scholarly journals A Mobile Health Platform for Clinical Monitoring in Early Psychosis: Implementation in Community-Based Outpatient Early Psychosis Care

2018 ◽  
Vol 5 (1) ◽  
pp. e15 ◽  
Author(s):  
Divya Kumar ◽  
Laura M Tully ◽  
Ana-Maria Iosif ◽  
Lauren N Zakskorn ◽  
Kathleen E Nye ◽  
...  
Keyword(s):  
Financial Incentives ◽  
Early Psychosis ◽  
Dissemination And Implementation ◽  
Community Based ◽  
Treatment Protocols ◽  
Web Based ◽  
Treatment Providers ◽  
Treatment Services ◽  
Smartphone Technology ◽  
Satisfaction Surveys

BackgroundA growing body of literature indicates that smartphone technology is a feasible add-on tool in the treatment of individuals with early psychosis (EP) . However, most studies to date have been conducted independent of outpatient care or in a research clinic setting, often with financial incentives to maintain user adherence to the technology. Feasibility of dissemination and implementation of smartphone technology into community mental health centers (CMHCs) has yet to be tested, and whether young adults with EP will use this technology for long periods of time without incentive is unknown. Furthermore, although EP individuals willingly adopt smartphone technology as part of their treatment, it remains unclear whether providers are amenable to integrating smartphone technology into treatment protocols.ObjectiveThis study aimed to establish the feasibility of implementing a smartphone app and affiliated Web-based dashboard in 4 community outpatient EP clinics in Northern California.MethodsEP individuals in 4 clinics downloaded an app on their smartphone and responded to daily surveys regarding mood and symptoms for up to 5 months. Treatment providers at the affiliated clinics viewed survey responses on a secure Web-based dashboard in sessions with their clients and between appointments. EP clients and treatment providers filled out satisfaction surveys at study end regarding usability of the app.ResultsSixty-one EP clients and 20 treatment providers enrolled in the study for up to 5 months. Forty-one EP clients completed the study, and all treatment providers remained in the study for their duration in the clinic. Survey completion for all 61 EP clients was moderate: 40% and 39% for daily and weekly surveys, respectively. Completion rates were slightly higher in the participants who completed the study: 44% and 41% for daily and weekly surveys, respectively. Twenty-seven of 41 (66%) EP clients who completed the study and 11 of 13 (85%) treatment providers who responded to satisfaction surveys reported they would continue to use the app as part of treatment services. Six (15%; 6/41) clients and 3 providers (23%; 3/13) stated that technological glitches impeded their engagement with the platform.ConclusionsEP clients and treatment providers in community-based outpatient clinics are responsive to integrating smartphone technology into treatment services. There were logistical and technical challenges associated with enrolling individuals in CMHCs. To be most effective, implementing smartphone technology in CMHC EP care necessitates adequate technical staff and support for utilization of the platform.

It's Time There Was an App for That Too

2015 ◽  
Vol 7 (2) ◽  
pp. 1-22 ◽  
Author(s):  
Kyungsik Han ◽  
Patrick C. Shih ◽  
Victoria Bellotti ◽  
John M. Carroll
Keyword(s):  
Young Adults ◽  
Design Research ◽  
User Study ◽  
Smartphone Application ◽  
Community Attachment ◽  
Community Based ◽  
Web Based ◽  
Web Technologies ◽  
Challenges And Opportunities ◽  
Smartphone Technology

Timebanking refers to community-based volunteering in which participants provide and receive services in exchange for time credits. Although timebanking takes advantage of web technologies, the lack of flexibility in managing web-based timebanking transactions and the difficulty of attracting younger adults whose contributions would be highly valuable to the community still remain as major challenges. The authors' design research attempts to address these issues by leveraging the unique affordances of smartphones and their attractiveness to young adults. In this paper, the authors introduce a timebanking smartphone application and present a 5-week user study with 32 young adults. The results highlight the potential of timebanking for young population with an application that facilitates access to communications and transaction-management activities, and strengthens social connection and the sense of community attachment. The authors in particular present new affordances of smartphone technology on timebanking, including (1) transaction time reduction, (2) location and time-sensitive timebanking activity support, and (3) real-time coordination. The authors discuss design challenges and opportunities of smartphone-based timebanking.

scholarly journals Facilitators and barriers to the utilization of the ACT SMART Implementation Toolkit in community-based organizations: a qualitative study

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Aksheya Sridhar ◽  
Amy Drahota ◽  
Kiersten Walsworth
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Autism Spectrum ◽  
Ease Of Use ◽  
Science Literature ◽  
Community Based ◽  
Web Based ◽  
Community Based Organizations ◽  
Facilitators And Barriers ◽  
Acceptance Model

Abstract Background Evidence-based practices (EBPs) have been shown to improve behavioral and mental health outcomes for children diagnosed with autism spectrum disorder (ASD). Research suggests that the use of these practices in community-based organizations is varied; however, the utilization of implementation guides may bridge the gap between research and practice. The Autism Community Toolkit: Systems to Measure and Adopt Research-Based Treatments (ACT SMART) Implementation Toolkit is a web-based implementation toolkit developed to guide organization-based implementation teams through EBP identification, adoption, implementation, and sustainment in ASD community-based organizations. Methods This study examined the facilitators and barriers (collectively termed “determinants”) to the utilization of this toolkit, based on the perspectives of implementation teams at six ASD community-based organizations. Two independent coders utilized the adapted EPIS framework and the Technology Acceptance Model 3 to guide qualitative thematic analyses of semi-structured interviews with implementation teams. Results Salient facilitators (e.g., facilitation teams, facilitation meetings, phase-specific activities) and barriers (e.g., website issues, perceived lack of ease of use of the website, perceived lack of resources, inner context factors) were identified, highlighting key determinants to the utilization of this toolkit. Additionally, frequent determinants and determinants that differed across adapted EPIS phases of the toolkit were noted. Finally, analyses highlighted two themes: (a) Inner Context Determinants to use of the toolkit (e.g., funding) and (b) Innovation Determinants (e.g., all website-related factors), indicating an interaction between the two models utilized to guide study analyses. Conclusions Findings highlighted several factors that facilitated the utilization of this implementation guide. Additionally, findings identified key areas for improvement for future iterations of the ACT SMART Implementation Toolkit. Importantly, these results may inform the development, refinement, and utilization of implementation guides with the aim of increasing the uptake of EBPs in community-based organizations providing services to children with ASD and their families. Finally, these findings contribute to the implementation science literature by illustrating the joint use of the EPIS framework and Technology Acceptance Model 3 to evaluate the implementation of a web-based toolkit within community-based organizations.

SISTEM INFORMASI TRY OUT MANDIRI UNBK BERBASIS WEB MENGGUNAKAN METODE LINEAR CONGRUENT PADA KELOMPOK KERJA MADRASAH (KKM) MTS N 2 DEMAK

2019 ◽  
Vol 10 (2) ◽  
pp. 29-38
Author(s):  
Fujiama Diapoldo silalahi ◽  
Firman Murtadlo
Keyword(s):  
Working Group ◽  
System Development ◽  
Field Testing ◽  
Dissemination And Implementation ◽  
Main Field ◽  
Initial Value ◽  
Web Based ◽  
National Examination ◽  
Information Collecting ◽  
Central Level

Abstract The try out process is an exam simulation exercise every year before the National Examination conducted by school institutions. The main objective of this exercise is as an effort of school institutions to prepare students to get maximum scores on the National Examination. Madrasah Working Group (KKM) of MTs 2 Demak is a body within the Ministry of Religion which fosters coordinative cooperative relations between Demak MTs 2 and private Madrasahs in the area of Demak 2 MTs. So far the Try Out system at the KKM level still uses manual procedures and is still off line using paper. As a result of this system, there are still delays in the distribution of questions and reports at the central level. In making Try Out questions, randomization of questions only uses the package method questions A, B and C, so there are still students who give each other answers. LCM (linear congruent method) is a method of generating random numbers on the Try Out. The principle of this method is where the form of the LCM number as the scrambler of the question, including increament (c), modulus (m), multiplier (a), and initial value (Z0), which has provisions: c = 0 ≤ c <m, m = 0 <m, a = 0 <a <m, and Z0 = 0 ≤ Z0 <m. Making this application using the PHP programming language and database used is MySql with the R & D system development method according to Borg and Gall, including: Research and information collecting, Planning, Develop prelminary form of product, Preliminary field testing, Main product revision, Main field testing , Operational product revision, Operational field testing, Final product revision, Dissemination and implementation. Madrasah Working Group (KKM) Demak MTs 2 in conducting a try out system still uses the manual offline method and the problem scrambler is only limited to packages A, B, and C, then with the Try Out Information System the web-based KKM level is expected to facilitate parties KKM and tighten students to avoid fraud.

Supporting Self-Management and Quality of Life in Bipolar Disorder with the Beta PolarUs App: Protocol for a Mixed-Methods Study (Preprint)

2022 ◽  
Author(s):  
Erin E Michalak ◽  
Steven J Barnes ◽  
Emma Morton ◽  
Heather O'Brien ◽  
Greg Murray ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mixed Methods ◽  
Management Strategies ◽  
Community Based Participatory Research ◽  
Self Management ◽  
Community Based ◽  
Self Monitoring ◽  
Web Based ◽  
Beta Version

BACKGROUND Quality of life (QoL) is increasingly recognised as a key outcome of self-management interventions for bipolar disorder (BD). Mobile phone applications (apps) can increase access to evidence-based self-management strategies and provide real-time support. However, while individuals with lived experience desire support with monitoring and improving broader health domains, existing BD apps largely target mood symptoms only. Further, evidence from the broader mHealth literature has shown that the desires and goals of end-users are not adequately taken into account during app development, and as a result engagement with mental health apps is suboptimal. To capitalise on the potential of apps to optimise wellness in BD, there is a need for interventions developed in consultation with real-world users that are designed to support QoL self-monitoring and self-management. Objective: This mixed methods pilot study is designed to evaluate the beta version of the newly developed PolarUs app, which aims to support QoL self-monitoring and self-management in people with BD. Developed using a community-based participatory research framework, the PolarUs app builds on the web-based adaptation of a BD-specific QoL self-assessment measure, and integrates material from a web-based portal providing information on evidence-informed self-management strategies in BD. OBJECTIVE The primary objectives of this project are to: (1) evaluate PolarUs app feasibility (via behavioral usage metrics); (2) evaluate PolarUs impact (via the Brief Quality of Life in Bipolar Disorders, QoL.BD scale, our primary outcomes measure); and (3) explore engagement with the PolarUs app (via both quantitative and qualitative methods). METHODS Study participants will be North American residents (N=150) aged 18-65 years with a DSM-5 diagnosis of BD-I, BD-II or BD not otherwise specified (NOS) as assessed by a structured diagnostic interview. An embedded mixed-methods research design will be adopted; qualitative interviews with a purposefully selected sub-sample (~n=30) of participants will be conducted to explore in more depth feasibility, impact and engagement with the PolarUs app over the 12-week study period. RESULTS At the time of publication of this protocol, the development of the beta version of the PolarUs app is complete. Participant enrollment is expected to begin in February 2022. Data collection is expected to be completed by December 2022. CONCLUSIONS Beyond contributing knowledge on the feasibility and impacts of a novel app to support QoL and self-management in BD, this study is also expected to provide new knowledge on engagement with mHealth apps. Furthermore, it is expected to function as a case study of successful co-design between individuals living with BD, clinicians who specialise in the treatment of BD, and BD researchers, providing a template for future use of community-based participatory research frameworks in mHealth intervention development. Results will be used to further refine the PolarUs app and inform the design of a larger clinical trial.

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