1
|
Delgado GV, Carvalho RBD, Choo CW, Leite RS, Castro JMD. Empowerment through Mobile Apps: A Mixed Methods Case Study of an Application for Pregnant Women. JOURNAL OF HEALTH MANAGEMENT 2022. [DOI: 10.1177/09720634221121363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This article analyses the manner in which mobile health applications contribute to the empowerment of patients. The theoretical background included m-health, user empowerment and value co-creation. Quantitative and qualitative methods were used to investigate the representative case study of the Kangaroo application, a free app designed by a health-tech start-up and a reference Brazilian hospital which seeks to make Brazilian women empowered for a healthy pregnancy. The data collection effort comprised application log analysis of 6 months of records of almost one-hundred thousand users, a mobile-based survey with approximately 400 women, and 16 in-depth interviews. The results demonstrated that the app’s social features impacted more than personal features. This research’s results suggested that the perception of patient empowerment is not greater for the active users of the application, so the patient is not related to ‘doing’, but rather to ‘being able to do’. The participation of specialised professionals, who moderate and interact with the app community, is valued by the users and mentioned as a differential among other health information sources available on the Web. This study was approved by the Brazilian Research Ethics Committee.
Collapse
Affiliation(s)
- Gustavo Varela Delgado
- Pontifical Catholic University of Minas Gerais – PUCMinas, Belo Horizonte, State of Minas Gerais, Brazil
| | - Rodrigo Baroni de Carvalho
- Pontifical Catholic University of Minas Gerais – PUCMinas, Belo Horizonte, State of Minas Gerais, Brazil
| | - Chun Wei Choo
- Faculty of Information, University of Toronto, Toronto, Ontario, Canada
| | - Ramon Silva Leite
- Pontifical Catholic University of Minas Gerais – PUCMinas, Belo Horizonte, State of Minas Gerais, Brazil
| | - José Márcio de Castro
- Pontifical Catholic University of Minas Gerais – PUCMinas, Belo Horizonte, State of Minas Gerais, Brazil
| |
Collapse
|
2
|
McGowan A, Sittig S, Bourrie D, Benton R, Iyengar S. The Intersection of Persuasive System Design and Personalization in Mobile Health: Statistical Evaluation. JMIR Mhealth Uhealth 2022; 10:e40576. [PMID: 36103226 PMCID: PMC9520383 DOI: 10.2196/40576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 08/04/2022] [Accepted: 08/10/2022] [Indexed: 11/13/2022] Open
Abstract
Background
Persuasive technology is an umbrella term that encompasses software (eg, mobile apps) or hardware (eg, smartwatches) designed to influence users to perform preferable behavior once or on a long-term basis. Considering the ubiquitous nature of mobile devices across all socioeconomic groups, user behavior modification thrives under the personalized care that persuasive technology can offer. However, there is no guidance for developing personalized persuasive technologies based on the psychological characteristics of users.
Objective
This study examined the role that psychological characteristics play in interpreted mobile health (mHealth) screen perceived persuasiveness. In addition, this study aims to explore how users’ psychological characteristics drive the perceived persuasiveness of digital health technologies in an effort to assist developers and researchers of digital health technologies by creating more engaging solutions.
Methods
An experiment was designed to evaluate how psychological characteristics (self-efficacy, health consciousness, health motivation, and the Big Five personality traits) affect the perceived persuasiveness of digital health technologies, using the persuasive system design framework. Participants (n=262) were recruited by Qualtrics International, Inc, using the web-based survey system of the XM Research Service. This experiment involved a survey-based design with a series of 25 mHealth app screens that featured the use of persuasive principles, with a focus on physical activity. Exploratory factor analysis and linear regression were used to evaluate the multifaceted needs of digital health users based on their psychological characteristics.
Results
The results imply that an individual user’s psychological characteristics (self-efficacy, health consciousness, health motivation, and extraversion) affect interpreted mHealth screen perceived persuasiveness, and combinations of persuasive principles and psychological characteristics lead to greater perceived persuasiveness. The F test (ie, ANOVA) for model 1 was significant (F9,6540=191.806; P<.001), with an adjusted R2 of 0.208, indicating that the demographic variables explained 20.8% of the variance in perceived persuasiveness. Gender was a significant predictor, with women having higher perceived persuasiveness (P=.008) relative to men. Age was a significant predictor of perceived persuasiveness with individuals aged 40 to 59 years (P<.001) and ≥60 years (P<.001). Model 2 was significant (F13,6536=341.035; P<.001), with an adjusted R2 of 0.403, indicating that the demographic variables self-efficacy, health consciousness, health motivation, and extraversion together explained 40.3% of the variance in perceived persuasiveness.
Conclusions
This study evaluates the role that psychological characteristics play in interpreted mHealth screen perceived persuasiveness. Findings indicate that self-efficacy, health consciousness, health motivation, extraversion, gender, age, and education significantly influence the perceived persuasiveness of digital health technologies. Moreover, this study showed that varying combinations of psychological characteristics and demographic variables affected the perceived persuasiveness of the primary persuasive technology category.
Collapse
Affiliation(s)
- Aleise McGowan
- School of Computing Sciences and Computer Engineering, The University of Southern Mississippi, Hattiesburg, MS, United States
| | - Scott Sittig
- University of Louisiana at Lafayette, Lafayette, LA, United States
| | - David Bourrie
- University of South Alabama, Mobile, AL, United States
| | - Ryan Benton
- University of South Alabama, Mobile, AL, United States
| | | |
Collapse
|
3
|
Abstract
The Fourth Industrial Revolution (4IR) offers optimum productivity and efficiency via automation, expert systems, and artificial intelligence. The Fourth Industrial Revolution deploys smart sensors, Cyber-Physical Systems (CPS), Internet of Things (IoT), Internet of Services (IoS), big data and analytics, Augmented Reality (AR), autonomous robots, additive manufacturing (3D Printing), and cloud computing for optimization purposes. However, the impact of 4IR has brought various changes to digital humanities, mainly in the occupations of people, but also in ethical compliance. It still requires the redefining of the roles of knowledge management (KM) as one of the tools to assist in organization growth, especially in negotiating tasks between machines and people in an organization. Knowledge management is crucial in the development of new digital skills that are governed by the ethical obligations that are necessary in the Fourth Industrial Revolution. The purpose of the study is to examine the role of KM strategies in responding to the emergence of 4IR, its impact on and challenges to the labor market, and employment. This paper also analyzes and further discusses how 4IR and employment issues are being viewed in the context of ethical dilemmas.
Collapse
|
4
|
Jiang F, Liu Y, Hu J, Chen X. Understanding Health Empowerment From the Perspective of Information Processing: Questionnaire Study. J Med Internet Res 2022; 24:e27178. [PMID: 35014957 PMCID: PMC8790685 DOI: 10.2196/27178] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 03/31/2021] [Accepted: 11/04/2021] [Indexed: 11/17/2022] Open
Abstract
Background Massive, easily accessible online health information empowers users to cope with health problems better. Most patients search for relevant online health information before seeing a doctor to alleviate information asymmetry. However, the mechanism of how online health information affects health empowerment is still unclear. Objective To study how online health information processing affects health empowerment. Methods We conducted a cross-sectional questionnaire study that included 343 samples from participants who had searched online health information before the consultation. Respondents' perceptions of online information cues, benefits, health literacy, and health empowerment were assessed. Results Perceived argument quality and perceived source credibility have significant and positive effects on perceived information benefits, but only perceived argument quality has a significant effect on perceived decision-making benefits. Two types of perceived benefits, in turn, affect health empowerment. The effects of perceived argument quality on perceived informational benefits and perceived decision-making benefits on health empowerment are significantly stronger for the high health literacy group than the low health literacy group (t269=7.156, P<.001; t269=23.240, P<.001). While, the effects of perceived source credibility on perceived informational benefits and perceived informational benefits on health empowerment are significantly weaker for the high health literacy group than the low health literacy group (t269=–10.497, P<.001; t269=–6.344, P<.001). The effect of perceived argument quality on perceived informational benefits shows no significant difference between high and low health literacy groups. Conclusions In the context of online health information, perceived information benefits and perceived decision-making benefits are the antecedents of health empowerment, which in turn will be affected by perceived argument quality and perceived source credibility. Health literacy plays a moderating role in the relationship of some variables. To maximize health empowerment, online health information providers should strengthen information quality and provide differentiated information services based on users' health literacy.
Collapse
Affiliation(s)
- Fei Jiang
- Business School of Central South University, Changsha, China
| | - Yongmei Liu
- Business School of Central South University, Changsha, China
| | - Junhua Hu
- Business School of Central South University, Changsha, China
| | - Xiaohong Chen
- Hunan University of Technology and Business, Changsha, China
| |
Collapse
|
5
|
The Effects of Dietary Mobile Apps on Nutritional Outcomes in Adults with Chronic Diseases: A Systematic Review and Meta-Analysis. J Acad Nutr Diet 2019; 119:626-651. [DOI: 10.1016/j.jand.2018.11.010] [Citation(s) in RCA: 55] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2018] [Accepted: 11/12/2018] [Indexed: 01/19/2023]
|
6
|
Sahin C. Rules of engagement in mobile health: what does mobile health bring to research and theory? Contemp Nurse 2018; 54:374-387. [PMID: 29502472 DOI: 10.1080/10376178.2018.1448290] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND The effectiveness of mobile health (mHealth) is a controversial issue. For its wide-scale adoption and successful integration to the healthcare system, theoretical, methodological, and practical issues of mHealth should be well understood. OBJECTIVES The purpose of the study was to review the essential characteristics of mHealth and discuss what mHealth presents to research and theory. METHOD This review synthesized the studies focused on the adoption, design, and implementation of mHealth. The search strategy included reviewing electronic databases, key journals, web-based research and knowledge centers, and manual searching reference lists of the main studies. RESULTS mHealth's core characteristics were specified as accessibility, inclusivity, patient's autonomy, customizability, increasing the accuracy of diagnostics and treatment, improvement in service quality, and testability. Opportunities and challenges in regards to theory and research were discussed. CONCLUSIONS AND IMPLICATIONS Using an integrated approach, this study identified and summarized the key issues to understand mHealth. Implications and recommendations for research and practice were provided.
Collapse
Affiliation(s)
- Cigdem Sahin
- a Social Dimensions of Health Program , University of Victoria , PO Box 3050 STN CSC, Victoria , BC , Canada V8W 3P5
| |
Collapse
|
7
|
Molina Recio G, García-Hernández L, Molina Luque R, Salas-Morera L. The role of interdisciplinary research team in the impact of health apps in health and computer science publications: a systematic review. Biomed Eng Online 2016; 15 Suppl 1:77. [PMID: 27454164 PMCID: PMC4959385 DOI: 10.1186/s12938-016-0185-y] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND Several studies have estimated the potential economic and social impact of the mHealth development. Considering the latest study by Institute for Healthcare Informatics, more than 165.000 apps of health and medicine are offered including all the stores from different platforms. Thus, the global mHealth market was an estimated $10.5 billion in 2014 and is expected to grow 33.5 percent annually between 2015 and 2020s. In fact, apps of Health have become the third-fastest growing category, only after games and utilities. METHODS This study aims to identify, study and evaluate the role of interdisciplinary research teams in the development of articles and applications in the field of mHealth. It also aims to evaluate the impact that the development of mHealth has had on the health and computer science field, through the study of publications in specific databases for each area which have been published until nowadays. RESULTS Interdisciplinary nature is strongly connected to the scientific quality of the journal in which the work is published. This way, there are significant differences in those works that are made up by an interdisciplinary research team because of they achieve to publish in journals with higher quartiles. There are already studies that warn of methodological deficits in some studies in mHealth, low accuracy and no reproducibility. Studies of low precision and poor reproducibility, coupled with the low evidence, provide low degrees of recommendation of the interventions targeted and therefore low applicability. CONCLUSIONS From the evidence of this study, working in interdisciplinary groups from different areas greatly enhances the quality of research work as well as the quality of the publications derived from its results.
Collapse
|
8
|
Almunawar MN, Anshari M, Younis MZ, Kisa A. Electronic Health Object: Transforming Health Care Systems From Static to Interactive and Extensible. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2015; 52:0046958015618665. [PMID: 26660486 PMCID: PMC5813641 DOI: 10.1177/0046958015618665] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Electronic health records (EHRs) store health-related patient information in an electronic format, improving the quality of health care management and increasing efficiency of health care processes. However, in existing information systems, health-related records are generated, managed, and controlled by health care organizations. Patients are perceived as recipients of care and normally cannot directly interact with the system that stores their health-related records; their participation in enriching this information is not possible. Many businesses now allow customers to participate in generating information for their systems, strengthening customer relationships. This trend is supported by Web 2.0, which enables interactivity through various means, including social networks. Health care systems should be able to take advantage of this development. This article proposes a novel framework in addressing the emerging need for interactivity while preserving and extending existing electronic medical data. The framework has 3 dimensions of patient health record: personal, social, and medical dimensions. The framework is designed to empower patients, changing their roles from static recipient of health care services to dynamic and active partners in health care processes.
Collapse
|