scholarly journals Volunteering via Smart-Phone for People With Psychosis—Protocol of a Feasibility Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Mariana Pinto da Costa ◽  
Phone Pal Advisory Groups

The literature suggests that volunteering can be used to address social isolation and support patients with psychosis in the community. However, many expect in person meetings, requiring a greater effort of availability and commitment. There is therefore a need for more flexible, easily accessible support. Volunteering via smart-phone could be a useful intervention for people with psychosis. One patient and one volunteer have been matched for a duration of 12 weeks, and participants have been encouraged to communicate through a variety of communication methods (audio calls, video calls, text messages, WhatsApp messages and e-mails). The Phone Pal study aimed to investigate the feasibility of recruitment, participant retention, data collection procedures, intervention usage of the methods of communication and changes in outcome data. At baseline and follow-up outcome measures collected from patients and volunteers included their quality of life, physical activity, self-esteem and social comparison. Additional outcomes assessed patients' attachment, social contacts and symptoms; for volunteers, their social distance was evaluated. At follow-up both patients and volunteers rank their perception of their relationship with each other. This mixed method feasibility study has been conducted in two phases, the first stage evaluating a smaller sample of patients and volunteers recruited in London, and then a second phase with a larger sample of volunteers recruited from across the United Kingdom.Trial registration: ISRCTN17586238.

2019 ◽  
Author(s):  
Belinda Borrelli ◽  
Michelle Henshaw ◽  
Romano Endrighi ◽  
William G Adams ◽  
Timothy Heeren ◽  
...  

BACKGROUND Effective preventive treatments for dental decay exist, but caries experience among preschoolers has not changed, with marked disparities in untreated decay. Despite near-universal use of SMS text messaging, there are no studies using text messages to improve the oral health of vulnerable children. OBJECTIVE This randomized controlled feasibility trial aimed to test the effects of oral health text messages (OHT) versus a control (child wellness text messages or CWT). OHT was hypothesized to outperform CWT on improving pediatric oral health behaviors and parent attitudes. METHODS Parents with a child aged &lt;7 years were recruited at urban clinics during pediatric appointments (79% [41/52] below poverty line; 66% [36/55] black) and randomized to OHT (text messages on brushing, dental visits, bottle and sippy cups, healthy eating and sugary beverages, and fluoride) or CWT (text messages on reading, safety, physical activity and development, secondhand smoke, and stress) groups. Automated text messages based on Social Cognitive Theory were sent twice each day for 8-weeks. Groups were equivalent on the basis of the number of text messages sent, personalization, interactivity, and opportunity to earn electronic badges and unlock animated characters. Assessments were conducted at baseline and 8 weeks later. Data were analyzed with linear mixed–effects models. RESULTS A total of 55 participants were randomized (28 OHT and 27 CWT). Only one participant dropped out during the text message program and 47 (24 OHT and 23 CWT) completed follow up surveys. Response rates exceeded 68.78% (1040/1512) and overall program satisfaction was high (OHT mean 6.3; CWT mean 6.2; 1-7 scale range). Of the OHT group participants, 84% (21/25) would recommend the program to others. Overall program likeability scores were high (OHT mean 5.90; CWT mean 6.0; 1-7 scale range). Participants reported high perceived impact of the OHT program on brushing their child’s teeth, motivation to address their child's oral health, and knowledge of their child's oral health needs (mean 4.7, 4.6, and 4.6, respectively; 1-5 scale range). At follow up, compared with CWT, OHT group participants were more likely to brush their children’s teeth twice per day (odds ratio [OR] 1.37, 95% CI 0.28-6.50) and demonstrated improved attitudes regarding the use of fluoride (OR 3.82, 95% CI 0.9-16.8) and toward getting regular dental checkups for their child (OR 4.68, 95% CI 0.24-91.4). There were modest, but not significant, changes in motivation (F1,53=0.60; <italic>P</italic>=.45) and self–efficacy (F1,53=0.24; <italic>P</italic>=.63) to engage in oral health behaviors, favoring OHT (<italic>d</italic>=0.28 and <italic>d</italic>=0.16 for motivation and self–efficacy, respectively). CONCLUSIONS The OHT program demonstrated feasibility was well utilized and appealing to the target population and showed promise for efficacy.


2012 ◽  
Vol 35 (2) ◽  
pp. 163-180 ◽  
Author(s):  
Pierre Accorsi ◽  
Namrata Patel ◽  
Cédric Lopez ◽  
Rachel Panckhurst ◽  
Mathieu Roche

This article presents the system Seek&Hide, a text message processing tool developed for the sud4science LR (http://www.sud4science.org/) project. It performs the anonymisation/de-identification of a corpus. At present, it has been used to anonymise the sud4science LR corpus of French text messages collected during the project. This is done in two phases. In the first phase, it automatically processes over 70% of the corpus. The rest of the corpus is processed in the second phase, aided by an expert annotator via a web interface specifically designed to simplify the task.


BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033504
Author(s):  
Andrew Farmer ◽  
Julie Allen ◽  
Kiera Bartlett ◽  
Peter Bower ◽  
Yuan Chi ◽  
...  

IntroductionType 2 diabetes is common, affecting over 400 million people worldwide. Risk of serious complications can be reduced through use of effective treatments and active self-management. However, people are often concerned about starting new medicines and face difficulties in taking them regularly. Use of brief messages to provide education and support self-management, delivered through mobile phone-based text messages, can be an effective tool for some long-term conditions. We have developed messages aiming to support patients’ self-management of type 2 diabetes in the use of medications and other aspects of self-management, underpinned by theory and evidence. The aim of this trial is to determine the feasibility of a large-scale clinical trial to test the effectiveness and cost-effectiveness of the intervention, compared with usual care.Methods and analysisThe feasibility trial will be a multicentre individually randomised, controlled trial in primary care recruiting adults (≥35 years) with type 2 diabetes in England. Consenting participants will be randomised to receive short text messages three times a week with messages designed to produce change in medication adherence or non-health-related messages for 6 months. The aims are to test recruitment methods, retention to the study, the feasibility of data collection and the mobile phone and web-based processes of a proposed definitive trial and to refine the text messaging intervention. The primary outcome is the rate of recruitment to randomisation of participants to the trial. Data, including patient reported measures, will be collected online at baseline and the end of the 6-month follow-up period. With 200 participants (100 in each group), this trial is powered to estimate 80% follow-up within 95% CIs of 73.8% to 85.3%. The analysis will follow a prespecified plan.Ethics and disseminationEthics approval was obtained from the West of Scotland Research Ethics Committee 05. The results will be disseminated through conference presentations, peer-reviewed journals and will be published on the trial website: www.summit-d.org (SuMMiT-D (SUpport through Mobile Messaging and digital health Technology for Diabetes)).Trial registration numberISRCTN13404264.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 194-194
Author(s):  
Asish Das ◽  
Amit Sethi

Abstract Though 60% of 104 million older adults own a smart phone in India, up to 85% of these individuals find challenging to use smart-phone during daily activities. This is problematic because inability to use smart-phone limits their ability to participate in daily activities such as, managing their health, paying bills, shopping and communicating with their loved ones, resulting in social isolation and dependence on others. The purpose of this study was to examine the feasibility of training older adults to use smart-phone to increase participation in daily activities. This preliminary study was conducted over two phases. In phase-I, we used the principles of stakeholder engagement to interview 12 older adults to identify the barriers associated with the use of technology using a brief survey. Based on the results of Phase I, we implemented a single education and training session for 42 participant (&gt; 60 years) in using smart-phone based applications in Phase II. Older adults were trained to use smart-phone based applications to manage money using banking apps, pay bills, shop, manage health to monitor vitals and medications and communicate with their loved ones. All participants rated their satisfaction with the program, 70% participants showed the ability to use the applications independently. Seventy five percent rated the program extremely useful, and 70% rated it extremely relevant to them. It is feasible to train older adults in using smart-phone based applications. Future studies need to focus on providing follow-up sessions to increase retention and carry-over to increase participation in daily activities.


2018 ◽  
Author(s):  
Haleh Ayatollahi ◽  
Aynaz Nourani ◽  
Kayvan Mirnia

BACKGROUND Considering the large number of premature infants and the importance of providing health care, clinical examinations, and home care for them, mothers should be trained and necessary information should be given to them. OBJECTIVE The aim of this research was to develop a mobile application to educate mothers of premature infants. METHODS This research was completed in 2017 and carried out in two phases. In the first phase, the information needs of mothers (n=60) were investigated. In the second phase, a prototype of the mobile application was developed based on the results derived from the first phase. Finally, the mobile application was evaluated by using a standard questionnaire. RESULTS The mobile application covered four main areas, including "physical conditions and emotional needs", "nutrition, sleep and hygiene", "medical and nursing needs" and "vaccination and growth curve". The results of the usability testing showed that the users were satisfied with the application. CONCLUSIONS Mothers of premature infants tend to increase their knowledge about their infant’s requirements. The mobile application designed in the current study can help mothers to be informed about the premature infants' requirements. Further research is required to evaluate the effectiveness of using this mobile application.


2021 ◽  
Author(s):  
Catherine A. Staton ◽  
Mary Catherine Minnig ◽  
Ashley J. Phillips ◽  
Arthi S. Kozhumam ◽  
Msafiri Pesambili ◽  
...  

BackgroundAlcohol use is associated with 3 million annual deaths globally. Harmful alcohol use, which is particularly prevalent in low- and middle-income countries (LMICs), often increases the probability of traumatic injury. Treatments for harmful alcohol use in LMICs, such as Tanzania, lack trained personnel and adequate infrastructure. The aim of this study was to assess the feasibility of using SMS boosters to augment a hospital based brief intervention (BNI) in this low resourced setting.Methods:We conducted a three stage, four arm feasibility trial of a culturally adapted BNI for injury patients with harmful and hazardous drinking admitted to Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania. Post hospital discharge, two of the four arms included patients receiving either a standard or personalized short message service (SMS) booster to enhance and or perpetuate the effect of the in-hospital BNI. Text messages were sent weekly throughout a 3-month follow-up period. SMS feasibility was assessed according to the TIDier checklist evaluating what, when, how much, tailoring processes, modifications and how well (intervention fidelity). Data was collected with SMS logs and short answer surveys to participants. Results:While 42 study participants were intended to each receive 12 SMS over a three-month period, 38 received messages correctly, 6 did not receive messages but were supposed to, and 1 received a message who was not supposed to. Of the 258 attempted texts, 73% were successfully sent through the messaging system. Of the messages that failed delivery, the majority were not able to be sent due to participants travelling out of cellular service range or turning off their phones. Participants in both booster arms reported that messages were appropriate, and that they would appreciate the continuation of such reminders. At 6-month follow-up, 100% (n=11) of participants believed that the boosters had a positive impact on their behavior, with 90% reporting a large impact.ConclusionThis study demonstrated feasibility and acceptability of the integration of SMS mobile health technology to supplement this type of nurse-led BNI. SMS booster is a practical tool that can potentially prolong the impact of a brief hospital based intervention to enact behavioral change in injury patients with AUD.


2016 ◽  
Vol 27 (4) ◽  
pp. 212-222 ◽  
Author(s):  
Carolyn Q. Mason ◽  
Samantha E. Goldman

Facilitated individualized education planning (FIEP) presents an alternative to formalized dispute resolution procedures, which can have damaging financial and relational consequences for families and schools. Although recommended as an alternative dispute resolution practice, minimal research has examined its implementation and evaluation. In this study, we described where and how FIEP was being implemented and what types of data state educational agencies (SEAs) implementing FIEP were collecting. In two phases, we contacted representatives of each SEA in the United States, asking them to complete a survey on their state’s use of FIEP, and then to share outcome and participant feedback data and data collection forms. From 43 responses in the first phase, we found that almost half of SEAs are using FIEPs ( n = 24), and of those not currently using FIEP, 12 were considering implementing the practice in the future. In the second phase of the study, we found that six states that responded to the request for data captured similar content on meeting outcomes and participant feedback. Outcome data provided preliminary, initial evidence for the potential effectiveness of FIEP in achieving positive outcomes in the form of agreement or consensus regarding IEPs. Implications for practice, research, and policy are discussed.


10.2196/14247 ◽  
2019 ◽  
Vol 7 (11) ◽  
pp. e14247 ◽  
Author(s):  
Belinda Borrelli ◽  
Michelle Henshaw ◽  
Romano Endrighi ◽  
William G Adams ◽  
Timothy Heeren ◽  
...  

Background Effective preventive treatments for dental decay exist, but caries experience among preschoolers has not changed, with marked disparities in untreated decay. Despite near-universal use of SMS text messaging, there are no studies using text messages to improve the oral health of vulnerable children. Objective This randomized controlled feasibility trial aimed to test the effects of oral health text messages (OHT) versus a control (child wellness text messages or CWT). OHT was hypothesized to outperform CWT on improving pediatric oral health behaviors and parent attitudes. Methods Parents with a child aged <7 years were recruited at urban clinics during pediatric appointments (79% [41/52] below poverty line; 66% [36/55] black) and randomized to OHT (text messages on brushing, dental visits, bottle and sippy cups, healthy eating and sugary beverages, and fluoride) or CWT (text messages on reading, safety, physical activity and development, secondhand smoke, and stress) groups. Automated text messages based on Social Cognitive Theory were sent twice each day for 8-weeks. Groups were equivalent on the basis of the number of text messages sent, personalization, interactivity, and opportunity to earn electronic badges and unlock animated characters. Assessments were conducted at baseline and 8 weeks later. Data were analyzed with linear mixed–effects models. Results A total of 55 participants were randomized (28 OHT and 27 CWT). Only one participant dropped out during the text message program and 47 (24 OHT and 23 CWT) completed follow up surveys. Response rates exceeded 68.78% (1040/1512) and overall program satisfaction was high (OHT mean 6.3; CWT mean 6.2; 1-7 scale range). Of the OHT group participants, 84% (21/25) would recommend the program to others. Overall program likeability scores were high (OHT mean 5.90; CWT mean 6.0; 1-7 scale range). Participants reported high perceived impact of the OHT program on brushing their child’s teeth, motivation to address their child's oral health, and knowledge of their child's oral health needs (mean 4.7, 4.6, and 4.6, respectively; 1-5 scale range). At follow up, compared with CWT, OHT group participants were more likely to brush their children’s teeth twice per day (odds ratio [OR] 1.37, 95% CI 0.28-6.50) and demonstrated improved attitudes regarding the use of fluoride (OR 3.82, 95% CI 0.9-16.8) and toward getting regular dental checkups for their child (OR 4.68, 95% CI 0.24-91.4). There were modest, but not significant, changes in motivation (F1,53=0.60; P=.45) and self–efficacy (F1,53=0.24; P=.63) to engage in oral health behaviors, favoring OHT (d=0.28 and d=0.16 for motivation and self–efficacy, respectively). Conclusions The OHT program demonstrated feasibility was well utilized and appealing to the target population and showed promise for efficacy.


2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Stelvin Sebastian ◽  
Aby Paul ◽  
Joel Joby ◽  
Sanjo Saijan ◽  
Jeeva Joseph ◽  
...  

Coronavirus disease 2019 (COVID-19) was declared an epidemic and a global health emergency by the World Health Organization (WHO), prompting various countries to implement early and stringent social distancing protocols through lockdown, to flatten the epidemic curve. The objective of our present study was to assess the impacts and effectiveness of the lockdown protocol in Karnataka and Punjab, compared with the implementation of this method in Australia and the United Kingdom (UK). This study involved the collection of data from different authorized databases, in two phases. The first phase included the time starting with the first-reported index case through the 14th day after the declaration of lockdown, for each country. The second phase involved the data collected between the 15th day through the 28th day of the lockdown. The highest doubling rate for cases was observed in Australia, followed by Karnataka and Punjab, whereas the lowest was observed in the UK. Comparisons of the numbers of the samples tested, the mortality rate, and the recovery rate between Karnataka and Punjab, after the implementation of lockdown, revealed a better recovery rate and lower mortality rate in Karnataka than in Punjab. Our study revealed that the implementation of social distancing and lockdown reduced the transmission of the coronavirus and the number of cases reported. However, the effectiveness of lockdown varied among locations, due to demographic and physiological differences.


Crisis ◽  
2010 ◽  
Vol 31 (2) ◽  
pp. 109-112 ◽  
Author(s):  
Hui Chen ◽  
Brian L. Mishara ◽  
Xiao Xian Liu

Background: In China, where follow-up with hospitalized attempters is generally lacking, there is a great need for inexpensive and effective means of maintaining contact and decreasing recidivism. Aims: Our objective was to test whether mobile telephone message contacts after discharge would be feasible and acceptable to suicide attempters in China. Methods: Fifteen participants were recruited from suicide attempters seen in the Emergency Department in Wuhan, China, to participate in a pilot study to receive mobile telephone messages after discharge. All participants have access to a mobile telephone, and there is no charge for the user to receive text messages. Results: Most participants (12) considered the text message contacts an acceptable and useful form of help and would like to continue to receive them for a longer period of time. Conclusions: This suggests that, as a low-cost and quick method of intervention in areas where more intensive follow-up is not practical or available, telephone messages contacts are accessible, feasible, and acceptable to suicide attempters. We hope that this will inspire future research on regular and long-term message interventions to prevent recidivism in suicide attempters.


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