scholarly journals „Gesund gestupst“ durch Gesundheits-Apps? Risiken und Nebenwirkungen einer Vielzahl von Einflussnahmen auf die Entscheidungsarchitektur

2018 ◽  
Vol 87 (2) ◽  
pp. 77-93
Author(s):  
Remi Maier-Rigaud ◽  
Sarah-Lena Böning
Keyword(s):  
Healthy Lifestyle ◽  
Qualitative Interview ◽  
Interview Data ◽  
Personal Health ◽  
Evidence Based ◽  
Traffic Light ◽  
Private Companies ◽  
Bottom Up ◽  
Health Apps ◽  
Different Levels

Zusammenfassung: Gesundheits-Apps werden mittlerweile von vielen Menschen alltäglich genutzt. Diese Apps zielen auf die Förderung einer gesunden Lebensweise. Ausgehend von einem weiten Verständnis von Nudging als Methode, um Menschen in erwünschte Richtungen zu lenken, ohne ihnen die Entscheidungssouveränität zu nehmen, ist Nudging bei Gesundheits-Apps omnipräsent. Im Beitrag wird auf Basis qualitativer Interviewdaten die Hypothese generiert, dass es drei verschiedene Ebenen des Nudgings bei der Anwendung von Gesundheits-Apps gibt: Erstens können Apps als Instrumente genutzt werden, um sich selbst zu einem gesundheitsbewussteren Lebensstil „anzustupsen“ (Self-Nudging). Zweitens findet Nudging durch Anbietende von Apps statt (Top-down-Nudging), zum Beispiel mithilfe von Standardeinstellungen, die eine bestimmte Nutzung nahelegen. Drittens lässt sich eine weitere Ebene des Nudgings mit Gesundheits-Apps identifizieren. So können die von den Apps generierten persönlichen Gesundheitsdaten mit den Daten anderer Nutzenden verglichen werden. Dadurch kann eine Norm gesunden Verhaltens entstehen und auf das Verhalten der Nutzenden zurückwirken (Bottom-up-Nudging). Die von uns interviewten Personen, die Apps nutzen, sehen nicht nur Vorteile in der Nutzung, sondern befürchten auch gesundheitliche Risiken. Vor diesem Hintergrund schlagen wir vor, präventiv wirkende evidenzbasierte Qualitätsstandards verbindlich einzuführen, beispielsweise in Form einer Ampelkennzeichnung. Summary: More and more people use health apps in their daily life to promote a healthy lifestyle. Starting from a wide understanding of nudging as a method to steer people in certain directions while preserving liberty of choice, nudging is omnipresent in the realm of health apps. On the basis of qualitative interview data, we generate the hypothesis, that nudging in the context of health apps takes place on three different levels: First, apps can be used as self-nudging tools and contribute to health conscious self-steering. Second, nudging is used by private companies using default settings in order to nudge users towards a certain way of use (topdown- nudging). Finally, there is an intermediate level of nudging since the personal health data generated by apps can be compared with other users. This might lead to the emergence of a health behaviour norm affecting again the user behaviour (bottom-up-nudging). The interview data shows that users see both, advantages but also health risks resulting from health app use. Against this background we suggest the compulsory introduction of preventive evidence based quality standards taking for example the form of a traffic light system.

scholarly journals A Tale of Two City Schools

2011 ◽  
Author(s):  
Jill Proulx
Keyword(s):  
Student Achievement ◽  
Survey Methodology ◽  
High Stakes Testing ◽  
Qualitative Interview ◽  
Interview Data ◽  
High Stakes ◽  
City Schools ◽  
Different Levels

<p>The study examined how leaders in both schools define successful reform, perceive high-stakes testing, perceive a need to raise student achievement, and implement reforms in response to high-stakes testing. The study combined qualitative interview data and survey methodology to examine differing perceptions and to identify the factors most strongly associated with different levels of reform success.</p>

scholarly journals Motivation of students with different levels of health to physical education classes

2020 ◽  
pp. 111-116
Author(s):  
G. Malakhova ◽  
T. O. Belkova
Keyword(s):  
Higher Education ◽  
Distance Learning ◽  
Physical Education ◽  
Healthy Lifestyle ◽  
Professional Activity ◽  
Personal Health ◽  
Health Technologies ◽  
Medical Institutions ◽  
Medical University ◽  
Different Levels

The article highlights the level of interest and motivation of students with different levels of health of students during physical education classes. The influence of various factors on the attitude of students to a physically active, healthy lifestyle has been studied. The study of motives that enhance the desire of student youth to regular physical education and sports is one of the important pedagogical problems in physical education, as motives are crucial in behavior and stimulation of active activities. Due to the low motivation to engage in physical education among modern student youth, there is a need to find ways to increase this motivation and highlight the experience of its implementation in the educational process of the medical university, which determines the relevance of our study. The aim of the study is to study the mechanisms of personal health of students of medical institutions of higher education and ways to strengthen and preserve it through physical self-improvement with the use of health technologies, which is vital for professional development of students in distance learning. Data from a questionnaire survey of students of 1-2 courses of medical, dental and pharmaceutical faculties of Donetsk National Medical University aged 17-23 years to different types, forms and means of physical activity in free time were used. The proposed algorithm for compiling a preventive and health program for the development of health of EG students contributed to their physical self-improvement, which was reflected in the state of functional systems of the body, resulting in significant changes in personal health. Thus, the obtained data revealed a positive trend: the high level of health of future professionals increased by 5.5%, above the average by 14.5%, and the average by 8.9%. The low and below average health levels of the subjects decreased by 10.0% and 18.9%, respectively. Involving students in physical education classes is an integral part of overall development, an important factor in strengthening all aspects of health. In turn, the study of the mechanisms of personal health of students of higher medical institutions and ways to preserve it, based on physical self-improvement with the use of health technologies, will increase students' motivation to exercise, which will positively affect their emotional and physical health. During the study it was found that the formation of a healthy lifestyle of students of higher medical education is a process of acquiring knowledge, skills, abilities about a healthy lifestyle, which provides the foundation of physical, spiritual well-being and success in professional activities; the formation of a stable motivation for caring for their own health and physical training, development of physical and mental qualities, creative use of physical culture, to ensure high efficiency and creative longevity, the ability to work professionally without psychological costs for successful professional activity in the chosen specialty. conditions of distance learning. The formation of a socially active personality in harmony with physical development is an important condition for preparing a graduate of a higher education institution for professional activity in society.

Evidence-Based Social Sciences: A New Emerging Field

2018 ◽  
Vol 5 (2) ◽  
pp. 207-211
Author(s):  
Nazila Zarghi ◽  
Soheil Dastmalchian Khorasani
Keyword(s):  
Social Sciences ◽  
Critical Appraisal ◽  
State Of The Art ◽  
Internal Validity ◽  
Evidence Based ◽  
Multiple Sources ◽  
Social Settings ◽  
Research Findings ◽  
Academic Area ◽  
Different Levels

Abstract Evidence based social sciences, is one of the state-of- the-art area in this field. It is making decisions on the basis of conscientious, explicit and judicious use of the best available evidence from multiple sources. It also could be conducive to evidence based social work, i.e a kind of evidence based practice in some extent. In this new emerging field, the research findings help social workers in different levels of social sciences such as policy making, management, academic area, education, and social settings, etc.When using research in real setting, it is necessary to do critical appraisal, not only for trustingon internal validity or rigor methodology of the paper, but also for knowing in what extent research findings could be applied in real setting. Undoubtedly, the latter it is a kind of subjective judgment. As social sciences findings are highly context bound, it is necessary to pay more attention to this area. The present paper tries to introduce firstly evidence based social sciences and its importance and then propose criteria for critical appraisal of research findings for application in society.

scholarly journals Self-guided cognitive behavioral therapy apps: Can they help? Systematic assessment of features, functionality, and congruence with evidence (Preprint)

2021 ◽  
Author(s):  
Laura Martinengo ◽  
Anne-Claire Stona ◽  
Konstadina Griva ◽  
Paola Dazzan ◽  
Carmine Maria Pariante ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Management ◽  
Data Security ◽  
Suicide Risk ◽  
Behavioral Therapy ◽  
Cognitive Restructuring ◽  
Evidence Based ◽  
Inclusion Criteria ◽  
Systematic Assessment ◽  
Health Apps

BACKGROUND Mental health disorders affect one in ten people globally, of which around 300 million are affected by depression. At least half of affected people remain untreated. Cognitive behavioral therapy (CBT) is an effective treatment but access to specialized providers, habitually challenging, has worsened with COVID-19. Internet-based CBT (iCBT) is effective and a feasible strategy to increase access to treatment for people with depression. Mental health apps may further assist in facilitating self-management for people affected by depression but accessing the right app might be cumbersome given the large number and wide variety of apps offered by public app marketplaces. OBJECTIVE To systematically assess features, functionality, data security and congruence with evidence of self-guided CBT-based apps available in major app stores, suitable for users suffering from depression. METHODS A systematic assessment of self-guided CBT-based apps available in Google Play and Apple’s App Store was conducted. Apps launched or updated since August 2018 were identified through a systematic search in 42matters using CBT-related terms. Apps meeting inclusion criteria were downloaded and assessed using a Samsung Galaxy J7 Pro (Android 9) and iPhone 7 (iOS 13.3.1). Apps were appraised using a 182-question checklist developed by the research team, comprising apps’ general characteristics, CBT-related features, including six evidence-based CBT techniques as informed by a CBT manual, CBT competences framework and a literature review of iCBT clinical trial protocols (psychoeducation, behavioral activation, cognitive restructuring, problem solving, relaxation, and exposure for comorbid anxiety), and technical aspects and quality assurance. Results were reported as a narrative review, using descriptive statistics. RESULTS The initial search yielded 3006 apps, of which 98 apps met inclusion criteria and were systematically assessed. There were 20 wellbeing apps, 65 mental health apps and 13 depression apps. Twenty-eight apps offered at least four evidence-based CBT techniques, particularly depression apps. Cognitive restructuring was the most common technique, offered by 77/98 apps. Only a third of apps offered suicide- risk management resources while less than 20% of apps offered COVID-19-related information. Most apps included a privacy policy, but only a third of apps presented it before account creation. Eighty percent of privacy policies stated sharing data with third party service providers. Half of app development teams included academic institutions or healthcare providers. CONCLUSIONS Only few self-guided CBT-based apps offer comprehensive CBT programs or suicide risk management resources. Sharing of users’ data is widespread, highlighting shortcomings in the health app market governance. To fulfill their potential, self-guided CBT-based apps should follow evidence-based clinical guidelines, be patient-centered and enhance users’ data security. CLINICALTRIAL NA

Mental health apps education on depression: Systematic assessment (Preprint)

2021 ◽  
Author(s):  
Laura Martinengo ◽  
Anne-Claire Stona ◽  
Lorainne Tudor Car ◽  
Jimmy Lee ◽  
Konstadina Griva ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Guidelines ◽  
Help Seeking ◽  
Support Network ◽  
Evidence Based ◽  
Educational Content ◽  
Systematic Assessment ◽  
Android Apps ◽  
Symptoms Of Depression ◽  
Health Apps

BACKGROUND Suboptimal understanding of depression and mental health disorders by the general population is an important contributor to the wide treatment gap in depression. Mental health literacy encompasses knowledge and beliefs about mental disorders and supports their recognition, management, and prevention. Besides knowledge improvement, psychoeducational interventions reduce symptoms of depression, enhance help-seeking behavior, and decrease stigma. Mental health apps often offer educational content, but the trustworthiness of included information is unclear OBJECTIVE To systematically evaluate adherence to depression clinical guidelines of the information offered by mental health apps available in major commercial app stores. METHODS A systematic assessment of the educational content about depression in apps available in Google Play and Apple’s App Store was conducted in July 2020. A systematic search for apps published or updated since January 2019 was performed using 42matters. Apps meeting inclusion criteria were downloaded and assessed using an iPhone 7 (iOS 14.0.1) and a Sony XPERIA XZs (Android 8.0.0) smartphones. The 156 questions assessment checklist comprised general characteristics of apps, appraisal of educational content and its adherence to evidence-based clinical guidelines, and technical aspects and quality assurance. Results were tabulated and reported as a narrative review, using descriptive statistics. RESULTS The app search retrieved 2,218 apps of which 58 were included in the analysis (29 Android apps and 29 iOS apps). Thirty-seven apps (64%) offered educational content within a more comprehensive depression or mental health management app. Twelve apps (21%) provided non-evidence-based information. Most apps (51/58, 88%) included up to 20/38 educational topics assessed. Common educational topics were listing symptoms of depression (52/58, 90%) and available treatments (48/58, 83%), particularly psychotherapy. Depression-associated stigma was mentioned by 38% of apps, while suicide risk was mentioned by 71% of apps, generally as one item in a list of symptoms. Forty-four (76%) apps highlighted the importance of help-seeking, and 50% of apps emphasized the importance of involving the user’s support network. Thirty apps (52%) referenced their content and ten apps (17%) included advertisements. CONCLUSIONS Information in mental health and depression apps is often brief and incomplete. One in five apps provided non-evidence-based information. Given the unmet needs and stigma associated with the disease, it is imperative that apps seize the opportunity to offer quality, evidence-based education and/or point the users to relevant resources. A multi-stakeholder consensus on a more stringent development and publication process for mental health apps is imperative.

The Importance of a Healthy Lifestyle in the Era of COVID-19

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Kristina S. Petersen ◽  
Andrew M. Freeman ◽  
Penny M. Kris-Etherton ◽  
Kim Allan Williams Sr. ◽  
Koushik R. Reddy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lower Risk ◽  
Lifestyle Modification ◽  
Healthy Lifestyle ◽  
Evidence Based ◽  
Modifiable Risk Factors ◽  
Lifestyle Interventions ◽  
Lifestyle Practices ◽  
Poor Outcomes ◽  
Short Time

Existing cardiovascular disease (CVD) and its modifiable risk factors are associated with increased mortality from coronavirus 2019 (COVID-19). Clinical attention has focused on acute interventions for COVID-19, but reducing upstream risks associated with poor outcomes must occur in parallel. This is particularly urgent because risk factors for COVID-19 death are prevalent, and the pandemic has negatively impacted lifestyle and socioeconomic factors that augment these risks. Evidence-based lifestyle interventions have a generally short time-to-benefit, and lower risk of CVD and improve markers of immune function. Wider promotion of healthy lifestyle practices will improve the CVD health of the population and could favorably impact COVID-19 outcomes. Research examining how lifestyle modification affects COVID-19 susceptibility and severity is urgently needed.

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