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1.
JMIR Mhealth Uhealth ; 9(3): e24275, 2021 03 26.
Artigo em Inglês | MEDLINE | ID: mdl-33690142

RESUMO

BACKGROUND: The COVID-19 pandemic has forced drastic changes to daily life, from the implementation of stay-at-home orders to mandating facial coverings and limiting in-person gatherings. While the relaxation of these control measures has varied geographically, it is widely agreed that contact tracing efforts will play a major role in the successful reopening of businesses and schools. As the volume of positive cases has increased in the United States, it has become clear that there is room for digital health interventions to assist in contact tracing. OBJECTIVE: The goal of this study was to evaluate the use of a mobile-friendly app designed to supplement manual COVID-19 contact tracing efforts on a university campus. Here, we present the results of a development and validation study centered around the use of the MyCOVIDKey app on the Vanderbilt University campus during the summer of 2020. METHODS: We performed a 6-week pilot study in the Stevenson Center Science and Engineering Complex on Vanderbilt University's campus in Nashville, TN. Graduate students, postdoctoral fellows, faculty, and staff >18 years who worked in Stevenson Center and had access to a mobile phone were eligible to register for a MyCOVIDKey account. All users were encouraged to complete regular self-assessments of COVID-19 risk and to key in to sites by scanning a location-specific barcode. RESULTS: Between June 17, 2020, and July 29, 2020, 45 unique participants created MyCOVIDKey accounts. These users performed 227 self-assessments and 1410 key-ins. Self-assessments were performed by 89% (n=40) of users, 71% (n=32) of users keyed in, and 48 unique locations (of 71 possible locations) were visited. Overall, 89% (202/227) of assessments were determined to be low risk (ie, asymptomatic with no known exposures), and these assessments yielded a CLEAR status. The remaining self-assessments received a status of NOT CLEAR, indicating either risk of exposure or symptoms suggestive of COVID-19 (7.5% [n=17] and 3.5% [n=8] of self-assessments indicated moderate and high risk, respectively). These 25 instances came from 8 unique users, and in 19 of these instances, the at-risk user keyed in to a location on campus. CONCLUSIONS: Digital contact tracing tools may be useful in assisting organizations to identify persons at risk of COVID-19 through contact tracing, or in locating places that may need to be cleaned or disinfected after being visited by an index case. Incentives to continue the use of such tools can improve uptake, and their continued usage increases utility to both organizational and public health efforts. Parameters of digital tools, including MyCOVIDKey, should ideally be optimized to supplement existing contact tracing efforts. These tools represent a critical addition to manual contact tracing efforts during reopening and sustained regular activity.


Assuntos
Busca de Comunicante , Processamento Eletrônico de Dados , Aplicativos Móveis , Adulto , /prevenção & controle , Busca de Comunicante/métodos , Docentes/psicologia , Docentes/estatística & dados numéricos , Humanos , Aplicativos Móveis/estatística & dados numéricos , Projetos Piloto , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Tennessee/epidemiologia , Universidades , Adulto Jovem
2.
J Surg Oncol ; 123(5): 1353-1360, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33523484

RESUMO

BACKGROUND AND OBJECTIVES: Patient engagement software is a ubiquitous and expensive commercially available tool designed to improve transitions of care. There are currently no high-quality patient and provider-level data about the usability of these products for surgical oncology patients. This study aims to better understand patient and provider attitudes and perceptions about the implementation of such technology. METHODS: Focused interviews were conducted following the demonstration of a provider-built mobile technology platform. Interviews were audio-recorded, transcribed, and analyzed. Data were consensus coded inductively and categorized into themes regarding patient and provider perspectives on the usability and implementation of MobiMD. RESULTS: Our interviews revealed four consistent themes: (1) patients feel there is a lack of reliable resources for patient education; (2) both patients and providers are supportive of using a mobile application; (3) providers perceive patient onboarding as an added burden on current workflows; and (4) after onboarding, providers express that such an application would optimize current workflows. CONCLUSIONS: Patients perceive a need for improved perioperative education. Providers and patients agree that a mobile technology platform would be an effective solution in addressing this need. Effective implementation of such an intervention may improve patient education and engagement, leading to improved patient outcomes.


Assuntos
Assistência à Saúde/normas , Aplicativos Móveis/estatística & dados numéricos , Neoplasias/cirurgia , Assistência ao Paciente/normas , Medidas de Resultados Relatados pelo Paciente , Padrões de Prática Médica/normas , Telemedicina/métodos , Humanos , Neoplasias/patologia , Neoplasias/psicologia , Percepção , Resultado do Tratamento
3.
Sci Rep ; 11(1): 4150, 2021 02 18.
Artigo em Inglês | MEDLINE | ID: mdl-33602967

RESUMO

We employ the Google and Apple mobility data to identify, quantify and classify different degrees of social distancing and characterise their imprint on the first wave of the COVID-19 pandemic in Europe and in the United States. We identify the period of enacted social distancing via Google and Apple data, independently from the political decisions. Our analysis allows us to classify different shades of social distancing measures for the first wave of the pandemic. We observe a strong decrease in the infection rate occurring two to five weeks after the onset of mobility reduction. A universal time scale emerges, after which social distancing shows its impact. We further provide an actual measure of the impact of social distancing for each region, showing that the effect amounts to a reduction by 20-40% in the infection rate in Europe and 30-70% in the US.


Assuntos
/epidemiologia , Uso do Telefone Celular/estatística & dados numéricos , Quarentena/estatística & dados numéricos , /prevenção & controle , Telefone Celular/estatística & dados numéricos , Telefone Celular/tendências , Uso do Telefone Celular/tendências , Mineração de Dados/métodos , Europa (Continente)/epidemiologia , Humanos , Aplicativos Móveis/estatística & dados numéricos , Aplicativos Móveis/tendências , Pandemias , Quarentena/tendências , Estados Unidos/epidemiologia
4.
J Med Internet Res ; 23(3): e26399, 2021 03 03.
Artigo em Inglês | MEDLINE | ID: mdl-33566793

RESUMO

BACKGROUND: Many countries worldwide have developed mobile phone apps capable of supporting instantaneous contact tracing to control the COVID-19 pandemic. In France, a few people have downloaded and are using the StopCovid contact tracing app. Students in the health domain are of particular concern in terms of app uptake. Exploring their use and opinions about the app can inform improvements and diffusion of StopCovid among young people. OBJECTIVE: The aim of this study is to investigate health care students' knowledge of and attitudes, beliefs, and practices (KABP) toward the StopCovid app. METHODS: A field survey was conducted among 318 students at the health sciences campus of the University of Bordeaux, France, between September 25 and October 16, 2020. A quota sampling method was used, and descriptive statistics and univariate analyses were performed. RESULTS: Of the 318 respondents, 77.3% (n=246) had heard about the app, but only 11.3% (n=36) had downloaded it, and 4.7% (n=15) were still using it at the time of the survey. Among the 210 participants who had heard about the app but did not download it, the main reasons for not using the app were a belief that it was not effective given its limited diffusion (n=37, 17.6%), a lack of interest (n=37, 17.6%), and distrust in the data security and fear of being geolocated (n=33, 15.7%). Among the 72 students who had not heard of the app and were given a brief description of its functioning and confidentiality policy, 52.7% (n=38) said they would use it. Participants reported that the main solution for increasing the use of the app would be better communication about it (227/318, 71.4%). CONCLUSIONS: Even among health students, the contact tracing app was poorly used. The findings suggest that improved communication about its advantages and simplicity of use as well as clarifying false beliefs about it could help improve uptake.


Assuntos
Busca de Comunicante/métodos , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Aplicativos Móveis/provisão & distribução , Estudantes/psicologia , Inquéritos e Questionários , /diagnóstico , /prevenção & controle , Estudos Transversais , Feminino , França/epidemiologia , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Aplicativos Móveis/estatística & dados numéricos , Pandemias , Opinião Pública , Adulto Jovem
5.
Diabetes Technol Ther ; 23(S1): S1-S7, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33470892

RESUMO

Background: The coronavirus disease 2019 (COVID-19) pandemic disrupted the lives of people with diabetes. Use of real-time continuous glucose monitoring (rtCGM) helped manage diabetes effectively. Some of these disruptions may be reflected in population-scale changes to metrics of glycemic control, such as time-in-range (TIR). Methods: We examined data from 65,067 U.S.-based users of the G6 rtCGM System (Dexcom, Inc., San Diego, CA) who had uploaded data before and during the COVID-19 pandemic. Users associated with three counties that included the cities of Los Angeles, Chicago, and New York or with five regions designated by the Centers for Disease Control and Prevention (CDC) were compared. Public data were used to associate regions with prepandemic and intrapandemic glycemic parameters, COVID-19 mortality, and median household income. Results: Compared with an 8-week prepandemic interval before stay-at-home orders (January 6, 2020, to March 1, 2020), overall mean (standard deviation) TIR improved from 59.0 (20.1)% to 61.0 (20.4)% during the early pandemic period (April 20, 2020 to June 14, 2020, P < 0.001). TIR improvements were noted in all three counties and in all five CDC-designated regions. Higher COVID-19 mortality was associated with higher proportions of individuals experiencing TIR improvements of ≥5 percentage points. Users in economically wealthier zip codes had higher pre- and intrapandemic TIR values and greater relative improvements in TIR. TIR and pandemic-related improvements in TIR varied across CDC-designated regions. Conclusions: Population-level rtCGM data may be used to monitor changes in glycemic control with temporal and geographic specificity. The COVID-19 pandemic is associated with improvements in TIR, which were not evenly distributed across the United States.


Assuntos
Automonitorização da Glicemia/estatística & dados numéricos , Diabetes Mellitus/sangue , Diabetes Mellitus/terapia , /estatística & dados numéricos , /mortalidade , Humanos , Illinois/epidemiologia , Renda , Los Angeles/epidemiologia , Aplicativos Móveis/estatística & dados numéricos , Cidade de Nova Iorque/epidemiologia , Pandemias/estatística & dados numéricos , Isolamento de Pacientes , Fatores de Risco , Fatores Socioeconômicos , Estados Unidos/epidemiologia
6.
Nat Commun ; 12(1): 587, 2021 01 26.
Artigo em Inglês | MEDLINE | ID: mdl-33500407

RESUMO

While Digital contact tracing (DCT) has been argued to be a valuable complement to manual tracing in the containment of COVID-19, no empirical evidence of its effectiveness is available to date. Here, we report the results of a 4-week population-based controlled experiment that took place in La Gomera (Canary Islands, Spain) between June and July 2020, where we assessed the epidemiological impact of the Spanish DCT app Radar Covid. After a substantial communication campaign, we estimate that at least 33% of the population adopted the technology and further showed relatively high adherence and compliance as well as a quick turnaround time. The app detects about 6.3 close-contacts per primary simulated infection, a significant percentage being contacts with strangers, although the spontaneous follow-up rate of these notified cases is low. Overall, these results provide experimental evidence of the potential usefulness of DCT during an epidemic outbreak in a real population.


Assuntos
/epidemiologia , Busca de Comunicante/métodos , Aplicativos Móveis/estatística & dados numéricos , Pandemias/prevenção & controle , Cooperação do Paciente/estatística & dados numéricos , Adolescente , Adulto , Distribuição por Idade , /transmissão , Busca de Comunicante/estatística & dados numéricos , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Privacidade , Smartphone , Espanha/epidemiologia , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
7.
Artigo em Inglês | MEDLINE | ID: mdl-33498863

RESUMO

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.


Assuntos
Comércio/tendências , Aplicativos Móveis/estatística & dados numéricos , Pandemias/economia , China/epidemiologia , Humanos , Reprodutibilidade dos Testes
8.
Nat Hum Behav ; 5(2): 247-255, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33479505

RESUMO

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.


Assuntos
/prevenção & controle , Busca de Comunicante/métodos , Aplicativos Móveis/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Atitude Frente a Saúde , Comorbidade , Coleta de Dados , Escolaridade , Feminino , Alemanha , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Motivação , Privacidade , Autorrelato , Fatores Sexuais , Inquéritos e Questionários , Adulto Jovem
9.
J Med Internet Res ; 23(2): e24730, 2021 02 03.
Artigo em Inglês | MEDLINE | ID: mdl-33465034

RESUMO

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.


Assuntos
/prevenção & controle , Busca de Comunicante/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Aplicativos Móveis/estatística & dados numéricos , Adulto , Estudos de Coortes , Controle de Doenças Transmissíveis/estatística & dados numéricos , Busca de Comunicante/métodos , Feminino , Desinfecção das Mãos , Higienizadores de Mão/uso terapêutico , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Pandemias , Singapura , Inquéritos e Questionários , Transportes/estatística & dados numéricos
10.
JMIR Public Health Surveill ; 7(1): e25701, 2021 01 06.
Artigo em Inglês | MEDLINE | ID: mdl-33326411

RESUMO

BACKGROUND: Digital proximity tracing apps have been released to mitigate the transmission of SARS-CoV-2, the virus known to cause COVID-19. However, it remains unclear how the acceptance and uptake of these apps can be improved. OBJECTIVE: This study aimed to investigate the coverage of the SwissCovid app and the reasons for its nonuse in Switzerland during a period of increasing incidence of COVID-19 cases. METHODS: We collected data between September 28 and October 8, 2020, via a nationwide online panel survey (COVID-19 Social Monitor, N=1511). We examined sociodemographic and behavioral factors associated with app use by using multivariable logistic regression, whereas reasons for app nonuse were analyzed descriptively. RESULTS: Overall, 46.5% (703/1511) of the survey participants reported they used the SwissCovid app, which was an increase from 43.9% (662/1508) reported in the previous study wave conducted in July 2020. A higher monthly household income (ie, income >CHF 10,000 or >US $11,000 vs income ≤CHF 6000 or

Assuntos
/psicologia , Busca de Comunicante/instrumentação , Aplicativos Móveis/normas , Adulto , Idoso , /transmissão , Busca de Comunicante/tendências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Aplicativos Móveis/estatística & dados numéricos , Inquéritos e Questionários , Suíça
11.
J Am Geriatr Soc ; 69(2): 307-316, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33341098

RESUMO

BACKGROUND/OBJECTIVES: Age-related hearing loss (ARHL) is a widely prevalent yet manageable condition that has been linked to neurocognitive and psychiatric comorbidities. Multiple barriers hinder older individuals from being diagnosed with ARHL through pure-tone audiometry. This is especially true during the COVID-19 pandemic, which has resulted in the closure of many outpatient audiology and otolaryngology offices. Smartphone-based hearing assessment apps may overcome these challenges by enabling patients to remotely self-administer their own hearing examination. The objective of this review is to provide an up-to-date overview of current mobile health applications (apps) that claim to assess hearing. DESIGN: Narrative review. MEASUREMENTS: The Apple App Store and Google Play Store were queried for apps that claim to assess hearing. Relevant apps were downloaded and used to conduct a mock hearing assessment. Names of included apps were searched on four literature databases (PubMed/MEDLINE, EMBASE, Cochrane Library, and CINAHL) to determine which apps had been validated against gold standard methods. RESULTS: App store searches identified 44 unique apps. Apps differed with respect to the type of test offered (e.g., hearing threshold test), cost, strategies to reduce ambient noise, test output (quantitative vs qualitative results), and options to export results. Validation studies were identified for seven apps. CONCLUSION: Given their low cost and relative accessibility, smartphone-based hearing apps may facilitate screening for ARHL, particularly in the setting of limitations on in-person medical care due to COVID-19. However, app features vary widely, few apps have been validated, and user-centered designs for older adults are largely lacking. Further research and validation efforts are necessary to determine whether smartphone-based hearing assessments are a feasible and accurate screening tool for ARHL. Key Points Age-related hearing loss is a prevalent yet undertreated condition among older adults. Why Does this Paper Matter? Smartphone-based hearing test apps may facilitate remote screening for hearing loss, but limitations surrounding app validation, usability, equipment calibration, and data security should be addressed.


Assuntos
Perda Auditiva/diagnóstico , Testes Auditivos/métodos , Aplicativos Móveis/estatística & dados numéricos , Smartphone/instrumentação , Idoso , Desenho de Equipamento/instrumentação , Testes Auditivos/instrumentação , Humanos
12.
Eur J Public Health ; 31(1): 49-51, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33340328

RESUMO

To slow the spread of SARS-CoV-2, the German government released the 'Corona-Warn-App', a smartphone application that warns users if they have come into contact with other users tested positive for SARS-CoV-2. Since using the 'Corona-Warn-App' is health-relevant behavior, it is essential to understand who is (and who is not) using it and why. In N = 1972 German adults, we found that non-users were on average older, female, healthier, in training and had low general trust in others. The most frequently named reasons by non-users were privacy concerns, doubts about the effectiveness of the app and lack of technical equipment.


Assuntos
/prevenção & controle , Controle de Doenças Transmissíveis/métodos , Busca de Comunicante/métodos , Surtos de Doenças/prevenção & controle , Vigilância da População/métodos , Smartphone/estatística & dados numéricos , Adulto , Fatores Etários , Feminino , Alemanha , Nível de Saúde , Humanos , Aplicativos Móveis/estatística & dados numéricos , Pandemias , Fatores Sexuais , Inquéritos e Questionários
13.
J Med Internet Res ; 22(12): e23955, 2020 12 21.
Artigo em Inglês | MEDLINE | ID: mdl-33346735

RESUMO

BACKGROUND: The use of mobile devices in hospital care constantly increases. However, smartphones and tablets have not yet widely become official working equipment in medical care. Meanwhile, the parallel use of private and official devices in hospitals is common. Medical staff use smartphones and tablets in a growing number of ways. This mixture of devices and how they can be used is a challenge to persons in charge of defining strategies and rules for the usage of mobile devices in hospital care. OBJECTIVE: Therefore, we aimed to examine the status quo of physicians' mobile device usage and concrete requirements and their future expectations of how mobile devices can be used. METHODS: We performed a web-based survey among physicians in 8 German university hospitals from June to October 2019. The online survey was forwarded by hospital management personnel to physicians from all departments involved in patient care at the local sites. RESULTS: A total of 303 physicians from almost all medical fields and work experience levels completed the web-based survey. The majority regarded a tablet (211/303, 69.6%) and a smartphone (177/303, 58.4%) as the ideal devices for their operational area. In practice, physicians are still predominantly using desktop computers during their worktime (mean percentage of worktime spent on a desktop computer: 56.8%; smartphone: 12.8%; tablet: 3.6%). Today, physicians use mobile devices for basic tasks such as oral (171/303, 56.4%) and written (118/303, 38.9%) communication and to look up dosages, diagnoses, and guidelines (194/303, 64.0%). Respondents are also willing to use mobile devices for more advanced applications such as an early warning system (224/303, 73.9%) and mobile electronic health records (211/303, 69.6%). We found a significant association between the technical affinity and the preference of device in medical care (χs2=53.84, P<.001) showing that with increasing self-reported technical affinity, the preference for smartphones and tablets increases compared to desktop computers. CONCLUSIONS: Physicians in German university hospitals have a high technical affinity and positive attitude toward the widespread implementation of mobile devices in clinical care. They are willing to use official mobile devices in clinical practice for basic and advanced mobile health uses. Thus, the reason for the low usage is not a lack of willingness of the potential users. Challenges that hinder the wider adoption of mobile devices might be regulatory, financial and organizational issues, and missing interoperability standards of clinical information systems, but also a shortage of areas of application in which workflows are adapted for (small) mobile devices.


Assuntos
Computadores de Mão/normas , Internet/normas , Aplicativos Móveis/estatística & dados numéricos , Médicos/normas , Alemanha , Hospitais Universitários , Humanos , Inquéritos e Questionários
14.
PLoS One ; 15(12): e0243733, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33378386

RESUMO

Within the span of almost ten years, phone dating apps have transformed the dating scene by normalizing and, according to some voices, gamifying the digital quest for a partner. Despite amplified discussion on how swipe-based apps damage the fabric of intimate ties, scientific accounts on whether they have led to different relationship patterns are missing. Using 2018 survey data from Switzerland, this study provides a rich overview of couples who met through dating apps by addressing three main themes: 1) family formation intentions, 2) relationship satisfaction and individual well-being, and 3) assortative mating. The data indicate that in Switzerland, dating apps have recently taken over as main online dating context. Results further show that couples formed through mobile dating have stronger cohabiting intentions than those formed in non-digital settings. Women who found their partner through a dating app also have stronger fertility desires and intentions than those who found their partner offline. Generally, there are no differences between couples initiated through dating apps and those initiated elsewhere regarding relationship and life satisfaction. Though more data are needed to capture the full range of users' romantic and sexual experiences, current results mitigate some of the concerns regarding the short-term orientation or the poor quality of relationships formed through mobile dating. Findings finally suggest that dating apps play an important role in altering couple composition by allowing for more educationally diverse and geographically distant couples.


Assuntos
Relações Interpessoais , Aplicativos Móveis/estatística & dados numéricos , Satisfação Pessoal , Comportamento Sexual/estatística & dados numéricos , Parceiros Sexuais/psicologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Casamento/psicologia , Casamento/estatística & dados numéricos , Comportamento Sexual/psicologia , Inquéritos e Questionários/estatística & dados numéricos , Suíça , Adulto Jovem
16.
Bull World Health Organ ; 98(10): 671-682, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-33177757

RESUMO

Objective: To determine whether location-linked anaesthesiology calculator mobile application (app) data can serve as a qualitative proxy for global surgical case volumes and therefore monitor the impact of the coronavirus disease 2019 (COVID-19) pandemic. Methods: We collected data provided by users of the mobile app "Anesthesiologist" during 1 October 2018-30 June 2020. We analysed these using RStudio and generated 7-day moving-average app use plots. We calculated country-level reductions in app use as a percentage of baseline. We obtained data on COVID-19 case counts from the European Centre for Disease Prevention and Control. We plotted changing app use and COVID-19 case counts for several countries and regions. Findings: A total of 100 099 app users within 214 countries and territories provided data. We observed that app use was reduced during holidays, weekends and at night, correlating with expected fluctuations in surgical volume. We observed that the onset of the pandemic prompted substantial reductions in app use. We noted strong cross-correlation between COVID-19 case count and reductions in app use in low- and middle-income countries, but not in high-income countries. Of the 112 countries and territories with non-zero app use during baseline and during the pandemic, we calculated a median reduction in app use to 73.6% of baseline. Conclusion: App data provide a proxy for surgical case volumes, and can therefore be used as a real-time monitor of the impact of COVID-19 on surgical capacity. We have created a dashboard for ongoing visualization of these data, allowing policy-makers to direct resources to areas of greatest need.


Assuntos
Anestesiologia/estatística & dados numéricos , Infecções por Coronavirus/epidemiologia , Aplicativos Móveis/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Vigilância em Saúde Pública/métodos , Procedimentos Cirúrgicos Operatórios/estatística & dados numéricos , Betacoronavirus , Humanos , Estudos Longitudinais , Pandemias
17.
PLoS One ; 15(9): e0239592, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32976515

RESUMO

BACKGROUND: Despite the widespread recognition of the importance of mental health in young people, only a small proportion of young people with a mental disorder, including university students, receive mental health care. OBJECTIVE: We developed a smartphone application (Mental App) for the university students and examined the effects of the app on their mental health. METHODS: The app was designed according to a questionnaire survey conducted before this study. The Mental App was installed on the students' smartphone and the psychological tests (the Link Stigma Scale, the Center for Epidemiologic Studies Depression Scale, and the 12-item General Health Questionnaire) were performed on the same day. After using the App for two weeks, the students completed a questionnaire survey and underwent the same psychological tests. We compared the results between the app user and non-user group. RESULTS: A total of 68 students participated, of which 57 students completed the study (app user group, n = 28; control group, n = 29). The mean number of days spent using the app was 5.66 ± 3.16 (mean ± SD). The mean total screen time of the app was 9:03 ± 06:41(min:sec). The mean number of total actions (screen taps or swipes) was 161.91 ± 107.34. There were no significant between-group differences in the ΔLink Stigma Scale score (-0.11 ± 4.28 vs. -0.59 ± 3.30, p = 0.496) or the ΔCenter for Epidemiologic Studies Depression Scale score (-4.39 ± 7.13 vs. -2.07 ± 8.78, p = 0.143). There was a significant between-group difference in the ΔGeneral Health Questionnaire score (-2.21± 2.23 vs. -0.17 ± 2.69, p = 0.007). CONCLUSIONS: This non-randomized controlled pilot study indicates that the app we developed, may provide effective mental health care for university students, even in the short-term. Trial registration: UMIN000040332.


Assuntos
Saúde Mental/estatística & dados numéricos , Aplicativos Móveis/estatística & dados numéricos , Smartphone/estatística & dados numéricos , Estudantes/psicologia , Universidades/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Projetos Piloto , Inquéritos e Questionários , Adulto Jovem
18.
PLoS One ; 15(9): e0237966, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32911501

RESUMO

Primary symptoms of adults with autism spectrum disorder (ASD), such as pervasive social deficits in social interaction and communication, cause adults with ASD to adopt a sedentary lifestyle. Meanwhile, gamified and behavioral theory-based interventions have been shown to improve physical activity in a fun and unobtrusive way. In this paper, we describe the iterative design inquiry process of PuzzleWalk, a gamified, physical activity-promoting mobile app designed for adults with ASD. We report the design rationales and lessons learned across four user-centered design phases with ASD experts and adults with ASD, including user requirement gathering, iterative participatory design, usability evaluation, and field deployment. The design insights generated from this work could inform future research focusing on designing sociotechnical systems, games, and interventions for people with ASD.


Assuntos
Transtorno do Espectro Autista/psicologia , Transtorno do Espectro Autista/terapia , Terapia por Exercício , Aplicativos Móveis/estatística & dados numéricos , Modelos Teóricos , Projetos de Pesquisa/normas , Jogos de Vídeo/estatística & dados numéricos , Adolescente , Adulto , Comunicação , Feminino , Humanos , Relações Interpessoais , Masculino , Jogos de Vídeo/psicologia , Adulto Jovem
19.
JMIR Mhealth Uhealth ; 8(10): e20741, 2020 10 09.
Artigo em Inglês | MEDLINE | ID: mdl-32795998

RESUMO

BACKGROUND: Smartphone-based contact tracing apps can contribute to reducing COVID-19 transmission rates and thereby support countries emerging from lockdowns as restrictions are gradually eased. OBJECTIVE: The primary objective of our study is to determine the potential uptake of a contact tracing app in the Dutch population, depending on the characteristics of the app. METHODS: A discrete choice experiment was conducted in a nationally representative sample of 900 Dutch respondents. Simulated maximum likelihood methods were used to estimate population average and individual-level preferences using a mixed logit model specification. Individual-level uptake probabilities were calculated based on the individual-level preference estimates and subsequently aggregated into the sample as well as subgroup-specific contact tracing app adoption rates. RESULTS: The predicted app adoption rates ranged from 59.3% to 65.7% for the worst and best possible contact tracing app, respectively. The most realistic contact tracing app had a predicted adoption of 64.1%. The predicted adoption rates strongly varied by age group. For example, the adoption rates of the most realistic app ranged from 45.6% to 79.4% for people in the oldest and youngest age groups (ie, ≥75 years vs 15-34 years), respectively. Educational attainment, the presence of serious underlying health conditions, and the respondents' stance on COVID-19 infection risks were also correlated with the predicted adoption rates but to a lesser extent. CONCLUSIONS: A secure and privacy-respecting contact tracing app with the most realistic characteristics can obtain an adoption rate as high as 64% in the Netherlands. This exceeds the target uptake of 60% that has been formulated by the Dutch government. The main challenge will be to increase the uptake among older adults, who are least inclined to install and use a COVID-19 contact tracing app.


Assuntos
Comportamento de Escolha , Busca de Comunicante/métodos , Infecções por Coronavirus/epidemiologia , Aplicativos Móveis/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Pandemias , Privacidade , Adulto Jovem
20.
Community Ment Health J ; 56(7): 1202-1203, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32734311

RESUMO

Mobile health apps are becoming increasingly popular amongst users who are turning to digital platforms to aid their mental wellbeing. As a result of the current COVID-19 pandemic, healthcare staff as well as recovering patients may suffer from PTSD. We have therefore suggested to Reyes et al. ("Promoting Resilience Among College Student Veterans Through an Acceptance-and-Commitment-Therapy App: An Intervention Refinement Study", 2020) the importance of repurposing their app to help these users to improve their emotional resilience and subsequently their ability to cope with the trauma of their experience. We have also discussed the most pertinent barriers to mobile health app uptake including data privacy concerns and the role of stigma.


Assuntos
Infecções por Coronavirus/psicologia , Coronavirus , Pessoal de Saúde/psicologia , Aplicativos Móveis/estatística & dados numéricos , Pneumonia Viral/psicologia , Transtornos de Estresse Pós-Traumáticos/terapia , Telemedicina/métodos , Adaptação Psicológica , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Assistência à Saúde , Humanos , Saúde Mental , Pandemias , Pneumonia Viral/epidemiologia , Resiliência Psicológica
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