scholarly journals Development of a Living Lab for a Mobile-Based Health Program for Korean-Chinese Working Women in South Korea: Mixed Methods Study (Preprint)

2019 ◽  
Author(s):  
Youlim Kim ◽  
Hyeonkyeong Lee ◽  
Mi Kyung Lee ◽  
Hyeyeon Lee ◽  
Hyoeun Jang
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Women Workers ◽  
Needs Assessment ◽  
Program Development ◽  
Health Program ◽  
Mobile App ◽  
Middle Aged ◽  
Living Lab ◽  
Korean Chinese

BACKGROUND Korean-Chinese (KC) women make up the largest group of female migrants in South Korea. To prevent and manage chronic diseases in middle-aged KC women working full time, it is necessary to develop health promotion programs that utilize an online platform because such a platform would allow individuals to participate in health promotion interventions at their convenience. OBJECTIVE This study aimed to develop a living lab for a mobile-based health (LLm Health) program focused on improving the physical activity and cultural adaptation of KC women workers. METHODS We used a mixed methods design. Living lab principles were factored into the LLm Health program, including the use of multiple methods, user engagement, multistakeholder participants, real-life settings, and cocreation. The program was developed using the 4 steps of the intervention mapping method: needs assessment, setting of objectives, identification of intervention strategies, and intervention design. Needs assessment was conducted through a literature review, focus group interviews with a total of 16 middle-aged KC women, and an online survey related to health promotion of migrant workers given to 38 stakeholders. KC middle-aged women participated in the early stages of program development and provided the idea of developing programs and mobile apps to enhance physical activity and acculturation. The mobile app developed in the program was validated with the help of 12 KC women and 4 experts, including 3 nursing professors and a professor of physical education. They were asked to rate each item based on content, interface design, and technology on a 4-point scale using a 23-item Smartphone App Evaluation Tool for Health Care. RESULTS The LLm Health program comprised a 24-week walking program using Fitbit devices, the mobile app, and social cognitive interventions. The mobile app contained 6 components: a step counter, an exercise timer, an online chat function, health information, level of cardiovascular risk, and health status. The cultural aspects and lifestyles of KC women were accommodated in the entire process of program development. The content validity of the mobile app was found to be 0.90 and 0.96 according to the 12 KC women and 4 experts, respectively. CONCLUSIONS The mobile app was found to be valid and acceptable for KC women. The living lab approach was a useful strategy for developing a culturally adaptive LLm Health program for KC women workers, leading to their active participation in the overall research process, including needs assessment, program composition, and pre-evaluation.

scholarly journals Development of a Living Lab for a Mobile-Based Health Program for Korean-Chinese Working Women in South Korea: Mixed Methods Study

10.2196/15359 ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. e15359
Author(s):  
Youlim Kim ◽  
Hyeonkyeong Lee ◽  
Mi Kyung Lee ◽  
Hyeyeon Lee ◽  
Hyoeun Jang
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Women Workers ◽  
Needs Assessment ◽  
Program Development ◽  
Health Program ◽  
Mobile App ◽  
Middle Aged ◽  
Living Lab ◽  
Korean Chinese

Background Korean-Chinese (KC) women make up the largest group of female migrants in South Korea. To prevent and manage chronic diseases in middle-aged KC women working full time, it is necessary to develop health promotion programs that utilize an online platform because such a platform would allow individuals to participate in health promotion interventions at their convenience. Objective This study aimed to develop a living lab for a mobile-based health (LLm Health) program focused on improving the physical activity and cultural adaptation of KC women workers. Methods We used a mixed methods design. Living lab principles were factored into the LLm Health program, including the use of multiple methods, user engagement, multistakeholder participants, real-life settings, and cocreation. The program was developed using the 4 steps of the intervention mapping method: needs assessment, setting of objectives, identification of intervention strategies, and intervention design. Needs assessment was conducted through a literature review, focus group interviews with a total of 16 middle-aged KC women, and an online survey related to health promotion of migrant workers given to 38 stakeholders. KC middle-aged women participated in the early stages of program development and provided the idea of developing programs and mobile apps to enhance physical activity and acculturation. The mobile app developed in the program was validated with the help of 12 KC women and 4 experts, including 3 nursing professors and a professor of physical education. They were asked to rate each item based on content, interface design, and technology on a 4-point scale using a 23-item Smartphone App Evaluation Tool for Health Care. Results The LLm Health program comprised a 24-week walking program using Fitbit devices, the mobile app, and social cognitive interventions. The mobile app contained 6 components: a step counter, an exercise timer, an online chat function, health information, level of cardiovascular risk, and health status. The cultural aspects and lifestyles of KC women were accommodated in the entire process of program development. The content validity of the mobile app was found to be 0.90 and 0.96 according to the 12 KC women and 4 experts, respectively. Conclusions The mobile app was found to be valid and acceptable for KC women. The living lab approach was a useful strategy for developing a culturally adaptive LLm Health program for KC women workers, leading to their active participation in the overall research process, including needs assessment, program composition, and pre-evaluation.

Living Labs for a Mobile App-Based Health Program: Effectiveness of a 24-Week Walking Intervention for Cardiovascular Disease Risk Reduction Among Female Korean-Chinese Migrant Workers: Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Youlim Kim ◽  
Hyeonkyeong Lee ◽  
Misook Lee Chung
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Migrant Workers ◽  
Health Program ◽  
Density Lipoprotein ◽  
Mobile App ◽  
Cvd Risk ◽  
Walking Intervention ◽  
Korean Chinese ◽  
Chinese Migrant Workers

BACKGROUND Cardiovascular disease (CVD) accounts for one-third of the causes of death in women, and migrants are relatively more likely to be exposed to CVD risk owing to social and environmental factors. OBJECTIVE This study aimed to examine the effectiveness of a 24-week app-based walking program, using Fitbit, for CVD risk reduction among female Korean-Chinese middle-aged workers. METHODS Participants were recruited between April 11 and July 11, 2018 through distributing posters and flyers. They were randomly assigned to either the standard treatment (ST; n = 22) or enhanced treatment (ET; n = 28) group. All participants were provided with a mobile app linked to Fitbit Alta for 24 weeks and instructed to walk for more than 30 minutes five times a week and moderate intensity physical activity. During the 12-week adaptation period, the ET group also received a mobile app-based health program applying socio-cognitive strategies to increase walking adherence. All participants were guided to voluntary physical activity without researchers' intervention during the 12-week maintenance period. Data were analyzed by the Mann Whitney U-test and a generalized estimating equation. RESULTS There were significant between-group differences regarding the number of steps (B = 1.295, P < .001).and moderate physical activity time (OR = 6.396, P = .030) at week 12. ET group had significant changes in high-density lipoprotein cholesterol (B = 10.522, P = .007), low-density lipoprotein cholesterol ( B = -16.178, P = .024), total cholesterol (B = -20.325, P = .039), fasting blood sugar (B = -8.138, P = -.046) over 12 weeks compared to the ST group. In addition, there was a significant reduction CVD risk for the ET group over 12 weeks compared to the ST group (B = -0.521, P <. 001). CONCLUSIONS The app-based walking intervention was effective in reducing CVD risk among female Korean-Chinese migrant workers during the 12-week period. In future studies, long-term studies are needed to reduce the risk of cardiovascular disease in large-scale migrant workers, and it is necessary to confirm the direct and indirect effects of various socio-cognitive factors on health outcomes.

Health promotion and early detection of cancer in older adults: Needs assessment for program development

1997 ◽  
Vol 20 (6) ◽  
pp. 381-388 ◽  
Author(s):  
Margaret I. Fitch ◽  
Marlene Greenberg ◽  
Linda Levstein ◽  
Margaret Muir ◽  
Susan Plante ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Early Detection ◽  
Needs Assessment ◽  
Program Development ◽  
Early Detection Of Cancer

Middle-Aged Women’s Preferred Theory-Based Features in Mobile Physical Activity Applications

2014 ◽  
Vol 11 (7) ◽  
pp. 1379-1385 ◽  
Author(s):  
Diane K. Ehlers ◽  
Jennifer L. Huberty
Keyword(s):  
Physical Activity ◽  
Technology Adoption ◽  
Online Survey ◽  
Progress Monitoring ◽  
Cognitive Theory ◽  
Self Regulation ◽  
Mobile App ◽  
Middle Aged ◽  
Perceived Effort ◽  
Effort Expectancy

Background:The purpose of this study was to describe which theory-based behavioral and technological features middle-aged women prefer to be included in a mobile application designed to help them adopt and maintain regular physical activity (PA).Methods:Women aged 30 to 64 years (N = 120) completed an online survey measuring their demographics and mobile PA application preferences. The survey was developed upon behavioral principles of Social Cognitive Theory, recent mobile app research, and technology adoption principles of the Unified Theory of Acceptance and Use of Technology. Frequencies were calculated and content analyses conducted to identify which features women most preferred.Results:Behavioral features that help women self-regulate their PA (PA tracking, goal-setting, progress monitoring) were most preferred. Technological features that enhance perceived effort expectancy and playfulness were most preferred. Many women reported the desire to interact and compete with others through the application.Conclusions:Theory-based PA self-regulation features and theory-based design features that improve perceived effort expectancy and playfulness may be most beneficial in a mobile PA application for middleaged women. Opportunities to interact with other people and the employment of social, game-like activities may also be attractive. Interdisciplinary engagement of experts in PA behavior change, technology adoption, and software development is needed.

scholarly journals Mobile App-Based Health Promotion Programs: A Systematic Review of the Literature

2018 ◽  
Vol 15 (12) ◽  
pp. 2838 ◽  
Author(s):  
Mikyung Lee ◽  
Hyeonkyeong Lee ◽  
Youlim Kim ◽  
Junghee Kim ◽  
Mikyeong Cho ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Promotion ◽  
Health Status ◽  
General Population ◽  
Weight Control ◽  
Mobile Apps ◽  
Mobile App ◽  
Future Research ◽  
Adult Health ◽  
Health Promotion Programs

This study investigated the features and usefulness of mobile app-based health promotion programs for the general population. A comprehensive bibliographic search of studies on health promotion programs using mobile apps in peer-reviewed journals published in English up to November 2017 was performed using the PubMed, Embase, and CINAHL databases. The inclusion criteria were (1) randomized control trial designs; (2) assessed mobile app-based interventions to promote adult health conditions; 12 studies were ultimately included. The most common topics were diet and physical activity (n = 8) and overall healthy lifestyle improvement (n = 4). The purpose of the apps included providing feedback on one’s health status (n = 9) and monitoring individual health status or behavior change (n = 9). Across all studies, health outcomes were shown to be better for mobile app users compared to non-users. Mobile app-based health interventions may be an effective strategy for improving health promotion behaviors in the general population without diseases. This study suggests that mobile app use is becoming commonplace for a variety of health-promoting behaviors in addition to physical activity and weight control. Future research should address the feasibility and effectiveness of using mobile apps for health promotion in developing countries.

scholarly journals Effects of Mobile App–Based Intervention for Depression in Middle-Aged and Older Adults: Mixed Methods Feasibility Study (Preprint)

2020 ◽  
Author(s):  
Christine E Gould ◽  
Chalise Carlson ◽  
Flora Ma ◽  
Valerie Forman-Hoffman ◽  
Kristian Ranta ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Pilot Study ◽  
Health Program ◽  
Mobile App ◽  
Anxiety Symptoms ◽  
Community Dwelling ◽  
Health Interventions ◽  
Middle Aged ◽  
Patient Reported

BACKGROUND Digital mental health interventions may help middle-aged and older adults with depression overcome barriers to accessing traditional care, but few studies have investigated their use in this population. OBJECTIVE This pilot study examines the feasibility, acceptability, and potential efficacy of the Meru Health Program, an 8-week mobile app–delivered intervention. METHODS A total of 20 community-dwelling middle-aged and older adults (age: mean 61.7 years, SD 11.3) with elevated depressive symptoms participated in a single-arm pilot study investigating the Meru Health Program, an app-delivered intervention supported by remote therapists. The program primarily uses mindfulness and cognitive behavioral skills to target depressive symptoms. A semistructured interview was completed at the baseline to establish current psychiatric diagnoses. Depressive symptoms were measured using the Patient Health Questionnaire and Patient-Reported Outcomes Measurement Information System (PROMIS) depression measures. Anxiety symptoms were measured using the Generalized Anxiety Disorder Scale and the PROMIS Anxiety measure. User experience and acceptability were examined through surveys and qualitative interviews. RESULTS In total, 90% (18/20) of the participants completed the program, with 75% (15/20) completing at least 7 of the 8 introductory weekly lessons. On average, participants completed 60 minutes of practice and exchanged 5 messages with their therapists every week. The app was rated as helpful by 89% (17/19) participants. Significant decreases in depressive (P=.03) and anxiety symptom measures (P=.01) were found; 45% (9/20) of participants showed clinically significant improvement in either depressive symptoms or anxiety symptoms. CONCLUSIONS The findings suggest that the commercially available Meru Health Program may be feasible, acceptable, and potentially beneficial to middle-aged and older adults. Although larger controlled trials are needed to demonstrate efficacy, these findings suggest that digital health interventions may benefit adults of all ages.

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