Examining motivation factors for African American students' use of consumer wearables.

Purpose: This study was initiated to examine factors that motivate African American students who use wearable devices at an HBCU in Mississippi. Method: We conducted a correlational research study on undergraduate and graduate students from a southern USA university. The stratified random sample comprised a total of 239 students. The responses of the students were analyzed using the Fisher exact test to determine whether or not there was a significant association between the categorical demographic variables (age, gender, ethnicity, and student classification) and the students' motivation for using a wearable device. Results: Students used wearables for one main reason, to help them increase their awareness of their health status because they understand the importance of tracking their health metrics to boost their health status and reduce risk factors for developing chronic diseases. Students also demonstrated that they understand the value of tracking health information, such as heart rate and blood pressure, as a way to reduce the prevalence and impact of risk factors that can lead to chronic diseases. Conclusions: Wearables enable individuals to regularly observe, measure, and record their physical status and physiological measures, and facilitate medication adherence by enabling individuals to maintain their prescribed medication regimen adequately. The data collected and stored through these wearables can provide data that will be useful for medical personnel in their treatment of patients and in developing strategies for prevention and intervention for the larger community.

The Use of Digital Telehealth for the Self-Management of Type 2 Diabetes Patients in Hinds County, Mississippi: A Pilot Study.

Self-management is crucial for the management of type 2 diabetes. Remote patient monitoring via telehealth may enhance self-management and control of diabetes. A three-arm randomized controlled trial involving 90 participants randomized into two intervention groups and one control group was conducted. The purpose of this study is to test whether the use of a mobile phone-based app, with or without telehealth counseling, could improve HbA1c level, self-management, and health-related quality of life compared with usual care. The two intervention groups received a mobile phone with a self-management app. One intervention group additionally received telehealth counseling delivered by a diabetes specialist nurse for 6 months. All three groups continued to receive the usual care from their provider. The primary outcome is a reduction in HbA1c level. Secondary outcomes are self-management, health-related quality of life, depressive symptoms, and lifestyle changes. Data were analyzed using univariate and multivariate (descriptive, t-test, MANOVA) methods. There was a significant reduction in the HbA1c levels of participants after 3 and 6 months. There was also a significant difference in HbA1c levels between the control and two intervention groups. Pre- and posteducation surveys for intervention group 2 showed an improvement in the understanding of type 2 diabetes risk factors, diabetes, and self-management. Digital telehealth demonstrated considerable potential for reducing blood sugar levels, enhancing self-management, and improving the quality of life of type 2 diabetic patients. The addition of telehealth education and counseling further improved the positive outcomes.

Mississippi church leaders' perceptions of challenges and barriers to the use of consumer wearables among community members.

Background: Wearables have begun to play a transformative role in health management and disease prevention. Objective: This study examined the use of wearable devices in African American communities in Mississippi, USA, through the lens of church leaders. Methods: We conducted focus groups with church leaders to record their perceptions about the use of wearables of their community members. We conducted six focus groups with a total of 89 church leaders from across the state of Mississippi. The focus groups were designed to contextualize and explain the socio-cognitive processes that provided an understanding of wearable device adoption practices among community members. Participants were male and female church leaders who were recruited from the three Mississippi Districts. The church leaders' perceptions of barriers and challenges to the adoption of consumer wearables in their communities were thoroughly analyzed using thematic analysis. Results: There was great apprehension on the part of community members about the security of the information they entered into the wearable devices and about how that information could be used by other parties. Many community members who understood the value of proactive health behaviors could not afford the high cost of purchasing wearable devices, while others displayed a low level of comfort with technology, believing that wearable use was for younger people. Conclusion: More expansive adoption of wearable devices in Mississippi will depend on the ability of the public health professionals, policy-makers and manufacturers to address the barriers that were identified by this study, thereby enabling the community to have full access to the potential benefits of these technologies.

Correlates of early overt and covert sexual behaviors in heterosexual women.

We used data provided by 417 Kinsey-0 and Kinsey-1 heterosexual women using an anonymous computerized survey to determine the adult correlates of two female-female behaviors that occurred before age 18; 25.4% of participants reported engaging in one or both behaviors. Sexual experimentation with females and masturbating using images of females before age 18 were statistically significant predictors of four different female-female behaviors in adulthood: sexual contact with females, masturbating using images of females, preferring a female fantasy partner while having sex with a favorite (male) partner, and voyeurism directed at females; 27.3% of the participants reported engaging in one or more of the latter four behaviors. The analogous early female-male behaviors were not statistically significant predictors of female-female behaviors in adults. Conditioning resulting from participation in these early female-female behaviors might explain the correlations between the two early behaviors and the subsequent four adult same-gender behaviors. The earliest and latest ages that participants engaged in each early behavior and case-by-case analysis showed that the sequence of events leading to the female-female adult behaviors was initial sexual experimentation with similar age females (at a median age of 9 years) followed by masturbating using images of females (at a median age of 15). These results suggest that conditioning and other forms of learning play an important role in establishing coexisting same-gender orientations in heterosexual women.