scholarly journals A Short Message Service Intervention to Support Adherence to Home-Based Strengthening Exercise for People With Knee Osteoarthritis: Intervention Design Applying the Behavior Change Wheel

10.2196/14619 ◽  
2019 ◽  
Vol 7 (10) ◽  
pp. e14619 ◽  
Author(s):  
Rachel K Nelligan ◽  
Rana S Hinman ◽  
Lou Atkins ◽  
Kim L Bennell

Background Knee osteoarthritis is a chronic condition with no known cure. Treatment focuses on symptom management, with exercise recommended as a core component by all clinical practice guidelines. However, long-term adherence to exercise is poor among many people with knee osteoarthritis, which limits its capacity to provide sustained symptom relief. To improve exercise outcomes, scalable interventions that facilitate exercise adherence are needed. SMS (short message service) interventions show promise in health behavior change. The Behavior Change Wheel (BCW) is a widely used framework that provides a structured approach to designing behavior change interventions and has been used extensively in health behavior change intervention design. Objective The study aimed to describe the development of, and rationale for, an SMS program to support exercise adherence in people with knee osteoarthritis using the BCW framework. Methods The intervention was developed in two phases. Phase 1 involved using the BCW to select the target behavior and associated barriers, facilitators, and behavior change techniques (BCTs). Phase 2 involved design of the program functionality and message library. Messages arranged into a 24-week schedule were provided to an external company to be developed into an automated SMS program. Results The target behavior was identified as participation in self-directed home-based strengthening exercise 3 times a week for 24 weeks. A total of 13 barriers and 9 facilitators of the behavior and 20 BCTs were selected to use in the intervention. In addition, 198 SMS text messages were developed and organized into a 24-week automated program that functions by prompting users to self-report the number of home exercise sessions completed each week. Users who reported ≥3 exercise sessions/week (adherent) received positive reinforcement messages. Users who reported <3 exercise sessions/week (nonadherent) were asked to select a barrier (from a list of standardized response options) that best explains why they found performing the exercises challenging in the previous week. This automatically triggers an SMS containing a BCT suggestion relevant to overcoming the selected barrier. Users also received BCT messages to facilitate exercise adherence, irrespective of self-reported adherence. Conclusions This study demonstrates application of the BCW to guide development of an automated SMS intervention to support exercise adherence in knee osteoarthritis. Future research is needed to assess whether the intervention improves adherence to the prescribed home-based strengthening exercise.

PLoS ONE ◽  
2015 ◽  
Vol 10 (7) ◽  
pp. e0133575 ◽  
Author(s):  
Nicole H. T. M. Dukers-Muijrers ◽  
Kevin A. T. M. Theunissen ◽  
Petra T. Wolffs ◽  
Gerjo Kok ◽  
Christian J. P. A. Hoebe

Author(s):  
Albert Panjaitan ◽  
Hairul Amren ◽  
Darmeli Nasution ◽  
Rizaldy Khair ◽  
Iswandi Idris

Perkembangan yang sangat pesat terjadi pada bidang teknologi informasi dan telekomunikasi saat ini mendorong masyarakta dunia memasuki era revolusi industri 4.0 yang serba cepat, sekaligus menjadikan informasi sentral dalam dunia industri maupun dunia usaha hingga dunia pendidikan. Akademi Teknik dan Keselamatan Penerbangan (ATKP) Medan merupakan institusi pendidikan di bawah naungan pemerintah yang sudah mulai menggunakan berbagai hal teknologi informasi dan telekomunikasi. Dengan adanya perkembangan tersebut berdampak memeberikan fasilitas yang dapat digunakan oleh pengguna layanan komunikasi, dan informasi, seperti Short Message Service (SMS) hingga sistem berbasis aplikasi menggunakan smartphone android maupun iOS. Layanan aplikasi sms hingga sistem aplikasi tersebut adalah teknologi yang memungkinkan manusia untuk mendapatkan atau mengirimkankan informasi kapanpun dan dimanapun dibutuhkan. Penelitian ini bertujuan untuk membuat sistem aplikasi monitoring evaluasi pelaporan kegiatan taruna di ATKP medan berbasis web app. Dalam pembuatannya, aplikasi ini disesuaikan dengan kenutuhan user/orang tua taruna dan institusi ATKP secara umum. Sistem aplikasi ini akan memberikan kemudahan kepada orang tua taruna dalam memonitoring, kegiatan hingga prilaku taruna selama pendidikan di ATKP Medan serta  kemudahan mengakses nilai dengan cepat. Sistem aplikasi ini dibuat dengan menggunakan bahasa pemrograman php (web).


1970 ◽  
Vol 2 (3) ◽  
Author(s):  
Ermiati E ◽  
Imas Rafiyah ◽  
Devi Kusnanti

Anemia merupakan salah satu penyebab terjadinya perdarahan dan bisa mengakibatkan kematian pada ibu hamil. Suplementasi besi merupakan program pemerintah dalam mengatasi anemia pada wanita hamil dan beberapa wanita hamil masih ada yang belum patuh dalam mengkonsumsi tablet besi. Oleh karena itu, diperlukan sebuah metode yang bisa meningkatkan kepatuhan wanita hamil dalam mengonsumsi tablet besi yaitu dengan short message service (SMS) reminder. Penelitian ini bertujuan untuk mengidentifikasi efektivitas SMS reminderterhadap kepatuhan konsumsi tablet besi pada ibu hamil di (unit pelayanan terpadu) UPT Puskesmas Cibuntu Kota Bandung. Rancangan penelitian quasi experimentaldengan desain posttest-only with control group designdengan teknik pengambilan sampel yang digunakan adalah purposive sampling. Penelitian ini dilaksanakan dari bulan April–Mei tahun 2014 di Puskesmas X Kota Bandung. Sampel berjumlah 40 orang wanita hamil yang tidak patuh dalam mengonsumsi tablet besi yang dibagi menjadi 20 kelompok intervensi dan 20 kelompok kontrol. Data diperoleh melalui kuesioner dalam bentuk self report.Analisis data yang digunakan adalah analisis deskriptif dan uji chi square. Hasil penelitian menunjukkan sebagian besar kelompok intervensi 17 orang (85%) patuh dan sebagian besar kelompok kontrol 16 orang (80%) tidak patuh. Hasil analisis dengan menggunakan chi squaredidapatkan p(0.000) dengan taraf signifikan <0.05 sehingga dapat disimpulkan bahwa SMS reminder efektif terhadap kepatuhan konsumsi tablet besi pada wanita hamil dan bisa dijadikan bahan pertimbangan bagi pihak Puskesmas untuk menjalin kerjasama dengan pihak provideratau mengajukan dana ke Dinas Kesehatan untuk mengaktifkan SMS reminderdi Puskesmas.Kata kunci: Kepatuhan, SMS reminder,tablet besi, wanita hamil AbstractAnemia is one of the leading causes of hemorrhage during pregnancy, and it can cause death to expectant mothers. Iron supplementation is a government program to overcome anemia among expectant mothers, and some of the expectant mothers still do not obediently consume iron tablets. Therefore, to increase the obedience of the expectant mothers on consuming the iron tablets, SMS reminder is the appropriate method needed. This research aims to identify the effectiveness of SMS reminder to the obedience of iron tablets consumption among expectant mothers at UPT Puskesmas Cibuntu , Bandung. The research employed quasi-experimental design with posttest-only control group design using purposive sampling technique. The research was held on April–May 2014 at UPT Puskesmas Cibuntu, Bandung. Forty expectant mothers consuming iron tablets disobediently divided into 20 intervention groups and 20 control groups were taken as the samples. Questionnaire in form of self report was used to obtain data. In addition, descriptive analysis and chi square test were applied to analyze the data. The result of the research showed that 17 persons (85%) of intervention groups were mostly obedient, and 16 persons (80%) of control groups were mostly disobedient. From the analysis using chi square, it was found the difference of the obedience of iron tablets consumption after SMS reminder (p=0.00) had been delivered with significant level <0.05. Based on the result of this research, SMS reminder had an effective impact toward the obedience of iron tablets consumption among the expectant mothers. The result will be a good consideration for Puskesmas to cooperate with provider or proposed some funds to Dinas Kesehatan to activate SMS reminder.Key words:Expectant mothers, obedience, SMS reminder, iron tablets


2018 ◽  
Author(s):  
Rivalri Kristianto Hondro

Kemajuan perkembangan teknologi komputer dan telekomunikasi dapat membantu menyelesaikan pekerjaan dengan cepat, akurat dan efisien. Alat komunikasi yang banyak digunakan pada saat ini adalah mobile phone atau disebut juga telepon seluler. Salah satu teknologi yang digunakan untuk berkomunikasi pada mobile phone adalah dengan mengirimkan data berupa pesan singkat atau SMS (Short Message Service). Permasalahan yang ditemukan dalam berkomunikasi menggunakan mobile phone adalah pencurian, penyadapan, atau penghapusan data khususnya data SMS (Short Message Service) sehingga aspek keamanan data dianggap penting. Oleh karena itu dibutuhkan sistem kriptografi enkripsi dan dekripsi SMS, disini digunakan enkripsi simetris. Sistem ini merupakan aplikasi yang menerapkan metode zig zag cipher yang menggunakan kunci simtetris. Hasil pengujian dari sistem ini adalah pesan SMS dienkripsi dengan pola zig zag menggunakan kunci dan didekripsi menggunakan kunci yang sama dengan enkripsi.


2020 ◽  
Vol 4 (2) ◽  
pp. 69-80
Author(s):  
Mohamed Ibrahim Eymoi ◽  
Patrick Mbataru

The unprecedented global adoption of information and communication technologies (ICTs) is rapidly changing the way people are communicating in solving problems. For several years now, the role of ICTs has become important in the way people construct their relationships in conflict resolution. Yet little is known on the dynamism of this interaction. It is not clear how mobile technology has contributed toward conflict resolution, and this study will contribute to the knowledge on the role of mobile telephones in conflict resolution. The purpose of this study was to explore how the mobile phone technology contributed in resolving communal conflicts in Mandera County, Kenya. This study was guided by three theories: conflict transformation theory, diffusion of innovations theory and social representation theory. The conflict Tansformation Theory is adopted as the main theory of analysis.  The main idea of this theory is transforming negative conflict into constructive conflict, deals with structural, behavioural and attitudinal aspects of conflict. This study adopted a descriptive survey. The population for this study consisted of 301 employees in ICT and security department where stakeholders in technology and security sectors and the public. Primary and secondary  data was analysed according to the objectives. Primary data was derived from questionnaires formulated to target employees in ICT and security department. The data analysis included qualitative and quantitative techniques.  Qualitative data was summarized and categorized according to common themes and was presented using frequency distribution tables, graphs and charts. Content analysis was used mostly to arrive at inferences through a systematic and objective identification of the specific messages. The quantitative data collected was analyzed using descriptive statistics. The results confirmed that short message service, social media plateform, instant messaging applications, and video conferencing play a role in resolving communal conflicts in Mandera County. The study concludes that Short Message Service, Social Media Platforms and Instant Messaging Applications can be used conflict such as communal conflicts. Video Conferencing can be used to solve conflict such as relationship conflict, arises from differences in personality, style, matters of taste, and even conflict style as well as conflict in the workplace like task conflict. County government of Mandera must come up with ways of incorporating mobile phone technologies such as Short Message Service, Social Media Platforms, Instant Messaging and Video Conferencing on matters conflict resolution. The study recommends that the County Government of Mandera in collaboration with the National Government need to come up with agencies to regulate the use of social media as a medium to communicate in times of conflict since they are sometimes prone to misuse.


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