Abstract:
BACKGROUND:Mobile technologies for health (mHealth) represent a promising strategy for reducing type 2 diabetes (T2DM) risk. The PROPELS trial investigates whether structured group-based education alone or supplemented with a follow-on support program combining self-monitoring with pedometers and tailored text-messaging is effective in promoting and maintaining physical activity among people at high risk of T2DM. OBJECTIVE:This paper describes the iterative development of the PROPELS follow-on support program and presents evidence on its acceptability and feasibility. METHODS:We used a modified mHealth development framework with four phases: (1) conceptualization of the follow-on support program using theory and evidence, (2) formative research including focus groups (n=15, ages 39-79 years), (3) pre-testing focus groups using a think aloud protocol (n=20, ages 52-78 years), and (4) piloting (n=11). Analysis was informed by the constant comparative approach, with findings from each phase informing subsequent phases. RESULTS:The first three phases informed the structure, nature, and content of the follow-on support program, including the frequency of text messages, the need for tailored content and two-way interaction, the importance of motivational messages based on encouragement and reinforcement of affective benefits (eg, enjoyment) with minimal messages about weight and T2DM risk, and the need for appropriate language. The refined program is personalized and tailored to the individual's perceived confidence, previous activity levels, and physical activity goals. The pilot phase indicated that the program appeared to fit well with everyday routines and was easy to use by older adults. CONCLUSIONS:We developed a feasible and innovative text messaging and pedometer program based on evidence and behavior change theory and grounded in the experiences, views, and needs of people at high diabetes risk. A large scale trial is testing the effectiveness of this 4-year program over and above structured group education alone. TRIAL REGISTRATION:International Standard Randomized Controlled Trial Number (ISRCTN): 83465245; http://www.controlled-trials.com/ISRCTN83465245/83465245 (Archived by WebCite at http://www.webcitation.org/6dfSmrVAe).
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Morton K,Sutton S,Hardeman W,Troughton J,Yates T,Griffin S,Davies M,Khunti K,Eborall Hdoi
10.2196/mhealth.5026subject
Has Abstractpub_date
2015-12-15 00:00:00pages
e105issue
4issn
2291-5222pii
v3i4e105journal_volume
3pub_type
杂志文章abstract:BACKGROUND:Pure-tone screening (PTS) is considered as the gold standard for hearing screening programs in school-age children. Mobile devices, such as mobile phones, have the potential for audiometric testing. OBJECTIVE:This study aimed to demonstrate a new approach to rapidly screen hearing status and provide stratif...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12033
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:A lifesaving treatment for myocardial infarction is the placement of a stent in a closed or obstructed coronary artery. The largest modifiable risk factor after receiving a stent is medication adherence to Dual AntiPlatelet Therapy, a combination of P2Y12 inhibitors and aspirin. OBJECTIVE:This study aimed t...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15900
更新日期:2020-06-24 00:00:00
abstract:BACKGROUND:Research suggests that variability in attention and working memory scores, as seen across time points, may be a sensitive indicator of impairment compared with a singular score at one point in time. Given that fluctuation in cognitive performance is a meaningful metric of real-world function and trajectory, ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/14328
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:Randomized controlled trials conducted in Mediterranean countries have shown that the Mediterranean diet lowers adverse cardiovascular events. In the American population, diet remains the biggest uncontrolled risk factor for cardiovascular disease. OBJECTIVE:This study aimed to test the hypothesis that asyn...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,随机对照试验
doi:10.2196/10755
更新日期:2019-04-23 00:00:00
abstract:BACKGROUND:Earlier detection of chronic obstructive pulmonary disease (COPD) exacerbations may facilitate more rapid treatment with reduced risk of hospitalization. Changes in pulse oximetry may permit early detection of exacerbations. We hypothesized that overnight pulse oximetry would be superior to once-daily monito...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17597
更新日期:2020-11-13 00:00:00
abstract:BACKGROUND:With the popularity of mobile phones, mobile apps have great potential for the management of diabetes, but the effectiveness of current diabetes apps for type 1 diabetes mellitus (T1DM) is poor. No study has explored the reasons for this deficiency from the users' perspective. OBJECTIVE:The aims of this stu...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11400
更新日期:2018-09-21 00:00:00
abstract:BACKGROUND:The 40-item Quality of Recovery (QoR-40) questionnaire is well validated for measuring self-assessed postoperative recovery. The Swedish version of the 40-item Quality of Recovery (QoR-40) has been developed into a Web-based questionnaire, the Swedish Web version of the Quality of Recovery (SwQoR) questionna...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9061
更新日期:2017-12-03 00:00:00
abstract:BACKGROUND:Pregnancy can be distressing, particularly if expectant mothers are worried about the well-being of their fetus. Consequently, the desire for reassurance and frequent fetal monitoring is often pronounced. Smart wearable devices and telemedicine are promising tools that could assist women in self-monitoring t...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,多中心研究
doi:10.2196/11458
更新日期:2019-01-07 00:00:00
abstract:BACKGROUND:Syrian refugees residing in Germany often develop posttraumatic stress as a result of the Syrian civil war, their escape, and postmigration stressors. At the same time, there is a lack of adequate treatment options. The smartphone-based app Sanadak was developed to provide cognitive behavioral therapy-based ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/24807
更新日期:2021-01-13 00:00:00
abstract:BACKGROUND:Wearables for monitoring physical activity (PA) are increasingly popular. These devices are not only used by consumers to monitor their own levels of PA but also by researchers to track the behavior of large samples. Consequently, it is important to explore how accurately PA can be tracked via these devices....
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10972
更新日期:2018-12-13 00:00:00
abstract:BACKGROUND:Depression is highly prevalent and causes considerable suffering and disease burden despite the existence of wide-ranging treatment options. Mobile phone apps offer the potential to help close this treatment gap by confronting key barriers to accessing support for depression. OBJECTIVES:Our goal was to iden...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.3713
更新日期:2015-02-16 00:00:00
abstract:BACKGROUND:The range of benefits associated with regular physical activity participation is irrefutable. Despite the well-known benefits, physical inactivity remains one of the major contributing factors to ill-health throughout industrialized countries. Traditional lifestyle interventions such as group education or te...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,meta分析
doi:10.2196/11819
更新日期:2019-04-12 00:00:00
abstract:BACKGROUND:There is a limited understanding of components that should be included in digital interventions for 24-hour movement behaviors (physical activity [PA], sleep, and sedentary behavior [SB]). For intervention effectiveness, user engagement is important. This can be enhanced by a user-centered design to, for exa...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15707
更新日期:2019-12-20 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) technologies provide many potential benefits to the delivery of health care. Medical decision support tools have shown particular promise in improving quality of care and provider workflow. Frontline health workers such as Community Health Workers (CHWs) have been shown to be effectiv...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.2459
更新日期:2013-04-04 00:00:00
abstract:BACKGROUND:Antiretroviral (ART) adherence among people living with HIV (PLWH) continues to be a challenge despite advances in HIV prevention and treatment. Mobile health (mHealth) interventions are increasingly deployed as tools for ART adherence. However, little is known about the uptake and attitudes toward commercia...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12900
更新日期:2019-07-03 00:00:00
abstract:BACKGROUND:As people living with HIV infection require lifelong treatment, nonadherence to medication will reduce their chance of maintaining viral suppression and increase the risk of developing drug resistance and HIV transmission. OBJECTIVE:This study aimed to evaluate the efficacy of a mobile app, Mobile Interacti...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15702
更新日期:2020-03-27 00:00:00
abstract:BACKGROUND:Privacy has always been a concern, especially in the health domain. The proliferation of mobile health (mHealth) apps has led to a large amount of sensitive data being generated. Some authors have performed privacy assessments of mHealth apps. They have evaluated diverse privacy components; however, differen...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/18868
更新日期:2020-07-02 00:00:00
abstract:BACKGROUND:Although many smartphone apps and wearables have been designed to improve physical activity, their rapidly evolving nature and complexity present challenges for evaluating their impact. Traditional methodologies, such as randomized controlled trials (RCTs), can be slow. To keep pace with rapid technological ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.9054
更新日期:2018-03-23 00:00:00
abstract:BACKGROUND:Smartphone and Web technology can improve the health care process, especially in chronic diseases. OBJECTIVE:The aim of this study was to investigate whether the use of blood glucose (BG) data management system, which enables connection to smartphones, the Web, the cloud, and downloading, can improve glycem...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8532
更新日期:2017-11-21 00:00:00
abstract:BACKGROUND:Flare-ups in juvenile idiopathic arthritis (JIA) are characterized by joint pain and swelling and often accompanied with fatigue, negative emotions, and reduced participation in activities. To minimize the impact of JIA on the physical and psychosocial development and well-being of young people (YP), it is e...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7229
更新日期:2017-08-15 00:00:00
abstract:BACKGROUND:A voice assistant (VA) is inanimate audio-interfaced software augmented with artificial intelligence, capable of 2-way dialogue, and increasingly used to access health care advice. Postpartum depression (PPD) is a common perinatal mood disorder with an annual estimated cost of $14.2 billion. Only a small per...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/24045
更新日期:2021-01-11 00:00:00
abstract:BACKGROUND:The prevalence of type 2 diabetes (T2D) is greater in South Asian populations and health outcomes are poorer compared with other ethnic groups. British South Asians are up to six times more likely to have T2D than the general population, to develop the condition at a younger age, and to experience diabetes-r...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15789
更新日期:2020-04-20 00:00:00
abstract:BACKGROUND:Mobile augmented reality (MAR) apps offer potential support for emergency responders in rural areas. OBJECTIVE:In this report, we described lessons learned from the development process of augmented reality (AR) Farm Mapping to Assist, Protect and Prepare Emergency Responders (MAPPER), a MAR app that provide...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12207
更新日期:2019-03-28 00:00:00
abstract:BACKGROUND:Physical activity is important for middle-agers to maintain health both in middle age and in old age. Although thousands of exercise-promotion mobile phone apps are available for download, current literature offers little understanding regarding which design features can enhance middle-aged adults' quality p...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.6233
更新日期:2017-05-25 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) apps have the potential to be a useful mode of delivering HIV prevention information, particularly for young men (13-24 years) who account for 21% of new HIV diagnoses in the United States. We translated an existing evidence-based, face-to-face HIV prevention curriculum into a portabl...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11450
更新日期:2018-09-07 00:00:00
abstract:BACKGROUND:The COVID-19 pandemic has impacted the lives of expectant parents and parents of young babies, with disruptions in health care provision and loss of social support. OBJECTIVE:This study investigated the impact of the COVID-19 pandemic and its associated lockdown on this population through the lens of users ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/23157
更新日期:2020-12-09 00:00:00
abstract:BACKGROUND:Evidence has shown that breast cancer self-management support from mobile health (mHealth) apps can improve the quality of life of survivors. Although many breast cancer self-management support apps exist, few papers have documented the procedure for the development of a user-friendly app from the patient's ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15780
更新日期:2020-04-30 00:00:00
abstract:BACKGROUND:Disparities in cervical cancer incidence and mortality signify the need for intervention efforts targeting Korean American immigrant women. OBJECTIVE:The purpose of this study was to demonstrate how a culturally targeted and tailored mobile text messaging intervention, mobile screening (mScreening), was dev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13256
更新日期:2019-06-06 00:00:00
abstract:BACKGROUND:Heart failure is the most common cause of hospital readmissions among Medicare beneficiaries and these hospitalizations are often driven by exacerbations in common heart failure symptoms. Patient collaboration with health care providers and decision making is a core component of increasing symptom monitoring...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5882
更新日期:2016-06-14 00:00:00
abstract:BACKGROUND:Black young men who have sex with men (BYMSM) experience higher human immunodeficiency virus (HIV) incidence than their white and Latino counterparts. OBJECTIVE:The aim of our study was to understand BYMSM's preferences for mobile phone-based HIV prevention and treatment in order to inform culturally tailor...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.6436
更新日期:2017-04-13 00:00:00