Abstract:
BACKGROUND:Family conflict can reduce adolescent adherence to type 1 diabetes management tasks. The Family Teamwork in-person intervention was shown to be efficacious in reducing conflict and low adherence to diabetes-related tasks. Its reach and potential impact, however, were limited by the need to deliver the intervention sessions in person. Relational agents (ie, computerized versions of humans) have been shown to appeal to diverse audiences and may be an acceptable replacement for a human in technology-based behavior change interventions. OBJECTIVE:The purpose of this paper is to present the results of a pilot study assessing feasibility and acceptability of Diabetes Family Teamwork Online, an adapted version of the Family Teamwork intervention, delivered over the internet and guided by a relational agent. METHODS:Parent-adolescent dyads were recruited through a diabetes care clinic at a large tertiary care hospital in the southwestern United States. A one-group design, with assessments at baseline, immediate postintervention, and 3 months later, was used to assess feasibility. A priori feasibility criteria included an assessment of recruitment, completion, attrition, program satisfaction, therapeutic alliance, attitudes toward the relational agent, and data collection. The institutional review board at Baylor College of Medicine approved the protocol (H-37245). RESULTS:Twenty-seven adolescents aged 10 to 15 years with type 1 diabetes and their parents were enrolled. Criteria used to assess feasibility were (1) recruitment goals were met (n=20), (2) families completed ≥75% of the modules, (3) attrition rate was ≤10%, (4) program satisfaction was high (≥80% of families), (5) therapeutic alliance was high (average score of ≥60/84), (6) families expressed positive attitudes toward the relational agent (average item score of ≥5 on ≥4 items), (7) ≥80% of data were collected at post 1 and post 2, and (8) few technical issues (≤10%) occurred during intervention delivery. All feasibility criteria were met. Qualitative data confirmed that adolescents and parents had positive reactions to both the content and approach. CONCLUSIONS:The Diabetes Family Teamwork Online intervention proved to be a feasible and acceptable method for enhancing communication around diabetes management tasks in families with an adolescent who has type 1 diabetes. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID):RR2-10.2196/resprot.5817.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Thompson D,Callender C,Gonynor C,Cullen KW,Redondo MJ,Butler A,Anderson BJdoi
10.2196/15318subject
Has Abstractpub_date
2019-09-13 00:00:00pages
e15318issue
9eissn
1439-4456issn
1438-8871pii
v21i9e15318journal_volume
21pub_type
杂志文章abstract:BACKGROUND:Sexual health services routinely screen for child sexual exploitation (CSE). Although sexual health services are increasingly provided online, there has been no research on the translation of the safeguarding function to online services. We studied expert practitioner views on safeguarding in this context. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5911
更新日期:2017-02-14 00:00:00
abstract:BACKGROUND:Parents are likely to seek Web-based communities to verify their suspicions of autism spectrum disorder markers in their child. Automated tools support human decisions in many domains and could therefore potentially support concerned parents. OBJECTIVE:The objective of this study was to test the feasibility...
journal_title:Journal of medical Internet research
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abstract:BACKGROUND:The Health Information Technology for Economic and Clinical Health (HITECH) Act imposes pressure on health care organizations to qualify for "Meaningful Use". It is assumed that portals should increase patient participation in medical decisions, but whether or not the use of portals improves outcomes remains...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2015-02-10 00:00:00
abstract:BACKGROUND:While research in the area of e-mental health has received considerable attention over the last decade, there are still many areas that have not been addressed. One such area is the comorbidity of psychological disorders in a Web-based sample using online assessment and diagnostic tools, and the relationship...
journal_title:Journal of medical Internet research
pub_type: 临床试验,杂志文章
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更新日期:2015-02-26 00:00:00
abstract:BACKGROUND:Online health communities (OHCs) provide a convenient and commonly used way for people to connect around shared health experiences, exchange information, and receive social support. Users often interact with peers via multiple communication methods, forming a multirelational social network. Use of OHCs is co...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2016-08-25 00:00:00
abstract:BACKGROUND:Health care providers do not routinely carry out brief counseling for tobacco cessation despite the evidence for its effectiveness. For this intervention to be routinely used, it must be brief, be convenient, require little investment of resources, require little specialized training, and be perceived as eff...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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abstract:BACKGROUND:Since its outbreak in January 2020, COVID-19 has quickly spread worldwide and has become a global pandemic. Social media platforms have been recognized as important tools for health-promoting practices in public health, and the use of social media is widespread among the public. However, little is known abou...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2020-10-09 00:00:00
abstract:BACKGROUND:Although "infodemiological" methods have been used in research on coronavirus disease (COVID-19), an examination of the extent of infodemic moniker (misinformation) use on the internet remains limited. OBJECTIVE:The aim of this paper is to investigate internet search behaviors related to COVID-19 and examin...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2020-08-25 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2019-11-28 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2019-02-05 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,meta分析
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更新日期:2019-01-08 00:00:00
abstract:BACKGROUND:There are few studies on the role of technology delivery mode on health intervention outcomes. Furthermore, the opportunity to examine potential mode effects on a program that is theory-based and integrates principles of communication and decision-making science to influence sexual and reproductive health ou...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2018-08-29 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2019-10-23 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2009-02-20 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2020-10-07 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2015-01-16 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2013-04-16 00:00:00
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更新日期:2020-04-09 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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journal_title:Journal of medical Internet research
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更新日期:2014-06-04 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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