scholarly journals Enhancing the Impact of Mobile Health Literacy Interventions to Reduce Health Disparities

2019 ◽  
Author(s):  
Raymond L Ownby ◽  
Amarilis Acevedo ◽  
Drenna Waldrop-Valverde

Health literacy is a key factor in health outcomes that should be considered when creating mobile health promotion apps. In this paper, we detail our work over the past 10 years in developing the theory and practice of targeting the content of mobile apps at a level appropriate for the intended audience. We include a review of our theory of health literacy as expertise, the ASK model, and integrate it with the Theory of Planned Behavior. We then provide data that support both the model and its use. More recently, we have developed a predictive analytic model that uses demographic information and patient performance on a 10-item screening measure to determine patient level of health literacy at a high level of accuracy. The predictive model will enable apps to automatically provide content to users at an appropriate level of health literacy. This strategy, along with other aspects of tailoring, will allow apps to be more personally relevant to users, enhancing their effects in promoting health behavior change.

2021 ◽  
pp. 147402222110074
Author(s):  
Kelly Bylica ◽  
Sophie Louise Roland ◽  
Laura Benjamins

Formal music performance studies within university settings strive to prepare the next generation of performers and pedagogues for musical engagement beyond university. Yet literature suggests that these spaces of study do not always lead to a sense of readiness for potential professional worlds, due in part to a lack of opportunities for guided, in-depth, critical reflection that helps students connect theory and practice. This article articulates findings from a study that sought to consider the impact of deliberate opportunities for reflection in The Accademia Europea dell’Opera (AEDO), a university-affiliated summer opera intensive experiential learning program. Utilizing a communities of musical practice framework, researchers worked collaboratively to help participants engage in guided critical reflection as they developed high-level musical skills through rehearsals and performances. This article specifically considers the ways in which a ‘broker’ helped participants develop practices of reflection and personal agency both within and beyond this context.


2016 ◽  
Vol 8 (1(J)) ◽  
pp. 18-26
Author(s):  
Anna LemaÅ„ska-Majdzik ◽  
MaÅ‚gorzata OkrÄ glicka

Employees' job satisfaction is influenced by a number of diverse determinants which are related with the work performed by an employee, depend on individual characteristics of an employee, and result from the features of the environment in which a given organisation is functioning. Job satisfaction affects the functioning of an enterprise, its competitiveness and profitability, and high level of employees' satisfaction may be a key factor impacting the success of the whole organisation. The aim of the paper is to show which determinants of job satisfaction, and at what level, can be distinguished among employees of Polish enterprises, depending on selected variables. A questionnaire survey conducted in 2015 on a group of 158 enterprises enabled identification of statistical dependences and verification of formulated research hypotheses which defined, among other things: the impact of the determinants of employees' job satisfaction depending on the age of a company, its size, or period of employment of its employees.


2019 ◽  
Vol 16 (3) ◽  
pp. 217-228
Author(s):  
Liudmyla Bukharina ◽  
Oksana Onyshchenko

The impact investing ecosystem is currently in its infancy in Ukraine. The aim of the paper is to identify the problems of impact investing development in Ukraine and to propose the ways to develop the ecosystem of social investment in the country. In the course of the research, general scientific methods of analysis were used: formal, logical, and comparative. Results of the research suggest that theory and practice of state regulation in Ukraine still lack the conceptualized mechanisms of impact investing and the corresponding institutional environment. On the other hand, there is a high level of interest and engagement in it from both the public and potential and current investors. The data obtained prove the importance of civil society cooperation in creating a favorable ecosystem of impact investing to maximize its integration into the economy. The development of impact investing ecosystem in Ukraine depends on certain socio-economic and legal barriers at an initial stage such as: low level of public understanding about the problem, absence of clear legal regulation and uncertainty of the “rules of the game” at the legislative level, openness and publicity of enterprises, which is not a characteristic feature of the economic environment in the country today. Furthermore, effective directions and mechanisms for development of the impact investing ecosystem are proposed.


10.2196/19280 ◽  
2020 ◽  
Vol 8 (10) ◽  
pp. e19280
Author(s):  
Manuel Schmidt-Kraepelin ◽  
Philipp A Toussaint ◽  
Scott Thiebes ◽  
Juho Hamari ◽  
Ali Sunyaev

Background Nowadays, numerous health-related mobile apps implement gamification in an attempt to draw on the motivational potential of video games and thereby increase user engagement or foster certain health behaviors. However, research on effective gamification is still in its infancy and researchers increasingly recognize methodological shortcomings of existing studies. What we actually know about the phenomenon today stems from fragmented pieces of knowledge, and a variety of different perspectives. Existing research primarily draws on conceptual knowledge that is gained from research prototypes, and isolated from industry best practices. We still lack knowledge on how gamification has been successfully designed and implemented within the industry and whether certain gamification approaches have shown to be particularly suitable for certain health behaviors. Objective We address this lack of knowledge concerning best practices in the design and implementation of gamification for health-related mobile apps by identifying archetypes of gamification approaches that have emerged in pertinent health-related mobile apps and analyzing to what extent those gamification approaches are influenced by the underlying desired health-related outcomes. Methods A 3-step research approach is employed. As a first step, a database of 143 pertinent gamified health-related mobile apps from the Apple App Store and Google Play Store is set up. Second, the gamification approach of each app within the database is classified based on an established taxonomy for gamification in health-related apps. Finally, a 2-step cluster analysis is conducted in order to identify archetypes of the most dominant gamification approaches in pertinent gamified health-related mobile apps. Results Eight archetypes of gamification emerged from the analysis of health-related mobile apps: (1) competition and collaboration, (2) pursuing self-set goals without rewards, (3) episodical compliance tracking, (4) inherent gamification for external goals, (5) internal rewards for self-set goals, (6) continuous assistance through positive reinforcement, (7) positive and negative reinforcement without rewards, and (8) progressive gamification for health professionals. The results indicate a close relationship between the identified archetypes and the actual health behavior that is being targeted. Conclusions By unveiling salient best practices and discussing their relationship to targeted health behaviors, this study contributes to a more profound understanding of gamification in mobile health. The results can serve as a foundation for future research that advances the knowledge on how gamification may positively influence health behavior change and guide practitioners in the design and development of highly motivating and effective health-related mobile health apps.


2021 ◽  
pp. 579-587
Author(s):  
Vivek A. Upadhyay ◽  
Adam B. Landman ◽  
Michael J. Hassett

PURPOSE More than 325,000 mobile health (mhealth) applications (apps) have been developed. We sought to describe the state of oncology-specific apps and to highlight areas of strength and opportunities for future development. METHODS We searched for oncology apps in the Apple iOS and Google Play app stores in January 2020. Apps were classified by English language support, date of last update, downloads, intended audience, intended purpose, and developer type. RESULTS We identified 794 oncology-specific, English language applications; only 257 (32%) met basic recency standards and were considered evaluable. Of evaluable apps, almost half (47%) were found in the Medical Store Category and the majority were free (88%). The most common intended audience was health care professionals (45%), with 28% being geared toward the general public and 27% being intended for patients. The intended function was education for 36%, clinical decision support for 19.5%, and patient support for 18%. Only 23% of education apps and 40% of clinical decision support apps reported any formal app content review process. Web developers created 61.5% of apps, scientific societies created 10%, and hospitals or health care organizations created just 6%. Of 54 studies that used mobile apps in oncology identified by a recent meta-analysis, only two could be matched to commercially available apps from our study, suggesting a substantial divide between investigation and product dissemination. CONCLUSION Relatively few oncology-related apps exist in the commercial marketplace, up-to-date apps are uncommon, and there is a notable absence of key oncology stakeholders in app development. Meaningful development opportunities exist.


Author(s):  
Youn-Jung Son ◽  
Dae Shim ◽  
Eun Seo ◽  
Eun Seo

Heart failure (HF) is a chronic condition requiring continuous self-care. Health literacy is increasingly recognized as a key factor of self-care behaviors in patients with chronic diseases. Recently, frailty in chronic diseases has also been associated with self-care behaviors. However, relationships among health literacy, frailty, and self-care in the HF population are not well understood. Therefore, this cross-sectional study aimed to identify the impact of health literacy and frailty on self-care behaviors in patients with HF. Data were collected from 281 adults attending a cardiovascular outpatient clinic in Korea. Health literacy, frailty, and self-care behaviors were measured using Korean-validated instruments. The mean scores of health literacy and self-care behaviors were 8.89 (±3.44) and 31.49 (±5.38), respectively. The prevalence of frailty was around 26.3%. Health literacy was significantly associated with frailty and self-care behaviors. In a hierarchical linear regression analysis, health literacy was a significant determinant of self-care behaviors after adjusting for confounding variables, but frailty was not. Educational level was also a significant predictor of self-care behaviors. Our main findings showed that health literacy can facilitate improvements in HF self-care behaviors. Healthcare professionals should assess patients’ health literacy and educational backgrounds when designing self-management programs.


2017 ◽  
Vol 11 (2) ◽  
pp. 213-235 ◽  
Author(s):  
Christopher G. Reddick ◽  
Yueping Zheng

Purpose This paper aims to explore the determinants of citizens’ future use of mobile applications provided by government. Research on citizen-initiated contacts with government has focused on both non-technology and technology related contacts. Existing research, however, has not examined the impact of mobile applications or “apps” on citizen-initiated contacts with government. Furthermore, existing research has not examined satisfaction with mobile government and whether this impacts future use. Design/methodology/approach The authors examine future use of mobile apps through an empirical analysis of a public opinion survey of citizen users in four of the largest cities in China (Beijing, Shanghai, Guangzhou and Shenzhen). Findings Using ordered logistic regression analysis, this study found that the strongest predictors of future use were demand and satisfaction with mobile apps. However, there was no wide-scale evidence of socioeconomic status and age impacting mobile apps future use. Practical implications The findings in this study contribute to both theory and practice of the determinants of mobile government adoption. Originality/value The results challenge the citizen-initiated contact theory, as socioeconomic status was not a major predictor of mobile apps future use in China. The results further indicate that satisfaction was a good predictor of mobile apps future use.


2020 ◽  
Vol 558 (9) ◽  
pp. 2-9
Author(s):  
Violetta Korporowicz

The public discourse adopted an approach to health literacy as health awareness or the ability to make decisions about health in terms of everyday life and the ability to avoid disease or protect against disease. A high level of literacy gives knowledge on how and where to look for information on the impact of various factors on health. A field audit was conducted in the direction of health literacy at randomly selected high schools in Warsaw (general, technical and vocational schools – currently industry) in the school year 2015/2016. The study involved 820 students of three types of Warsaw schools with representative sample selection. In the light of research, it turned out that adult youth from Warsaw vocational schools considerably less compared to youth from general education recognize health-threatening situations in the form of: lack of proper diet despite the indications of doctors, participation in sports and rehabilitation activities, despite the fact that about one a third of respondents reported weak, bad or even very serious health problems. In addition, relatively higher obesity compared to high school students and technical secondary schools. That is why it is important to pay special attention to education authorities (local and state) about neglect in the field of health education in schools, in particular in vocational schools.


Author(s):  
Elaine Wittenberg ◽  
Joy Goldsmith ◽  
Sandra L. Ragan ◽  
Terri Ann Parnell

This remarkable work reveals the plight of the family caregiver in chronic illness through the prism of communication. Examining the high cost and poorly addressed exigencies of the caregiver, including health literacy, palliative care, and health outcomes, Elaine Wittenberg, Joy V. Goldsmith, Sandra L. Ragan, and Terri Ann Parnell use an interdisciplinary approach in an effort to identify the impact of communication and its burdens on the caregiver. This team of scholars present four caregiver profiles, the Manager, Carrier, Partner, and Lone caregiver, each emerging from a family system with different patterns of conversational sharing and expectations of conformity. This volume presents a picture of the costs and losses for caregivers that go unseen and remain invisible for stakeholders in the healthcare experience. By synthesizing current data assessing the experiences of caregivers, as well as integrating the narrative experiences of a range of caregivers living through a variety of illnesses and their specific demands, the writers deliver an unflinching gaze at the journey of the caregiver. With an author team comprised of three health communication researchers and a nurse and health literacy expert, this volume integrates literature addressing caregiver needs and burdens, communication theory and practice, and palliative care and health literacy research to present the groundbreaking concept of the caregiver types and an innovative set of support resources to facilitate improved pathways to better care for the caregiver. Their engaging and rigorous writing style integrates the real stories of caregivers across the scope of the book connecting the reader with the people inside the pages and making the book essential for providers, students, clinicians, policymakers, and family caregivers alike.


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