scholarly journals Digital Care: Agency and Temporality in Young People’s Use of Health Apps

2016 ◽  
Vol 2 ◽  
pp. 248 ◽  
Author(s):  
Susanna Helen Trnka
Keyword(s):  
Young People ◽  
Technology Use ◽  
Sense Of Agency ◽  
Mental Wellbeing ◽  
Temporal Relations ◽  
Unintended Effects ◽  
Sense Of Control ◽  
Health Apps ◽  
And Control ◽  
Care Agency

This paper draws from interviews with 21 young New Zealanders, ages 16-24, to examine how health apps shape young people’s experiences of themselves as agentive subjects in relation to their physical and mental wellbeing. Focusing on the intended and unintended effects of health apps, I examine how digital care technologies recast the spatiality and temporality of healthcare, enabling new ways of constituting and tracking health, expanding possibilities of interactive exchanges with others, and redistributing a sense of agency and control. In many ways, the forms of self-governance that health apps engender are no different from other moves to promote increased self-responsibility that are cultivated as part of advanced liberalism. However, I argue that by collapsing the spatial and temporal relations of technology use, health apps not only heighten opportunities for adopting self-responsibility, but also, as many young people attest, promote the feeling that there is no escaping from them. The result is that for many young people having a sense of control and responsibility over their health comes to be calibrated against not only the inherent inter-sociality of care (i.e. young people’s desires to both give and receive care to and from others), but also the health and fitness “demands” seemingly made upon them by technology itself.

Staying Out

2016 ◽  
Author(s):  
Marieke Liem
Keyword(s):  
Social Support ◽  
Life Course ◽  
Self Efficacy ◽  
Aging Out ◽  
Strong Sense ◽  
Sense Of Agency ◽  
Sense Of Control ◽  
Support Structures ◽  
And Control

Chapter ten delves deeper into the factors the interviewees mentioned as key to staying out. These included aging out of crime, a healthy fear for the conditions of parole, and self-efficacy, or having a sense of choice and control over one’s life. Non-incarcerated interviewees, as opposed to re-incarcerated individuals, reflected a strong sense of agency in their narrative. The process of desistance is thus not the result of societal forces, as emphasized by life-course theorists. Nor does it seem to be a resolution of an individual to change, as the vast majority of interviewees said that they underwent a transformation leading to a better version of themselves. What seems to be crucial for lifers in being successful in staying out on parole is a combination of social support structures, having regained a sense of control, and a strong awareness of the restraints that govern their day-to-day life.

The Relationship Between Highly Visual Social Media and Young People’s Mental Health: A Scoping Review (Preprint)

2020 ◽  
Author(s):  
Alanna McCrory
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Young People ◽  
Scoping Review ◽  
Quantitative Methods ◽  
Grey Literature ◽  
Significant Proportion ◽  
Mental Wellbeing ◽  
Published Evidence ◽  
The Impact

UNSTRUCTURED Users of highly visual social media (HVSM), such as Snapchat and Instagram, share their messages through images, rather than relying on words. A significant proportion of people that use these platforms are adolescents. Previous research reveals mixed evidence regarding the impact of online social technologies on this age group’s mental wellbeing, but it is uncertain whether the psychological effects of visual content alone differ from text-driven social media. This scoping review maps existing literature that has published evidence about highly visual social media, specifically its psychological impact on young people. Nine electronic databases and grey literature from 2010 until March 2019 were reviewed for articles describing any aspect of visual social media, young people and their mental health. The screening process retrieved 239 articles. With the application of eligibility criteria, this figure was reduced to 25 articles for analysis. Results indicate a paucity of data that exclusively examines HVSM. The predominance of literature relies on quantitative methods to achieve its objectives. Many findings are inconsistent and lack the richness that qualitative data may provide to explore the reasons for theses mixed findings.

Assessment and Prediction of Privacy Concerns on Health Apps (Preprint)

2020 ◽  
Author(s):  
Reham AlTamime ◽  
Vincent Marmion ◽  
Wendy Hall
Keyword(s):  
Data Sharing ◽  
Mobile Applications ◽  
Retention Rate ◽  
Mobile Apps ◽  
Third Party ◽  
Privacy Concerns ◽  
Health Apps ◽  
Mobile Health Apps ◽  
Specific Factors ◽  
And Control

BACKGROUND Mobile apps and IoT-enabled smartphones technologies facilitate collecting, sharing, and inferring from a vast amount of data about individuals’ location, health conditions, mobility status, and other factors. The use of such technology highlights the importance of understanding individuals’ privacy concerns to design applications that integrate their privacy expectations and requirements. OBJECTIVE This paper explores, assesses, and predicts individuals’ privacy concerns in relation to collecting and disclosing data on mobile health apps. METHODS We designed a questionnaire to identify participants’ privacy concerns pertaining to a set of 432 mobile apps’ data collection and sharing scenarios. Participants were presented with 27 scenarios that varied across three categorical factors: (1) type of data collected (e.g. health, demographic, behavioral, and location); (2) data sharing (e.g., whether it is shared, and for what purpose); and, (3) retention rate (e.g., forever, until the purpose is satisfied, unspecified, week, or year). RESULTS Our findings show that type of data, data sharing, and retention rate are all factors that affect individuals’ privacy concerns. However, specific factors such as collecting and disclosing health data to a third-party tracker play a larger role than other factors in triggering privacy concerns. CONCLUSIONS Our findings suggest that it is possible to predict privacy concerns based on these three factors. We propose design approaches that can improve users’ awareness and control of their data on mobile applications

scholarly journals Cocaine Rituals in Club Culture: Intensifying and Controlling Alcohol Intoxication

2021 ◽  
pp. 002204262098651
Author(s):  
Marit Edland-Gryt
Keyword(s):  
Young Adult ◽  
Young People ◽  
Alcohol Intoxication ◽  
Qualitative Interviews ◽  
Cocaine Use ◽  
Interaction Rituals ◽  
Collective Effervescence ◽  
Drinking Culture ◽  
Cocaine Users ◽  
And Control

Clubbing is an important part of the nighttime economy, and cocaine use is, for some young people, an essential part of this clubbing culture. However, the interaction rituals around the use of powder cocaine in this context remain understudied. This study is based on qualitative interviews with young adult recreational cocaine users ( n = 28) and explores how they use cocaine in club settings, in relation to rituals and drinking culture. The analysis identified three main explanations for using cocaine: (a) unity with friends because of shared transgression, (b) the high as a “collective effervescence,” and (c) the possibility to control, extend, and intensify drinking to intoxication. These three explanations illustrate how cocaine rituals were deeply integrated in drinking-to-intoxication rituals, and how the illegality of cocaine use reinforced feelings of unity with friends. In the nighttime economy, cocaine use and its related rituals are used to intensify and control alcohol-fuelled partying.

scholarly journals Measurement invariance of the short Warwick-Edinburgh Mental Wellbeing Scale and latent mean differences (SWEMWBS) in young people by current care status

2021 ◽  
Author(s):  
Rebecca Anthony ◽  
Graham Moore ◽  
Nicholas Page ◽  
Gillian Hewitt ◽  
Simon Murphy ◽  
...  
Keyword(s):  
Young People ◽  
Measurement Invariance ◽  
Assessment Tools ◽  
Research Network ◽  
Mental Wellbeing ◽  
Short Version ◽  
Living Situation ◽  
Children And Young People ◽  
Mean Differences ◽  
Children In Care

Abstract Purpose Studying mental wellbeing requires the use of reliable, valid, and practical assessment tools, such as the Short version of the Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS). Research on the mental wellbeing of children in care is sparse. The current study aims to: (1) examine the unidimensionality of SWEMWBS; (2) assess measurement invariance of SWEMWBS across children and young people in care compared to their peers not in care; and (3) investigate the latent factor mean differences between care status groups. Methods We used data from the 2017 School Health Research Network Student Health and Wellbeing (SHW) survey, completed by 103,971 students in years 7 to 11 from 193 secondary schools in Wales. The final data include a total of 2,795 participants (46% boys), which includes all children in care and a sub-sample of children not in care who completed the SWEMWBS scale fully and answered questions about their living situation. Results Confirmatory factor analysis supported the unidimensionality of SWEMWBS. The SWEMWBS is invariant across groups of young people in foster, residential and kinship care compared to children and young people not in care at configural, metric and scalar levels. Findings from latent mean comparisons showed that young people in care reported lower mental wellbeing than their peers, with those in residential care reporting the lowest scores. Conclusions Findings suggest that SWEMWBS is a valid scale for measuring differences in mental wellbeing for young people in care similar to the population.

scholarly journals Mental health and wellbeing implications of the COVID-19 quarantine for disabled and disadvantaged children and young people: evidence from a cross-cultural study in Zambia and Sierra Leone

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Darren Sharpe ◽  
Mohsen Rajabi ◽  
Clement Chileshe ◽  
Sitali Mayamba Joseph ◽  
Ibrahim Sesay ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Sierra Leone ◽  
Peer Relationships ◽  
Well Being ◽  
Mental Wellbeing ◽  
Planning Tool ◽  
Income Loss ◽  
Convenience Sample ◽  
Children And Young People

Abstract Background The mental health impact of the COVID-19 pandemic and quarantining on children and young people (CYP) living in low- and middle-income countries (LMICs) has yet to be fully comprehended. CYP in LMICs are at utmost risk, given the COVID-19-related restrictions and social distancing measures, resulting in reduced access to school-based services for nutritional and mental health needs. This study examined mental health of CYP during the first COVID-19 lockdown in Zambia and Sierra Leone. Method A total of 468 disabled and disadvantaged CYP aged 12 to 25 completed a planning tool that comprised the short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS), as well as open-ended questions covering social connectedness, physical distancing and educational challenges during the lockdown. The community coaches screened individuals and families who could be eligible to receive emergency aid, and based on a convenience sample following distribution of aid, recipients were invited to complete the planning tool. Results The data showed that participants in the global south have increasing anxieties and fears centred on accessing offline educational resources and income loss in the family effecting food security and their ability to return to education. Mean (SD) SWEMWBS scores for all participants in Zambia and Sierra Leone, were 19.61 (3.45) and 21.65 (2.84), respectively. Mental well-being scores were lower in females, children aged 12–14 and participants with two or more disabilities. Factors significantly associated with poor mental wellbeing in the sample were: type of disability, nationality, peer relationships, connection to others during the pandemic, knowledge about COVID-19, worry about the long-term impact of COVID-19, and the types of self-isolating. Conclusion The study shows that participants who self-reported low levels of COVID-19 health literacy also scored low on the mental wellbeing self-assessment. Yet, despite undoubted limited resources, these CYP are doing well in identifying their needs and maintaining hope in the face of the problems associated with COVID-19 in countries where stigma persists around mental ill-health.

Diabetes Technology Experiences Among Latinx and Non-Latinx Youth with Type 1 Diabetes

2021 ◽  
pp. 193229682110292
Author(s):  
David Tsai ◽  
Jaquelin Flores Garcia ◽  
Jennifer L. Fogel ◽  
Choo Phei Wee ◽  
Mark W. Reid ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Young People ◽  
Technology Use ◽  
Private Insurance ◽  
Spanish Speaking ◽  
Positive Attitudes ◽  
Diabetes Technology ◽  
English Speaking ◽  
Continuous Glucose Monitors

Background: Diabetes technologies, such as insulin pumps and continuous glucose monitors (CGM), have been associated with improved glycemic control and increased quality of life for young people with type 1 diabetes (T1D); however, few young people use these devices, especially those from minority ethnic groups. Current literature predominantly focuses on white patients with private insurance and does not report experiences of diverse pediatric patients with limited resources. Methods: To explore potential differences between Latinx and non-Latinx patients, English- and Spanish-speaking young people with T1D ( n = 173, ages 11-25 years) were surveyed to assess attitudes about and barriers to diabetes technologies using the Technology Use Attitudes and Barriers to Device Use questionnaires. Results: Both English- and Spanish-speaking participants who identified as Latinx were more likely to have public insurance ( P = .0001). English-speaking Latinx participants reported higher Hemoglobin A1c values ( P = .003), less CGM use ( P = .002), and more negative attitudes about technology (generally, P = .003; and diabetes-specific, P < .001) than either non-Latinx or Spanish-speaking Latinx participants. Barriers were encountered with equivalent frequency across groups. Conclusions: Latinx English-speaking participants had less positive attitudes toward general and diabetes technology than Latinx Spanish-speaking and non-Latinx English-speaking peers, and differences in CGM use were associated with socioeconomic status. Additional work is needed to design and deliver diabetes interventions that are of interest to and supportive of patients from diverse ethnic and language backgrounds.

Interdisciplinary Development of a Transdiagnostic Mobile App to Enhance Children’s Emotion Regulation: Sharing Insights and Lessons Learned (Preprint)

2021 ◽  
Author(s):  
Bettina Moltrecht ◽  
Praveetha Patalay ◽  
Holly Alice Bear ◽  
Jessica Deighton ◽  
Julian Edbrooke-Childs
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Young People ◽  
Design Process ◽  
Public Engagement ◽  
Mobile Apps ◽  
High Tech ◽  
Classroom Observations ◽  
Health Apps ◽  
Interdisciplinary Framework

BACKGROUND Digital interventions, including mobile apps represent promising means to provide effective mental health support to young people. Despite the increased availability of mental health apps, there is a significant gap for this age group, especially for younger children. Research investigating the effectiveness and development process of child mental health apps is limited, and the field faces persistent issues in relation to low user up-take and engagement, which is assumed to be a result of lacking interdisciplinary approaches. OBJECTIVE We present the development and design process of a new mental health app for children that targets their emotion regulation abilities. We describe the creation of a new interdisciplinary development framework, to guide the design process, and explain how each activity informed different app features. METHODS The first two stages of the framework employed a variety of methods, including: 1) classroom observations, 2) public-engagement events with the target group (N=21), 3) synthesis of the existing evidence as part of a meta-analysis, 4) a series of co-design and participatory workshops with young users (N=33), clinicians (N=7), researchers (N=12), app developers (N=1) , designers (N=2), and lastly 5) testing of the first high-tech prototype (N=15). RESULTS For the interdisciplinary framework we drew on methods derived from the medical research council framework for complex interventions, the patient-clinician-framework and Druin’s cooperative inquiry. The classroom observations, public-engagement events, and synthesis of the existing evidence informed the first key pillars of the app and wireframes. Subsequently, a series of workshops shaped and reshaped the content and app features, including games, psychoeducational films, and practice modules. Based on the prototype testing sessions we made further adjustments to improve the app. CONCLUSIONS Although mobile apps could be highly suitable to support young people’s mental health on a wider scale, there is little guidance on how these interventions could be designed. The involvement of the different methods and especially the young users was very valuable. We hope that the interdisciplinary framework and multiple methods that we applied will be helpful to others who are also aiming to develop suitable apps for young people.

Analysis of the Slovak Discourses of Sex Education Inspired by Michel Foucault

Human Affairs ◽  
2010 ◽  
Vol 20 (1) ◽  
Author(s):  
Ivan Lukšík ◽  
Dagmar Marková
Keyword(s):  
Young People ◽  
Religious Education ◽  
Sex Education ◽  
Michel Foucault ◽  
The Internet ◽  
Children And Young People ◽  
Basic Ability ◽  
And Control

Analysis of the Slovak Discourses of Sex Education Inspired by Michel FoucaultThe aims, rules and topics of sex education exist on paper, but have yet to be implemented in Slovakia. Although the curriculum creates the illusion of openness in this field, the silence on sex education in schools provides space for the alternative, "more valuable" quiet discourses of religious education. Under these conditions, it is silence that is proving to be an advantageous strategy for the majority of those who should be voicing their opinions. Instead, they listen and control. By contrast, those who do speak out, children and young people, do not in fact, speak to them, but mainly among themselves. Those who are silent and listen are not prepared for the younger generations confessions on sexuality, which are mostly taken from the liberal area of media, especially the internet. The silent frequently lack, at the very least, the basic ability to react and debate in this changed situation. Those who are involved in the discussion on sexuality in Slovakia are those who should listen and supervise.

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