Game for health: How <scp>eHealth</scp> approaches might address the psychological needs of children and young people with long‐term physical conditions

Thabrew, Hiran; Stasiak, Karolina; Garcia-Hoyos, Vanessa; Merry, Sally

doi:10.1111/jpc.13271

Cited by 15 publications

(12 citation statements)

References 47 publications

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“…Younger people were more likely to adopt EHR than older health providers. This supports the growing evidence that young people are more likely to accept eHealth technologies [25,26]. This finding also implies that the incoming crop of health professionals may be more receptive to future electronic health initiatives in Ghana.…”

Section: Plos Onesupporting

confidence: 79%

Health providers’ readiness for electronic health records adoption: A cross-sectional study of two hospitals in northern Ghana

Abdulai

Adam

2020

PLoS ONE

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Introduction Electronic Health Records are receiving considerable attention as a valuable tool for managing clinical information. Despite the prospects of Electronic Health Records in developing countries, many pre-implementation assessments target organizational, managerial, and infrastructural readiness, but barely include a detailed examination of health provider readiness. Meanwhile, health provider readiness is a critical success factor for electronic health records in settings where the majority of the workforce is less likely to have basic computer skills. We sought to assess the readiness of health providers for electronic health records in Ghana. Materials and method An institutional-based cross-sectional study was conducted among 350 health providers in northern Ghana from June-September 2019. Data were collected using a modified questionnaire on provider readiness. The mean overall readiness was calculated for each respondent. Providers with readiness score below the overall mean score were categorized as not being ready while those at or above the mean score were considered ready. Multiple linear regression was conducted to determine the factors that determine provider readiness. Results Two hundred and nine health providers responded to the questionnaire (59.7 response rate). The mean overall readiness was 3.61 (SD = .76), mean core readiness was 3.74 (SD = .80), and mean engagement readiness was 3.47 (SD = .67). Using the average overall readiness score as the cutoff for determining being ready and not ready for electronic health records, overall readiness was 54.9%, core readiness was 67.2%, while engagement readiness was 43.1%. Age, sex, old employees compared to new employees, computer literacy, and knowledge of electronic health records were significant determinants of health providers' readiness to adopt electronic health records.

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Section: Plos Onesupporting

confidence: 79%

Health providers’ readiness for electronic health records adoption: A cross-sectional study of two hospitals in northern Ghana

Abdulai

Adam

2020

PLoS ONE

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“…Likewise, differences in age groups requires diverse tailoring strategies for age specific content. Researchers and developers need to tailor app information more specifically to the type of diabetes and other characteristics of specific patient groups (78). In particular, the lack of diabetic children as an app target group in the sample (Table 2) suggests that current app developers fail to realize the potential of technology for young “digital native” target groups highlighted by previous studies (79).…”

Section: Discussionmentioning

confidence: 99%

“…Overall, active and evidence-based strategies to motivate diabetics to sustain app use over time (78) and more sophisticated mobile tools within the context of the HCP-patient relationship should be advanced (96). However, advanced diabetes apps cannot be designed by simply including multiple features to satisfy all theoretical concepts for all target audiences, leading to a laundry list of must-have app features.…”

Section: Discussionmentioning

confidence: 99%

How Do Smart Device Apps for Diabetes Self-Management Correspond with Theoretical Indicators of Empowerment? An Analysis of App Features

Brew‐Sam

Chib

2019

Int J Technol Assess Health Care

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ObjectivesSmart device apps for diabetes have the potential to support patients in their daily disease management. However, uncertainty exists regarding their suitability for empowering patients to improve self-management behaviors. This paper addresses a general research gap regarding theoretically based examinations of empowerment in diabetes research, by examining how diabetes app features correspond with conceptual indicators of empowerment.MethodsWe examined features of 121 apps for diabetes self-management available in Singapore, with the second highest proportion of diabetes among developed nations, for psychological empowerment (feeling of empowerment) and for behavioral empowerment (social support).ResultsDiabetes apps studied offered a narrow range of features, with limited feature-sets corresponding to indicators of empowerment. Customization as a strategy to improve perceived relevance of diabetes self-management as an indicator of psychological empowerment was especially limited. Moreover, there was a lack of features supporting patients' communication with healthcare professionals and within their private social networks.ConclusionsMobile apps for diabetes self-management failed to provide relevant features for empowering patients. Specific practical recommendations target improved adoption, sustained usage, and effectiveness of diabetes self-management apps.

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“…All studies ( table 2 ) were published between 2009 and 2019 and undertaken in Australia 13–15 (n=3), Canada 16–22 (n=7), England 23–31 (n=9), Italy 32 (n=1), the Netherlands 33 (n=1), New Zealand 34 (n=1), Nigeria 35 (n=1), Spain 36 (n=1), Sweden 37 38 (n=2), USA 39–49 (n=11) and Wales 50 (n=1). Studies included CYP with the following LTCs: asthma (n=7), type 1 diabetes (n=5), chronic kidney disease (n=3), cancer (n=3), obesity (n=3), cerebral palsy/spina bifida (n=2), attention deficit hyperactivity disorder (ADHD) (n=2) and HIV, idiopathic scoliosis, colorectal conditions, chronic fatigue syndrome/myalgic encephalitis with n=1 study each.…”

Section: Resultsmentioning

confidence: 99%

Children and young people’s concerns and needs relating to their use of health technology to self-manage long-term conditions: a scoping review

et al. 2020

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BackgroundThe use of patient-facing health technologies to manage long-term conditions is increasing; however, children and young people may have particular concerns or needs before deciding to use different health technologies.AimsTo identify children and young people’s reported concerns or needs in relation to using health technologies to self-manage long-term conditions.MethodsA scoping review was conducted. We searched MEDLINE, PsycINFO and CINAHL in February 2019. Searches were limited to papers published between January 2008 and February 2019. We included any health technology used to manage long-term conditions. A thematic synthesis of the data from the included studies was undertaken. We engaged children with long-term conditions (and parents) to support review design, interpretation of findings and development of recommendations.ResultsThirty-eight journal articles were included, describing concerns or needs expressed by n=970 children and/or young people aged 5–18 years. Most included studies were undertaken in high-income countries with children aged 11 years and older. Studies examined concerns with mobile applications (n=14), internet (n=9), social media (n=3), interactive online treatment programmes (n=3), telehealth (n=1), devices (n=3) or a combination (n=5). Children and young people’s main concerns were labelling and identity; accessibility; privacy and reliability; and trustworthiness of information.DiscussionThis review highlights important concerns that children and young people may have before using technology to self-manage their long-term condition. In future, research should involve children and young people throughout the development of technology, from identifying their unmet needs through to design and evaluation of interventions.

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Game for health: How eHealth approaches might address the psychological needs of children and young people with long‐term physical conditions

Cited by 15 publications

References 47 publications

Health providers’ readiness for electronic health records adoption: A cross-sectional study of two hospitals in northern Ghana

Health providers’ readiness for electronic health records adoption: A cross-sectional study of two hospitals in northern Ghana

How Do Smart Device Apps for Diabetes Self-Management Correspond with Theoretical Indicators of Empowerment? An Analysis of App Features

Children and young people’s concerns and needs relating to their use of health technology to self-manage long-term conditions: a scoping review

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