumatic Stress." JMIR Mental Health 4, no. 2 (May 17, 2017): e14. http://dx.doi.org/10.2196/mental.5558.
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Background Posttraumatic stress disorder (PTSD) is a stress disorder characterized by unwanted intrusive re-experiencing of an acutely distressing, often life-threatening, event, combined with symptoms of hyperarousal, avoidance, as well as negative thoughts and feelings. Evidence-based psychological interventions have been developed to treat these symptoms and reduce distress, the majority of which were designed to be delivered face-to-face with trained therapists. However, new developments in the use of technology to supplement and extend health care have led to the creation of e-Mental Health interventions. Objective Our aim was to assess the scope and efficacy of e-Mental Health interventions to treat symptoms of PTSD. Methods The following databases were systematically searched to identify randomized controlled trials of e-Mental Health interventions to treat symptoms of PTSD as measured by standardized and validated scales: the Cochrane Library, MEDLINE, EMBASE, and PsycINFO (in March 2015 and repeated in November 2016). Results A total of 39 studies were found during the systematic review, and 33 (N=3832) were eligible for meta-analysis. The results of the primary meta-analysis revealed a significant improvement in PTSD symptoms, in favor of the active intervention group (standardized mean difference=-0.35, 95% confidence interval -0.45 to -0.25, P<.001, I2=81%). Several sensitivity and subgroup analyses were performed suggesting that improvements in PTSD symptoms remained in favor of the active intervention group independent of the comparison condition, the type of cognitive behavioral therapy-based intervention, and the level of guidance provided. Conclusions This review demonstrates an emerging evidence base supporting e-Mental Health to treat symptoms of PTSD.
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Mackert, Michael, Brad Love, and Pamela Whitten. "Patient education on mobile devices: an e-health intervention for low health literate audiences." Journal of Information Science 35, no. 1 (July 3, 2008): 82–93. http://dx.doi.org/10.1177/0165551508092258.
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Hietbrink, Eclaire A. G., Anouk Middelweerd, Pepijn van Empelen, Katharina Preuhs, Annemieke A. J. Konijnendijk, Wendy Oude Nijeweme-d’Hollosy, Laura K. Schrijver, Gozewijn D. Laverman, and Miriam M. R. Vollenbroek-Hutten. "A Digital Lifestyle Coach (E-Supporter 1.0) to Support People With Type 2 Diabetes: Participatory Development Study." JMIR Human Factors 10 (January 12, 2023): e40017. http://dx.doi.org/10.2196/40017.
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Background A healthy lifestyle, including regular physical activity and a healthy diet, is becoming increasingly important in the treatment of chronic diseases. eHealth interventions that incorporate behavior change techniques (BCTs) and dynamic tailoring strategies could effectively support a healthy lifestyle. E-Supporter 1.0 is an eCoach designed to support physical activity and a healthy diet in people with type 2 diabetes (T2D). Objective This paper aimed to describe the systematic development of E-Supporter 1.0. Methods Our systematic design process consisted of 3 phases. The definition phase included the selection of the target group and formulation of intervention objectives, and the identification of behavioral determinants based on which BCTs were selected to apply in the intervention. In the development phase, intervention content was developed by specifying tailoring variables, intervention options, and decision rules. In the last phase, E-Supporter 1.0 integrated in the Diameter app was evaluated using a usability test in 9 people with T2D to assess intervention usage and acceptability. Results The main intervention objectives were to stimulate light to moderate-vigorous physical activities or adherence to the Dutch dietary guidelines in people with T2D. The selection of behavioral determinants was informed by the health action process approach and theories explaining behavior maintenance. BCTs were included to address relevant behavioral determinants (eg, action control, self-efficacy, and coping planning). Development of the intervention resulted in 3 types of intervention options, consisting of motivational messages, behavioral feedback, and tailor-made supportive exercises. On the basis of IF-THEN rules, intervention options could be tailored to, among others, type of behavioral goal and (barriers to) goal achievement. Data on these variables could be collected using app data, activity tracker data, and daily ecological momentary assessments. Usability testing revealed that user experiences were predominantly positive, despite some problems in the fixed delivery of content. Conclusions The systematic development approach resulted in a theory-based and dynamically tailored eCoach. Future work should focus on expanding intervention content to other chronic diseases and lifestyle behaviors, enhancing the degree of tailoring and evaluating intervention effects on acceptability, use, and cost-effectiveness.
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Steffen, A. M., J. Epstein, and K. Arenella. "E-HEALTH INTERVENTION FOR INTERGENERATIONAL CAREGIVERS OF CHRONICALLY ILL OLDER ADULTS." Innovation in Aging 1, suppl_1 (June 30, 2017): 140. http://dx.doi.org/10.1093/geroni/igx004.562.
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van Duijn, H., M. Ferwerda, M. Tomas, H. van Middendorp, H. Ros, and A. Evers. "OP0263-PARE Patient Involvement in E-Health Research and Intervention Development." Annals of the Rheumatic Diseases 72, Suppl 3 (June 2013): A142.1—A142. http://dx.doi.org/10.1136/annrheumdis-2013-eular.468.
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Moussa, Mahaman, Dennis Sherrod, and Jeungok Choi. "An e-health intervention for increasing diabetes knowledge in African Americans." International Journal of Nursing Practice 19 (September 2013): 36–43. http://dx.doi.org/10.1111/ijn.12167.
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Millham, Richard Charles, Israel Edem Agbehadji, T. Puckree, V. Mukami, and Tengyue Li. "Feasible E-Health Strategies to Reduce Maternal Mortality in Kenya." International Journal of Extreme Automation and Connectivity in Healthcare 2, no. 2 (July 2020): 26–36. http://dx.doi.org/10.4018/ijeach.2020070103.
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Maternal mortality remains a persistent cause of death in Sub-Saharan Africa. Although e-health technologies are rapidly advancing, many technologies are infeasible given the infrastructure constraints and context of Sub-Saharan Africa. This paper proposes and implement a feasible e-health strategy, which involves the use of simple mobile phone technology and was designed to reduce maternal mortality and neonatal rates through information dissemination, among the nomadic people within a select part of Kenya. This strategy was developed, through an interactive pilot study, to determine the most feasible technique, which was found to be SMS messages, and most appropriate customized information depending on the patient's condition and period in pregnancy. A cross-sectional randomized e-health intervention was implemented in order to determine the effectiveness of the intervention. Due to exceptional circumstances, such as a prolonged health strike, this intervention had mixed results but shows promise of both feasibility and effectiveness.
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Bashirian, Saeed, Majid Barati, Younes Mohammadi, Leila MoaddabShoar, and Mitra Dogonchi. "Evaluation of an Intervention Program for Promoting Breast Self-Examination Behavior in Employed Women in Iran." Breast Cancer: Basic and Clinical Research 15 (January 2021): 117822342198965. http://dx.doi.org/10.1177/1178223421989657.
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Introduction: Breast cancer is the most common malignancy in the world. Screening is the basis for early detection. However, the mortality rate is still high in Iranian women related to not screening and timely check-ups. We offered a theory-based intervention program to improve breast cancer screening behavior in women. Methods: This interventional study was conducted in 135 employed women in 2019. Their screening behavior was investigated using a questionnaire based on the Protection Motivation and Social Support Theories. We compared the efficacy of 2 educational interventions (a workshop and an E-learning program) between 2 intervention groups and a control group. The results were collected 3 months after the interventions had taken place. Data were analyzed in SPSS 23 using descriptive statistics, chi-square, analysis of variance (ANOVA), and the paired sample t-test. Results: We found a significant difference between the mean score of knowledge and the theoretical constructs ( P value < .001) before and after the interventions. Our results also showed that both the intervention methods had a similar effect and that there was a significant difference in the performance of breast self-examinations between the intervention and control groups after the intervention ( P value < .001). Conclusion: Given the cost-effectiveness and feasibility of implementing an E-learning program, we would recommend that health care planners assist in designing and implementing this effective form of intervention to encourage many more women to perform self-examinations to aid breast cancer screening.
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Hennessey, Sean Peter, and Laurene Rehman. "Anatomy of an effective workplace health intervention: a comprehensive new model." International Journal of Workplace Health Management 13, no. 5 (May 16, 2020): 461–75. http://dx.doi.org/10.1108/ijwhm-05-2019-0079.
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PurposeThis study proposes a new model, called the Integrated Human Health Model (IHHM), to improve the design and effectiveness of Workplace Health Promotion (WHP) interventions.Design/methodology/approachEighteen participants were purposefully selected from 44 participants in a 2.5-day WHP intervention targeting multiple health behaviours (MHB). The intervention has shown to improve quality of life and health-related behaviours in rigorous studies. Qualitative data collection methods were observations, repeat semi-structured interviews and weekly e-journals collected over three months. Template analysis was used to develop the IHHM describing participants' experiences.FindingsThe IHHM describes the health behaviour change process using eight themes: facilitation, assessment, desired life, barriers, knowledge and skills, insights, action planning, and monitor and support.Practical implicationsWith the paucity of evidence informing WHP intervention effectiveness, this study provides a preliminary model serving practitioners to design more effective interventions and scholars to improve evidence.Originality/valueThis study proposes a practical comprehensive model for practitioners and leaders to more effectively design and evaluate successful MHB WHP interventions compared to existing models.
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Sørensen, L., H. Kennedy, B. Jensen, M. Terkildsen, R. Poulsen, M. Josefsen, and A. Di Lieto. "Tidier. e-sport; a recovery oriented intervention in forensic psychiatry." European Psychiatry 64, S1 (April 2021): S379. http://dx.doi.org/10.1192/j.eurpsy.2021.1016.
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IntroductionRecently video gaming, have attracted considerable attention for its possible beneficial therapeutic effects, the possibility for testing behavior in safe artificial environments and as a tool for professionals and patients to build specific competencies for the everyday life. Also, a substantial amount of research suggests that videogaming might improve the participants social and cognitive skills and emotional regulation. There is little or no evidence that videogaming increases long term aggression or leads to physical aggression. At a medium secure forensic psychiatric in-patient ward, the patients and staff engage in weekly E – Sport sessions (primarily counterstrike) to further the recovery process.ObjectivesTo provide a standardized description of how E-sport is organized and used in the recovery process among forensic psychiatric patients.MethodsThe Template for Intervention Description and Replication (TIDieR) checklist and guide is widely used to in health research to describe interventions in clinical trials and other health research contexts. By use of TIDieR we describe a newly developed E-sport intervention, in which staff members and patients in a medium secure forensic psychiatric ward engage in weekly E-Sport sessions (primarily counterstrike) to improve patient–staff relationship.ResultsThe E-sport intervention is detailed by use of the 12 TIDieR items and practical experiences and insights will be described.ConclusionsThis standardized and detailed description of how is used in a recovery-oriented process in forensic psychiatry can be used for future studies that wishes to implement the intervention or for research studies replicating the treatment.Conflict of interestNo significant relationships.
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Meiksin, Rebecca, GJ Melendez-Torres, Alec Miners, Jane Falconer, T. Charles Witzel, Peter Weatherburn, and Chris Bonell. "E-health interventions targeting STIs, sexual risk, substance use and mental health among men who have sex with men: four systematic reviews." Public Health Research 10, no. 4 (March 2022): 1–322. http://dx.doi.org/10.3310/brwr6308.
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Background Human immunodeficiency virus/sexually transmitted infections, sexual risk, substance (alcohol and other legal and illegal drugs) use and mental ill health constitute a ‘syndemic’ of mutually reinforcing epidemics among men who have sex with men. Electronic health (e-health) interventions addressing these epidemics among men who have sex with men might have multiplicative effects. To our knowledge, no systematic review has examined the effectiveness of such interventions on these epidemics among men who have sex with men. Objective The objective was to synthesise evidence addressing the following: (1) What approaches and theories of change do existing e-health interventions employ to prevent human immunodeficiency virus/sexually transmitted infections, sexual risk, alcohol/drug use or mental ill health among men who have sex with men? (2) What factors influence implementation? (3) What are the effects of such interventions on the aforementioned epidemics? (4) Are such interventions cost-effective? Data sources A total of 24 information sources were searched initially (October–November 2018) [the following sources were searched: ProQuest Applied Social Sciences Index and Abstracts; Campbell Library; EBSCO Cumulative Index to Nursing and Allied Health Literature Plus, Wiley Online Library The Cochrane Library; Centre for Reviews and Dissemination databases (the Database of Abstracts of Reviews of Effects and the NHS Economic Evaluation Database); the Health Technology Assessment database; Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre) database of health promotion research (Bibliomap); ProQuest Dissertations & Theses Global; OvidSP EconLit; OvidSP EMBASE; OvidSP Global Health; OvidSP Health Management Information Consortium; ProQuest International Bibliography of the Social Sciences; Ovid MEDLINE ALL; OvidSP PsycINFO; Web of Science Science Citation Index Expanded; Elsevier Scopus; OvidSP Social Policy & Practice; Web of Science Social Sciences Citation Index Expanded; ProQuest Sociological Abstracts; ClinicalTrials.gov; World Health Organization International Clinical Trials Registry Platform; EPPI-Centre Trials Register of Promoting Health Interventions; and the OpenGrey database], and an updated search of 19 of these was conducted in April 2020. Reference lists of included reports were searched and experts were contacted. Review methods Eligible reports presented theories of change and/or process, outcome and/or economic evaluations of e-health interventions offering ongoing support to men who have sex with men to prevent human immunodeficiency virus/sexually transmitted infections, sexual risk behaviour, alcohol/drug use and/or common mental illnesses. References were screened by title/abstract, then by full text. Data extraction and quality assessments used existing tools. Theory and process reports were synthesised using qualitative methods. Outcome and economic data were synthesised narratively; outcome data were meta-analysed. Results Original searches retrieved 27 eligible reports. Updated searches retrieved 10 eligible reports. Thirty-seven reports on 28 studies of 23 interventions were included: 33 on theories of change, 12 on process evaluations, 16 on outcome evaluations and one on an economic evaluation. Research question 1: five intervention types were identified – ‘online modular’, ‘computer games’ and ‘non-interactive’ time-limited/modular interventions, and open-ended interventions with ‘content organised by assessment’ and ‘general content’. Three broad types of intervention theories of change were identified, focusing on ‘cognitive/skills’, ‘self-monitoring’ and ‘cognitive therapy’. Research question 2: individual tailoring based on participant characteristics was particularly acceptable, and participants valued intervention content reflecting their experiences. Research question 3: little evidence was available of effects on human immunodeficiency virus or sexually transmitted infections. The analysis did not suggest that interventions were effective in reducing instances of human immunodeficiency virus or sexually transmitted infections. The overall meta-analysis for sexually transmitted infections reported a small non-significant increase in sexually transmitted infections in the intervention group, compared with the control group. Meta-analyses found a significant impact on sexual risk behaviour. The findings for drug use could not be meta-analysed because of study heterogeneity. Studies addressing this outcome did not present consistent evidence of effectiveness. Trials did not report effects on alcohol use or mental health. Research question 4: evidence on cost-effectiveness was limited. Limitations The quality of the eligible reports was variable and the economic synthesis was limited to one eligible study. Conclusions There is commonality in intervention theories of change and factors affecting receipt of e-health interventions. Evidence on effectiveness is limited. Future work Future trials should assess the impact of interventions on multiple syndemic factors, among them sexual risk, substance use and mental health; incorporate sufficient follow-up and sample sizes to detect the impact on human immunodeficiency virus/sexually transmitted infections; and incorporate rigorous process and economic evaluations. Study registration This study is registered as PROSPERO CRD42018110317. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 10, No. 4. See the NIHR Journals Library website for further project information.
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Greenwell, Kate, and Derek J. Hoare. "Use and Mediating Effect of Interactive Design Features in Audiology Rehabilitation and Self-Management Internet-Based Interventions." American Journal of Audiology 25, no. 3S (October 2016): 278–83. http://dx.doi.org/10.1044/2016_aja-16-0013.
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Purpose The purpose of this study is to explore the presence of key interactive design features across Internet-based audiology rehabilitation and self-management interventions, and whether there is evidence of them mediating effects of the intervention. Method Adult audiology interventions relevant to this review were identified through a literature search in Google Scholar and a hand search of key journals. Four key interactive design features that have been proposed to mediate the effects of Internet-based health interventions were reported for each intervention: social context and support, contacts with the intervention, tailoring, and self-management. Results Five interventions were identified as representative examples of work in the field. Social context and support and contacts with the intervention were provided in most interventions, mainly through clinician guidance. Only 1 intervention utilized tailoring to personalize intervention content to individual users, but use was minimal. Self-management features were also used in all interventions but the precise nature of these features was poorly reported. Conclusion Future studies should assess the optimal dose and combinations of intervention features for maximizing efficacy in audiology intervention. To be specific, the role of tailoring should be explored, which has been identified as a potential mediator of intervention outcome in the wider e-health literature.
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Shahil Feroz, Anam, Noreen Afzal, and Emily Seto. "Exploring digital health interventions for pregnant women at high risk for pre-eclampsia and eclampsia in low-income and-middle-income countries: a scoping review." BMJ Open 12, no. 2 (February 2022): e056130. http://dx.doi.org/10.1136/bmjopen-2021-056130.
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ObjectiveTo explore digital health interventions that have been used to support pregnant women at high risk for pre-eclampsia/eclampsia (HRPE/E) in low-income and middle-income countries (LMICs).DesignScoping review.Data sourceEMBASE, MEDLINE, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews and CINAHL were searched between 1 January 2000 and 20 October 2020.Eligibility criteriaThe review included original research studies that were published in English, involved pregnant women at HRPE/E and implemented digital health interventions for PE/E in LMICs.Data extraction and synthesisTwo reviewers independently completed the data extraction for each of the 19 final articles. An inductive approach was used to thematically organise and summarise the results from the included articles.ResultsA total of 19 publications describing 7 unique studies and 9 different digital health interventions were included. Most studies were conducted in South Asia and sub-Saharan Africa (n=16). Of nine unique digital health interventions, two served the purpose of predicting risk for adverse maternal health outcomes while seven focused on monitoring high-risk pregnant women for PE/E. Both of these purposes used mobile phone applications as interface to facilitate data collection, decision making, and communication between health workers and pregnant women. The review identified key functions of interventions including data collection, prediction of adverse maternal outcomes, integrated diagnostic and clinical decision support, and personal health tracking. The review reported three major outcomes: maternal health outcomes including maternal and neonatal morbidity and mortality (n=4); usability and acceptability including ease-of-use, and perceived usefulness, (n=5); and intervention feasibility and fidelity including accuracy of device, and intervention implementation (n=7).ConclusionAlthough the current evidence base shows some potential for the use of digital health interventions for PE/E, more prospective experimental and longitudinal studies are needed prior to recommending the use of digital health interventions for PE/E.
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Peng, Sanying, Fang Yuan, Ahmad Tajuddin Othman, Xiaogang Zhou, Gang Shen, and Jinghong Liang. "The Effectiveness of E-Health Interventions Promoting Physical Activity and Reducing Sedentary Behavior in College Students: A Systematic Review and Meta-Analysis of Randomized Controlled Trials." International Journal of Environmental Research and Public Health 20, no. 1 (December 25, 2022): 318. http://dx.doi.org/10.3390/ijerph20010318.
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Insufficient physical activity (PA) and excessive sedentary behavior (SB) are detrimental to physical and mental health. This systematic review and meta-analysis aimed to identify whether e-health interventions are effective for improving PA and SB in college students. Five electronic databases, including Medline, Web of Science, Embase, Cochrane Library, and ProQuest, were searched to collect relevant randomized controlled trials up to 22 June 2022. In total, 22 trials (including 31 effects) with 8333 samples were included in this meta-analysis. The results showed that e-health interventions significantly improved PA at post-intervention (SMD = 0.32, 95% CI: 0.19, 0.45, p < 0.001) compared with the control group, especially for total PA (SMD = 0.34, 95% CI: 0.10, 0.58, p = 0.005), moderate to vigorous PA (SMD = 0.17, 95% CI: 0.01, 0.32, p = 0.036), and steps (SMD = 0.75, 95% CI: 0.23, 1.28, p < 0.001. There were no significant effects for both PA at follow-up (SMD = 0.24, 95% CI: – 0.01, 0.49, p = 0.057) and SB (MD = – 29.11, 95% CI: – 70.55, 12.32, p = 0.17). The findings of subgroup analyses indicated that compared to the control group, interventions in the group of general participants (SMD = 0.45, 95% CI: 0.27, 0.63, p < 0.001), smartphone apps (SMD = 0.46, 95% CI: 0.19, 0.73, p = 0.001), and online (SMD = 0.23, 95% CI: 0.04, 0.43, p < 0.001) can significantly improve PA at post-intervention. Moreover, the intervention effects were significant across all groups of theory, region, instrument, duration, and female ratio. At follow-up, interventions in groups of developing region (SMD = 1.17, 95% CI: 0.73, 1.62, p < 0.001), objective instrument (SMD = 0.83, 95% CI: 0.23, 1.42, p = 0.007), duration ≤ 3-month (SMD = 1.06, 95% CI: 0.72, 1.39, p < 0.001), and all female (SMD = 0.79, 95% CI: 0.02, 1.56, p = 0.044) can significantly improve PA. The evidence of this meta-analysis shows that e-health interventions can be taken as promising strategies for promoting PA. The maintenance of PA improvement and the effect of interventions in reducing SB remain to be further studied. Educators and health practitioners should focus on creating multiple e-health interventions with individualized components.
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Huis in het Veld, Judith G., Bernadette M. Willemse, Iris FM van Asch, Rob BM Groot Zwaaftink, Paul-Jeroen Verkade, Jos WR Twisk, Renate Verkaik, Marco M. Blom, Berno van Meijel, and Anneke L. Francke. "Online Self-Management Support for Family Caregivers Dealing With Behavior Changes in Relatives With Dementia (Part 2): Randomized Controlled Trial." Journal of Medical Internet Research 22, no. 2 (February 25, 2020): e13001. http://dx.doi.org/10.2196/13001.
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Background Online contacts with a health professional have the potential to support family caregivers of people with dementia. Objective The goal of the research was to study the effects of an online self-management support intervention in helping family caregivers deal with behavior changes of a relative with dementia. The intervention—involving among others personal email contacts with a dementia nurse—was compared with online interventions without these email contacts. Methods A randomized controlled trial was conducted with 81 family caregivers of people with dementia who live at home. Participants were randomly assigned to a (1) major self-management support intervention consisting of personal email contacts with a specialist dementia nurse, online videos, and e-bulletins; (2) medium intervention consisting only of online videos and e-bulletins; or (3) minor intervention consisting of only the e-bulletins. The primary outcome was family caregivers’ self-efficacy in dealing with behavior changes of the relative with dementia. Secondary outcomes were family caregivers’ reports of behavior problems in the people with dementia and the quality of the relationship between the family caregiver and the person with dementia. Measurements were performed at the baseline and at 6 (T1) and 12 weeks (T2) after the baseline. A mixed-model analysis was conducted to compare the outcomes of the 3 intervention arms. Results Family caregivers participating in the major intervention involving email contacts showed no statistically significant differences in self-efficacy after the intervention compared with the minor intervention involving only e-bulletins (difference –0.02, P=.99). In the adjusted analysis, the medium intervention (involving videos and e-bulletins) showed a negative trend over time (difference –4.21, P=.09) and at T1 (difference –4.71, P=.07) compared with the minor intervention involving only e-bulletins. No statistical differences were found between the intervention arms in terms of the reported behavior problems and the quality of the relationship between the family caregiver and the person with dementia. Conclusions The expectation that an online self-management support intervention involving email contacts would lead to positive effects and be more effective than online interventions without personal email contacts was not borne out. One explanation might be related to the fact that not all family caregivers who were assigned to that intervention actually made use of the opportunity for personal email contact. The online videos were also not always viewed. To obtain more definite conclusions, future research involving extra efforts to reach higher use rates is required. Trial Registration Netherlands Trial Registry NTR6237; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=6237 (Archived by WebCite at http://www.webcitation.org/6v0S4fxTC) International Registered Report Identifier (IRRID) RR2-10.2196/resprot.8365
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Cantisano, Luisa Marilia, Rocio Gonzalez-Soltero, Ascensión Blanco-Fernández, and Noelia Belando-Pedreño. "ePSICONUT: An e-Health Programme to Improve Emotional Health and Lifestyle in University Students." International Journal of Environmental Research and Public Health 19, no. 15 (July 28, 2022): 9253. http://dx.doi.org/10.3390/ijerph19159253.
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The use of information and communication technologies in the health field is known as eHealth. Nowadays, the application of technological and digital tools for maintaining/improving physical and mental health is experiencing an exponential boom. These tools have been perceived as a powerful support for face-to-face therapies and lifestyle changes. Nevertheless, there is not enough scientific research that analyses the impact and consequences of eHealth interventions. More studies are needed to validate its application. Therefore, the aim of this study was to evaluate the impact of eHealth tools in a programme called ePSICONUT. This programme was created to promote healthy lifestyle habits in university students. The sample consisted of 16 university students from the Dominican Republic aged 18–24 years (x¯ = 20.69; s = 1.74). ePSICONUT was developed in 12 weeks and its impact was analyzed by comparing the initial and the final psychological and lifestyle tests results, which were completed online by the participants. Results reported that the professionally supervised use of eHealth tools was associated with better psychological well-being, lees anxiety and depression, and better lifestyle habits (such as diet quality), even in stressful and changing situations such as the COVID-19 pandemic circumstances. However, more studies are needed to validate and promote the use of eHealth-based intervention programmes.
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Rogers, S. C., C. Elder, J. Barnes, and M. N. Nahikian-Nelms. "The Effectiveness of E-Mail in a Health Intervention with College Students." Journal of the American Dietetic Association 109, no. 9 (September 2009): A54. http://dx.doi.org/10.1016/j.jada.2009.06.164.
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Bewick, Bridgette M., Steven J. Ondersma, Mette T. Høybye, Oskar Blakstad, Matthijs Blankers, Håvar Brendryen, Pål F. Helland, et al. "Erratum to: Key Intervention Characteristics in e-Health: Steps Towards Standardized Communication." International Journal of Behavioral Medicine 24, no. 6 (July 6, 2017): 957. http://dx.doi.org/10.1007/s12529-017-9658-z.
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Lee, Junga. "The effectiveness of e-health based exercise intervention programs: a systematic review." Journal of Korean Association of Physical Education and Sport for Girls and Women 29, no. 1 (March 31, 2015): 143. http://dx.doi.org/10.16915/jkapesgw.2015.03.29.1.143.
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Huang, Rae-Chi, Desiree Silva, Lawrie Beilin, Cliff Neppe, Katherine E. Mackie, Emma Roffey, Lisa Y. Gibson, et al. "Feasibility of conducting an early pregnancy diet and lifestyle e-health intervention: the Pregnancy Lifestyle Activity Nutrition (PLAN) project." Journal of Developmental Origins of Health and Disease 11, no. 1 (August 8, 2019): 58–70. http://dx.doi.org/10.1017/s2040174419000400.
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AbstractBackground:Childhood obesity is a global issue. Excessive weight gain in early pregnancy is independently associated with obesity in the next generation. Given the uptake of e-health, our primary aim was to pilot the feasibility of an e-health intervention, starting in the first trimester, to promote healthy lifestyle and prevent excess weight gain in early pregnancy. Methods: Women were recruited between 8 and 11 weeks gestation and randomised to the intervention or routine antenatal care. The intervention involved an e-health program providing diet, physical activity and well-being advice over 12 weeks.Results:Women (n = 57, 43.9% overweight/obese) were recruited at 9.38 ± 1.12 (control) and 9.06 ± 1.29 (intervention) weeks’ gestation, mainly from obstetric private practices (81.2%). Retention was 73.7% for the 12-week intervention, 64.9% at birth and 55.8% at 3 months after birth.No difference in gestational weight gain or birth size was detected. Overall treatment effect showed a mean increase in score ranking the perceived confidence of dietary change (1.2 ± 0.46, p = 0.009) and score ranking readiness to exercise (1.21 ± 0.51, p = 0.016) over the intervention. At 3 months, infants weighed less in the intervention group (5405 versus 6193 g, p = 0.008) and had a lower ponderal index (25.5 ± 3.0 versus 28.8 ± 4.0 kg/m3) compared with the control group.Conclusion and Discussion:A lifestyle intervention starting in the first-trimester pregnancy utilising e-health mode of delivery is feasible. Future studies need strategies to target recruitment of participants of lower socio-economic status and ensure maximal blinding. Larger trials (using technology and focused on early pregnancy) are needed to confirm if decreased infant adiposity is maintained.
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Pellegrini, Christine A., Jeremy Steglitz, and Sara A. Hoffman. "e-Health intervention development: a synopsis and comment on “What Design Features are Used in Effective e-Health Interventions? A Review Using Techniques From Critical Interpretive Synthesis”." Translational Behavioral Medicine 4, no. 4 (August 28, 2014): 342–45. http://dx.doi.org/10.1007/s13142-014-0283-y.
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J. Reavley, Nicola, Terence V. McCann, Stefan Cvetkovski, and Anthony F. Jorm. "A multifaceted intervention to improve mental health literacy in employees of a multi-campus university: a cluster randomised trial." Journal of Public Mental Health 13, no. 1 (March 12, 2014): 25–39. http://dx.doi.org/10.1108/jpmh-03-2013-0010.
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Purpose – The purpose of this study was to assess whether a multifaceted intervention could improve mental health literacy, facilitate help seeking and reduce psychological distress and alcohol misuse in staff of a multi-campus university in Australia. Design/methodology/approach – In this cluster randomised trial (ACTRN12610001027000), nine campuses were paired, with one of each pair randomly assigned to either intervention or control. Interventions (which were whole-of-campus) included e-mails, posters, campus events, factsheets/booklets and mental health first aid training courses. A monitoring sample of staff were recruited from each campus. Participants had a 20-minute computer-assisted telephone interview at baseline, and at the end of academic years 1 and 2. The interview assessed mental health literacy, help seeking for mental health problems, psychological distress and alcohol use. The primary outcomes were depression and anxiety levels and alcohol use and pertained to the individual level. Six campuses were randomised to intervention and three to control and all campuses were included in the analysis. Findings – There were no effects on depression and anxiety levels and alcohol use. Recall of intervention elements was greater in the intervention group at the end of the two-year assessment period. Staff in the intervention group showed better recognition of depression, greater knowledge of the National Health and Medical Research Council guidelines for safe levels of drinking and a greater intention to seek help for alcohol misuse from a general practitioner. Originality/value – Future interventions should involve more focused interventions that include consideration of working conditions and their influence on mental health, as well as addressing mental illness among employees, regardless of cause.
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Hatzioannou, Anna, Andreas Chatzittofis, Virginia Sunday Koutroubas, Evridiki Papastavrou, and Maria Karanikola. "Combined Use of Web-Based and In-Person Education on Ill Health Self-management Skills in Adults With Bipolar Disorder: Protocol for a Mixed Methods Study." JMIR Research Protocols 10, no. 9 (September 8, 2021): e25168. http://dx.doi.org/10.2196/25168.
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Background Addressing the enhancement of ill health self-management skills in adults diagnosed with bipolar disorder may be considered an important intervention for health care systems worldwide. Objective This protocol describes the study “Management of my Bipolarity” (MoB), which aims to develop an educational intervention for adults with bipolar disorder and assess its effectiveness. The objectives include (a) a literature review on bipolar disorder educational interventions; (b) a qualitative exploration of the educational needs of people with bipolar disorder; (c) development of an educational intervention based on objectives (a) and (b) (ie, the MoB educational intervention); and (d) exploration of the effectiveness of the intervention regarding participants’ knowledge of their mental health condition and enhancement of their ill health self-management skills. The MoB educational intervention will consist of an in-person and a web-based intervention in the form of a digital platform. Methods The proposed interventional study is a combination of a qualitative and a quantitative design (mixed methods study). A focus group and content analysis will be implemented for the qualitative assessment of the educational needs of adults with bipolar disorder. The intervention will be developed based on the qualitative data of the study and relevant literature. The effectiveness of the acquired knowledge and self-management skills will be assessed according to (a) substance use behavior, (b) health locus of control, (c) impulse control, (d) adherence to pharmacotherapy, (e) relapse prevention, (f) improvement of quality of life, and (g) bipolar disorder knowledge level via structured instruments in the quantitative part of the study using descriptive and inferential statistics (SPSS version 24.0). Results A total of 13 patients with bipolar disorder have been interviewed (8 women, 5 men) to identify educational needs to be covered through the intervention. Moreover, a literature review on bipolar disorder educational interventions has been completed. These data have been incorporated in the design of the MoB in-person intervention and the digital platform. The digital platform is live, and the development of the MoB in-person intervention was completed at the end of 2020. The recruitment of the participants for the intervention (40 patients) and the control group (40 patients) began during the first semester of 2021. Moreover, by tracking the platform for 1.5 years, we have recorded that 2180 users have visited the platform with an average session duration of almost 2 minutes. Mobile and tablet devices are being used by 70% of the visitors. Conclusions Since new parameters regarding educational interventions will be explored, these findings are expected to provide evidence that participation in structured educational interventions offers patients the opportunity to improve adherence to pharmacotherapy and increase their quality of life. Trial Registration ClinicalTrials.gov NCT04643210; https://clinicaltrials.gov/ct2/show/NCT04643210 International Registered Report Identifier (IRRID) DERR1-10.2196/25168
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Wang, Chen, Xiangyi Wu, and Huiying Qi. "A Comprehensive Analysis of E-Health Literacy Research Focuses and Trends." Healthcare 10, no. 1 (December 30, 2021): 66. http://dx.doi.org/10.3390/healthcare10010066.
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Objective: To sort out the research focuses in the field of e-health literacy, analyze its research topics and development trends, and provide a reference for relevant research in this field in the future. Methods: The literature search yielded a total of 431 articles retrieved from the core dataset of Web of Science using the keywords “ehealth literacy”, “E-health literacy” and “electronic health literacy”. A bibliometric analysis was performed by using CiteSpace to explore the development history, hot themes, and trends of future research in the field of e-health literacy. Results: The thematic evolution path in e-health literacy was divided into three stages. The research focuses were inspected from four aspects: evaluation, correlation with health-promotion behaviors, influencing factors, and intervention measures for improvement. Conclusion: E-health literacy research faces challenges such as the development of the connotation of the term, the objectivity of evaluation methods, and the long-term impact of interventions. Future research themes in e-health literacy will include the standardization of evaluation instruments and the individualization of therapeutic strategies.
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BECKER, HEATHER, MIKE MACKERT, and SOOK JUNG KANG. "Using an E-Health Intervention to Promote the Health of Cancer Survivors With Preexisting Disabling Conditions." CIN: Computers, Informatics, Nursing 31, no. 3 (March 2013): 107–14. http://dx.doi.org/10.1097/nxn.0b013e3182771895.
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Ooi, Poh Ling, Hadzliana Zainal, Qi Ying Lean, Long Chiau Ming, and Baharudin Ibrahim. "Pharmacists’ Interventions on Electronic Prescriptions from Various Specialty Wards in a Malaysian Public Hospital: A Cross-Sectional Study." Pharmacy 9, no. 4 (October 1, 2021): 161. http://dx.doi.org/10.3390/pharmacy9040161.
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Background: The emergence of new technologies in the area of health information and communication helps pharmacists to check the safety of medications used via electronic prescribing. Objectives: The study aimed to identify the rate and types of problems with electronic prescriptions (e-prescriptions) that required pharmacist intervention at an inpatient pharmacy, and to evaluate prescribers’ acceptance of these interventions. Methods: A retrospective cross-sectional study on the interventions of e-prescriptions documented by pharmacists was conducted in a public hospital inpatient pharmacy. Data were collected for descriptive analysis using a collection form, including the e-prescription interventions, types of wards, drugs involved, and acceptance of intervention by prescribers. A chi-square test was used to evaluate the association between ward pharmacist availability and the rate of interventions. Results: A total number of 11,922 (3.3%) pharmacist interventions were proposed for 357,760 e-prescriptions ordered in the 12 month study period. Of the total number of proposed interventions, 11,381 (95.5%) were accepted by prescribers. The interventions on e-prescriptions were from surgical wards (11.7%) followed by intensive care (5.6%), paediatric (3.5%) and medical specialty wards (2.9%). Anti-infective agents (33.8%) and cardiovascular medicines (27.0%) were among the drugs with the highest rate of interventions. The most common type of intervention was revising the drug regimen (58.4%), especially with anti-infective agents (33.8%). Prescribers in surgical wards showed the highest level of acceptance of pharmacist interventions, which was 97.37%. The presence of ward pharmacists showed a higher number of interventions (6.2 vs. 1.0%, p < 0.001) than wards without pharmacists, as well as a higher percentage of acceptance (96.4 vs. 91.1%, p < 0.001) towards e-prescription intervention. Conclusion: In e-prescribing, errors can be prevented by pharmacists’ interventions on e-prescriptions. This helps to prevent medication errors and thus optimise rational pharmacotherapy in patients. The role of ward pharmacists in pharmaceutical care is highly accepted by prescribers.
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Geraghty, Adam WA, Ricardo F. Muñoz, Lucy Yardley, Jennifer Mc Sharry, Paul Little, and Michael Moore. "Developing an Unguided Internet-Delivered Intervention for Emotional Distress in Primary Care Patients: Applying Common Factor and Person-Based Approaches." JMIR Mental Health 3, no. 4 (December 20, 2016): e53. http://dx.doi.org/10.2196/mental.5845.
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Background Developing effective, unguided Internet interventions for mental health represents a challenge. Without structured human guidance, engagement with these interventions is often limited and the effectiveness reduced. If their effectiveness can be increased, they have great potential for broad, low-cost dissemination. Improving unguided Internet interventions for mental health requires a renewed focus on the proposed underlying mechanisms of symptom improvement and the involvement of target users from the outset. Objective The aim of our study was to develop an unguided e-mental health intervention for distress in primary care patients, drawing on meta-theory of psychotherapeutic change and utilizing the person-based approach (PBA) to guide iterative qualitative piloting with patients. Methods Common factors meta-theory informed the selection and structure of therapeutic content, enabling flexibility whilst retaining the proposed necessary ingredients for effectiveness. A logic model was designed outlining intervention components and proposed mechanisms underlying improvement. The PBA provided a framework for systematically incorporating target-user perspective into the intervention development. Primary care patients (N=20) who had consulted with emotional distress in the last 12 months took part in exploratory qualitative interviews, and a subsample (n=13) undertook think-aloud interviews with a prototype of the intervention. Results A flexible intervention was developed, to be used as and when patients need, diverting from a more traditional, linear approach. Based on the in-depth qualitative findings, disorder terms such as “depression” were avoided, and discussions of psychological symptoms were placed in the context of stressful life events. Think-aloud interviews showed that patients were positive about the design and structure of the intervention. On the basis of patient feedback, modifications were made to increase immediate access to all therapeutic techniques. Conclusions Detailing theoretical assumptions underlying Internet interventions for mental health, and integrating this approach with systematic in-depth qualitative research with target patients is important. These strategies may provide novel ways for addressing the challenges of unguided delivery. The resulting intervention, Healthy Paths, will be evaluated in primary care-based randomized controlled trials, and deployed as a massive open online intervention (MOOI).
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Ferret, Jhainieiry Cordeiro Famelli, Braulio Henrique Magnani Branco, Letícia Pereira Gonzaga dos Santos, Filipe Rocco, and Marcelo Picinin Bernuci. "WhatsApp-assisted health education intervention." International Journal for Innovation Education and Research 9, no. 9 (September 1, 2021): 56–72. http://dx.doi.org/10.31686/ijier.vol9.iss9.3316.
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The acknowledgment of social media as a strategy in health education is essential, providing benefits to health promotion and the prevention and treatment of comorbidities. This study assessed the contribution of WhatsApp use on the prognosis of medical conditions and its impact on enhancing the quality of life. The review protocol used PubMed and Web of Science as databases, followed PRISMA-E 2012 guidelines, was registered in PROSPERO (Nº2021232688), and its risk of bias was analyzed Cochrane Collaboration's tool for assessing the risk of bias. Thirteen impact studies (n = 1653 participants) were selected and showed evidence on metabolic parameters such as reducing blood pressure (7.6%); body mass index-BMI (7.6%); glycated haemoglobin-HbA1c (15.4%); resting heart rate (7.6%); increase in static balance increase on balance (7.6%) and reduced body weight (7.6%). Furthermore, specific findings on each intervention were demonstrated, such as diminished rates of relapse in substance users (7.6%); increased populational knowledge on chronic diseases (23%) associated with a decrease in the potential complications (7.6%), and a rise on treatment adhesion (7.6%); impact on the follow-up of pregnant patients (7.6%) and progress on oral hygiene (15.4%). Therefore, it was concluded that this intervention strategy demonstrated significant magnitude in reducing the progression and complication of the assessed disorders.
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Fonseca, Ana, Mariana Branquinho, and Maria Cristina Canavarro. "Application of the Cognitive-Behavior Therapy principles in the development of e-mental health tools." Psychologica 63, no. 2 (December 28, 2020): 119–37. http://dx.doi.org/10.14195/1647-8606_63-2_6.
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E-mental health tools are a new format of treatment delivery that can increase population’s access to mental health services. Its effectiveness is higher when grounded on evidence-based therapeutic protocols, such as Cognitive-Behavior Therapy (CBT). We aim to understand how CBT principles can be applied in the development of e-mental health tools, more specifically, in web-based interventions. We use the case example of the Be a Mom program, a web-based psychological intervention, grounded on the principles of CBT, designed to prevent postpartum depression and targeting high-risk postpartum women in the Portuguese population. We describe how the design of Be a Mom was grounded in CBT, by addressing: a) general CBT principles; b) its therapeutic mechanisms; and c) organization of sessions. Also, we discuss
the relevance of the therapeutic alliance in web-based interventions and the importance of evidence-based interventions. By providing insight on how the principles of CBT can be operationalized in an innovative delivery format, we can contribute to the further development of web-based interventions, as well as to increase awareness and knowledge among mental health professionals about the similarities between the principles underlying web-based and face-to-face CBT interventions.