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 management but also to build a working alliance between a participant and the TBHC. OBJECTIVE:The objectives of this study are twofold: (1) to describe the design and implementation to promote the chatbot painSELfMAnagement (SELMA), a 2-month smartphone-based cognitive behavior therapy (CBT) TBHC intervention for pain self-management in patients with ongoing or cyclic pain, and (2) to present findings from a pilot randomized controlled trial, in which effectiveness, influence of intention to change behavior, pain duration, working alliance, acceptance, and adherence were evaluated. METHODS:Participants were recruited online and in collaboration with pain experts, and were randomized to interact with SELMA for 8 weeks either every day or every other day concerning CBT-based pain management (n=59), or weekly concerning content not related to pain management (n=43). Pain-related impairment (primary outcome), general well-being, pain intensity, and the bond scale of working alliance were measured at baseline and postintervention. Intention to change behavior and pain duration were measured at baseline only, and acceptance postintervention was assessed via self-reporting instruments. Adherence was assessed via usage data. RESULTS:From May 2018 to August 2018, 311 adults downloaded the SELMA app, 102 of whom consented to participate and met the inclusion criteria. The average age of the women (88/102, 86.4%) and men (14/102, 13.6%) participating was 43.7 (SD 12.7) years. Baseline group comparison did not differ with respect to any demographic or clinical variable. The intervention group reported no significant change in pain-related impairment (P=.68) compared to the control group postintervention. The intention to change behavior was positively related to pain-related impairment (P=.01) and pain intensity (P=.01). Working alliance with the TBHC SELMA was comparable to that obtained in guided internet therapies with human coaches. Participants enjoyed using the app, perceiving it as useful and easy to use. Participants of the intervention group replied with an average answer ratio of 0.71 (SD 0.20) to 200 (SD 58.45) conversations initiated by SELMA. Participants' comments revealed an appreciation of the empathic and responsible interaction with the TBHC SELMA. A main criticism was that there was no option to enter free text for the patients' own comments. CONCLUSIONS:SELMA is feasible, as revealed mainly by positive feedback and valuable suggestions for future revisions. For example, the participants' intention to change behavior or a more homogenous sample (eg, with a specific type of chronic pain) should be considered in further tailoring of SELMA. TRIAL REGISTRATION:German Clinical Trials Register DRKS00017147; https://tinyurl.com/vx6n6sx, Swiss National Clinical Trial Portal: SNCTP000002712; https://www.kofam.ch/de/studienportal/suche/70582/studie/46326.
journal_name
JMIR Mhealth Uhealthjournal_title
JMIR mHealth and uHealthauthors
Hauser-Ulrich S,Künzli H,Meier-Peterhans D,Kowatsch Tdoi
10.2196/15806subject
Has Abstractpub_date
2020-04-03 00:00:00pages
e15806issue
4issn
2291-5222pii
v8i4e15806journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Early identification of child emotional and behavioral concerns is essential for the prevention of mental health problems; however, few suitable child-reported screening measures are available. Digital tools offer an exciting opportunity for obtaining clinical information from the child's perspective. OBJEC...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.9456
更新日期:2018-04-19 00:00:00
abstract:BACKGROUND:Acute exacerbations of chronic obstructive pulmonary disease (COPD) are associated with accelerated decline in lung function, diminished quality of life, and higher mortality. Proactively monitoring patients for early signs of an exacerbation and treating them early could prevent these outcomes. The emergenc...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10046
更新日期:2018-06-14 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:End-of-day symptom diaries are recommended by drug regulatory authorities to assess treatment response in patients with irritable bowel syndrome. We developed a smartphone app to measure treatment response. OBJECTIVE:Because the employment of an app to measure treatment response in irritable bowel syndrome ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19696
更新日期:2020-11-02 00:00:00
abstract::Tuberculosis is the number one infectious cause of death globally. Young children, generally those younger than 5 years, are at the highest risk of progressing from tuberculosis infection to tuberculosis disease and of developing the most severe forms of tuberculosis. Most current tuberculosis drug formulations have p...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19154
更新日期:2020-11-11 00:00:00
abstract::The elderly population is increasing and there is a need to provide care and safety at a high level with limited resources. New social alarm solutions may contribute to safety and independence for many elderly. However, it is important to understand the needs within the user group. This work studied social alarms in a...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.2730
更新日期:2014-03-07 00:00:00
abstract:BACKGROUND:Improvements in parenting practices can positively mediate the outcomes of treatment for adolescent substance use disorder. Given the high rates of release among adolescents (ie, 60% within three months and 85% within one year), there is a critical need for interventions focused on helping parents achieve an...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12407
更新日期:2019-09-26 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: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:Activity trackers are now ubiquitous in certain populations, with potential applications for health promotion and monitoring and chronic disease management. Understanding the accuracy of this technology is critical to the appropriate and productive use of wearables in health research. Although other peer-rev...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13547
更新日期:2019-05-23 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:The coronavirus disease (COVID-19) situation demands a lot from citizens, health care providers, and governmental institutions. Citizens need to cope with guidelines on social interaction, work, home isolation, and symptom recognition. Additionally, health care providers and policy makers have to cope with u...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/19822
更新日期:2020-06-23 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:Nonadherence among patients with chronic disease continues to be a significant concern, and the use of text message refill reminders has been effective in improving adherence. However, questions remain about how differences in patient characteristics and demographics might influence the likelihood of refill ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/15771
更新日期:2019-11-18 00:00:00
abstract:BACKGROUND:Communication technologies can play a significant role in decreasing communication inequalities and cancer disparities by promoting cancer control and enhancing population and individual health. Studies have shown that technology, such as the mobile phone short message service (SMS) or text messaging, can be...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.2641
更新日期:2013-09-09 00:00:00
abstract:BACKGROUND:Patients with spinal cord injury (SCI) usually present with different motor impairments, including a deterioration of upper limb motor function (ULMF), that limit their performance of activities of daily living and reduce their quality of life. Virtual reality (VR) is being used in neurological rehabilitatio...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章,评审
doi:10.2196/22537
更新日期:2020-12-03 00:00:00
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. MET...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.8565
更新日期:2018-03-19 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:Lung cancer patients experience various symptoms during treatment. Although pulmonary rehabilitation is an effective way to improve these symptoms, a medical environment of limited availability makes it difficult to provide seamless and adequate rehabilitation for lung cancer patients. OBJECTIVE:This study ...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/12645
更新日期:2019-06-21 00:00:00
abstract:BACKGROUND:In Peru's urban communities, tobacco smoking generally starts during adolescence and smoking prevalence is highest among young adults. Each year, many attempt to quit, but access to smoking cessation programs is limited. Evidence-based text messaging smoking cessation programs are an alternative that has bee...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.7532
更新日期:2017-08-04 00:00:00
abstract:BACKGROUND:Energy balance is defined as the difference between energy expenditure and energy intake. The current state of knowledge supports the need to better integrate mechanistic approaches through effective studies of energy balance in the cancer population because of an observed significant lack of adherence to he...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/14136
更新日期:2019-06-25 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: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:Modern smartphone use is pervasive and could be an accessible method of evaluating the circadian rhythm and social jet lag via a mobile app. OBJECTIVE:This study aimed to validate the app-recorded sleep time with daily self-reports by examining the consistency of total sleep time (TST), as well as the timin...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13421
更新日期:2019-05-16 00:00:00
abstract:BACKGROUND:Telemonitoring has shown promise for alleviating the burden of heart failure on individuals and health systems. However, real-world implementation of sustained programs is rare. OBJECTIVE:The objective of this study was to evaluate the implementation of a mobile phone-based telemonitoring program, which has...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/10768
更新日期:2018-07-31 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:Mobile health apps for diabetes self-management have different functions. However, the efficacy and safety of each function are not well studied, and no classification is available for these functions. OBJECTIVE:The aims of this study were to (1) develop and validate a taxonomy of apps for diabetes self-man...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.6522
更新日期:2017-03-14 00:00:00
abstract:BACKGROUND:Mobile health (mHealth) has huge potential to deliver preventative health services. However, there is paucity of literature on theoretical constructs, technical, practical, and regulatory considerations that enable delivery of such services. OBJECTIVES:The objective of this study was to outline the key cons...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/mhealth.5996
更新日期:2016-11-15 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:The shoulder is one of the joints with the greatest mobility within the human body and its evaluation is complex. An assessment can be conducted using questionnaires or functional tests, and goniometry can complement the information obtained in this assessment. However, there are now validated devices that c...
journal_title:JMIR mHealth and uHealth
pub_type: 杂志文章
doi:10.2196/13640
更新日期:2019-09-06 00:00:00