Participation of African Americans in e-Health and m-Health Studies: A Systematic Review

James, Delores C.S.; Harville, Cedric; Sears, Cynthia L.; Efunbumi, Orisatalabi; Bondoc, Irina

doi:10.1089/tmj.2016.0067

Cited by 69 publications

(75 citation statements)

References 74 publications

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“…Recent systematic reviews have focused on mobile health (mHealth) and adherence not specific to HIV; 9,10 mHealth in low-resource settings, but not specific to HIV adherence; [11][12][13] HIV adherence in low-resource settings, but not with mHealth; 14 treatment for HIV but not specifically adherence; 15,16 and mHealth and disease management. 17,18 Two earlier review studies examined ART adherence, but were not focused on mobile technologies.…”

Section: Background and Significancementioning

confidence: 99%

A Systematic Review on Promoting Adherence to Antiretroviral Therapy in HIV-infected Patients Using Mobile Phone Technology

et al. 2018

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The mixed nature of the results exemplifies the need for more comprehensive approaches and larger scale trials to confirm results observed in limited cohort sizes. To better retain satisfactory adherence within the HIV population, and especially in low-resource settings, we recommend that future interventions incorporate multiple strategies: mobile-based reminders, social support structures, and personalized content.

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Section: Background and Significancementioning

confidence: 99%

A Systematic Review on Promoting Adherence to Antiretroviral Therapy in HIV-infected Patients Using Mobile Phone Technology

et al. 2018

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“…AAs remain underrepresented in all types of research despite the mandate of the 1993 National Institutes of Health Revitalization Act to include minorities in all federally-funded research (National Institutes of Health [NIH], 1993). Additionally, AAM are more likely than their female counterparts to be underrepresented in mHealth research (James, Harville, Sears, Efunbumi, & Bondoc, 2017). Studies show that AAM have high ownership of smartphones, access to the internet from a variety of sources, and possess the skills to text and navigate the internet Smith 2015;Zicuhr & Smith, 2012).…”

Section: Introductionmentioning

confidence: 99%

Willingness of African American Men to Participate in mHealth Weight Management Programs

James¹

2019

IJHS

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The high rate of smartphone ownership as well as the high prevalence of obesity among African American men (AAM) offer opportunities to recruit them into gender-specific, tailored mobile health (mHealth) weight management programs and research. This study examined weight status, smartphone usage, and willingness to participate in mHealth weight management research among AAM. A self-administered survey was completed by a convenience sample of 311 AAM in north central Florida, United States. Participants received a $5 grocery store gift card. The mean BMI was 28.33 (SD, 6.7). Most (65.7%) were trying to lose weight or actively trying to not gain any more weight. Some (23.3%) reported that a physician told them to lose weight, and these men had a higher mean BMI than those who were not told to lose weight (p<0.0001). Most (65.0%) owned smartphones and used Facebook (72.0%) and YouTube (67.8%). Several (43.1%) expressed a willingness to participate in mHealth weight management research. Men who expressed a willingness had significantly higher BMI than those who did not (p<0.0001). Men also expressed willingness to participate in mHealth research that used text messages (62.0%), smartwatches/health trackers (55.0%), smartphone apps (51.4%), health tracking websites (32.8%), and online group support (21.5%). BMI was higher among those willing to participate in text-based research than those who were not (p=0.045). This study highlights the potential for recruiting AAM into mHealth weight management using a variety of tools and digital devices.

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“…African-American (AA) participation in mobile health (mHealth) studies is expanding in parallel to their increased adoption of mobile technologies [ 1 - 6 ]. Recent studies have integrated culturally tailored web-based platforms [ 7 , 8 ], monitoring technologies [ 9 ], and text-messaging [ 10 - 12 ] strategies to address key cardiovascular disease (CVD) risk factors among AAs, but few have attempted to translate existing effective evidence-based, community-based behavioral interventions into mHealth interventions within this population.…”

Section: Introductionmentioning

confidence: 99%

“…AA faith communities offer a promising avenue to foster recruitment into and deliver mHealth interventions as technology integration into health promotion activities at church may facilitate their implementation, dissemination and sustainability [ 9 , 16 ]. In addition, community-based recruitment approaches have cultivated trust between researchers and increased enrollment and retention rates in AAs [ 1 , 17 , 18 ]. We previously created a face-to-face, community-based, CVD prevention program among AA congregants in Minnesota (MN) which was successful in improving cardiovascular (CV) health knowledge and promoting CV health [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

mHealth Intervention Promoting Cardiovascular Health Among African-Americans: Recruitment and Baseline Characteristics of a Pilot Study

Brewer¹,

Jenkins²,

Lackore³

et al. 2018

JMIR Res Protoc

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BackgroundMobile health (mHealth) interventions are promising avenues to promote cardiovascular (CV) health among African-Americans (AAs) and culturally tailored technology-based interventions are emerging for this population.ObjectiveThe objectives of this study were to use a community-based participatory research (CBPR) approach to recruit AAs into a pilot intervention study of an innovative mHealth CV health promotion program and to characterize technology use patterns and eHealth literacy (EHL).MethodsCommunity partners from five predominately AA churches in southeast Minnesota collaborated with our academic institution to recruit AA congregants into the pilot study. Field notes as well as communications between the study team and community partners were used to design the recruitment strategy and its implementation with a goal of enrolling 50 participants. At its core, the recruitment strategy included community kickoff events to detail the state-of-the-art nature of the mHealth intervention components, the utility of CV health assessments (physical examination, laboratory studies and surveys) and the participants’ role in advancing our understanding of the efficacy of mHealth interventions among racial/ethnic minority groups. Detailed recruitment data were documented throughout the study. A self-administered, electronic survey measured sociodemographics, technology use and EHL (eHEALS scale).ResultsA total of 50 participants (70% women) from five AA churches were recruited over a one-month period. The majority (>90%) of participants reported using some form of mobile technology with all utilizing these technologies within their homes. Greater than half (60% [30/50]) reported being “very comfortable” with mobile technologies. Overall, participants had high EHL (84.8% [39/46] with eHEALS score ≥26) with no differences by sex.ConclusionsThis study illustrates the feasibility and success of a CBPR approach in recruiting AAs into mHealth intervention research and contributes to the growing body of evidence that AAs have high EHL, are high-users of mobile technologies, and thus are likely to be receptive to mHealth interventions.

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Participation of African Americans in e-Health and m-Health Studies: A Systematic Review

Cited by 69 publications

References 74 publications

A Systematic Review on Promoting Adherence to Antiretroviral Therapy in HIV-infected Patients Using Mobile Phone Technology

A Systematic Review on Promoting Adherence to Antiretroviral Therapy in HIV-infected Patients Using Mobile Phone Technology

Willingness of African American Men to Participate in mHealth Weight Management Programs

mHealth Intervention Promoting Cardiovascular Health Among African-Americans: Recruitment and Baseline Characteristics of a Pilot Study

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