A qualitative assessment of the perceived acceptability and feasibility of eHARTS, a mobile application for transition readiness assessment for adolescents living with HIV in South Africa

Fomo, Messaline; Newman, J. Robert; Sibaya, Thobekile; Ndlela, Nompumelelo; Hussen, Sophia A.; Archary, Moherndran; Zanoni, Brian C.

doi:10.1371/journal.pdig.0000272

Cited by 2 publications

References 23 publications

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Experiences of a digital health intervention for young people exposed to technology assisted sexual abuse: a qualitative study

Quayle,

Larkin,

Schwannauer

et al. 2024

BMC Psychiatry

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Background There is growing evidence that Technology Assisted Sexual Abuse (TASA) represents a serious problem for large numbers of children. To date, there are very few evidence-based interventions available to young people (YP) after they have been exposed to this form of abuse, and access to support services remains a challenge. Digital tools such as smartphones have the potential to increase access to mental health support and may provide an opportunity for YP to both manage their distress and reduce the possibility of further victimization. The current study explores the acceptability of a digital health intervention (DHI; the i-Minds app) which is a theory-driven, co-produced, mentalization-based DHI designed for YP aged 12–18 who have experienced TASA. Methods Semi-structured interviews were conducted with 15 YP recruited through Child and Adolescent Mental Health Services, a Sexual Assault Referral Centre and an e-therapy provider who had access to the i-Minds app as part of a feasibility clinical trial. Interviews focused on the acceptability and usability of i-Minds and were coded to themes based on the Acceptability of Healthcare Interventions framework. Results All participants found the i-Minds app acceptable. Many aspects of the app were seen as enjoyable and useful in helping YP understand their abuse, manage feelings, and change behavior. The app was seen as usable and easy to navigate, but for some participants the level of text was problematic and aspects of the content was, at times, emotionally distressing at times. Conclusions The i-Minds app is useful in the management of TASA and helping change some risk-related vulnerabilities. The app was designed, developed and evaluated with YP who had experienced TASA and this may account for the high levels of acceptability seen. Trial registration The trial was registered on the ISRCTN registry on the 12/04/2022 as i-Minds: a digital intervention for young people exposed to online sexual abuse (ISRCTN43130832).

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Experiences of a digital health intervention for young people exposed to technology assisted sexual abuse: a qualitative study

Quayle,

Larkin,

Schwannauer

et al. 2024

BMC Psychiatry

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Usability of eHealth and mHealth interventions on self-management during healthcare transition for adolescents and young adults with chronic illness: A systematic review (Preprint)

Li,

Lu,

et al. 2024

Preprint

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BACKGROUND In light of the ability of digital health interventions to improve the accessibility and availability of health education, the development of psychosocial interventions and social support for adolescents and young adults (AYAs), and increasing ownership rates of digital technology among AYAs, innovative methods should be considered to improve the current care model and enhance the self-management skills of AYAs with chronic disease during the healthcare transition process. OBJECTIVE This systematic review aimed to describe the features of eHealth and mobile health (mHealth) interventions and to evaluate their usability with regard to supporting AYAs with chronic disease during their transition from paediatric to adult healthcare services. METHODS This review followed the PRISMA guidelines. We systematically searched the MEDLINE complete, EMBASE, Cochrane Library, CINAHL complete, and ProQuest databases. We considered only articles published in or since 2019, as we aimed to extend the data collected by 2 previous systematic reviews. Two authors independently appraised the comprehensiveness of each research report. RESULTS A total of 16752 studies were screened, and 22 studies were included. The interventions were summarized into 6 themes: medication monitoring and reminders, symptom tracking and monitoring, management goal setting, knowledge education and self-management skills training, incentives and reinforcement, and communication. These interventions ranged from simple text messages to more complex interventions involving interactive games and engagement on the part of healthcare providers. Most interventions (20/22) involved mobile apps, with only two interventions (2/22) taking the form of websites or text messaging. Engagement was promoted through behavioural changes or incentive measures as well as designs and functions that were in line with patient preferences; furthermore, barriers to adherence were overcome through personal reminders, monitoring, and flexible programme schedules. Most AYAs felt that the interventions delivered by mobile apps or websites were feasible, as they were convenient, easy to use, and accessible in the context of helping AYAs manage their health. CONCLUSIONS Due to the lack of rigorous testing and heterogeneity, which limits the detailed description of the data synthesized as part of this review, it is necessary to carefully consider the results of this review. Based on the available evidence, eHealth and mHealth interventions may be feasible and applicable; however, additional studies based on these theories that can take into account input from patients and healthcare professionals at all stages are needed to determine the effectiveness of such interventions. CLINICALTRIAL The protocol for this systematic review was registered on PROSPERO (registration number CRD42023378355)

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A qualitative assessment of the perceived acceptability and feasibility of eHARTS, a mobile application for transition readiness assessment for adolescents living with HIV in South Africa

Cited by 2 publications

References 23 publications

Experiences of a digital health intervention for young people exposed to technology assisted sexual abuse: a qualitative study

Experiences of a digital health intervention for young people exposed to technology assisted sexual abuse: a qualitative study

Usability of eHealth and mHealth interventions on self-management during healthcare transition for adolescents and young adults with chronic illness: A systematic review (Preprint)

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