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Knock M, Carpenter DM, Thomas KC, Lee C, Adjei A, Lowery J, Coyne I, Garcia N, Sleath B. Disseminating a health information website to teens using a three-pronged approach with social media outreach. PEC INNOVATION 2024; 4:100288. [PMID: 38766572 PMCID: PMC11101743 DOI: 10.1016/j.pecinn.2024.100288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 04/02/2024] [Accepted: 05/04/2024] [Indexed: 05/22/2024]
Abstract
Objective To disseminate iuveo.org, a new health information website, primarily to teens in the United States using a three-pronged approach of social media, in-person, and emails. Methods Dissemination methods included a combination of in-person, email, and social media campaigns starting in August 2022 to reach teens and stakeholders focused on teen health. Following the Social Marketing Theory framework, a social media campaign was implemented utilizing Instagram and X (formerly Twitter). Website analytics, including monthly usage of iuveo, was measured utilizing Google Analytics. The intrinsic analytics from X and Instagram were also tracked. Results From August 2022-July 2023, iuveo attracted 1338 unique users to the website. In the same time frame, 1085 accounts were reached on Instagram, and 14,367 impressions were received on X. Most website users (84.8%) were classified as 'direct' acquisition, meaning that they directly typed in the URL or clicked on a link, and 7.3% of users visited iuveo from a social media platform. Conclusion A three-pronged dissemination strategy is beneficial when disseminating a new health information website. Innovation Utilizing a three-pronged approach with a social media campaign based on Social Marketing Theory, a health information website was disseminated to youth in the United States.
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Affiliation(s)
- McKenna Knock
- UNC Eshelman School of Pharmacy, United States of America
| | - Delesha M. Carpenter
- Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, United States of America
| | - Kathleen C. Thomas
- Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, United States of America
- UNC Cecil G. Sheps Center for Health Services Research, United States of America
| | - Charles Lee
- UNC Eshelman School of Pharmacy, United States of America
| | - Abena Adjei
- Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, United States of America
| | - Jeremy Lowery
- UNC Eshelman School of Pharmacy, United States of America
| | - Imelda Coyne
- School of Nursing and Midwifery, Trinity College Dublin, the University of Dublin College Green, Dublin, Ireland
| | - Nacire Garcia
- Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, United States of America
- UNC Cecil G. Sheps Center for Health Services Research, United States of America
| | - Betsy Sleath
- Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, United States of America
- UNC Cecil G. Sheps Center for Health Services Research, United States of America
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Miller C. Using technology to bridge the transition from pediatric to adult health care. J Am Assoc Nurse Pract 2022; 34:850-858. [PMID: 35383652 DOI: 10.1097/jxx.0000000000000700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 01/24/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND There are unique challenges presented during the transition from pediatric to adult health care for adolescents with chronic medical conditions, and many do not transition smoothly. Although there is little research on how mobile applications can influence the transition process specifically, research shows technology, in general, can be advantageous to the transition process for adolescents. Ample literature exists on how adolescents are avid users of technology. LOCAL PROBLEM The Children's Medical Services program in a large urban county in the southern United States lacked an efficient system for transitioning the care of children with special needs to the adult health care setting. METHODS Qualitative semistructured interviews and pre-post tests were conducted with 23 adolescent participants with chronic medical conditions. Multiple choice questions elicited information from four categories: knowledge of medical condition, organization/health care system navigation, identified adult health care provider, and awareness of available resources. INTERVENTIONS A novel website and smartphone application designed to aid adolescents and young adults during transition were developed. RESULTS Gain scores from pre-post tests showed an increase in all 4 sections of the survey: knowledge of medical condition-21% increase, organization/health care system navigation-15.3% increase, identified health care provider-32% increase, and awareness of available resources-19.3% increase. All 23 adolescent participants reported that the application would be useful for managing their health information. CONCLUSIONS Smartphone applications can be helpful for adolescents in their transition into adult health care. Such applications also have potential to increase confidence and independence in managing health care needs.
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Choi SK, Golinkoff J, Michna M, Connochie D, Bauermeister J. Correlates of engagement within an online HIV prevention intervention for single young men who have sex with men: The myDEx project (Preprint). JMIR Public Health Surveill 2021; 8:e33867. [PMID: 35759333 PMCID: PMC9274398 DOI: 10.2196/33867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 03/07/2022] [Accepted: 05/10/2022] [Indexed: 11/13/2022] Open
Abstract
Background Objective Methods Results Conclusions Trial Registration
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Affiliation(s)
- Seul Ki Choi
- Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States
| | - Jesse Golinkoff
- Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States
| | - Mark Michna
- Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States
| | - Daniel Connochie
- Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States
| | - José Bauermeister
- Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States
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DeJonckheere M, Zhao A, Lane J, Plegue MA, Ranalli L, Wagner E, Riley M. Results of a National Text Message Poll of Youth: Perspectives on Primary Care. J Adolesc Health 2020; 67:814-820. [PMID: 32620346 DOI: 10.1016/j.jadohealth.2020.04.017] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 04/09/2020] [Accepted: 04/17/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE There is a significant interest in improving adolescent access to primary care, yet limited attempts to incorporate youth feedback within these efforts. The purpose of this study was to describe the experiences related to primary care among a large national sample of adolescents to improve patient-centered care. METHODS Youth were sent open-ended text message prompts via an ongoing study of 14- to 24-year-olds in the U.S. Text responses were analyzed using qualitative thematic analysis, including descriptive coding, consensus building, and theme development. Secondary quantitative analyses were conducted to determine differences by demographics. RESULTS Of 1,123 eligible participants, 789 (70.2%) responded to at least one prompt. Four themes were developed: (1) youth recognized the importance of primary care, but barriers exist that limited their utilization; (2) youth felt that improving convenience would increase the use of primary care; (3) youth were unsure how to transition between primary care settings; and (4) feeling respected was essential to youth having positive experiences in a primary care health care setting. Older youth and those identifying as female, nonbinary, or transgender were more likely to report previous bad experiences with primary care. CONCLUSIONS Our findings describe barriers and possible solutions to primary care among youth. Because attitudes toward health and health care are established during adolescence, a transformation is needed to create more patient-centered care that aligns with young people's values and experiences. Thus, primary care providers have the opportunity to positively impact the health of young people today and the adults of the future.
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Affiliation(s)
| | - Aisling Zhao
- University of Michigan Medical School, University of Michigan, Ann Arbor, Michigan
| | - Jenni Lane
- Adolescent Health Initiative, University of Michigan, Ann Arbor, Michigan
| | - Melissa A Plegue
- Department of Family Medicine, University of Michigan, Ann Arbor, Michigan
| | - Lauren Ranalli
- Adolescent Health Initiative, University of Michigan, Ann Arbor, Michigan
| | - Ellen Wagner
- Adolescent Health Initiative, University of Michigan, Ann Arbor, Michigan
| | - Margaret Riley
- Department of Family Medicine, University of Michigan, Ann Arbor, Michigan; Adolescent Health Initiative, University of Michigan, Ann Arbor, Michigan
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Barwise AK, Patten CA, Bock MJ, Hughes CA, Brockman TA, Valdez Soto MA, Wi CI, Juhn YJ, Witt DR, Sinicrope S, Kreps SR, Saling HD, Levine JA, Balls-Berry JE. Acceptability of Robotic-Assisted Exercise Coaching Among Diverse Youth: Pilot Study. JMIR Pediatr Parent 2019; 2:e12549. [PMID: 31518333 PMCID: PMC6715060 DOI: 10.2196/12549] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Revised: 04/11/2019] [Accepted: 04/30/2019] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Almost 80% of adolescents do not achieve 60 minutes or more of physical activity each day as recommended by current US national guidelines. There is a need to develop and promote interventions that increase physical activity among adolescents. With increased interest in digital technologies among adolescents, robotic-assisted platforms are a novel and engaging strategy to deliver physical activity interventions. OBJECTIVE This study sought to assess the potential acceptability of robotic-assisted exercise coaching among diverse youth and to explore demographic factors associated with acceptance. METHODS This pilot study used a cross-sectional survey design. We recruited adolescents aged 12-17 years at three community-based sites in Rochester, MN. Written informed consent was obtained from participants' parents or guardians and participants gave consent. Participants watched a brief demonstration of the robotic system-human interface (ie, robotic human trainer). The exercise coaching was delivered in real time via an iPad tablet placed atop a mobile robotic wheel base and controlled remotely by the coach using an iOS device or computer. Following the demonstration, participants completed a 28-item survey that assessed sociodemographic information, smoking and depression history, weight, and exercise habits; the survey also included the eight-item Technology Acceptance Scale (TAS), a validated instrument used to assess perceived usefulness and ease of use of new technologies. RESULTS A total of 190 adolescents participated in this study. Of the participants, 54.5% were (103/189) male, 42.6% (81/190) were racial minorities, 5.8% (11/190) were Hispanic, and 28.4% (54/190) lived in a lower-income community. Their mean age was 15.0 years (SD 2.0). A total of 24.7% (47/190) of participants met national recommendations for physical activity. Their mean body mass index (BMI) was 21.8 kg/m2 (SD 4.0). Of note, 18.4% (35/190) experienced depression now or in the past. The mean TAS total score was 32.8 (SD 7.8) out of a possible score of 40, indicating high potential receptivity to the technology. No significant associations were detected between TAS score and gender, age, racial minority status, participant neighborhood, BMI, meeting national recommendations for physical activity levels, or depression history (P>.05 for all). Of interest, 67.8% (129/190) of participants agreed that they and their friends were likely to use the robot to help them exercise. CONCLUSIONS This preliminary study found that among a racially and socioeconomically diverse group of adolescents, robotic-assisted exercise coaching is likely acceptable. The finding that all demographic groups represented had similarly high receptivity to the robotic human exercise trainer is encouraging for ultimate considerations of intervention scalability and reach among diverse adolescent populations. Next steps will be to evaluate consumer preferences for robotic-assisted exercise coaching (eg, location, duration, supervised or structured, choice of exercise, and/or lifestyle activity focus), develop the treatment protocol, and evaluate feasibility and consumer uptake of the intervention among diverse youth.
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Affiliation(s)
- Amelia K Barwise
- Clinical and Translational Science PhD Program, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic, Rochester, MN, United States.,Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, United States
| | - Christi A Patten
- Department of Psychiatry and Psychology, Behavioral Health Research Program, Minnesota BioBusiness Center, Mayo Clinic, Rochester, MN, United States
| | - Martha J Bock
- Department of Psychiatry and Psychology, Behavioral Health Research Program, Minnesota BioBusiness Center, Mayo Clinic, Rochester, MN, United States
| | - Christine A Hughes
- Department of Psychiatry and Psychology, Behavioral Health Research Program, Minnesota BioBusiness Center, Mayo Clinic, Rochester, MN, United States
| | - Tabetha A Brockman
- Center for Clinical and Translational Science,Community Engagement Program, Department of Psychiatry and Psychology, Minnesota BioBusiness Center, Mayo Clinic, Rochester, MN, United States
| | - Miguel A Valdez Soto
- Center for Clinical and Translational Science, Community Engagement Program, Mayo Clinic, Rochester, MN, United States
| | - Chung-Il Wi
- Asthma Epidemiology Research Unit and Community Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, United States
| | - Young J Juhn
- Asthma Epidemiology Research Unit and Community Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, United States
| | - Daniel R Witt
- Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, United States
| | - Stephen Sinicrope
- Department of Psychiatry and Psychology, Behavioral Health Research Program, Minnesota BioBusiness Center, Mayo Clinic, Rochester, MN, United States
| | - Samantha R Kreps
- Health Sciences, University of Minnesota, Rochester, MN, United States.,Center for Clinical and Translational Science, Community Engagement Program, Minnesota BioBusiness Center, Mayo Clinic, Rochester, MN, United States
| | - Henry D Saling
- Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States
| | - James A Levine
- Fondation Ipsen, Paris, France.,Division of Endocrinology, Department of Medicine, Case Western Reserve University, Cleveland, OH, United States
| | - Joyce E Balls-Berry
- Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic College of Medicine and Science, Mayo Clinic, Rochester, MN, United States
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Zhao JY, Romero Arenas MA. The surgical blog: An important supplement to traditional scientific literature. Am J Surg 2019; 218:792-797. [PMID: 31345504 DOI: 10.1016/j.amjsurg.2019.07.028] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Revised: 04/08/2019] [Accepted: 07/17/2019] [Indexed: 01/26/2023]
Abstract
BACKGROUND Blogging is a new and innovative means of information exchange in the surgical community. We examined the Association of Women Surgeons (AWS) blog to understand its audience and most read content. METHODS Google Analytics was used to assess the AWS blog site data. A search was performed from February 2018 to February 2019. Demographic data, blog posts, and tags sorted by unique pageviews were recorded. RESULTS There were 31,221 unique pageviews during the search period. The AWS Blog readership was mostly women (75%), ages 25-44 years (70.3%). The three tags that elicited the most pageviews were "residency (16.95%)," "medical students (12.12%)," and "family life (10.38%)." The most read blog post was responsible for 9.7% of total pageviews. DISCUSSION & CONCLUSION Most of the AWS Blog readership are young, women, and interested in content related to graduate and postgraduate medical education or family life. Blogging may be a good vehicle for topics not covered in traditional scientific literature.
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Affiliation(s)
- Jane Y Zhao
- Departments of Surgery and Biomedical Informatics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, 462 Grider Street, DK Miller Building, Third Floor, Buffalo, NY, 14215, USA.
| | - Minerva A Romero Arenas
- Department of Surgery, The University of Texas Rio Grande Valley School of Medicine, 1201 West University Drive, Edinburg, TX, 78539, USA.
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Pase C, Mathias AD, Garcia CD, Garcia Rodrigues C. Using Social Media for the Promotion of Education and Consultation in Adolescents Who Have Undergone Kidney Transplant: Protocol for a Randomized Control Trial. JMIR Res Protoc 2018; 7:e3. [PMID: 29317381 PMCID: PMC5780617 DOI: 10.2196/resprot.8065] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 08/13/2017] [Accepted: 08/14/2017] [Indexed: 11/29/2022] Open
Abstract
Background Falling ill represents a traumatic experience especially in adolescence, since in addition to the moments of ambiguity and contradictions that this period brings, there is coping with the disease. Renal transplantation provides a better quality of life but the dependence on dialysis is replaced by the greater responsibility of self-care. With advances in technology, contemporary communication methods are a strategic mechanism for the approximation of the adolescent and the multiprofessional team. In this perspective, our research may provide possible changes and propose alternatives, using social networks for the integration of the multiprofessional team, promoting education within a virtual environment for adolescents who have undergone kidney transplants. Objective The goal of our research is to compare the knowledge, satisfaction, and self-esteem of adolescent renal transplant patients in 2 groups: patients undergoing conventional treatment versus patients undergoing conventional treatment plus the full-time use of social networks to aid in education and consultation. Methods Nonblind randomized clinical trial with 128 adolescents (aged 13 to 21 years) divided in 2 groups: the first group will receive conventional care and the second group will be invited to participate in a secret group on the social network Facebook. This group will be used as a new education platform to involve young renal transplant patients to participate in the guidelines provided to them by the multiprofessional team. Results An environment for learning and exchanging life experiences will be created by using a well-known technology among adolescents. As a low-cost intervention, it will allow a better interaction between the patient and the transplant team. It is expected that the adolescents will improve their knowledge about the disease also increasing their self-esteem and the treatment adhesion. Conclusions Health professionals need to seek alternatives when educating patients, focusing on easily understandable ways for effective guidance. In the adolescent population, it is understood that the use of technology as support in education is a fundamental tool for this age group. The proposed project will directly benefit adolescent renal transplant patients as it uses language aimed directly at the target demographic. It attempts to overcome the traditional model by being more in contact with the current generation. This approach makes the content easier to assimilate and, consequently, increases understanding. Trial Registration ClinicalTrials.gov: NCT03214965; https://clinicaltrials.gov/ct2/show/NCT02239354 (Archived by Webcite at http://www.webcitation.org/6wKnYrFGx)
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Affiliation(s)
- Claudiana Pase
- Fundação Universitária de Cardiologia, Programa de Pós Graduação, Instituto de Cardiologia, Porto Alegre, Brazil
| | - Andréia Dias Mathias
- Hospital da Criança Santo Antônio, Irmandade Santa Casa de Misericórdia, Porto Alegre, Brazil
| | - Clotilde Druck Garcia
- Serviço de Nefrologia Pediátrica, Hospital da Criança Santo Antônio, Irmandade Santa Casa de Misericórdia, Porto Alegre, Brazil
| | - Clarissa Garcia Rodrigues
- Fundação Universitária de Cardiologia, Programa de Pós Graduação, Instituto de Cardiologia, Porto Alegre, Brazil
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Hightow-Weidman LB, Muessig KE, Bauermeister J, Zhang C, LeGrand S. Youth, Technology, and HIV: Recent Advances and Future Directions. Curr HIV/AIDS Rep 2016; 12:500-15. [PMID: 26385582 DOI: 10.1007/s11904-015-0280-x] [Citation(s) in RCA: 102] [Impact Index Per Article: 12.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Technology, including mobile technologies and social media, offers powerful tools to reach, engage, and retain youth and young adults in HIV prevention and care interventions both in the USA and globally. In this report, we focus on HIV, technology, and youth, presenting a synthesis of recently published (Jan 2014-May 2015) observational and experimental studies relevant for understanding and intervening on HIV risk, prevention, and care. We present findings from a selection of the 66 relevant citations identified, highlighting studies that demonstrate a novel approach to technology interventions among youth in regard to content, delivery, target population, or public health impact. We discuss current trends globally and in the USA in how youth are using technology, as well as emergent research issues in this field-including the need for new theories for developing technology-based HIV interventions and new metrics of engagement, exposure, and evaluation.
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Affiliation(s)
- Lisa B Hightow-Weidman
- Department of Medicine, University of North Carolina at Chapel Hill, 130 Mason Farm Road, Bioinformatics Building CB#7030, Chapel Hill, NC, 27599, USA.
| | - Kathryn E Muessig
- Department of Health Behavior, University of North Carolina at Chapel Hill, 306 Rosenau Hall Campus Box 7440, Chapel Hill, NC, 27599-7440, USA.
| | - Jose Bauermeister
- Department of Health Behavior and Health Education School of Public Health, University of Michigan, 1415 Washington Heights, SPH I, Room 3822, Ann Arbor, MI, 48109-2029, USA.
| | - Chen Zhang
- Department of Health Behavior, University of North Carolina at Chapel Hill, 306 Rosenau Hall Campus Box 7440, Chapel Hill, NC, 27599-7440, USA.
| | - Sara LeGrand
- Center for Health Policy and Inequalities Research Duke Global Health Institute, Duke University, 310 Trent Dr., Room 305, Durham, NC, 27710, USA.
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