Abstract:
BACKGROUND:Pain is a challenge for patients following hematopoietic stem cell transplantation (HCT). OBJECTIVE:This study aimed to develop and test the feasibility, acceptability, and initial efficacy of a Web-based mobile pain coping skills training (mPCST) protocol designed to address the needs of HCT patients. METHODS:Participants had undergone HCT and reported pain following transplant (N=68). To guide intervention development, qualitative data were collected from focus group participants (n=25) and participants who completed user testing (n=7). After their input was integrated into the mPCST intervention, a pilot randomized controlled trial (RCT, n=36) was conducted to examine the feasibility, acceptability, and initial efficacy of the intervention. Measures of acceptability, pain severity, pain disability, pain self-efficacy, fatigue, and physical disability (self-report and 2-min walk test [2MWT]) were collected. RESULTS:Participants in the focus groups and user testing provided qualitative data that were used to iteratively refine the mPCST protocol. Focus group qualitative data included participants' experiences with pain following transplant, perspectives on ways to cope with pain, and suggestions for pain management for other HCT patients. User testing participants provided feedback on the HCT protocol and information on the use of videoconferencing. The final version of the mPCST intervention was designed to bridge the intensive outpatient (1 in-person session) and home settings (5 videoconferencing sessions). A key component of the intervention was a website that provided personalized messages based on daily assessments of pain and activity. The website also provided intervention materials (ie, electronic handouts, short videos, and audio files). The intervention content included pain coping advice from other transplant patients and instructions on how to apply pain coping skills while engaging in meaningful and leisure activities. In the RCT phase of this research, HCT patients (n=36) were randomized to receive the mPCST intervention or to proceed with the treatment as usual. Results revealed that the mPCST participants completed an average of 5 out of 6 sessions. The participants reported that the intervention was highly acceptable (mean 3/4), and they found the sessions to be helpful (mean 8/10) and easy to understand (mean 7/7). The mPCST participants demonstrated significant improvements in pre- to post-treatment pain, self-efficacy (P=.03, d=0.61), and on the 2MWT (P=.03, d=0.66), whereas the patients in the treatment-as-usual group did not report any such improvements. Significant changes in pain disability and fatigue were found in both groups (multiple P<.02); the magnitudes of the effect sizes were larger for the mPCST group than for the control group (pain disability: d=0.79 vs 0.69; fatigue: d=0.94 vs 0.81). There were no significant changes in pain severity in either group. CONCLUSIONS:Using focus groups and user testing, we developed an mPCST protocol that was feasible, acceptable, and beneficial for HCT patients with pain. TRIAL REGISTRATION:ClinicalTrials.gov NCT01984671; https://clinicaltrials.gov/ct2/show/NCT01984671 (Archived by WebCite at http://www.webcitation.org/6xbpx3clZ).
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Somers TJ,Kelleher SA,Dorfman CS,Shelby RA,Fisher HM,Rowe Nichols K,Sullivan KM,Chao NJ,Samsa GP,Abernethy AP,Keefe FJdoi
10.2196/mhealth.8565subject
Has Abstractpub_date
2018-03-19 00:00:00pages
e66issue
3issn
2291-5222pii
v6i3e66journal_volume
6pub_type
杂志文章abstract:BACKGROUND:For patients with sickle cell disease (SCD), effective management of vaso-occlusive crises (VOCs) is integral to provision of care, as nearly all affected individuals will suffer from VOCs in their lifetime. A recent systematic review of technological interventions to improve self-management in the care of S...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13501
更新日期:2019-06-20 00:00:00
abstract:BACKGROUND:The development of mobile health (mHealth) technologies is progressing at a faster pace than that of the science to evaluate their validity and efficacy. Under the International Committee of Journal Medical Editors (ICMJE) guidelines, clinical trials that prospectively assign people to interventions should b...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/16180
更新日期:2020-08-04 00:00:00
abstract:BACKGROUND:Obesity in pregnancy is a growing problem worldwide, with excessive gestational weight gain (GWG) occurring in the majority of pregnancies. This significantly increases risks to both mother and child. A major contributor to both prepregnancy obesity and excessive GWG is physical inactivity; however, past int...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15112
更新日期:2020-05-26 00:00:00
abstract:BACKGROUND:Smoking is the leading cause of preventable death in the world today. Ecological research on smoking in context currently relies on self-reported smoking behavior. Emerging smartwatch technology may more objectively measure smoking behavior by automatically detecting smoking sessions using robust machine lea...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9035
更新日期:2017-12-13 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:European adolescents and students tend to have low levels of physical activity and eat unhealthy foods, and the prevalence of overweight and obesity has increased, which poses a public health challenge. Mobile apps play an important role in their daily lives, suggesting their potential to be used in health-p...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3559
更新日期:2016-05-05 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:Building an equitable health system is a cornerstone of the World Health Organization (WHO) health system building block framework. Public participation in any such reform process facilitates successful implementation. South Africa has embarked on a major reform in health policy that aims at redressing inequ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3533
更新日期:2014-10-28 00:00:00
abstract:BACKGROUND:The market of mobile health (mHealth) apps has rapidly evolved in the past decade. With more than 100,000 mHealth apps currently available, there is no centralized resource that collects information on these health-related apps for researchers in this field to effectively evaluate the strength and weakness o...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.4026
更新日期:2015-03-18 00:00:00
abstract:BACKGROUND:In the app stores of mobile platforms, consumers are confronted with an enormous number of mobile apps. Over the past few years, considerable research has been undertaken into to identifying, characterizing, and evaluating apps, be it in health-related or other contexts. However, many of these projects are r...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11753
更新日期:2018-11-20 00:00:00
abstract:BACKGROUND:Measuring physical activity with commercially available activity trackers is gaining popularity. People with a chronic disease can especially benefit from knowledge about their physical activity pattern in everyday life since sufficient physical activity can contribute to wellbeing and quality of life. Howev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8524
更新日期:2018-04-02 00:00:00
abstract:BACKGROUND:Virtual hospital apps are mobile apps that offer functionalities of online consultation, medical guidance, health community forums, referrals, outpatient appointments or virtual hospital-to-home care services. With an increasing number of online medical and health care consulting services, virtual hospital a...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19487
更新日期:2020-08-12 00:00:00
abstract:BACKGROUND:Cardiovascular diseases are the deadliest diseases worldwide, with 17.3 million deaths in 2008 alone. Among them, heart-related deaths are of the utmost relevance; a fact easily proven by the 7.25 million deaths caused by ischemic heart disease alone in that year. The latest advances in smartphones and mHeal...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.2737
更新日期:2013-07-24 00:00:00
abstract:BACKGROUND:Sport watches and fitness trackers provide a feasible way of obtaining energy expenditure (EE) estimations in daily life as well as during exercise. However, today's popular wrist-worn technologies show only poor-to-moderate EE accuracy. Recently, the invention of optical heart rate measurement and the furth...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/14534
更新日期:2019-10-02 00:00:00
abstract:BACKGROUND:For the classification of facial paresis, various systems of description and evaluation in the form of clinician-graded or software-based scoring systems are available. They serve the purpose of scientific and clinical assessment of the spontaneous course of the disease or monitoring therapeutic intervention...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19346
更新日期:2021-01-26 00:00:00
abstract:BACKGROUND:Novel methods of promoting self-monitoring and social support are needed to ensure long-term maintenance of behavior change. In this paper, we directly investigate the effects of group support in an exercise and nutrition program delivered by an mHealth application called Fittle. OBJECTIVE:Our first specifi...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.4900
更新日期:2016-01-15 00:00:00
abstract:BACKGROUND:Oral antineoplastic agents (OAAs) have revolutionized cancer management. However, they have been reported with adverse side effects and drug-drug interactions. Moreover, patient adherence to OAA treatment is critical. Mobile apps can enable remote and real-time pharmacotherapeutic monitoring of patients, whi...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/20480
更新日期:2020-10-16 00:00:00
abstract:BACKGROUND:The Syria crisis has forced more than 4 million people to leave their homeland. As a result, in 2016, an overwhelming number of refugees reached Germany. In response to this, it was of utmost importance to set up refugee camps and to provide humanitarian aid, but a health surveillance system was also impleme...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13516
更新日期:2019-08-19 00:00:00
abstract:BACKGROUND:Digital health care is increasingly used to improve health service accessibility and reduce costs. Remote health care requires a significant self-management role for service users, and this generates information provision and support needs that should be reflected in service planning. SMS text messaging offe...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17191
更新日期:2020-08-20 00:00:00
abstract::Technology is changing at a rapid rate, opening up new possibilities within the health care domain. Advances such as open source hardware, personal medical devices, and mobile phone apps are creating opportunities for custom-made medical devices and personalized care. However, they also introduce new challenges in bal...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3918
更新日期:2015-06-03 00:00:00
abstract::Recently, companies such as Apple Inc, Fitbit Inc, and Garmin Ltd have released new wearable blood oxygenation measurement technologies. Although the release of these technologies has great potential for generating health-related information, it is important to acknowledge the repercussions of consumer-targeted biomet...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/25137
更新日期:2020-12-22 00:00:00
abstract:BACKGROUND:Young people are disproportionately impacted by HIV infection and exhibit poor HIV care continuum outcomes. Mobile health (mHealth) interventions are promising approaches to meet the unique needs of young people living with HIV. Youth-focused interventions are needed to improve HIV care continuum outcomes. ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/18597
更新日期:2020-05-08 00:00:00
abstract:BACKGROUND:The remarkable growth of cell phone ownership in low- and middle-income countries has generated significant interest in using cell phones for conducting surveys through computer-assisted telephone interviews, live interviewer-administered surveys, or automated surveys (ie, interactive voice response). OBJEC...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17891
更新日期:2020-07-14 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:Using a mobile health (mHealth) intervention, consisting of a smartphone and compatible medical device, has the potential to enhance chronic obstructive pulmonary disease (COPD) treatment outcomes while mitigating health care costs. OBJECTIVE:The aim of this study was to explore the potential facilitators a...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13950
更新日期:2019-06-10 00:00:00
abstract:BACKGROUND:Symptom drawings are widely used as a qualitative and quantitative method of assessing pain symptoms for both clinical and research purposes. As electronic drawings offer many advantages over classical pen-and-paper drawings, the last years have seen a shift toward tablet-based acquisition of symptom drawing...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8409
更新日期:2018-05-30 00:00:00
abstract:BACKGROUND:Measurement of vital signs in hospitalized patients is necessary to assess the clinical situation of the patient. Early warning scores (EWS), such as the modified early warning score (MEWS), are generally calculated 3 times a day, but these may not capture early deterioration. A delay in diagnosing deteriora...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7208
更新日期:2017-07-05 00:00:00
abstract:BACKGROUND:There is a paucity of subnational data on patterns of mobile phone ownership and use in Tanzania to inform the development of digital health interventions. OBJECTIVE:The aim of this study is to assess patterns of mobile phone ownership and use in pregnant women to inform the feasibility and design of digita...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17122
更新日期:2020-04-08 00:00:00
abstract:BACKGROUND:Evidence that physical activity can curb smoking urges is limited in scope to acute effects and largely reliant on retrospective self-reported measures. Mobile health technologies offer novel mechanisms for capturing real-time data of behaviors in the natural environment. OBJECTIVE:This study aimed to explo...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9292
更新日期:2018-05-11 00:00:00
abstract:BACKGROUND:Up to 70% of lung cancer survivors are affected by chronic obstructive pulmonary disease (COPD), a common, debilitating, comorbid disease. Lung cancer and COPD are both characterized by symptoms such as breathlessness, fatigue, and psychological distress. These distressing chronic symptoms are exacerbated by...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/mhealth.9831
更新日期:2018-05-15 00:00:00