scholarly journals Effort-Optimized-Intervention Model: A Framework for Building and Analyzing Digital Interventions that Require Minimal Effort for Health-Related Gains (Preprint)

2020 ◽  
Author(s):  
Amit Baumel ◽  
Frederick J. Muench
Keyword(s):  
Digital Health ◽  
Intervention Development ◽  
Ego Depletion ◽  
User Engagement ◽  
Competing Demands ◽  
Therapeutic Mechanism ◽  
Health Related ◽  
The Face ◽  
A Minor ◽  
Therapeutic Activities

UNSTRUCTURED The majority of digital health interventions lean on the promise of bringing health and self-care into people’s homes and hands. However, these interventions are delivered while people are in their triggering environment, which places competing demands on their attention. Individuals struggling to change or learn a new behavior have to work hard to achieve even a minor change because of the automatic forces propelling them back to their habitual behaviors. This paper posits that effort and burden should be explored at the outset and throughout the digital intervention development process as a core therapeutic mechanism, beyond the context of design or user experience testing. An effort-focused conceptualization assumes that, even though goals are rational and people want to achieve them, they are overtaken by competing cognitive, emotional and environmental processes. We offer the term “effort-optimized intervention” (EOI) to describe interventions that focus on user engagement in the face of competing demands. We describe design components based on a three-step process in the planning of an EOI sequence: 1) nurturing effortless cognitive and environmental salience to help people keep effort-related goals prominent despite competition; 2) making it as effortless as possible to complete therapeutic activities to avoid ego depletion and self-efficacy reductions; and 3) turning the necessary effortful activities into sustainable assets. We conclude by presenting an example of designing a digital health intervention based on the EOI model.

scholarly journals Effort-Optimized Intervention Model: Framework for Building and Analyzing Digital Interventions That Require Minimal Effort for Health-Related Gains

10.2196/24905 ◽  
2021 ◽  
Vol 23 (3) ◽  
pp. e24905
Author(s):  
Amit Baumel ◽  
Frederick J Muench
Keyword(s):  
Digital Health ◽  
Intervention Development ◽  
Ego Depletion ◽  
User Engagement ◽  
Intervention Model ◽  
Model Framework ◽  
Competing Demands ◽  
Health Related ◽  
The Face ◽  
A Minor

The majority of digital health interventions lean on the promise of bringing health and self-care into people’s homes and hands. However, these interventions are delivered while people are in their triggering environments, which places competing demands on their attention. Individuals struggling to change or learn a new behavior have to work hard to achieve even a minor change because of the automatic forces propelling them back to their habitual behaviors. We posit that effort and burden should be explored at the outset and throughout the digital intervention development process as a core therapeutic mechanism, beyond the context of design or user experience testing. In effort-focused conceptualization, it is assumed that, even though goals are rational and people want to achieve them, they are overtaken by competing cognitive, emotional, and environmental processes. We offer the term effort-optimized intervention to describe interventions that focus on user engagement in the face of competing demands. We describe design components based on a 3-step process for planning an effort-optimized intervention: (1) nurturing effortless cognitive and environmental salience to help people keep effort-related goals prominent despite competition; (2) making it as effortless as possible to complete therapeutic activities to avoid ego depletion and self-efficacy reduction; and (3) turning the necessary effortful activities into sustainable assets. We conclude by presenting an example of designing a digital health intervention based on the effort-optimized intervention model.

Implementation Strategy for a Digital Health Tool Influences User Engagement

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1320-P
Author(s):  
MANSUR SHOMALI ◽  
MALINDA PEEPLES
Keyword(s):  
Implementation Strategy ◽  
Digital Health ◽  
User Engagement

Emotional working memory load selectively increases negativity bias

2020 ◽  
Author(s):  
Nicholas Harp ◽  
Michael D. Dodd ◽  
Maital Neta
Keyword(s):  
Memory Load ◽  
Response Competition ◽  
Negativity Bias ◽  
Cognitive Resources ◽  
Shared Resources ◽  
Domain Specific ◽  
Specific Effects ◽  
Competing Demands ◽  
The Face ◽  
Positive Valence

Cognitive resources are needed for successful executive functioning; when resources are limited due to competing demands, task performance is impaired. Although some tasks are accomplished with relatively few resources (e.g., judging trustworthiness and emotion in others), others are more complex. Specifically, in the face of emotional ambiguity (i.e., stimuli that do not convey a clear positive or negative meaning, such as a surprised facial expression), our decisions to approach or avoid appear to rely on the availability of top-down regulatory resources to overcome an initial negativity bias. Cognition-emotion interaction theories (e.g., dual competition) posit that emotion and executive processing rely on shared resources, suggesting that competing demands would hamper these regulatory responses towards emotional ambiguity. Here, we employed a 2x2 design to investigate the effects of load (low versus high) and domain (non-emotional vs. emotional) on evaluations of surprised faces. As predicted, there were domain-specific effects, such that categorizations of surprise were more negative for emotional than non-emotional loads. Consistent with prior work, low load (regardless of domain; i.e., domain-general) was associated with greater response competition on trials resulting in a positive categorization, showing that positive categorizations are characterized by an initial negativity. This effect was diminished under high load. These results lend insight into the resources supporting a positive valence bias by demonstrating that emotion-specific regulatory resources are important for overriding the initial negativity in response to emotional ambiguity. However, both domain-general and domain-specific loads impact the underlying processes.

Psychological Impact of Coronavirus (COVID-19) Disease on Cancer Patients

Coronaviruses ◽  
2021 ◽  
Vol 01 ◽  
Author(s):  
Gaurav Dhiman
Keyword(s):  
Cancer Patients ◽  
Related Problem ◽  
Preventive Measures ◽  
Psychological Impact ◽  
Vulnerable Group ◽  
Recommended Care ◽  
Health Related ◽  
The Face ◽  
Mental Trauma ◽  
The Cost

: In this letter, the psychological impact of COVID-19 on cancer infected patients is discussed. Cancer is a serious health-related problem in the human body nowadays. The 2019 pandemic of coronavirus disease has developed into an unheard-of pandemic. Given the havoc wreaked by this pathogen worldwide, many countries have implemented a severe, legally enforced method of social distancing, in the form of a lockdown. Unless adequate preventive measures are taken, the cost of the pandemic and subsequent lockdown can prove to be irreparable. The obvious consequences of this lockout, such as the escalating levels of unemployment, imminent economic crisis, and extreme food scarcity faced by the sudden unemployed migrant labour population, have been widely reported. Cancer patients are a highly vulnerable group even during non-pandemic periods, often presenting late in the course of their illness, without the services required to avail recommended care. The incidence of psychological complications and emotional distress is considerably higher than in the general population, and the trauma of both the pandemic and subsequent lockdown contributes significantly to their mental trauma. This analysis is geared at solving the challenges faced by cancer patients in the face of this pandemic and subsequent lockdown, with a look at potential solutions that can be enforced.

scholarly journals Optimism despite profound uncertainty: school and social relationships in adolescents with single ventricle heart disease

2020 ◽  
pp. 1-8
Author(s):  
Jennifer K. Peterson ◽  
Ellen F. Olshansky ◽  
Yuqing Guo ◽  
Lorraine S. Evangelista ◽  
Nancy A. Pike
Keyword(s):  
Heart Disease ◽  
Social Relationships ◽  
Single Ventricle ◽  
Structured Interviews ◽  
Psychosocial Sequelae ◽  
Health Related ◽  
The Face ◽  
Phenomenological Methodology ◽  
Physical Limitations ◽  
Uncertain Future

Abstract Background: Survivors of single ventricle heart disease must cope with the physical, neurodevelopmental, and psychosocial sequelae of their cardiac disease, which may also affect academic achievement and social relationships. The purpose of this study was to qualitatively examine the experiences of school and social relationships in adolescents with single ventricle heart disease. Methods: A descriptive phenomenological methodology was employed, utilising semi-structured interviews. Demographic and clinical characteristics were obtained via chart review. Results: Fourteen adolescents (aged 14 to 19 years) with single ventricle heart disease participated. Interviews ranged from 25 to 80 minutes in duration. Four themes emerged from the interviews, including “Don’t assume”: Pervasive ableism; “The elephant in the room”: Uncertain future; “Everyone finds something to pick on”: Bullying at school; “They know what I have been through”: Social support. The overall essence generated from the data was “optimism despite profound uncertainty.” Conclusions: Adolescents with single ventricle heart disease identified physical limitations and school challenges in the face of an uncertain health-related future. Despite physical and psychosocial limitations, most remained optimistic for the future and found activities that were congruent with their abilities. These experiences reflect “optimism despite profound uncertainty.”

scholarly journals Promoting Problem Solving About Health Management: A Mixed-Methods Pilot Evaluation of a Digital Health Intervention for Older Adults With Pre-Frailty and Frailty

2021 ◽  
Vol 7 ◽  
pp. 233372142098568
Author(s):  
Annie T. Chen ◽  
Frances Chu ◽  
Andrew K. Teng ◽  
Soojeong Han ◽  
Shih-Yin Lin ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
Health Literacy ◽  
Problem Solving ◽  
Self Efficacy ◽  
Health Management ◽  
Digital Health ◽  
Post Intervention ◽  
Problem Solving Skills ◽  
Health Related

Background: There is a need for interventions to promote health management of older adults with pre-frailty and frailty. Technology poses promising solutions, but questions exist about effective delivery. Objectives: We present the results of a mixed-methods pilot evaluation of Virtual Online Communities for Older Adults (VOCALE), an 8-week intervention conducted in the northwestern United States, in which participants shared health-related experiences and applied problem solving skills in a Facebook group. Methods: We performed a mixed-methods process evaluation, integrating quantitative and qualitative data, to characterize the intervention and its effects. We focus on four areas: health-related measures (health literacy and self-efficacy), participation, problem solving skills enacted, and subjective feedback. Results: Eight older adults with pre-frailty and frailty (age = 82.7 ± 6.6 years) completed the study. There was an upward trend in health literacy and health self-efficacy post-intervention. Participants posted at least two times per week. Content analysis of 210 posts showed participants were able to apply the problem solving skills taught, and exit interviews showed participants’ increased awareness of the need to manage health, and enjoyment in learning about others. Conclusion: This mixed-methods evaluation provides insight into feasibility and design considerations for online interventions to promote health management among vulnerable older adults.

The validity of mobile applications to facilitate patient care provided to cancer patients: opportunities and limitations

2021 ◽  
Vol 16 ◽  
Author(s):  
Haneen Amawi ◽  
Sayer Alazzam ◽  
Tasnim Alzanati ◽  
Neveen Altamimi ◽  
Alaa Hammad ◽  
...  
Keyword(s):  
Health Services ◽  
Patient Care ◽  
Health Care Services ◽  
Rating Scale ◽  
Assessment Tools ◽  
Free Access ◽  
User Engagement ◽  
Care Services ◽  
Health Related ◽  
Detailed Assessment

Background: The use of health-related applications (apps) on smartphones has become widespread. This is especially of value during the ongoing SAR-COV-2 pandemic, where the accessibility for health care services has been greatly limited. Patients with free access to apps can obtain information to improve their understanding and management of health issues. Currently, there are cancer-related apps available on iPhones and androids. However, there are no guidelines to control these apps and ensure their quality. Furthermore, these apps may significantly modify the patients’ perception and knowledge toward drug-related health services. Objective: The aim of this study was to assess the convenience, quality, safety and efficacy of apps for cancer patient care. Methods: The study was conducted by searching all apps related to cancer care on both Google Play Store and Apple iTunes Store. A detailed assessment was then performed using the mobile application rating scale (MARS) and risk assessment tools. Results: The results indicated that on a scale from 1-5, 47% of the apps were rated ≥ 4. The MARS assessment of the apps indicated an overall quality rating of 3.38 ± 0.9 (mean ± SD). The visual appeal of the app was found to have a significant effect on app functionality and user engagement. The potential benefits of these apps come with challenges and limitations. Patents related to smartphone applications targeting patients were also discussed. Conclusion: We recommend a greater emphasis toward producing evidence-based apps. These apps should be rigorously tested, evaluated and updated by experts, particularly clinical pharmacists. Also, these may alter patient attitudes toward services provided by physicians and pharmacists. Finally, these apps should not replace in-person interactive health services.

scholarly journals Health literacy needs among unemployed adults: Triangulating interview and scoping review data

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
F Samkange-Zeeb ◽  
H Singh ◽  
M Lakeberg ◽  
J Kolschen ◽  
B Schüz ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Health Literacy ◽  
Scoping Review ◽  
Mental Health Literacy ◽  
Intervention Development ◽  
Well Being ◽  
Related Information ◽  
Health Related ◽  
Nutrition And Physical Activity

Abstract   Disadvantaged populations, including unemployed adults, often exhibit low levels of health literacy. Exploring subjectively perceived health literacy needs in these populations can serve as an entry point for participatory intervention development. We aimed to assess health literacy needs of unemployed adults by triangulating qualitative interviews data and a scoping review. Using a parallel approach, we combined results of an interview study with 10 participants of a job-reintegration program in Germany and a scoping review. The interviews, conducted in early 2021, focused on health topics of interest to the participants and their sources of health-related information. Data were analysed using thematic analysis. For the scoping review, we searched MEDLINE, CINAHL, PsycInfo and SCOPUS up to January 2021 for studies containing “unemployed” AND “health literacy” in titles/abstracts. Study selection and data extraction were done independently by two researchers. Nutrition and physical activity emerged as core themes during the interviews, with some participants referring to the importance of both for mental health. Doctors and the institution running the job-reintegration program were the sources of health-related information often mentioned. The Corona pandemic was reported to have limited physical activity and affected psycho-social well-being. Five out of 2696 studies were included in the review. Four focused on mental health literacy, the fifth assessed information seeking practices in unemployed adults. The qualitative analysis revealed that health literacy needs of unemployed adults go beyond mental health literacy. As nutrition and physical activity impact mental health, interventions targeting such topics might also improve mental health literacy in unemployed adults. Study findings will be discussed with unemployed persons and social workers in co-production workshops that aim to identify and prioritize health literacy needs for intervention development. Key messages Health literacy programs for unemployed adults should target nutrition and physical activity. Workforce re-integration programs play a pivotal role in improving health literacy of unemployed adults.

Sign in / Sign up

Export Citation Format

Share Document