Electronic Communication, Telehealth, and Social Media

2018 ◽  
Author(s):  
Muniya S. Khanna ◽  
Tommy Chou
Keyword(s):  
Social Media ◽  
Rural Communities ◽  
Unmet Need ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Intervention Delivery ◽  
Safety Issues ◽  
Video Teleconferencing ◽  
Empirically Supported ◽  
Traditional Service

Explosive growth of communication technologies and increased ubiquity of Internet access in both urban and rural communities and particularly in youth have occurred. Coupled with concerns regarding limitations to traditional service provision models, researchers and practitioners are looking to affordable, acceptable technologies to expand the reach of evidence-based care and reduce barriers to intervention and unmet need in areas with few providers. This chapter describes the present literature on use of video teleconferencing, web-based programs, social media, and smartphone apps to enhance mental health intervention delivery, psychiatric assessment, and training and supervision. The strengths of the various delivery methods are discussed for providing empirically supported mental healthcare, focusing on implications related to science and practice with children and families. Outlined also are current limitations, risks, and challenges to technology-mediated services, including the significant gaps in the evidence base underlying these technologies and the legal, ethical, and safety issues that remain.

scholarly journals Assessing the Credibility of Best Suited Communication Channels in Rural Communities for Meeting the Unmet Need Towards Reducing Child and Adolescent Marriage: a Model From Upper Egypt

2021 ◽  
Author(s):  
Ammal M. Metwally ◽  
Manal H. Abuelela ◽  
Dalia M. Elmosalami ◽  
Amira Mohsen ◽  
Hala A. Amer ◽  
...  
Keyword(s):  
Social Media ◽  
Rural Communities ◽  
Interpersonal Communication ◽  
Unmet Need ◽  
Communication Channels ◽  
Child And Adolescent ◽  
Cross Sectional Study ◽  
Early Marriage ◽  
Cross Sectional ◽  
Upper Egypt

Abstract Background: Low levels of scholarly achievement, poverty, and geographical isolation are all known to be linked to early marriage. This study aimed at identifying the most credible and the best-suited communication channels (CCs) to reach rural communities for motivating them to reduce child and adolescent marriage. Methods: A cross-sectional study targeted 1000 wives and their husbands were conducted in 21 rural village units of two governorates of Upper Egypt through questionnaires. Decisions concerning the choice of the best-suited communication channels were based on their Reach; Frequency; Managerial feasibility and Effectiveness. Results: a vast majority of the surveyed wives (96.6%) were married at an age ranging from 15-24 years. The spread of social media through smartphones was limited to only one-third of wives and their husbands through mainly searching on YouTube (31.7% of wives and 27.8% of husbands). Television was the most accessible means of mass media for both wives and husbands (72.5% and 63.3% respectively). The most credible and the best-suited CCs methods for wives were talking with the health promotors and doctors with two times significantly higher (OR= 2.0) than that with the search on YouTube and three times significantly higher (OR = 3.1) than that for social media using browser engine. For husbands, the odds were 1.6 for all. Conclusions: Despite the availability of recent social media worldwide, rural communities; with high illiteracy, limited access to the internet, and limited availability of smartphones. Interpersonal communication is considered the most effective CCs for achieving equity in reducing child marriage. It seems vital during the implementation of any strategies towards reproductive health to use not only the media broadcasts but also to rely on the channels that are most credible and suitable for the targeted communication to support meeting the unmet need.

E-Mental Health and models of care: The evidence base and feasibility of picking one vs. another?

2016 ◽  
Vol 33 (S1) ◽  
pp. S26-S26
Author(s):  
D. Hilty
Keyword(s):  
Social Media ◽  
New Technologies ◽  
Healthcare Delivery ◽  
Online Communication ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Models Of Care ◽  
Patient Centered ◽  
Use Of Technology ◽  
Pathological Internet Use

The patient-centered care features quality, affordable, and timely care in a variety of settings – technology is a key part of that – particularly among younger generations and child and adolescent patients. The consumer movement related to new technologies is nearly passing clinicians by, as new ways of communicating with others (text, email, Twitter, Facebook) revolutionizes how we experience life and access healthcare. This paper explores a continuum with healthy, innovative behavior on one end (e.g., social media) and pathological Internet use on the other end–and the range of self-help and e-mental healthcare options being used. Specifically, it focuses on how social media adds to, yet may complicate healthcare delivery, such that clinicians may need to adjust our approach to maintain therapeutic relationships, interpersonal/clinical boundaries, and privacy/confidentiality. We suggest planning ahead to discuss expectations about online communication between doctors and patients as part of the informed consent process, offer other do's and don’ts for patients and clinicians, and review applicable guidelines. More research is needed on consumer and patient use of technology related to healthcare, as is an approach to basic and advanced measurement of outcomes.Disclosure of interestThe author has not supplied his declaration of competing interest.

scholarly journals Assessing the Effective Communication Channels to Reduce Child and Adolescent Marriage in Rural Communities of Egypt

2021 ◽  
Vol 9 (E) ◽  
pp. 1288-1299
Author(s):  
Ammal M. Metwally ◽  
Marwa El-Sonbaty ◽  
Dalia Elmosalami ◽  
Hala Amer ◽  
Manal Abuelela ◽  
...  
Keyword(s):  
Social Media ◽  
Rural Communities ◽  
Mass Media ◽  
Interpersonal Communication ◽  
Unmet Need ◽  
Communication Channels ◽  
Child And Adolescent ◽  
Mobile App ◽  
Early Marriage ◽  
Significant Difference

BACKGROUND: Low levels of scholarly achievement, poverty, and geographical isolation are all known to be linked to early marriage. AIM: This study aimed at identifying the most credible and the best-suited communication channels (CCs) to reach rural communities for motivating them to reduce child and adolescent marriage. METHODS: This study was a community-based cross-sectional systematic formative research. The study targeted 1000 wives who were ever married women in childbearing period aged 15–49 years and their husbands in 21 rural village units of two governorates of Upper Egypt through questionnaires. Decisions concerning the choice of the best-suited CCs were based on their reach, frequency, managerial feasibility, and effectiveness. The investigated CCs included: modern social media (search browser engine/Facebook group and/or twitter/YouTube or messaging through WhatsApp or any mobile app), traditional mass media (T.V/Radio/Reading), and interpersonal communication (talk with religious leaders/partners/friends/doctors/health promoters). Comparisons between different CCs were done using odds ratios (OR) and 95% confidence intervals (CI). RESULTS: A vast majority of the surveyed wives (96.6%) were married at an age ranging from 15 to 24 years. The spread of social media through smartphones was limited to only one-third of wives and their husbands through mainly searching on YouTube (31.7% of wives and 27.8% of husbands). Television was the most accessible means of mass media for both wives and husbands (72.5% and 63.3%, respectively). The most credible and the best-suited CCs methods for wives were talking with the health promotors and doctors with 2 times significantly higher (OR = 2.0, CI = 1.7–2.4 for each one) than that with the search on YouTube and 3 times significantly higher (OR = 3.1, CI = 2.5–3.7 and OR = 3.1, CI = 2.6–3.8, respectively) than that for social media using browser engine. For husbands, the odds of the most credible and the best-suited CCs methods were more than 1½ times higher for the talk with the health promotors than the search on You Tube (OR = 1.6, CI = 1.3–2.0) or the search using browser engine (OR = 1.6, CI = 1.3–1.9), Whereas the odds were one and a third higher for the talk with the doctor than the search on You Tube (OR = 1.3, CI = 1.1–1.6) or the search using browser engine (OR = 1.6, CI= 1.1–1.6). Significant difference was detected in favor of the traditional media as the most credible source of information only for wives’ intention to postpone their children early marriage. CONCLUSIONS: Despite the availability of recent social media worldwide, rural communities with high illiteracy have limited access to the internet and limited availability of smartphones. Interpersonal communication is considered their most effective CCs for achieving equity in reducing child marriage. It seems vital during the implementation of any strategies toward reproductive health to use not only the media broadcasts, but also to rely on the channels that are most credible and suitable for the targeted communication to support meeting the unmet need.

Therapeutic Affordances of Social Media and Associated Quality of Life Outcomes in Young Adults

2021 ◽  
pp. 089443932110329
Author(s):  
Paul Dodemaide ◽  
Mark Merolli ◽  
Nicole Hill ◽  
Lynette Joubert
Keyword(s):  
Quality Of Life ◽  
Social Media ◽  
Young Adults ◽  
Well Being ◽  
Evidence Base ◽  
Social And Emotional ◽  
Perceived Quality Of Life ◽  
Use Of Social Media ◽  
The Relationship

There is a growing body of literature exploring the general population’s use of social media for assistance in dealing with stigmatized health issues. This study presents novel research examining the relationship between social media use and young adults. It utilizes a therapeutic affordance (TA) framework. Quantitative results from this study are complemented by qualitative data. The relationships between distinct social media and their TA (a–b) are presented to highlight their potential to impact positively on social and emotional well-being outcomes. Evidence includes broad support for “connection,” “narration,” and “collaboration” TAs in this context and the relationship between the use of distinct social media and perceived quality of life (QOL) outcomes (a–c). TA provides an appropriate and valuable theoretical framework which is useful for the development of an evidence-base from the analysis of young adult’s social media usage. An analysis of the association between social media and their QOL outcomes is presented according to the TA relationship pathway (a–c–b). The adoption of a TA framework enables a nuanced analysis of significant associations between specific social media, TA, and improved QOL outcomes. This study demonstrates the significant association between social media and perceived QOL outcomes in young adults.

scholarly journals What Are the Impacts of Social Innovation? A Synthetic Review and Case Study of Community Forestry in the Scottish Highlands

2021 ◽  
Vol 13 (8) ◽  
pp. 4359
Author(s):  
Carla Barlagne ◽  
Mariana Melnykovych ◽  
David Miller ◽  
Richard J. Hewitt ◽  
Laura Secco ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Community Forestry ◽  
Social Innovation ◽  
Local Development ◽  
Evidence Base ◽  
Social Dimension ◽  
Vulnerable Groups ◽  
Study Approach

In a context of political and economic austerity, social innovation has been presented as a solution to many social challenges, old and new. It aims to support the introduction of new ideas in response to the current urgent needs and challenges of vulnerable groups and seems to offer promising solutions to the challenges faced by rural areas. Yet the evidence base of the impacts on the sustainable development of rural communities remains scarce. In this paper, we explore social innovation in the context of community forestry and provide a brief synthetic review of key themes linking the two concepts. We examine a case of social innovation in the context of community forestry and analyse its type, extent, and scale of impact in a marginalized rural area of Scotland. Using an in-depth case study approach, we apply a mixed research methodology using quantitative indicators of impact as well as qualitative data. Our results show that social innovation reinforces the social dimension of community forestry. Impacts are highlighted across domains (environmental, social, economic, and institutional/governance) but are mainly limited to local territory. We discuss the significance of those results in the context of community forestry as well as for local development. We formulate policy recommendations to foster and sustain social innovation in rural areas.

scholarly journals Investigating unmet need for healthcare using the European Health Interview Survey: a cross-sectional survey study of Luxembourg

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e048860
Author(s):  
Valerie Moran ◽  
Marc Suhrcke ◽  
Maria Ruiz-Castell ◽  
Jessica Barré ◽  
Laetitia Huiart
Keyword(s):  
Dental Care ◽  
Unmet Need ◽  
Mental Healthcare ◽  
Wait Times ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Interview Survey ◽  
European Health ◽  
Prescribed Medicines ◽  
European Health Interview Survey

ObjectivesWe investigate the prevalence of unmet need arising from wait times, distance/transportation and financial affordability using the European Health Interview Survey. We explore associations between individual characteristics and the probability of reporting unmet need.DesignCross-sectional survey conducted between February and December 2014.Setting and participants4004 members of the resident population in private households registered with the health insurance fund in Luxembourg aged 15 years and over.Outcome measuresSix binary variables that measured unmet need arising from wait time, distance/transportation and affordability of medical, dental and mental healthcare and prescribed medicines among those who reported a need for care.ResultsThe most common barrier to access arose from wait times (32%) and the least common from distance/transportation (4%). Dental care (12%) was most often reported as unaffordable, followed by prescribed medicines (6%), medical (5%) and mental health (5%) care. Respondents who reported bad/very bad health were associated with a higher risk of unmet need compared with those with good/very good health (wait: OR 2.41, 95% CI 1.53 to 3.80, distance/transportation: OR 7.12, 95% CI 2.91 to 17.44, afford medical care: OR 5.35, 95% CI 2.39 to 11.95, afford dental care: OR 3.26, 95% CI 1.86 to 5.71, afford prescribed medicines: OR 2.22, 95% CI 1.04 to 4.71, afford mental healthcare: OR 3.58, 95% CI 1.25 to 10.30). Income between the fourth and fifth quintiles was associated with a lower risk of unmet need for dental care (OR 0.29, 95% CI 0.16 to 0.53), prescribed medicines (OR 0.38, 95% CI 0.17 to 0.82) and mental healthcare (OR 0.17, 95% CI 0.05 to 0.61) compared with income between the first and second quintiles.ConclusionsRecent and planned reforms to address waiting times and financial barriers to accessing healthcare may help to address unmet need. In addition, policy-makers should consider additional policies targeted at high-risk groups with poor health and low incomes.

Transforming higher education in Ghana in times of disruption: flexible learning in rural communities with high latency internet connectivity

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Harry Barton Essel ◽  
Dimitrios Vlachopoulos ◽  
Dickson Adom ◽  
Akosua Tachie-Menson
Keyword(s):  
Higher Education ◽  
Rural Communities ◽  
Online Teaching ◽  
Cell Phone ◽  
Teaching And Learning ◽  
Internet Connectivity ◽  
Content Type ◽  
Postgraduate Students ◽  
Video Teleconferencing ◽  
A Cell

Purpose The purpose of this study is to explore the characteristics and potential effects of teaching and learning through audio teleconferencing (dial-in) with a cell phone. In addition, the study aims to identify the associations between the audio teleconferencing and video teleconferencing in a 12-week postgraduate course. Design/methodology/approach The study is a cross-sectional survey conducted at the Department of Educational Innovations at the Kwame Nkrumah University of Science and Technology from March to June 2020. The purposive sampling technique was used to sample 100 postgraduate students who registered for a course in the department. The data for the study were collected using the System Usability Scale (SUS) and 17-item self-administered eQuestionnaire. Multiple Linear Regression analysis, ANOVA, Independent sample T-test and Mann–Whitney U-test were used to estimate the differences in course achievements of students who experienced education through audio teleconferencing and those who experienced education through video teleconferencing. Findings In total, 59% of the participating postgraduate students chose to attend the synchronous online lectures via audio teleconferencing (dial-in). The participants gave a high SUS score (SUS > 80.3; Grade A; Excellent) for audio conferencing service. Among the students in the audio teleconferencing cohort, the results evidenced a strong positive linear correlation, (r (57) = 0.79, p < 0.05), between the individual adjective ratings and the SUS scores. There was marginal significance among demography of students in the audio teleconference (AT) cohort with regards to their perception about the dial-in lecture. There was no statistically significant difference, (t (98) = 1.88, p = 0.063), in the achievement test for AT students and video teleconference (VT) students. The instructors and the students were satisfied with the AT. Practical implications Based on the students’ preference, AT offers equal benefit as VT with regards to system satisfaction and perceived quality of online teaching. AT, as teaching modality, should be an option for students who reside in communities with high latency internet connectivity. It is recommended that instructors are trained on how to engage and motivate students via AT. Originality/value Higher education institutions in Ghana are facing decisions about how to continue learning and teaching through flexible pedagogy, while keeping their faculty members and students protected from the COVID-19 pandemic. Many of these institutions have canceled the brick-and-mortar education and other conventional learning practices and have instructed faculty to adopt online teaching through synchronous video teleconferencing platforms. However, the learning experience is not the same for students who reside in remote or rural communities with low bandwidth. There is very little research in this topic, especially in developing countries like Ghana, and the present study aims to bridge the gap in the literature by exploring the characteristics and potential effects of teaching and learning through audio teleconferencing (dial-in) with a cell phone, in the context of a 12-week postgraduate course.

scholarly journals Exploring public engagement with missing person appeals on Twitter

2020 ◽  
Author(s):  
Reka Solymosi ◽  
Oana Petcu ◽  
Jack Wilkinson
Keyword(s):  
Social Media ◽  
Public Engagement ◽  
Evidence Base ◽  
Evidence Based ◽  
The Public ◽  
Missing Persons ◽  
Early Return ◽  
Police Agencies ◽  
Key Factor ◽  
Twitter Account

Police agencies globally are seeing an increase in reports of people going missing. These people are often vulnerable, and their safe and early return is a key factor in preventing them from coming to serious harm. One approach to quickly find missing people is to disseminate appeals for information using social media. Yet despite the popularity of twitter-based missing person appeals, presently little is known about how to best construct these messages to ensure they are shared far and wide. This paper aims to build an evidence-base for understanding how police accounts tweet appeals for information about missing persons, and how the public engage with these tweets by sharing them. We analyse 1,008 Tweets made by Greater Manchester Police between the period of 2011 and 2018 in order to investigate what features of the tweet, the twitter account, and the missing person are associated with levels of retweeting. We find that tweets with different choice of image, wording, sentiment, and hashtags vary in how much they are retweeted. Tweets that use custody images have lower retweets than Tweets with regular photos, while tweets asking the question “have you seen...?” and asking explicitly to be retweeted have more engagement in the form of retweets. These results highlight the need for conscientious, evidence-based crafting of missing appeals, and pave the way for further research into the causal mechanisms behind what affects engagement, to develop guidance for police forces worldwide.

scholarly journals Alternative medicine under the Mental Health Care Act, 2017: Future implications and concerns

2022 ◽  
Vol 07 (01) ◽  
pp. 37-41
Author(s):  
Ramdas Ransing ◽  
Sujita Kumar Kar ◽  
Vikas Menon
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Alternative Medicine ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Evidence Based ◽  
Insufficient Evidence ◽  
Indian Government ◽  
Evidence Based Care

In recent years, the Indian government has been promoting healthcare with an insufficient evidence base, or which is non-evidence-based, alongside delivery of evidence-based care by untrained practitioners, through supportive legislation and guidelines. The Mental Health Care Act, 2017, is a unique example of a law endorsing such practices. In this paper, we aim to highlight the positive and negative implications of such practices for the delivery of good quality mental healthcare in India.

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