scholarly journals The effect of a mobile health app on adherence to physical health treatment. (Preprint)

10.2196/31213 ◽  
2021 ◽  
Author(s):  
Jay Greenstein ◽  
Robert Topp ◽  
Jena Etnoyer-Slaski ◽  
Michael Staelgraeve ◽  
John McNulty
Keyword(s):  
Physical Health ◽  
Mobile Health ◽  
Health Treatment

The effect of a mobile health app on adherence to physical health treatment. (Preprint)

2021 ◽  
Author(s):  
Jay Greenstein ◽  
Robert Topp ◽  
Jena Etnoyer-Slaski ◽  
Michael Staelgraeve ◽  
John McNulty ◽  
...  
Keyword(s):  
Physical Health ◽  
Mobile Phone ◽  
Usual Care ◽  
Usual Care Group ◽  
Clinic Visit ◽  
Care Group ◽  
Health Treatment ◽  
Rehabilitation Clinic ◽  
The Impact ◽  
Clinic Visits

BACKGROUND Adhering to prescribed medical interventions predicts the efficacy of the treatment. In the physical health clinics, not adhering to prescribed therapy can take the form of not attending a scheduled clinic visit (no-show appointment) or prematurely terminating treatment against the advice of the provider (self-discharge). A variety of interventions, including mobile phone apps have been introduced with patients to increase their adherence with attending scheduled clinic visits. Limited research has examined the impact of a mobile phone app among patients attending a chiropractic and rehabilitation clinic visits. OBJECTIVE The purpose of this study was to compare adherence with prescribed physical health treatment among patients attending a chiropractic and rehabilitation clinic who did and did not choose to adopt a phone-based app to complement their treatment. METHODS The medical records of new patients who presented for care during 2019 and 2020 at five community-based chiropractic and rehabilitation clinics were reviewed for the number of kept and no-show appointments and if the patient was provider discharged or self-discharged. During this 24-month study 36.3% of the 4,126 patients seen in the targeted clinics had downloaded the Kanvas App to their mobile phone while the remaining patients chose not to download the app (Usual Care Group). The gamification component of the Kanvas app provided the patient with a point every time they attended their visits which could be redeemed for an incentive. RESULTS During both 2019 and 2020 respectively the Kanvas App Group (50%-38%) were provider discharged at a greater rate than the Usual-Care group (47-31%). The Kanvas App Group kept a similar number of appointments compared to the Usual-Care Group in 2019 (10.20 vs. 8.68) but kept significantly more appointments than the Usual-Care Group in 2020 (11.63 vs. 7.67). During 2019 both groups exhibited a similar number of no-show appointments (1.89 vs 1.96) but in 2020 the Kanvas App Group demonstrated more no-show appointments (2.89 vs 2.14) than the Usual Care. When collapsed across years and self discharged the Kanvas App group had a greater number of kept appointments (7.79) compared to the Usual Care group (4.58). When provider discharged both groups exhibited a similar number of kept appointments (15.25 vs 13.82). The Kanvas App group (1.38) and the Usual Care group (1.34) were similar in the number of no-show appointments when provider discharged and when self-discharged the Kanvas App Group had more no-show appointments (3.37) compared to the Usual Care Group (2.44). CONCLUSIONS When patients were provider discharged, they exhibited a similar number of kept appointments and no-show appointment. When subjects were self-discharged and received the Kanvas App they exhibited 3.2 more kept appointments and .94 more no-show appointments than self-discharged Usual Care group.

Barriers Associated with the Implementation of Homework in Youth Mental Health Treatment and Potential Mobile Health Solutions

2020 ◽  
Author(s):  
Brian E. Bunnell ◽  
Lynne S. Nemeth ◽  
Leslie A. Lenert ◽  
Nikolaos Kazantzis ◽  
Esther Deblinger ◽  
...  
Keyword(s):  
Mental Health ◽  
Mobile Health ◽  
Mental Health Treatment ◽  
Youth Mental Health ◽  
Health Treatment

Based on the Principles of Mechanical and Electronic Multi-Function Love Gyro Design Research

2014 ◽  
Vol 644-650 ◽  
pp. 220-223
Author(s):  
Yu Juan Chen ◽  
Wen Ke Jiang ◽  
Jun Sheng Jin
Keyword(s):  
Stainless Steel ◽  
Physical Health ◽  
Design Research ◽  
High Grade ◽  
Middle Aged ◽  
Health Treatment ◽  
Steel Material ◽  
Stainless Steel Material ◽  
Arm Strength ◽  
Old Friends

based on the principle of mechanical and electrical design of multifunctional love gyro can be made by a support bar connection, have the function of barbell, two combined weight is moderate, can exercise and arm strength. Cixin gyro high-grade, durable, suitable weight, to a certain speed issued a similar to the sound of diabolo, due to the tuyere is stainless steel material, can the thrum gyro is more pleasant than other materials, suitable for adults whipped (especially middle-aged and old friends) can strengthen physical health treatment of periarthritis of shoulder, can lose weight again.

Understanding Adaptive Trial Designs With an Application to a Mobile Health Intervention for Physical Health

2018 ◽  
Vol 27 ◽  
pp. S354-S355
Author(s):  
L. Dykes ◽  
D. Dharmaprani ◽  
A. McGavigan ◽  
D. Chew ◽  
N. Bidargaddi ◽  
...  
Keyword(s):  
Physical Health ◽  
Mobile Health ◽  
Health Intervention ◽  
Adaptive Trial

Determinants of mental and physical health treatment-seeking among military personnel

2019 ◽  
Vol 217 (2) ◽  
pp. 420-426 ◽  
Author(s):  
Thomas W. Britt ◽  
Maurice L. Sipos ◽  
Zachary Klinefelter ◽  
Amy B. Adler
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Mental Health Treatment ◽  
Health Problems ◽  
Barriers And Facilitators ◽  
Treatment Seeking ◽  
Health Treatment ◽  
Enlisted Personnel ◽  
Physical Health Problems ◽  
Mental And Physical Health

BackgroundAlthough research has documented factors influencing whether military personnel seek treatment for mental health problems, less research has focused on determinants of treatment-seeking for physical health problems.AimsTo explicitly compare the barriers and facilitators of treatment-seeking for mental and physical health problems.MethodUS soldiers (n = 2048) completed a survey with measures of barriers and facilitators of treatment-seeking for mental and physical health problems as well as measures of somatic symptoms and mental health.ResultsThe top barrier for both mental and physical health treatment-seeking was a preference for handling problems oneself. The top facilitators for both symptom types were related to treatment improving quality of life. Differential endorsement of barriers occurred for treatment of mental versus physical health symptoms. In contrast, facilitators were endorsed more for physical than for mental health treatment. While there were few gender differences, officers reported more barriers and facilitators than did enlisted personnel. Screening positive for mental or physical health problems was associated with greater endorsement of both barriers and facilitators for physical and mental health treatment, respectively.ConclusionsThe leading barriers and facilitators for seeking treatment for mental health and physical problems are relatively similar, suggesting that health education should consider decision-making in seeking both mental and physical healthcare. Interventions should be tailored to reduce barriers for officers and improve facilitators for junior enlisted personnel, and address barriers and facilitators for service members screening positive for a mental or physical health problem.

scholarly journals Can Mobile Health Improve Depression Treatment Access and Adherence Among Rural Indian Women? A Qualitative Study

2018 ◽  
Author(s):  
Amritha Bhat ◽  
Ramakrishna Goud ◽  
Johnson Pradeep ◽  
Geetha Jayaram ◽  
Rajiv Radhakrishnan ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Mobile Health ◽  
Mental Health Treatment ◽  
South India ◽  
Depression Treatment ◽  
Treatment Access ◽  
Health Treatment ◽  
Barriers To Access ◽  
Mobile Mental Health

Introduction: Low rates of follow up with mental health treatments, and medication non-adherence are common among patients with Major Depressive Disorder (MDD), more so in low-middle income countries (LMIC). While mobile mental health has the potential to address this problem in resource-poor settings, the feasibility and acceptability of its use in rural women is unknown. We aimed to explore barriers to access and adherence to mental health treatment, and the feasibility of using mobile health to address these barriers among women with MDD in rural south India. Methods: Six focus groups were conducted among women with MDD (n=69) seeking care at a rural community health center in South India. Discussion centered on barriers to mental health treatment access and adherence and attitudes toward use of technology in addressing these barriers. We transcribed the discussions and analyzed them using qualitative analysis software. Results: Reasons for non-adherence were: transcultural explanatory model of illness; structural, financial and social barriers to access, and medication side-effects. Women were unenthusiastic about mobile health solutions due to illiteracy, lack of family support, unfamiliarity with use of mobile devices, lack of access to mobile phones and preference for in-person clinical consultation. Conclusions: This qualitative study examines the acceptability of mobile-mental health as a strategy to address barriers to depression treatment access and adherence among women in a rural setting. There are several barriers to adoption of mobile mental health technology in LMIC. It is important to address these barriers before implementing mobile health based solutions.

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