scholarly journals Feasibility of Social Media–Based Recruitment and Perceived Acceptability of Digital Health Interventions for Caregivers of Justice-Involved Youth: Mixed Methods Study

10.2196/16370 ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. e16370
Author(s):  
Johanna Bailey Folk ◽  
Anna Harrison ◽  
Christopher Rodriguez ◽  
Amanda Wallace ◽  
Marina Tolou-Shams
Keyword(s):  
Social Media ◽  
Mixed Methods ◽  
Clinical Research ◽  
Behavioral Health ◽  
Digital Health ◽  
Behavioral Health Care ◽  
Health Interventions ◽  
Mixed Methods Study ◽  
Phone Interview ◽  
Biological Parents

Background Caregiver involvement is critical for supporting positive behavioral health and legal outcomes for justice-involved youth; however, recruiting this population into clinical research studies and engaging them in treatment remain challenging. Technology-based approaches are a promising, yet understudied avenue for recruiting and intervening with caregivers of justice-involved youth. Objective This mixed methods study aimed to assess the feasibility of recruiting caregivers of justice-involved youth using social media into clinical research and to understand caregivers’ perceptions of the acceptability of digital health interventions. Methods Caregivers of justice-involved youth were recruited through paid Facebook advertisements to participate in a Web-based survey. Advertisement design was determined using Facebook A/B split testing, and the advertisement with the lowest cost per link click was used for the primary advertisement campaign. Survey participants were offered the option to participate in a follow-up qualitative phone interview focused on the perceived feasibility and acceptability of digital health interventions. Results Facebook advertisements were successful in quickly recruiting a diverse set of caregivers (80/153, 52.3% female; mean age 43 years, SD 7; 76/168, 45.2% black, 34/168, 20.2% white, and 28/168, 16.7% Latinx; and 97/156, 62.2% biological parents); cost per click was US $0.53, and conversion rate was 11.5%. Survey participants used multiple social media platforms; 60.1% (101/168) of the participants indicated they would participate in a digital health intervention for caregivers of justice-involved youth. Survey respondents’ most preferred intervention was supportive and motivational parenting messages via SMS text message. Of the survey respondents, 18 completed a phone interview (12/18, 67% female; mean age 45 years, SD 10; 10/18, 56% black, 7/18, 39% white, and 1/18, 6% Latinx; and 16/18, 89% biological parents). Interview participant responses suggested digital health interventions are acceptable, but they expressed both likes (eg, alleviates barriers to treatment access) and concerns (eg, privacy); their most preferred intervention was video-based family therapy. Conclusions Recruiting and intervening with caregivers of justice-involved youth through social media and other digital health approaches may be a feasible and acceptable approach to overcoming barriers to accessing traditional in-person behavioral health care.

“The stakes could not be higher”: A mixed methods study of parental social media use in pediatric oncology

2021 ◽  
Author(s):  
Elizabeth Foot ◽  
Amanda Leonhard ◽  
Jill Majeski ◽  
Lauren Zahn ◽  
Hsin H. Li ◽  
...  
Keyword(s):  
Social Media ◽  
Mixed Methods ◽  
Pediatric Oncology ◽  
Media Use ◽  
Mixed Methods Study ◽  
Social Media Use

scholarly journals Cardiac Patients’ Experiences and Perceptions of Social Media: Mixed-Methods Study

2017 ◽  
Vol 19 (9) ◽  
pp. e323 ◽  
Author(s):  
Stephanie R Partridge ◽  
Anne C Grunseit ◽  
Patrick Gallagher ◽  
Becky Freeman ◽  
Blythe J O'Hara ◽  
...  
Keyword(s):  
Social Media ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Cardiac Patients

Gaps in Mental Health Care for Youth With Rheumatologic Conditions: A Mixed Methods Study of Perspectives From Behavioral Health Providers

2019 ◽  
Vol 71 (5) ◽  
pp. 591-601 ◽  
Author(s):  
Andrea Knight ◽  
Michelle Vickery ◽  
Lauren Faust ◽  
Eyal Muscal ◽  
Alaina Davis ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mixed Methods ◽  
Mental Health Care ◽  
Behavioral Health ◽  
Mixed Methods Study ◽  
Health Providers

The Digital Revolution in Behavioral Health

2019 ◽  
Vol 26 (1) ◽  
pp. 102-111 ◽  
Author(s):  
Michael J Hasselberg
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Behavioral Health ◽  
Digital Health ◽  
Behavioral Health Care ◽  
The United States ◽  
Care Providers ◽  
Digital Revolution ◽  
The University

BACKGROUND: Technology is disrupting every modern industry, from supermarkets to car manufacturing, and is now entering the health care space. Technological innovations in psychiatry include the opportunity for conducting therapy via two-way video conferencing, providing electronic consultations, and telementoring and education of community health care providers. Use of mobile health applications is also an expanding area of interest and promise. OBJECTIVE: The purpose of this article is to review the evolution and pros and cons of technology-enabled health care since the digital movement in psychiatry began more than 50 years ago as well as describe the University of Rochester’s innovative digital behavioral health care model. METHODS: A review of the literature and recent reports on innovations in digital behavioral health care was conducted, along with a review of the University of Rochester’s model to describe the current state of digital behavioral health care. RESULTS: Given the lack of access to care and mental health professional shortages in many parts of the United States, particularly rural areas, digital behavioral health care will be an increasingly important strategy for managing mental health care needs. However, there are numerous hurdles to be overcome in adopting digital health care, including provider resistance and knowledge gaps, lack of reimbursement parity, restrictive credentialing and privileging, and overregulation at both the state and federal levels. CONCLUSIONS: Digital health innovations are transforming the delivery of mental health care services and psychiatric mental health nurses can be on the forefront of this important digital revolution.

scholarly journals Evaluating a Technology-Mediated HPV Vaccination Awareness Intervention: A controlled, Quasi-Experimental Mixed Methods Study

2020 ◽  
Author(s):  
Heather M Brandt ◽  
Beth Sundstrom ◽  
Courtney M. Monroe ◽  
Gabrielle Turner-McGrievy ◽  
Chelsea Larsen ◽  
...  
Keyword(s):  
College Students ◽  
Social Media ◽  
Health Promotion ◽  
Mixed Methods ◽  
Pilot Study ◽  
Hpv Vaccination ◽  
Mixed Methods Study ◽  
Healthy Weight ◽  
Quasi Experimental ◽  
Catch Up

Abstract Background College-aged women and men are at increased risk of acquiring human papillomavirus (HPV) and are considered an important catch-up population for HPV vaccination. Technology provides an attractive platform for HPV vaccination interventions. Limited research has explored technology-mediated HPV vaccination awareness interventions aimed at college students. The purpose of this pilot study was to evaluate a novel, technology-mediated, social media-based intervention to promote HPV vaccination among college students.Methods A controlled, quasi-experimental, mixed methods study examined the feasibility of a technology-based intervention among two undergraduate classes (n = 58) at a public university in the southeastern United States of America. Classes were randomized by coin flip to receive one of two cancer prevention programs (i.e., HPV vaccination [intervention] or healthy weight [control]). Both programs contained eight technology-mediated health promotion sessions, including weekly emails and private Facebook group posts. Participants completed a pre- and post-test web-based survey and submitted weekly qualitative reflections. Data were analyzed using descriptive statistics for quantitative data and thematic review for qualitative data.Results Knowledge of HPV and HPV vaccination improved among participants in the HPV vaccination intervention relative to those in the control condition. Participants (97%) interacted on Facebook by “liking” a post or comment or posting a comment. Participants reported that Facebook was easy to use and encouraged interaction, which contributed to the success of the intervention.Conclusion Participants demonstrated robust engagement and high treatment satisfaction. Objective measures and qualitative open-ended assessment of the intervention showed high levels of engagement with the electronic newsletters and Facebook group. This pilot study suggests that social media is an effective platform to reach college students with health promotion interventions and increase HPV vaccination awareness in this important catch-up population.

scholarly journals Young People’s Attitudes and Motivations Toward Social Media and Mobile Apps for Weight Control: Mixed Methods Study (Preprint)

2018 ◽  
Author(s):  
Charoula Konstantia Nikolaou ◽  
Zoey Tay ◽  
Jodie Leu ◽  
Salome Antonette Rebello ◽  
Lisa Te Morenga ◽  
...  
Keyword(s):  
Social Media ◽  
Young Adults ◽  
Mixed Methods ◽  
Weight Gain ◽  
Young People ◽  
Focus Groups ◽  
Mobile Apps ◽  
Mixed Methods Study ◽  
Evidence Based ◽  
Online Focus Groups

BACKGROUND Effective prevention at a young enough age is critical to halt the obesity epidemic. Mobile health (mHealth) apps would potentially reach large numbers at low-cost. While there is already a profusion of lifestyle apps, they are mostly non-evidence-based and evidently ineffective against rising obesity prevalence. OBJECTIVE The aim of this study was to explore preferences and usage of lifestyle apps among young people in 6 countries. METHODS A mixed methods study was conducted among young people aged 13 to 24 years residing in the United Kingdom, Belgium, Finland, Greece, Singapore, and New Zealand. Participants were recruited from Web advertisements on Facebook, asking for volunteers interested in mobile apps in general, not specific to lifestyle or health, to complete a short survey comprising 18 questions on demographics, weight gain, and mobile app preferences and then to join English-language online focus groups, which were held during 2017, in password-protected Web rooms, moderated by an experienced researcher. Descriptive statistics were carried out for the survey, and thematic analysis was applied to transcripts. RESULTS A total of 2285 young people (610 adolescents aged 13-17 years and 1675 young adults aged 18-24 years) responded and completed the survey, with 72.0% (1645) reported being concerned about weight gain for themselves or friends. Later, 807 young people (376 adolescents and 431 young adults) were selected based on age and country to participate in 12 online focus groups, with 719 young people completing. Analysis revealed 4 main themes: (1) feelings toward personal weight; (2) perception of lifestyle apps and desired content for weight gain prevention; (3) social media apps, lifestyle apps, and motivation for downloading and retaining; and (4) data safety and data usage and confidentiality. Young people are interested in evidence-based advice in programs incorporating their preferences. CONCLUSIONS Young people are commonly, and consistently across 6 countries, concerned about weight gain and obesity and would welcome evidence-based mHealth programs, provided the views of young people themselves are incorporated in the program content.

scholarly journals Engaging Parents and Health Care Providers to Inform Development of a Behavioral Intervention Technology to Promote Pediatric Behavioral Health: Mixed Methods Study (Preprint)

2021 ◽  
Author(s):  
Sean M. O'Dell ◽  
Heidi R Fisher ◽  
Victoria Schlieder ◽  
Tracey Klinger ◽  
Rachel L Kininger ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
Health Care Providers ◽  
Unmet Needs ◽  
Behavioral Health Care ◽  
Mixed Methods Study ◽  
Targeted Prevention ◽  
Care Providers ◽  
Current Practices

BACKGROUND Despite innovations to integrate behavioral health practitioners in primary care settings and online adaptations of effective parenting programs, access to care gaps persist for youth and families in need. Behavioral intervention technologies (BITs) represent a modality for targeted prevention with promise for transforming primary care behavioral health by empowering parents to take charge of their child’s behavioral health care. In order to realize the potential of BITs, research is needed to understand parental needs in a BIT, as well as the status quo of parent self-help and parent-provider collaboration to identify and address behavioral health challenges. OBJECTIVE Engage parents and health care providers to better understand unmet needs and current practices to inform continued development of a BIT for parents to address common behavioral health challenges. METHODS We conducted a convergence validation mixed methods study in which parent quantitative surveys (N=385) on preferences and current practices related to behavioral health themes to be addressed in a BIT were integrated with focus group interview data on internal and external contextual factors contributing to parental unmet needs and current practices with 48 health care stakeholders in 9 child-serving clinics within a large, predominantly rural health system. We integrated these data using joint displays and synthesized areas of confirmation, expansion, and discordance between parents and health care stakeholders. RESULTS Parents frequently endorsed about half of the available themes in their “top 3”, indicating that BITs may not be the preferred modality for all targeted prevention. Additionally, parents also frequently endorsed themes that were not related to child psychopathology (e.g., parenting stress and family communication), indicating parents are interested in guidance on parenting beyond challenging child behavior. Health care stakeholders indicated that an online platform aligns with how parents already seek behavioral health guidance and suggested that a BIT may connect families with evidence-based guidance sooner. We identified areas of convergence related to overt behavior problems (e.g., disruptive behavior, nutrition and eating), and areas of divergence related to internalizing problems and cross-cutting issues that may be more difficult for health care providers to detect. Data integration helped to expand our understanding with regard to factors that may lead to more effective parent-provider partnerships, including the impact of limited time pressure office visits and a deeper understanding of how unmitigated parenting stress interrelates with qualities of parent help-seeking behavior. CONCLUSIONS These findings provide a rich understanding of the complexity involved in meeting parents’ needs for behavioral health guidance in a primary care setting using BITs. Further triangulation of these findings in user testing studies for BIT prototypes is needed to refine our understanding of how to successfully develop and implement an effective BIT to guide parents in taking charge of their child’s behavioral health care. CLINICALTRIAL N/A

scholarly journals Digital health Interventions in Pakistan: A Mixed Methods, SWOT Analysis on Current Challenges (Preprint)

10.2196/21691 ◽  
2020 ◽  
Author(s):  
Abdul Momin Kazi ◽  
Saad Ahmed Qazi ◽  
Nazia Ahsan ◽  
Sadori Khawaja ◽  
Fareeha Sameen ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Swot Analysis ◽  
Digital Health ◽  
Health Interventions
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