Ambulatory Autonomic Activity Monitoring Among At-Risk Adolescent Mothers

Rajan, Sonali; Leonard, Noelle R.; Fletcher, Roger; Casarjian, Beth; Casarjian, Robin; Cisse, Cathleen; Gwadz, Marya

doi:10.7309/jmtm.19

Cited by 13 publications

(14 citation statements)

References 16 publications

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“…While Leonard et al [ 28 ] reported qualitative feedback from their participants about their system, they cited a prior pilot conducted with 4 African American or Latinx adolescent mothers from low SES families at high risk for school dropout. Findings indicated participants’ desire to make the sensor bands that measured electrodermal activity (a physiological stress indicator) more comfortable and fashionable in appearance [ 40 ]. Nollen et al [ 29 ] cited previous work that formed a community advisory board (CAB) of adolescent girls, who were primarily racial/ethnic minorities, to provide feedback on the use of the technology platform and to test 2 iterations of prototypes of the intervention.…”

Section: Resultsmentioning

confidence: 99%

Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review

Stiles‐Shields

Potthoff

Bounds

et al. 2020

JMIR Pediatr Parent

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Background Mobile and smartphones are owned and accessed by many, making them a potentially optimal delivery mechanism to reach pediatric patients with socially complex needs (ie, pediatric populations who face overlapping adversities). Objective To address the specialized needs of youth from such groups, this review synthesized the literature exploring the use of phone-based delivery to access pediatric populations with socially complex needs, targeting mental and behavioral health outcomes. The purpose of this synthesis was to provide recommendations for future research developing phone-based interventions for youth with socially complex needs. Methods A trained medical librarian conducted the search strategy in the following databases: PubMed, Scopus, CINAHL, PsycINFO, Cochrane CENTRAL Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Google Scholar. Studies targeting youth with socially complex needs were defined by recruiting samples that were primarily from traditionally underserved populations (ie, sex/gender minorities, racial/ethnic background, low socioeconomic status, rural/remote location, and sexual orientation). A systematic narrative framework was utilized and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed (registration number CRD42020141212). Results A total of 14 studies met the inclusion criteria, with 3 depicting the use of phones to complete assessment and tracking goals and 11 to intervene on mental and behavioral health targets. Conclusions The literature indicates important directions for future research, including (1) involving diverse and representative teens (ie, the likely users of the interventions), stakeholders, and clinical/research staff; (2) integrating evidence-based therapies with minority-focused theories; (3) harnessing mobile device capabilities; and (4) considering and assessing for potential costs in phones as delivery mechanisms. Trial Registration PROSPERO CRD42020141212; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=141212

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Section: Resultsmentioning

confidence: 99%

Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review

Stiles‐Shields

Potthoff

Bounds

et al. 2020

JMIR Pediatr Parent

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“…Other investigators have demonstrated this in various populations. For example, Page 3735 a study by Rajan S. et al, used a wrist-worn sensor, which measured motion in three axes and EDA, on adolescent mothers to demonstrate the ability to detect stress in a real-world scenario (Rajan et al 2012). In this study, data was streamed directly to the participants' phone and was accessible to them throughout the recorded session.…”

Section: Discussionmentioning

confidence: 99%

Objective Measurement of Physician Stress in the Emergency Department Using a Wearable Sensor

Kaczor¹,

Carreiro²,

Stapp³

et al. 2020

Proceedings of the Annual Hawaii International Conference on System Sciences

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Physician stress, and resultant consequences such as burnout, have become increasingly recognized pervasive problems, particularly within the specialty of Emergency Medicine. Stress is difficult to measure objectively, and research predominantly relies on selfreported measures. The present study aims to characterize digital biomarkers of stress as detected by a wearable sensor among Emergency Medicine physicians. Physiologic data were continuously collected using a wearable sensor during clinical work in the emergency department, and participants were asked to self-identify episodes of stress. Machine learning algorithms were used to classify self-reported episodes of stress. Comparing baseline sensor data to data in the 20-minute period preceding self-reported stress episodes demonstrated the highest prediction accuracy for stress. With further study, detection of stress via wearable sensors could be used to facilitate evidence-based stress research and just-in-time interventions for emergency physicians and other highstress professionals.

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“…In our developmental work of the Calm Mom technology [49] and as cited by other reports [57,58], we became keenly aware of the demands mobile health technology can place on participants and the ways in which it can be experienced as irritating or annoying at times. Moreover, we did not want the demands of the Calm Mom technology to distract AMs from their children or tax the cognitive and emotional capacity of these highly overburdened young mothers.…”

Section: Principal Findingsmentioning

confidence: 99%

“…PSP is delivered in-person in a group format by trained interventionists. Calm Mom, is a companion mHealth technology consisting of a smartphone app developed for the study and an integrated wearable sensorband that continually measures EDA [25,49]. The goal of this blended intervention is to increase maternal emotional regulatory skills for more effective parenting and reducing risk behaviors among AMs.…”

Section: Description Of the Blended Intervention Developed For The Prmentioning

confidence: 99%

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Theoretically-Based Emotion Regulation Strategies Using a Mobile App and Wearable Sensor Among Homeless Adolescent Mothers: Acceptability and Feasibility Study (Preprint)

Leonard¹,

Casarjian²,

Fletcher³

et al. 2017

Preprint

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Background: Many adolescent mothers (AMs) are parenting young children under highly stressful conditions as they are managing first-time parenthood, poverty, lack of housing, school/work demands, and challenging peer and familial relationships. Increasing AMs effective emotion regulation strategies using 'just-in-time' mobile technology has the potential to intervene at various points in the emotion regulation process to provide support for more adaptive emotional and behavioral regulation in the course of their daily life. Objective: The goal of this paper is to examine the acceptability, feasibility, use patterns, and mechanisms by which the technology fostered AMs adaptive emotion regulation strategies under real-life conditions. Methods: Participants (N=49) were enrolled in the intervention condition of a randomizedcontrolled pilot study of homeless AMs living in group-based shelters. Intervention activities involved a blended intervention consisting of in-person, provider-delivered intervention sessions and the companion Calm Mom technology. Calm Mom consisted of a mobile app and wrist-worn sensorband for the ambulatory measurement and alerting of increased electrodermal activity (EDA), a physiological measurement of stress. We examined logs of mobile app activity and conducted semi-structured qualitative interviews with a subsample (N= 10) of participants. Qualitative data analysis was guided by the theoretical frames of the intervention and a technology acceptance models and included an analysis of emerging themes and concepts. Results: Participants used one or more elements of the technology on average, 44.11% of days they had the Calm Mom technology (SD = 24.82). Overall, participants indicated that one or more of the elements Calm Mom supported their ability to effectively regulate their emotions in the course of their daily life in ways that were consonant with the intervention's theoretical model. For many AMs, the app became an integral tool for managing stress. Due to technical challenges, fewer participants received sensorband alerts however, those that received alerts reported high levels of acceptability as the technology helped them to identify their emotions and supported them in engaging in more adaptive behaviors during real-life stressful situations with their children, peers, and family members. Conclusions: Calm Mom is a promising technology for providing theoretically driven behavioral intervention strategies during real-life stressful moments among a highly vulnerable population. Future research efforts will involve addressing technology challenges and refining tailoring algorithms for implementation in larger scale studies.

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Ambulatory Autonomic Activity Monitoring Among At-Risk Adolescent Mothers

Cited by 13 publications

References 16 publications

Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review

Harnessing Phones to Target Pediatric Populations with Socially Complex Needs: Systematic Review

Objective Measurement of Physician Stress in the Emergency Department Using a Wearable Sensor

Theoretically-Based Emotion Regulation Strategies Using a Mobile App and Wearable Sensor Among Homeless Adolescent Mothers: Acceptability and Feasibility Study (Preprint)

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