The feasibility of assessing alcohol use among college students using wireless mobile devices: Implications for health education and behavioural research
Abstract:Objective: This study examined the feasibility of using wireless mobile devices (MDs) to collect daily alcohol information among college students, in particular examining feasibility in the context of costs associated with the use of wireless MDs. This study reports on practical aspects of using MDs to collect alcohol data, including compliance, technical success, user preferences for completing MD-based assessments, and cost. Setting: The study took place at a large, public university in the south-eastern Un… Show more
“…34 For instance, some studies have found that realtime feedback of users' health status and motivational messages via social media platforms and mobile devices can have a positive impact on controlling behaviors such as alcohol consumption, exercise, diet, and sexual behavior. 35,36 In our study, most physicians agree that ICTs can be useful in the promotion of health and medical services (87.4% and 84.3%, respectively). As eHealth applications continue to grow, they will allow for more personalized patient care, guiding patients when choosing a health professional, while providing relevant health information in the process.…”
In recent years, the use of information and communication technologies (ICTs) has increased in various sectors, among which the healthcare service is no exception. However, studies have mostly focused on the use of ICTs among patients with chronic diseases, with few reports on the advantages and barriers of these technologies among physicians, particularly in Latin America. We designed this study to fill in the gap, as an objective assessment of the frequency of use, perceptions, and barriers of ICTs among physicians remains crucial for a successful implementation of these technologies into the mainstream medical practice. Methods: We conducted an anonymous cross-sectional survey-based study in 640 Ecuadorian physicians. The survey used consisted of 13 items and evaluated the frequency of use, perceptions, and barriers of ICTs among physicians. Chi-square tests for goodness of fit and independence were performed, whilst Phi coefficient was interpreted to assess the strength of associations. Fisher exact test was performed when required. Results: Over 90% of physicians reported the use of ICTs to message other colleagues and patients (p=0.000). While 89.5% of physicians used social media to interact with other colleagues, only 58.1% used them to interact with patients (p=0.000). Most participants reported the use of ICTs to search for academic information (p=0.000). Moreover, more than 80.0% agree that ICTs may be used to promote health and medical services, search new job opportunities, get involved in research projects and promote teamwork with colleagues. However, 83.6% of physicians expressed concerns about privacy and patient confidentiality, while 53.8% stated that they lacked the time to use ICTs. Conclusion: High usage of ICTs was found among Ecuadorian physicians. Younger physicians, with less postgraduate years, and non-specialists were more likely to have a positive perception toward ICTs. Privacy and patient confidentiality, followed by time management, were the most reported barriers in our study.
“…34 For instance, some studies have found that realtime feedback of users' health status and motivational messages via social media platforms and mobile devices can have a positive impact on controlling behaviors such as alcohol consumption, exercise, diet, and sexual behavior. 35,36 In our study, most physicians agree that ICTs can be useful in the promotion of health and medical services (87.4% and 84.3%, respectively). As eHealth applications continue to grow, they will allow for more personalized patient care, guiding patients when choosing a health professional, while providing relevant health information in the process.…”
In recent years, the use of information and communication technologies (ICTs) has increased in various sectors, among which the healthcare service is no exception. However, studies have mostly focused on the use of ICTs among patients with chronic diseases, with few reports on the advantages and barriers of these technologies among physicians, particularly in Latin America. We designed this study to fill in the gap, as an objective assessment of the frequency of use, perceptions, and barriers of ICTs among physicians remains crucial for a successful implementation of these technologies into the mainstream medical practice. Methods: We conducted an anonymous cross-sectional survey-based study in 640 Ecuadorian physicians. The survey used consisted of 13 items and evaluated the frequency of use, perceptions, and barriers of ICTs among physicians. Chi-square tests for goodness of fit and independence were performed, whilst Phi coefficient was interpreted to assess the strength of associations. Fisher exact test was performed when required. Results: Over 90% of physicians reported the use of ICTs to message other colleagues and patients (p=0.000). While 89.5% of physicians used social media to interact with other colleagues, only 58.1% used them to interact with patients (p=0.000). Most participants reported the use of ICTs to search for academic information (p=0.000). Moreover, more than 80.0% agree that ICTs may be used to promote health and medical services, search new job opportunities, get involved in research projects and promote teamwork with colleagues. However, 83.6% of physicians expressed concerns about privacy and patient confidentiality, while 53.8% stated that they lacked the time to use ICTs. Conclusion: High usage of ICTs was found among Ecuadorian physicians. Younger physicians, with less postgraduate years, and non-specialists were more likely to have a positive perception toward ICTs. Privacy and patient confidentiality, followed by time management, were the most reported barriers in our study.
“…EMA offers methodological advantages to recall-based tools, including real-time reporting of mood, behavior, and environment (Forbes et al, 2012;Armey et al, 2011;Shrier et al, 2012;Wenze & Miller, 2010). EMA data are collected via cellular phone but historically collection involved sending automated surveys via handheld devices such as palm pilots (Collins, Kashdan, & Gollnisch, 2003;Shrier, Shih, Hacker, & de Moor, 2007). Adolescent cell phone ownership rates increase each year.…”
Interventions should encourage sleep-mood relationship awareness, and further research should identify significant differences to inform tailored interventions with adolescents.
“…Health promoters have described the use of 'real-time feedback' of users' health status and 'prompts' and 'motivation' messages to 'change unhealthy lifestyle habits' via social media platforms and mobile devices, with reference to controlling behaviours such as smoking, alcohol consumption, exercise, diet and sexual behaviour (Mays et al, 2010;Laakso et al, 2011). One study, for example, reported the use of mobile devices to collect daily information about alcohol consumption among a group of American college students, referring to the devices' ability to administer 'just-intime' interventions to intercept unhealthy behaviours as they happen in real time (Mays et al, 2010). Such researchers frequently make reference to linking healthpreventive strategies using m-health devices with 'acceptance of greater personal consumer responsibility for healthy lifestyles', as Mays et al (2010, p. 311) …”
The new mobile wireless computer technologies and social media applications using Web 2.0 platforms have recently received attention from those working in health promotion as a promising new way of achieving their goals of preventing ill-health and promoting healthy behaviours at the population level. There is very little critical examination in this literature of how the use of these digital technologies may affect the targeted groups, in terms of the implications for how individuals experience embodiment, selfhood and social relationships. This article addresses these issues, employing a range of social and cultural theories to do so. It is argued that m-health technologies produce a digital cyborg body. They are able to act not only as prostheses, but also as interpreters of the body. The subject produced through the use of m-health technologies is constructed as both an object of surveillance and persuasion, and as a responsible citizen who is willing and able to act on the health imperatives issuing forth from the technologies and to present their body/self as open to continual measurement and assessment. The implications of this new way of monitoring and regulating health are discussed.
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