Digital Formats for Community Participation in Health Promotion and Prevention Activities: A Scoping Review

Schroeer, Claudia; Voss, Stephan; Jung-Sievers, Caroline; Coenen, Michaela

doi:10.3389/fpubh.2021.713159

Cited by 13 publications

(23 citation statements)

References 49 publications

(149 reference statements)

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“…Also, digital tools have shown great capacity in enabling patient engagement and enabling health services utilization for various diseases, including HIV and other STIs 16 , 40 , 41 . Hence the use of EHRs (like the “smart hospital” app of the HKU-SZH) could foster better patient management and referrals by ensuring prompt notification of confirmed positive patients to improve successful linkage-to-care.…”

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial enhancing viral hepatitis testing in primary care via digital crowdsourced intervention

Wong

Marley²,

Li³

et al. 2022

npj Digit. Med.

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Despite the availability of hepatitis B virus (HBV) and hepatitis C virus (HCV) testing in primary care, testing rates in China remain low. Social media is an inexpensive means of disseminating information and could facilitate hepatitis testing promotion. We evaluated the capacity of digitally crowdsourced materials to promote HBV/HCV testing uptake via a randomized controlled trial (identifier: ChiCTR1900025771), which enrolled 750 Chinese primary care patients. We randomized patients (1:1) to receive crowdsourced HBV/HCV promotion materials through social media or facility-based care without promotional materials for four weeks. Exposure to all intervention materials was associated with increased odds of HBV (aOR = 1.79, 95% CI: 1.09–3.00) and HCV (aOR = 1.95, 95% CI: 1.29–2.99) testing compared to facility-based care. There was a significant reduction in hepatitis stigma among intervention group participants (HBV slope: −0.15, p < 0.05; and HCV slope: −0.13, p < 0.05). Digitally crowdsourced promotion messages could enhance hepatitis testing uptake and should be considered in hepatitis reduction strategies.Trial registration: Chinese Clinical Trial Registry (ChiCTR1900025771) on September 9, 2019. Available from: http://www.chictr.org.cn/showproj.aspx?proj=42788

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Section: Discussionmentioning

confidence: 99%

A randomized controlled trial enhancing viral hepatitis testing in primary care via digital crowdsourced intervention

Wong

Marley²,

Li³

et al. 2022

npj Digit. Med.

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“…While motivational interviewing provides tools for self-re ection and satisfaction, gami cation can provide experiences of autonomy, competence, and relatedness by adding fun and excitement to activities (21,33,35,44,53,56). Gami cation can enhance intrinsic motivation by addressing the psychological and emotional requirements of individuals through the use of game-like components.…”

Section: -Engagement Attributesmentioning

confidence: 99%

“…Several articles included in the review are either the rst or among the few in their respective elds (31,41,59) for a speci c health topic. Regarding the available data, studies highlight the lack of evidence-based information and the heterogeneity of data (32,35,44,48,49) for research purposes. This heterogeneity of data on engagement can render the results incomparable and hinder the understanding of the effectiveness of engagement strategies (35) and is linked to the difference in the de nition of engagement, often de ned as usage and assessed using quantitative methods (39,45,46).…”

Section: -Engagement Attributesmentioning

confidence: 99%

“…Regarding the content of interventions, there is a lack of theory-based mobile health interventions, despite the fact that some behavior change theories have been well-validated and tested in evidence-based prevention, diagnostic, and care interventions (58). As for interfaces, some studies emphasize that interfaces are nonuser-friendly (44) and that it is challenging to compete with social media and other entertainment-based applications (33,57). As for all other online tools, data security is also a recurring concern (44).…”

Section: -Engagement Attributesmentioning

confidence: 99%

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User-engagement in digital health applications: a scoping review

AKTAS,

CAMBON,

AROMATARIO

2023

Preprint

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Background Participation has moved from political protest to active engagement in a number of areas health. Patient engagement has transformed healthcare, and mHealth has put mobile technology at the service of health promotion. Research links user engagement to effective interventions. This review aims to understand the attributes, methods and barriers to this user engagement in mHealth. Methods This scoping review used a systematic approach to map the evidence on mHealth interventions for health promotion and prevention in accordance with the PRISMA-ScR guidelines. Scopus, Web of Science and PubMed databases were searched using keywords appropriate to each database. A two-stage selection process was used and the analysis focused on attributes of participation, methods of engagement and barriers/facilitators. Results The study analysed mHealth interventions for health promotion and prevention. From 1,533 articles, 782 were obtained and 41 were selected for analysis on the basis of pre-defined inclusion and exclusion criteria. There are different definitions and attributes of engagement, depending on the discipline and the author. There are also scales and gradations of engagement that qualify engagement according to its intensity or within the mHealth tool. User engagement methods included theory-based interventions, behaviour change techniques, user-centred design, personalisation, autonomy, peer support, motivation and gamification. Challenges included barriers to technology adoption, lack of theory-based interventions, personalisation, autonomy, peer support, motivation and gamification. Conclusion The current understanding of user participation in digital interventions reveals complexity and diversity, lacking consensus. Definitions vary among intervention providers, reflecting distinct objectives and methodologies. The absence of clear concepts and attributes emphasizes the need to refine definitions in digital health, guiding intervention evaluation and development methodologies.

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“…For the purposes of this study, community-serving agencies included health departments; local nutrition agencies such as the Supplemental Nutrition Assistance Program and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC); food pantries; public schools; home-visiting programs; and early childhood education programs. Considering the extensive use of digital technology among young parents and adolescents; the key developmental periods associated with pregnancy, childhood, and adolescence; and the barriers associated with accessing preventive health services in person, digital communication platforms are particularly relevant for this population [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Engagement With and Acceptability of Digital Media Platforms for Use in Improving Health Behaviors Among Vulnerable Families: Systematic Review

Eppes¹,

Augustyn²,

Gross³

et al. 2023

J Med Internet Res

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Background The use of digital communication platforms to improve health behaviors has increased dramatically over the last decade. Public health practitioners have adopted digital communication technologies such as text messages, mobile apps, and social media to reach diverse populations. However, the effectiveness of digital communication platforms used by community-serving agencies remains unclear, and patterns of engagement and acceptability of different platforms have not been studied. Objective This review aimed to identify the types of digital communication strategies used by community-serving organizations to promote healthy behaviors, assess the strength of evidence for health behavioral change, and describe the degree of consumer engagement with and acceptability of these strategies. The study population included low-income pregnant women, parents of young children, and adolescents. Methods A systematic review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using PubMed, Scopus, Web of Science, CINAHL, and APA PsycInfo, covering research conducted from 2009 to 2022. Studies were included if they examined the use of digital communication (ie, texting, mobile apps, or social media) to promote healthy behaviors in the target population. Risk of bias and strength of evidence were assessed using the Effective Public Health Practice Project Risk of Bias tool and criteria from Agency for Healthcare Research and Quality, respectively. Results Twenty-three peer-reviewed research studies published between 2012 and 2022, conducted in the United States, the United Kingdom, and Australia, were included in the review. The sample comprised studies exploring the use of texting (n=12), apps (n=6), social media (n=3), and multiple platforms (n=2; eg, texting and mobile apps). Targeted health behaviors included healthy diet, physical activity, obesity prevention, healthy pregnancy, breastfeeding, vaccine use, smoking cessation, and nutrition benefit redemption. The sample included 8 randomized controlled trials, 6 pretest-posttest design, 3 mixed methods studies, 2 pilot studies, 1 feasibility study, 1 prospective cohort study, 1 descriptive study, and 1 cross-sectional study. The median sample size was 77.5. There was no strong evidence to suggest the effectiveness of digital media campaigns in improving health behaviors; however, there were moderate to high levels of engagement and high levels of acceptability across digital platforms. Conclusions Low-income pregnant women, parents of young children, and adolescents demonstrated moderate levels of engagement with and high levels of acceptability of digital media health campaigns conducted by community-serving agencies. The effectiveness of these strategies in improving health behaviors was inconclusive. Additional rigorous studies with larger sample sizes are required. In addition, more research is required to consistently measure and report participants’ engagement with each platform. Digital communication platforms are critical tools for public health practitioners, and future investigations of the effectiveness of these platforms in engaging clients and improving health behaviors will maximize client services.

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Digital Formats for Community Participation in Health Promotion and Prevention Activities: A Scoping Review

Cited by 13 publications

References 49 publications

A randomized controlled trial enhancing viral hepatitis testing in primary care via digital crowdsourced intervention

A randomized controlled trial enhancing viral hepatitis testing in primary care via digital crowdsourced intervention

User-engagement in digital health applications: a scoping review

Engagement With and Acceptability of Digital Media Platforms for Use in Improving Health Behaviors Among Vulnerable Families: Systematic Review

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