Abstract:
BACKGROUND:Mental health smartphone apps provide support, skills, and symptom tracking on demand and come at minimal to no additional cost to patients. Although the Department of Veterans Affairs has established itself as a national leader in the creation of mental health apps, veterans' attitudes regarding the use of these innovations are largely unknown, particularly among rural and aging populations who may benefit from increased access to care. OBJECTIVE:The objective of our study was to examine veterans' attitudes toward smartphone apps and to assess whether openness toward this technology varies by age or rurality. METHODS:We conducted semistructured qualitative interviews with 66 veterans from rural and urban areas in Maine, Arkansas, and California. Eligible veterans aged 18 to 70 years had screened positive for postraumatic stress disorder (PTSD), alcohol use disorder, or major depressive disorder, but a history of mental health service utilization was not required. Interviews were digitally recorded, professionally transcribed, and coded by a research team using an established codebook. We then conducted a thematic analysis of segments pertaining to smartphone use, informed by existing theories of technology adoption. RESULTS:Interviews revealed a marked division regarding openness to mental health smartphone apps, such that veterans either expressed strongly positive or negative views about their usage, with few participants sharing ambivalent or neutral opinions. Differences emerged between rural and urban veterans' attitudes, with rural veterans tending to oppose app usage, describe smartphones as hard to navigate, and cite barriers such as financial limitations and connectivity issues, more so than urban populations. Moreover, rural veterans more often described smartphones as being opposed to their values. Differences did not emerge between younger and older (≥50) veterans regarding beliefs that apps could be effective or compatible with their culture and identity. However, compared with younger veterans, older veterans more often reported not owning a smartphone and described this technology as being difficult to use. CONCLUSIONS:Openness toward the use of smartphone apps in mental health treatment may vary based on rurality, and further exploration of the barriers cited by rural veterans is needed to improve access to care. In addition, findings indicate that older patients may be more open to integrating technology into their mental health care than providers might assume, although such patients may have more trouble navigating these devices and may benefit from simplified app designs or smartphone training. Given the strong opinions expressed either for or against smartphone apps, our findings suggest that apps may not be an ideal adjunctive treatment for all patients, but it is important to identify those who are open to and may greatly benefit from this technology.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Connolly SL,Miller CJ,Koenig CJ,Zamora KA,Wright PB,Stanley RL,Pyne JMdoi
10.2196/10748subject
Has Abstractpub_date
2018-08-22 00:00:00pages
e10748issue
8issn
2291-5222pii
v6i8e10748journal_volume
6pub_type
杂志文章abstract:BACKGROUND:The preparation for colonoscopy is elaborate and complex. In the context of colorectal cancer screening, up to 11% of patients do not keep their colonoscopy appointments and up to 33% of those attending their appointments have inadequately cleansed bowels that can delay cancer diagnosis and treatment. A smar...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12242
更新日期:2019-07-02 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:Despite the fact there are many wearable and mobile medical devices that enable patients to better self-manage their diabetes, not many patients are aware of all the options they have. In addition, there are those who are not fully satisfied with the devices they use, and those who often do not use them effe...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/11527
更新日期:2019-07-09 00:00:00
abstract:BACKGROUND:Posttraumatic stress disorder (PTSD) is a prevalent mental health issue among veterans. Access to PTSD treatment is influenced by geographic (ie, travel distance to facilities), temporal (ie, time delay between services), financial (ie, eligibility and cost of services), and cultural (ie, social stigma) barr...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7318
更新日期:2017-10-26 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: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:Nomophobia or phobia of no mobile phone is the fear of being without a mobile phone or being unable to contact others via a mobile phone. It is a newly emerging psychiatric disorder among mobile phone users. OBJECTIVE:There are no psychometric scales available in China for examining nomophobia, although Chi...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13561
更新日期:2020-03-13 00:00:00
abstract:BACKGROUND:Research has underscored the need to develop socioculturally tailored interventions to improve adherence behaviors in minority patients with hypertension (HTN) and type 2 diabetes (T2D). Novel mobile health (mHealth) approaches are potential methods for delivering tailored interventions to minority patients ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/17135
更新日期:2020-09-23 00:00:00
abstract:BACKGROUND:Daily monitoring of fetal and maternal conditions in complicated pregnancies leads to recurrent outpatient visits or (prolonged) hospitalization. Alternatives for hospital admissions include home-based monitoring with home visits by professionals or telemonitoring with self-measurements performed by pregnant...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-10-28 00:00:00
abstract:BACKGROUND:Pregnancy-induced hypertension (PIH) is associated with high levels of morbidity and mortality in mothers, fetuses, and newborns. New technologies, such as remote monitoring (RM), were introduced in 2015 into the care of patients at risk of PIH in Ziekenhuis Oost-Limburg (Genk, Belgium) to improve both mater...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2019-08-28 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
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更新日期:2016-05-05 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
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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
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更新日期:2015-02-16 00:00:00
abstract:BACKGROUND:Mobile health interventions are often standardized and assumed to work the same for all users; however, we may be missing cultural differences in the experiences of interventions that may impact how and if an intervention is effective. OBJECTIVE:The objective of the study was to assess qualitative feedback ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.3660
更新日期:2014-11-05 00:00:00
abstract:BACKGROUND:Although millions of overweight and obese adults use mobile phone apps for weight loss, little is known about the predictors of success. OBJECTIVE:The objective of this study was to understand the relationship between weight loss outcomes and weekly patterns of caloric intake among overweight and obese adul...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8320
更新日期:2018-04-16 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
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更新日期:2020-08-04 00:00:00
abstract::[This corrects the article DOI: 10.2196/18505.]. ...
journal_title:JMIR mHealth and uHealth
pub_type: 已发布勘误
doi:10.2196/24869
更新日期:2020-11-03 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
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更新日期:2020-06-24 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
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更新日期:2017-05-25 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
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更新日期:2020-12-09 00:00:00
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
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更新日期:2019-04-01 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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journal_title:JMIR mHealth and uHealth
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journal_title:JMIR mHealth and uHealth
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更新日期:2020-04-08 00:00:00
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journal_title:JMIR mHealth and uHealth
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更新日期:2021-01-13 00:00:00
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journal_title:JMIR mHealth and uHealth
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更新日期:2019-01-29 00:00:00
abstract:BACKGROUND:Pain drawings (PDs) are an important tool to evaluate, communicate, and objectify pain. In the past few years, there has been a shift toward tablet-based acquisition of PDs, and several studies have been conducted to test the usefulness, reliability, and repeatability of electronic PDs. However, to our knowl...
journal_title:JMIR mHealth and uHealth
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更新日期:2019-01-10 00:00:00
abstract:BACKGROUND:Ongoing pain is one of the most common diseases and has major physical, psychological, social, and economic impacts. A mobile health intervention utilizing a fully automated text-based health care chatbot (TBHC) may offer an innovative way not only to deliver coping strategies and psychoeducation for pain ma...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2020-04-03 00:00:00
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journal_title:JMIR mHealth and uHealth
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更新日期:2017-12-15 00:00:00
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journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
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更新日期:2017-02-23 00:00:00