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2.
J Med Syst ; 45(3): 36, 2021 Feb 09.
Artículo en Inglés | MEDLINE | ID: mdl-33559756

RESUMEN

The COVID-19 pandemic required a shift of graduate medical education recruitment to a virtual format. In order to share information and insight into the culture of our program with applicants, we created a smartphone app for those that were invited for an interview. By collecting the analytics of the app, we were able to follow trends in the timing of applicants downloading the app, their viewing histories, and when information was accessed. The app was mostly downloaded at the time of the interview invite or 48 h prior to the interview day. Around the interview day, applicants tended to access trainee profiles, faculty profiles, and videos about the program and community. Closer to the rank list due date, training information, the graduate medical education (GME) documents, and the diversity and wellness initiatives seemed to have more activity. This analysis from the use of a smartphone app in virtual recruitment gives insight into the use of a smartphone app by applicants, and the information that they find useful during the process.


Asunto(s)
/epidemiología , Educación de Postgrado en Medicina/métodos , Aplicaciones Móviles , Selección de Personal/métodos , Teléfono Inteligente , Humanos , Pandemias , Criterios de Admisión Escolar
3.
MMW Fortschr Med ; 163(2): 28-29, 2021 02.
Artículo en Alemán | MEDLINE | ID: mdl-33527281
4.
PLoS One ; 16(2): e0244860, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33524031

RESUMEN

INTRODUCTION: Regional anesthesia offers an alternative to general anesthesia and may be advantageous in low resource environments. There is a paucity of data regarding the practice of regional anesthesia in low- and middle-income countries. Using access data from a free Android app with curated regional anesthesia learning modules, we aimed to estimate global interest in regional anesthesia and potential applications to clinical practice stratified by World Bank income level. METHODS: We retrospectively analyzed data collected from the free Android app "Anesthesiologist" from December 2015 to April 2020. The app performs basic anesthetic calculations and provides links to videos on performing 12 different nerve blocks. Users of the app were classified on the basis of whether or not they had accessed the links. Nerve blocks were also classified according to major use (surgical block, postoperative pain adjunct, rescue block). RESULTS: Practitioners in low- and middle-income countries accessed the app more frequently than in high-income countries as measured by clicks. Users from low- and middle-income countries focused mainly on surgical blocks: ankle, axillary, infraclavicular, interscalene, and supraclavicular blocks. In high-income countries, more users viewed postoperative pain blocks: adductor canal, popliteal, femoral, and transverse abdominis plane blocks. Utilization of the app was constant over time with a general decline with the start of the COVID-19 pandemic. CONCLUSION: The use of an in app survey and analytics can help identify gaps and opportunities for regional anesthesia techniques and practices. This is especially impactful in limited-resource areas, such as lower-income environments and can lead to targeted educational initiatives.


Asunto(s)
Anestesia Local/economía , Educación en Salud/economía , Renta , Aplicaciones Móviles , Telemedicina , Geografía , Humanos , Bloqueo Nervioso , Evaluación de Resultado en la Atención de Salud , Dolor Postoperatorio/etiología
5.
Nutrients ; 13(2)2021 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-33525593

RESUMEN

The soar in COVID-19 cases around the globe has forced many to adapt to social distancing and self-isolation. In order to reduce contact with healthcare facilities and other patients, the CDC has advocated the use of telemedicine, i.e., electronic information and telecommunication technology. While these changes may disrupt normal behaviors and routines and induce anxiety, resulting in decreased vigilance to healthy diet and physical activity and reluctance to seek medical attention, they may just as well be circumvented using modern technology. Indeed, as the beginning of the pandemic a plethora of alternatives to conventional physical interactions were introduced. In this Perspective, we portray the role of SmartPhone applications (apps) in monitoring healthy nutrition, from their basic functionality as food diaries required for simple decision-making and nutritional interventions, through more advanced purposes, such as multi-dimensional data-mining and development of machine learning algorithms. Finally, we will delineate the emerging field of personalized nutrition and introduce pioneering technologies and concepts yet to be incorporated in SmartPhone-based dietary surveillance.


Asunto(s)
/epidemiología , Aplicaciones Móviles , Pandemias , Teléfono Inteligente , Telemedicina , /terapia , Ejercicio Físico , Humanos , Estado Nutricional
6.
Artículo en Inglés | MEDLINE | ID: mdl-33540628

RESUMEN

Taiwan has been successful in controlling the spread of SARS-CoV-2 during the COVID-19 pandemic; however, without a vaccine the threat of a second outbreak remains. Young adults who show few to no symptoms when infected have been identified in many countries as driving the virus' spread through unidentifiable community transmission. Mobile tracking technologies register nearby contacts of a user and notifies them if one later tests positive to the virus, potentially solving this issue; however, the effectiveness of these technologies depends on their acceptance by the public. The current study assessed attitudes towards three tracking technologies (telecommunication network tracking, a government app, and Apple and Google's Bluetooth exposure notification system) among four samples of young Taiwanese adults (aged 25 years or younger). Using Bayesian methods, we find high acceptance for all three tracking technologies (>75%), with acceptance for each technology surpassing 90% if additional privacy measures were included. We consider the policy implications of these results for Taiwan and similar cultures.


Asunto(s)
/epidemiología , Trazado de Contacto/métodos , Aplicaciones Móviles , Teléfono Inteligente , Adulto , Teorema de Bayes , Humanos , Pandemias , Privacidad , Taiwán , Tecnología , Adulto Joven
7.
J Am Dent Assoc ; 152(2): 127-135, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33494867

RESUMEN

BACKGROUND: Teleassistance in dentistry enables the support of dentists in areas without access to specialists. The aim of this study was to assess the feasibility and accuracy of synchronous teleconsultation in oral medicine. METHODS: Patients referred for specialized care owing to oral lesions were evaluated in person by a general dentist who obtained photographs of the lesions with a smartphone. The images were sent via a mobile application to an oral medicine specialist, with whom a video call was initiated on the same instant messaging application. After interviewing the patient, the specialist formulated a diagnostic hypothesis and suggestions for case management. Then a second specialist, blinded to the first evaluation, assessed the oral lesion in person and defined a diagnosis, which was considered as the reference standard. Diagnoses from the remote and the face-to-face consultations were compared in percentage levels of agreement and κ coefficient. RESULTS: Thirty-three patients, 25 through 83 years old, had 41 oral lesions. The average teleconsultation length was approximately 10 minutes. In 92.7% of the cases, there was concordance between the telediagnosis and the reference standard (κ = 0.922). CONCLUSIONS: Synchronous teleconsultation can provide reliable remote diagnosis through the support to primary care health care professionals in management of oral lesions. PRACTICAL IMPLICATIONS: Earlier diagnosis of malignancies, improvement of access for unassisted populations, and reduction of unnecessary referrals are possible practical implications of remote support of a specialist in the management and diagnosis of oral lesions.


Asunto(s)
Aplicaciones Móviles , Consulta Remota , Anciano de 80 o más Años , Odontólogos , Humanos , Teléfono Inteligente , Especialización
8.
Artículo en Inglés | MEDLINE | ID: mdl-33498863

RESUMEN

Owing to the convenience, reliability and contact-free feature of Mobile payment (M-payment), it has been diffusely adopted in China during the COVID-19 pandemic to reduce the direct and indirect contacts in transactions, allowing social distancing to be maintained and facilitating stabilization of the social economy. This paper aims to comprehensively investigate the technological and mental factors affecting users' adoption intentions of M-payment under the COVID-19 pandemic, to expand the domain of technology adoption under the emergency situation. This study integrated Unified Theory of Acceptance and Use of Technology (UTAUT) with perceived benefits from Mental Accounting Theory (MAT), and two additional variables (perceived security and trust) to investigate 739 smartphone users' adoption intentions of M-payment during the COVID-19 pandemic in China. The empirical results showed that users' technological and mental perceptions conjointly influence their adoption intentions of M-payment during the COVID-19 pandemic, wherein perceived benefits are significantly determined by social influence and trust, corresponding with the situation of pandemic. This study initially integrated UTAUT with MAT to develop the theoretical framework for investigating users' adoption intentions. Meanwhile, this study originally investigated the antecedents of M-payment adoption under the pandemic situation and indicated that users' perceptions will be positively influenced when technology's specific characteristics can benefit a particular situation.


Asunto(s)
Comercio/tendencias , Aplicaciones Móviles/estadística & datos numéricos , Pandemias/economía , China/epidemiología , Humanos , Reproducibilidad de los Resultados
9.
Rev. enferm. UFPE on line ; 15(1): [1-13], jan. 2021. ilus
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145732

RESUMEN

Objetivo: elaborar um protótipo para um aplicativo móvel a fim de ampliar a disponibilidade de apoio social para as gestantes. Método: trata-se de um estudo misto, tipo transversal, realizado com gestantes usuárias da atenção básica à saúde de unidades vinculadas ao Sistema Único de Saúde (SUS). Elaborou-se, a partir dos resultados obtidos na pesquisa, um protótipo para aplicativo móvel no modelo SCRUM para sistema operacional Android. Resultados: nominou-se o protótipo de Apoia. Revelam-se as funcionalidades do Apoia de proporcionar a interação entre a gestante e as pessoas por ela escolhidas para comporem a rede social, possibilitar a troca de mensagens de apoio, resgatar a disponibilidade das pessoas em oferecer ajuda, assessorando, dessas formas, a mulher grávida no processo de viabilização do apoio social. Conclusão: acredita-se que o Apoia é um recurso inovador, com o intuito de construir e ampliar o apoio social para gestantes usuárias a partir da construção e flexibilização da rede social com o uso das tecnologias da informação e comunicação na saúde.(AU)


Objective: to develop a prototype for a mobile application in order to increase the availability of social support for pregnant women. Method: this is a cross-sectional, mixed study conducted with pregnant women who use basic health care in units linked to the Unified Health System (UHS). Based on the results obtained in the research, a prototype for a mobile application in the SCRUM model for the Android operating system was elaborated. Results: the prototype of Apoia was named. The functionalities of Apoia are revealed: to provide interaction between the pregnant woman and the people she has chosen to make up the social network, to enable the exchange of support messages, to rescue people's willingness to offer help, thus assisting the pregnant woman in the process of making social support possible. Conclusion: It is believed that Apoia is an innovative resource, with the aim of building and expanding social support for pregnant users from the construction and flexibility of the social network with the use of information and communication technologies in health.(AU)


Objetivo: desarrollar un prototipo de aplicación móvil con el fin de aumentar la disponibilidad de apoyo social para mujeres embarazadas. Método: se trata de un estudio mixto, transversal, realizado con mujeres embarazadas usuarias de atención primaria de salud en unidades vinculadas al Sistema Único de Salud (SUS). A partir de los resultados obtenidos en la investigación se elaboró un prototipo de aplicación móvil en el modelo SCRUM para sistema operativo Android. Resultados: se nombró el prototipo de Apoia. Las características de Apoia se revelan para brindar interacción entre la gestante y las personas elegidas por ella para componer la red social, posibilitar el intercambio de mensajes de apoyo, rescatar la disponibilidad de personas para ofrecer ayuda, asesorando así a la mujer. embarazada en el proceso de habilitar el apoyo social. Conclusión: se cree que Apoia es un recurso innovador, con el objetivo de construir y ampliar el apoyo social a usuarias embarazadas desde la construcción y flexibilización de la red social con el uso de tecnologías de la información y la comunicación en salud. (AU)


Asunto(s)
Humanos , Femenino , Embarazo , Atención Primaria de Salud , Apoyo Social , Mujeres Embarazadas , Tecnología de la Información , Medios de Comunicación Sociales , Aplicaciones Móviles , Salud Materna , Redes Sociales en Línea , Salud Materno-Infantil , Estudios Transversales
10.
BMJ Open Qual ; 10(1)2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33408099

RESUMEN

Patients admitted to the isolation ward during the COVID-19 outbreak face multiple psychosocial stressors including the disruptive experience of being in quarantine, anxiety over contracting a newly emerging infectious disease and limited access to their healthcare team. This quality improvement project aims to leverage on technology to improve patients' access to, and experience of, care while in isolation.Patients admitted to two isolation wards in Singapore General Hospital (SGH) between 28 February and 19 March 2020 were each provided an iPad loaded with the MyCare application (app), curated materials and mobile games. During this period, 83 of them accessed the device and the app. MyCare app is an app developed by the nursing team in SGH as part of an existing interprofessional collaboration to help patients navigate their care during their inpatient stay. In response to COVID-19, MyCare app was supplemented with materials to address affected patients' informational and psychosocial needs. These materials included an information sheet on COVID-19, interviews with previous severe acute respiratory syndrome survivors, psychosocial support materials, and uplifting literature, illustrated storybooks and artwork.This paper describes the process of planning for, and executing, the intervention and reports the initial results of its effect. Initial feedback indicated a positive response to the intervention. 9 out of 10 respondents (90%) rated their hospital experience with a maximum of five stars and all 10 respondents (100%) rated the psychosocial support materials with five stars. Doctors managing the patients also observed a reduction in the number of commonly asked questions following the deployment of the iPad.This quality improvement project is ongoing with plans for further research to determine how to better support the psychosocial needs of patients in isolation during a novel disease outbreak. This report is written based on the Standards for Quality Improvement Reporting Excellence guidelines.


Asunto(s)
Acceso a la Información , Comportamiento del Consumidor , Accesibilidad a los Servicios de Salud , Hospitalización , Aplicaciones Móviles , Cuarentena/psicología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Brotes de Enfermedades , Empoderamiento , Femenino , Hospitales , Humanos , Masculino , Persona de Mediana Edad , Singapur , Estrés Psicológico/etiología , Estrés Psicológico/prevención & control , Adulto Joven
11.
Int J Med Inform ; 147: 104369, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33388481

RESUMEN

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has had an impact on several aspects of life, including university students' mental health. Mobile mental care applications (apps) comprise a form of online mental care that enables the delivery of remote mental care. OBJECTIVES: This study aimed to explore the impact of COVID-19 on the mental health of university students in Spain and to explore their attitudes toward the use of mobile mental care apps. METHOD: Respondents answered a survey, which comprised two sections. The first included the 12-item General Health Questionnaire (GHQ-12) that was employed to assess the students' mental health. The second section included six questions developed by the authors to explore the students' attitudes toward mental care apps. RESULTS: The results showed that the students suffered from anxiety and depression as well as social dysfunction. Further, 91.3 % of the students had never used a mobile app for mental health, 36.3 % were unaware of such apps, and 79.2 % were willing to use them in the future. CONCLUSIONS: The COVID-19 pandemic had a significant impact on the psychological health of university students. Mobile mental care apps may be an effective and efficient way to access mental care, particularly during a pandemic.


Asunto(s)
Aplicaciones Móviles , Actitud , Humanos , Salud Mental , Pandemias , España/epidemiología , Estudiantes , Universidades
12.
Nat Commun ; 12(1): 232, 2021 01 11.
Artículo en Inglés | MEDLINE | ID: mdl-33431829

RESUMEN

Contact tracing is critical to controlling COVID-19, but most protocols only "forward-trace" to notify people who were recently exposed. Using a stochastic branching-process model, we find that "bidirectional" tracing to identify infector individuals and their other infectees robustly improves outbreak control. In our model, bidirectional tracing more than doubles the reduction in effective reproduction number (Reff) achieved by forward-tracing alone, while dramatically increasing resilience to low case ascertainment and test sensitivity. The greatest gains are realised by expanding the manual tracing window from 2 to 6 days pre-symptom-onset or, alternatively, by implementing high-uptake smartphone-based exposure notification; however, to achieve the performance of the former approach, the latter requires nearly all smartphones to detect exposure events. With or without exposure notification, our results suggest that implementing bidirectional tracing could dramatically improve COVID-19 control.


Asunto(s)
/prevención & control , Trazado de Contacto/métodos , Brotes de Enfermedades/prevención & control , /diagnóstico , Simulación por Computador , Humanos , Aplicaciones Móviles , Sensibilidad y Especificidad , Teléfono Inteligente
13.
J Med Internet Res ; 23(2): e25893, 2021 02 08.
Artículo en Inglés | MEDLINE | ID: mdl-33465036

RESUMEN

BACKGROUND: Contact tracing apps are an essential component of an effective COVID-19 testing strategy to counteract the spread of the pandemic and thereby avoid overburdening the health care system. As the adoption rates in several regions are undesirable, governments must increase the acceptance of COVID-19 tracing apps in these times of uncertainty. OBJECTIVE: Building on the Uncertainty Reduction Theory (URT), this study aims to investigate how uncertainty reduction measures foster the adoption of COVID-19 tracing apps and how their use affects the perception of different risks. METHODS: Representative survey data were gathered at two measurement points (before and after the app's release) and analyzed by performing covariance-based structural equation modeling (n=1003). RESULTS: We found that uncertainty reduction measures in the form of the transparency dimensions disclosure and accuracy, as well as social influence and trust in government, foster the adoption process. The use of the COVID-19 tracing app in turn reduced the perceived privacy and performance risks but did not reduce social risks and health-related COVID-19 concerns. CONCLUSIONS: This study contributes to the mass adoption of health care technology and URT research by integrating interactive communication measures and transparency as a multidimensional concept to reduce different types of uncertainty over time. Furthermore, our results help to derive communication strategies to promote the mass adoption of COVID-19 tracing apps, thus detecting infection chains and allowing intelligent COVID-19 testing.


Asunto(s)
/epidemiología , Trazado de Contacto/métodos , Aplicaciones Móviles , Investigación Empírica , Humanos , Incertidumbre
14.
J Med Internet Res ; 23(2): e20546, 2021 02 02.
Artículo en Inglés | MEDLINE | ID: mdl-33493126

RESUMEN

BACKGROUND: Amid the COVID-19 pandemic, public health policies to curb the spread of SARS-CoV-2 and its associated disease, COVID-19, have resulted in significant alterations to daily routines (eg, work-from-home policies) that may have enabled longer sleep duration among the general population. OBJECTIVE: We aimed to examine changes in estimated sleep duration in 5 major metropolitan areas before and after the start of the COVID-19 pandemic. METHODS: We conducted a prospective observational study using estimated sleep duration data obtained from a smartphone app. The data were obtained from regular users of the smartphone app before and after the World Health Organization declared COVID-19 a pandemic in March 2020. We compared within-subject estimated sleep duration before and during the COVID-19 pandemic using generalized linear mixed models. RESULTS: Among the 2,871,037 observations, 957,022 (33.3%) were from users in London; 549,151 (19.1%) were from users in Los Angeles; 846,527 (29.5%) were from users in New York City; 251,113 (8.7%) were from users in Seoul; and 267,224 (9.3%) were from users in Stockholm. The average age of the users in the sample was 35 years (SE 11 years). Prior to the COVID-19 pandemic, people residing in Seoul had the shortest estimated sleep duration (mean 6 hours 28 minutes, SE 11.6 minutes) and those residing in Stockholm had the longest estimated sleep duration (mean 7 hours 34 minutes, SE 9.9 minutes). The onset of the COVID-19 pandemic was associated with a 13.7 minute increase in estimated sleep duration when comparing March 2019 and March 2020 (95% CI 13.1-14.3, P<.001) and an increase of 22.3 minutes when comparing April 2019 and April 2020 (95% CI 21.5-23.1, P<.001). CONCLUSIONS: The average estimated sleep duration increased sharply in the months after the onset of the COVID-19 pandemic. This finding suggests that the implementation of COVID-19 mitigation strategies has provided people worldwide with increased opportunities to sleep, which may enhance the response of the immune system to viral pathogens.


Asunto(s)
Aplicaciones Móviles , Sueño , Teléfono Inteligente , Adulto , Femenino , Humanos , Londres , Los Angeles , Masculino , Persona de Mediana Edad , Ciudad de Nueva York , Pandemias , Estudios Prospectivos , Seúl , Programas Informáticos , Suecia , Factores de Tiempo , Adulto Joven
15.
J Med Internet Res ; 23(2): e25525, 2021 02 08.
Artículo en Inglés | MEDLINE | ID: mdl-33503000

RESUMEN

BACKGROUND: The main German-speaking countries (Germany, Austria, and Switzerland) have implemented digital contact tracing apps to assist the authorities with COVID-19 containment strategies. Low user rates for these apps can affect contact tracing and, thus, its usefulness in controlling the spread of the novel coronavirus. OBJECTIVE: This study aimed to assess the early perceptions of people living in the German-speaking countries and compare them with the frames portrayed in the newspapers during the first wave of the COVID-19 pandemic. METHODS: We conducted qualitative interviews with 159 participants of the SolPan project. Of those, 110 participants discussed contact tracing apps and were included in this study. We analyzed articles regarding contact tracing apps from 12 newspapers in the German-speaking countries. RESULTS: Study participants perceived and newspaper coverage in all German-speaking countries framed contact tracing apps as governmental surveillance tools and embedded them in a broader context of technological surveillance. Participants identified trust in authorities, respect of individual privacy, voluntariness, and temporary use of contact tracing apps as prerequisites for democratic compatibility. Newspapers commonly referenced the use of such apps in Asian countries, emphasizing the differences in privacy regulation among these countries. CONCLUSIONS: The uptake of digital contact tracing apps in German-speaking countries may be undermined due to privacy risks that are not compensated by potential benefits and are rooted in a deeper skepticism towards digital tools. When authorities plan to implement new digital tools and practices in the future, they should be very transparent and proactive in communicating their objectives and the role of the technology-and how it differs from other, possibly similar, tools. It is also important to publicly address ethical, legal, and social issues related to such technologies prior to their launch.


Asunto(s)
/epidemiología , Trazado de Contacto/métodos , Aplicaciones Móviles , Adolescente , Adulto , Anciano , Alemania/epidemiología , Humanos , Persona de Mediana Edad , Percepción , Adulto Joven
16.
J Med Internet Res ; 23(2): e23467, 2021 02 09.
Artículo en Inglés | MEDLINE | ID: mdl-33493125

RESUMEN

BACKGROUND: Many countries across the globe have released their own COVID-19 contact tracing apps. This has resulted in the proliferation of several apps that used a variety of technologies. With the absence of a standardized approach used by the authorities, policy makers, and developers, many of these apps were unique. Therefore, they varied by function and the underlying technology used for contact tracing and infection reporting. OBJECTIVE: The goal of this study was to analyze most of the COVID-19 contact tracing apps in use today. Beyond investigating the privacy features, design, and implications of these apps, this research examined the underlying technologies used in contact tracing apps. It also attempted to provide some insights into their level of penetration and to gauge their public reception. This research also investigated the data collection, reporting, retention, and destruction procedures used by each of the apps under review. METHODS: This research study evaluated 13 apps corresponding to 10 countries based on the underlying technology used. The inclusion criteria ensured that most COVID-19-declared epicenters (ie, countries) were included in the sample, such as Italy. The evaluated apps also included countries that did relatively well in controlling the outbreak of COVID-19, such as Singapore. Informational and unofficial contact tracing apps were excluded from this study. A total of 30,000 reviews corresponding to the 13 apps were scraped from app store webpages and analyzed. RESULTS: This study identified seven distinct technologies used by COVID-19 tracing apps and 13 distinct apps. The United States was reported to have released the most contact tracing apps, followed by Italy. Bluetooth was the most frequently used underlying technology, employed by seven apps, whereas three apps used GPS. The Norwegian, Singaporean, Georgian, and New Zealand apps were among those that collected the most personal information from users, whereas some apps, such as the Swiss app and the Italian (Immuni) app, did not collect any user information. The observed minimum amount of time implemented for most of the apps with regard to data destruction was 14 days, while the Georgian app retained records for 3 years. No significant battery drainage issue was reported for most of the apps. Interestingly, only about 2% of the reviewers expressed concerns about their privacy across all apps. The number and frequency of technical issues reported on the Apple App Store were significantly more than those reported on Google Play; the highest was with the New Zealand app, with 27% of the reviewers reporting technical difficulties (ie, 10% out of 27% scraped reviews reported that the app did not work). The Norwegian, Swiss, and US (PathCheck) apps had the least reported technical issues, sitting at just below 10%. In terms of usability, many apps, such as those from Singapore, Australia, and Switzerland, did not provide the users with an option to sign out from their apps. CONCLUSIONS: This article highlighted the fact that COVID-19 contact tracing apps are still facing many obstacles toward their widespread and public acceptance. The main challenges are related to the technical, usability, and privacy issues or to the requirements reported by some users.


Asunto(s)
Actitud , Trazado de Contacto/métodos , Aplicaciones Móviles , Privacidad , Australia , Recolección de Datos , Brotes de Enfermedades , Sistemas de Información Geográfica , Georgia (República) , Humanos , Italia , Nueva Zelanda , Noruega , Singapur , Suiza , Tecnología , Estados Unidos , Tecnología Inalámbrica
17.
Nat Hum Behav ; 5(2): 247-255, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33479505

RESUMEN

Digital contact tracing apps have been introduced globally as an instrument to contain the COVID-19 pandemic. Yet, privacy by design impedes both the evaluation of these tools and the deployment of evidence-based interventions to stimulate uptake. We combine an online panel survey with mobile tracking data to measure the actual usage of Germany's official contact tracing app and reveal higher uptake rates among respondents with an increased risk of severe illness, but lower rates among those with a heightened risk of exposure to COVID-19. Using a randomized intervention, we show that informative and motivational video messages have very limited effect on uptake. However, findings from a second intervention suggest that even small monetary incentives can strongly increase uptake and help make digital contact tracing a more effective tool.


Asunto(s)
/prevención & control , Trazado de Contacto/métodos , Aplicaciones Móviles/estadística & datos numéricos , Adolescente , Adulto , Factores de Edad , Actitud Frente a la Salud , Comorbilidad , Recolección de Datos , Escolaridad , Femenino , Alemania , Humanos , Renta , Masculino , Persona de Mediana Edad , Motivación , Privacidad , Autoinforme , Factores Sexuales , Encuestas y Cuestionarios , Adulto Joven
18.
Artículo en Inglés | MEDLINE | ID: mdl-33477831

RESUMEN

Mindfulness-based interventions (MBI) are a recognized effective psychological practice characterized by attention control, awareness, acceptance, non-reactivity, and non-judgmental thinking obtained through the practice of meditation. They have been shown to be useful in reducing stress and enhancing well-being in different contexts. In this research, the effectiveness of an MBI was evaluated on variables that can promote successful job performance such as mindfulness trait, positive and negative affect, forgiveness, personality strengths and satisfaction with life. The intervention was carried out through a smartphone application called "Aire Fresco" (Fresh Air) during 14 days in the middle of the quarantine produced by the Covid-19 pandemic. The study sample was composed of 164 Spanish people who were distributed in two groups: control group and experimental group, which were evaluated before and after the intervention. The MANCOVA performed showed an overall positive effect of the intervention on the variables evaluated. The different ANCOVAs carried out showed that the intervention was beneficial in increasing mindfulness trait, reducing negative affect or increasing life satisfaction, among others. Our study is, as far as we know, the first to demonstrate the effectiveness of a brief intervention in mindfulness conducted using a smartphone application in Spanish.


Asunto(s)
Perdón , Atención Plena , Aplicaciones Móviles , Satisfacción Personal , Teléfono Inteligente , Afecto , Humanos , Pandemias , España
19.
J Med Internet Res ; 23(2): e24730, 2021 02 03.
Artículo en Inglés | MEDLINE | ID: mdl-33465034

RESUMEN

BACKGROUND: During the COVID-19 pandemic, new digital solutions have been developed for infection control. In particular, contact tracing mobile apps provide a means for governments to manage both health and economic concerns. However, public reception of these apps is paramount to their success, and global uptake rates have been low. OBJECTIVE: In this study, we sought to identify the characteristics of individuals or factors potentially associated with voluntary downloads of a contact tracing mobile app in Singapore. METHODS: A cohort of 505 adults from the general community completed an online survey. As the primary outcome measure, participants were asked to indicate whether they had downloaded the contact tracing app TraceTogether introduced at the national level. The following were assessed as predictor variables: (1) participant demographics, (2) behavioral modifications on account of the pandemic, and (3) pandemic severity (the number of cases and lockdown status). RESULTS: Within our data set, the strongest predictor of the uptake of TraceTogether was the extent to which individuals had already adjusted their lifestyles because of the pandemic (z=13.56; P<.001). Network analyses revealed that uptake was most related to the following: using hand sanitizers, avoiding public transport, and preferring outdoor over indoor venues during the pandemic. However, demographic and situational characteristics were not significantly associated with app downloads. CONCLUSIONS: Efforts to introduce contact tracing apps could capitalize on pandemic-related behavioral adjustments among individuals. Given that a large number of individuals is required to download contact tracing apps for contact tracing to be effective, further studies are required to understand how citizens respond to contact tracing apps. TRIAL REGISTRATION: ClinicalTrials.gov NCT04468581, https://clinicaltrials.gov/ct2/show/NCT04468581.


Asunto(s)
/prevención & control , Trazado de Contacto/estadística & datos numéricos , Conductas Relacionadas con la Salud , Aplicaciones Móviles/estadística & datos numéricos , Adulto , Estudios de Cohortes , Control de Enfermedades Transmisibles/estadística & datos numéricos , Trazado de Contacto/métodos , Femenino , Desinfección de las Manos , Desinfectantes para las Manos/uso terapéutico , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Pandemias , Singapur , Encuestas y Cuestionarios , Transportes/estadística & datos numéricos
20.
J Med Internet Res ; 23(2): e23389, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33481759

RESUMEN

BACKGROUND: Government responses to managing the COVID-19 pandemic may have impacted the way individuals were able to engage in physical activity. Digital platforms are a promising way to support physical activity levels and may have provided an alternative for people to maintain their activity while at home. OBJECTIVE: This study aimed to examine associations between the use of digital platforms and adherence to the physical activity guidelines among Australian adults and adolescents during the COVID-19 stay-at-home restrictions in April and May 2020. METHODS: A national online survey was distributed in May 2020. Participants included 1188 adults (mean age 37.4 years, SD 15.1; 980/1188, 82.5% female) and 963 adolescents (mean age 16.2 years, SD 1.2; 685/963, 71.1% female). Participants reported demographic characteristics, use of digital platforms for physical activity over the previous month, and adherence to moderate- to vigorous-intensity physical activity (MVPA) and muscle-strengthening exercise (MSE) guidelines. Multilevel logistic regression models examined differences in guideline adherence between those who used digital platforms (ie, users) to support their physical activity compared to those who did not (ie, nonusers). RESULTS: Digital platforms include streaming services for exercise (eg, YouTube, Instagram, and Facebook); subscriber fitness programs, via an app or online (eg, Centr and MyFitnessPal); facilitated online live or recorded classes, via platforms such as Zoom (eg, dance, sport training, and fitness class); sport- or activity-specific apps designed by sporting organizations for participants to keep up their skills (eg, TeamBuildr); active electronic games (eg, Xbox Kinect); and/or online or digital training or racing platforms (eg, Zwift, FullGaz, and Rouvy). Overall, 39.5% (469/1188) of adults and 26.5% (255/963) of adolescents reported using digital platforms for physical activity. Among adults, MVPA (odds ratio [OR] 2.0, 95% CI 1.5-2.7), MSE (OR 3.3, 95% CI 2.5-4.5), and combined (OR 2.7, 95% CI 2.0-3.8) guideline adherence were higher among digital platform users relative to nonusers. Adolescents' MVPA (OR 2.4, 95% CI 1.3-4.3), MSE (OR 3.1, 95% CI 2.1-4.4), and combined (OR 4.3, 95% CI 2.1-9.0) guideline adherence were also higher among users of digital platforms relative to nonusers. CONCLUSIONS: Digital platform users were more likely than nonusers to meet MVPA and MSE guidelines during the COVID-19 stay-at-home restrictions in April and May 2020. Digital platforms may play a critical role in helping to support physical activity engagement when access to facilities or opportunities for physical activity outside the home are restricted.


Asunto(s)
Ejercicio Físico , Adhesión a Directriz , Entrenamiento de Resistencia , Medios de Comunicación Sociales , Juegos de Video , Difusión por la Web como Asunto , Adolescente , Adulto , Australia , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Aplicaciones Móviles , Análisis Multinivel , Pandemias , Encuestas y Cuestionarios , Adulto Joven
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