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1.
J Oncol Pharm Pract ; 26(1): 105-115, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30955468

RESUMO

OBJECTIVE: To design a mobile app based on the needs of the onco-hematological patient receiving oral antineoplastic agents. METHODS: A multidisciplinary working group (pharmacy-oncology-hematology) was created to design the app. The study was developed in three phases: first, we analyzed the features of patients receiving oral antineoplastic agents. We then analyzed available apps for cancer patients. Finally, we designed the app's functionalities. RESULTS: We included 51 patients with middle-advanced age (68.7 years (SD=10.7)). They were polymedicated (mean: 5.3 (SD = 2.7), with numerous drug-drug interactions and adverse effects (all patients presented adverse effects). We then analyzed 166 apps. Most apps had more than one use, the most frequent being information (39.8%) and diagnosis (38.6%). Ten apps (6%) were for registering and monitoring treatment and adverse effects. Almost half of the apps (48.8%) were developed by healthcare organizations. Finally, we designed an app (e-OncoSalud®) with the following functionalities: (a) agenda; (b) treatment and drug interactions checker; (c) continuous recording of self-controls (weight, blood pressure, general condition) and adverse effects. The management of the adverse effects are based on an algorithm which provides different recommendations according to the adverse effects severity; (d) patient-pharmacist messaging in real-time; (e) education. CONCLUSIONS: After analysis of the main problems affecting these patients and the needs not covered by the existing apps, we designed e-OncoSalud®. It integrates relevant information about their treatment, focused on drug interactions identification and the prevention, and management of adverse effects.


Assuntos
Antineoplásicos/administração & dosagem , Aplicativos Móveis , Neoplasias/tratamento farmacológico , Smartphone , Telemedicina/métodos , Administração Oral , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Aplicativos Móveis/tendências , Neoplasias/diagnóstico , Smartphone/tendências , Telemedicina/tendências
2.
Cir. plást. ibero-latinoam ; 45(4): 405-412, oct.-dic. 2019. ilus
Artigo em Espanhol | IBECS | ID: ibc-186029

RESUMO

Introducción y objetivo: El éxito de un colgajo microquirúrgico depende, entre otras cosas, de una correcta técnica de la anastomosis, siendo la experiencia preoperatoria del cirujano directamente proporcional a la tasa de supervivencia del mismo. El uso de animales vivos es el modelo estándar para el entrenamiento en Microcirugía. Sin embargo, implica un alto costo y una necesidad de recursos. Existen diferentes alternativas para el entrenamiento de habilidades microquirúrgicas pero sigue siendo necesario tener un microscopio y un lugar físico para realizar las prácticas. El uso de teléfonos inteligentes en Cirugía Plástica toma cada vez más relevancia y hoy en día son varias sus aplicaciones también como alternativa al microscopio. El objetivo de este trabajo es proponer un modelo alternativo para la enseñanza microquirúrgico utilizando un teléfono inteligente como sustituto del microscopio. Material y método: Creamos una plataforma de trabajo sobre una mesa con un soporte de celular con brazo flexible al costado de la misma. Para reemplazar el microscopio utilizamos un teléfono inteligente Apple 8s Plus(R) que permite un zoom digital de hasta 10X y la posibilidad de grabar videos en 4k y alta definición. Para las pruebas planteamos 3 ejercicios con modelos inanimados de dificultad creciente: el deshilachado de las fibras de una gasa, el armado de suturas en un guante de látex y la técnica de anastomosis vascular y/o nerviosa en una pata de pollo. Tomamos fotografías en las diferentes magnificaciones para comprobar la definición y la posibilidad de realizar anastomosis sobre diferentes plataformas. Resultados: Pudimos realizar los 3 ejercicios utilizando la máxima magnificación con una definición adecuada. Conclusiones: El teléfono inteligente permite realizar diferentes ejercicios microquirúrgicos con un adecuado nivel de magnificación y definición. Podría por tanto emplearse como sustituto y/o complemento del microscopio para una práctica más accesible y económica


Background and objective. A successful outcome in Microsurgery depends, among others, on the performance of technically perfect microvascular anastomosis, being the operative experience the single most critical factor in avoiding free flap failure. Using living animals represents the actual training standard. However, this implies high costs. Several nonliving models have been proposed as alternatives for the acquisition of basic skills. Nevertheless, a microscope is needed to practice. The use of smartphones in Plastic Surgery is well documented. The purpose of this article is to describe the possibility of using the smartphone to replace an operating microscope in Microsurgery training. Methods. A test platform was created. A phone holder was placed on the side of a table, such that it could be comfortably reached from the test platform. The microscope was replaced with a smartphone Apple 8s Plus(R) with a digital 10x zoom. Three exercises in non living models were used for the test: gauze, latex glove and chicken tight. Photographs were taken to show the smartphone definition and the applicability to perform Microsurgery anastomosis. Results. All exercises could be performed in the maximum magnification with adequate definition. Conclusions. The use of smartphones as a microsurgery model presented in this study could be applied to basic Microsurgery education and also used as an alternative training model owing to its easy application, easy accessibility and low cost


Assuntos
Smartphone/instrumentação , Smartphone/tendências , Microcirurgia/educação , Microcirurgia/tendências , Gravação em Vídeo/instrumentação , Microcirurgia/instrumentação , Cirurgia Plástica/educação
3.
J Clin Neurophysiol ; 36(5): 389-391, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31490453

RESUMO

Smartphones and other personal electronic devices present novel cortical processing tasks with potential for identification of novel EEG waveforms. A 17-year-old patient with epilepsy manifested as recurrent myoclonic seizures, absence seizures, and a single generalized tonic-clonic seizure was hospitalized to undergo video-EEG monitoring for seizure quantification and classification of the epilepsy syndrome. During the monitoring session, a frontocentral predominant 5 to 6 Hz theta rhythm was identified only when the patient was actively texting or playing a video game on his smartphone. Previously, patients with focal epilepsy have been found to have a frontocentral theta rhythm on EEG while texting on mobile devices. We report similar EEG findings in a patient with genetic generalized epilepsy during smartphone gaming to expand the population and triggers for this theta waveform. Given the young age and type of epilepsy, we suggest that the waveform represents the EEG manifestation of the attention-visuomotor pathway that is stimulus independent.


Assuntos
Epilepsias Mioclônicas/fisiopatologia , Smartphone/tendências , Ritmo Teta/fisiologia , Jogos de Vídeo/tendências , Adolescente , Eletroencefalografia/métodos , Eletroencefalografia/tendências , Epilepsias Mioclônicas/diagnóstico , Humanos , Masculino , Envio de Mensagens de Texto/tendências , Jogos de Vídeo/efeitos adversos
4.
Vet Clin North Am Exot Anim Pract ; 22(3): 349-366, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31395319

RESUMO

This article reviews the use of the smartphone in exotic pet medicine. The mobile app is the most instinctive use of the smartphone; however, there are very limited software dedicated to the exotic pet specifically. With an adapter, the smartphone can be attached to a regular endoscope and acts as a small endoscopic unit. Additional devices, such as infrared thermography or ultrasound, can be connected to the smartphone through the micro-USB port. The medical use of the smartphone is still in its infancy in veterinary medicine but can bring several solutions to the exotic pet practitioner and improve point-of-care evaluation.


Assuntos
Animais Exóticos , Aplicativos Móveis , Smartphone , Medicina Veterinária/instrumentação , Animais , Cardiologia/instrumentação , Cardiologia/métodos , Cardiologia/tendências , Endoscopia/instrumentação , Endoscopia/veterinária , Humanos , Raios Infravermelhos , Microscopia/instrumentação , Microscopia/métodos , Microscopia/tendências , Microscopia/veterinária , Aplicativos Móveis/normas , Aplicativos Móveis/tendências , Oftalmologia/instrumentação , Oftalmologia/métodos , Oftalmologia/tendências , Smartphone/tendências , Termografia/instrumentação , Termografia/métodos , Termografia/tendências , Termografia/veterinária , Ultrassonografia/instrumentação , Ultrassonografia/métodos , Ultrassonografia/tendências , Ultrassonografia/veterinária , Medicina Veterinária/métodos , Medicina Veterinária/tendências
5.
Appl Ergon ; 81: 102882, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31422255

RESUMO

A web-based survey was conducted of ergonomics practitioners holding certifications in the U.S., Canada, Great Britain, Australia, and New Zealand. The survey follows 12 years after an earlier initial survey reported by Dempsey et al. (2005). Approximately 1221 eligible participants were invited by e-mail to participate, and 405 surveys were included in the final analysis. The survey queried use of basic instruments relevant to ergonomic practice as well as more specific analytical tools such as observational techniques for assessing postural demands of work and instrumentation for direct measurement of such demands. Some ergonomic assessment methods appear to have increased in their overall use by U.S. ergonomists compared to 2005 data. This was observed for: RULA, REBA, Psychophysical Upper Extremity Data, Strain Index, and ACGIH TLV for Hand Activity Level. There is minimal evidence of increased overall use of direct measurement approaches in the U.S. There appear to be geographic differences between countries/continents in terms of use of various methods. The use of mobile device/smart phone "apps" by ergonomists was queried and these technologies presently appear to be in early adoption phase with 24-28% of practitioners reporting use of an app in their ergonomics practice.


Assuntos
Ergonomia/métodos , Adulto , Ergonomia/instrumentação , Feminino , Humanos , Masculino , Doenças Musculoesqueléticas/etiologia , Doenças Musculoesqueléticas/prevenção & controle , Medição de Risco , Smartphone/tendências , Inquéritos e Questionários
6.
JMIR Mhealth Uhealth ; 7(5): e12293, 2019 05 28.
Artigo em Inglês | MEDLINE | ID: mdl-31140439

RESUMO

BACKGROUND: To our knowledge, few studies have examined the use of wearable sensing devices to effectively integrate information communication technologies and apply them to health care issues (particularly those pertaining to posture correction). OBJECTIVE: A novel system for posture correction involving the application of wearable sensing technology was developed in this study. The system was created with the aim of preventing the unconscious development of bad postures (as well as potential spinal diseases over the long term). METHODS: The newly developed system consists of a combination of 3 subsystems, namely, a smart necklace, notebook computer, and smartphone. The notebook computer is enabled to use a depth camera to read the relevant data, to identify the skeletal structure and joint reference points of a user, and to compute calculations relating to those reference points, after which the computer then sends signals to the smart necklace to enable calibration of the smart necklace's standard values (base values for posture assessment). The gravitational acceleration data of the user are collected and analyzed by a microprocessor unit-6050 sensor housed in the smart necklace when the smart necklace is worn, with those data being used by the smart necklace to determine the user's body posture. When poor posture is detected by the smart necklace, the smart necklace sends the user's smartphone a reminder to correct his or her posture; a mobile app that was also developed as part of the study allows the smart necklace to transmit such messages to the smartphone. RESULTS: The system effectively enables a user to monitor and correct his or her own posture, which in turn will assist the user in preventing spine-related diseases and, consequently, in living a healthier life. CONCLUSIONS: The proposed system makes it possible for (1) the user to self-correct his or her posture without resorting to the use of heavy, thick, or uncomfortable corrective clothing; (2) the smart necklace's standard values to be quickly calibrated via the use of posture imaging; and (3) the need for complex wiring to be eliminated through the effective application of the Internet of Things as well as by implementing wireless communication between the smart necklace, notebook computer, and smartphone.


Assuntos
Postura , Dispositivos Eletrônicos Vestíveis/tendências , Acelerometria/instrumentação , Desenho de Equipamento/métodos , Desenho de Equipamento/normas , Desenho de Equipamento/estatística & dados numéricos , Humanos , Smartphone/tendências , Doenças da Coluna Vertebral/prevenção & controle , Dispositivos Eletrônicos Vestíveis/estatística & dados numéricos , Tecnologia sem Fio/instrumentação
7.
Nurs Leadersh (Tor Ont) ; 32(SP): 29-40, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31099745

RESUMO

Background: Mobile health (mHealth) is a rapidly growing field with the potential to transform healthcare delivery. Smartphone technologies have been developed and integrated into the patient call bell system for healthcare staff to receive calls; however, there is a lack of high-quality evidence to support the implementation and evaluate the effectiveness of these devices in a healthcare setting. Aim: The aim of this study is to explore nurses' perceptions of smartphone technology devices in enhancing the nurse-patient relationship and improving nursing workflows. Methods: A semi-structured focus group and interviews were used to illicit nurses' experiences with smartphone technology. Interviews were audio recorded, transcribed and subjected to a content analysis to identify emerging themes from the data. Results: Interviews with nurses provided insight into the benefits and challenges of smartphone use in the clinical setting. Multiple benefits were identified by nurse participants, including time management and convenience, prioritization, patient safety and enhancement of the nurse-patient relationship. Conclusion: There are multiple benefits of smartphone technology for both nurses and patients. Hospitals proposing to introduce smartphone technology need to educate patients and families about the clinical use of smartphones to avoid unfavourable perceptions. Smartphone technology must be interoperable with the electronic medical record to optimize interprofessional communication and exchange of patient information.


Assuntos
Prioridades em Saúde , Determinação de Necessidades de Cuidados de Saúde/tendências , Relações Enfermeiro-Paciente , Smartphone/tendências , Adulto , Comunicação , Feminino , Grupos Focais/métodos , Humanos , Masculino , Segurança do Paciente , Pesquisa Qualitativa , Smartphone/instrumentação
8.
World Neurosurg ; 127: e1026-e1038, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30980978

RESUMO

BACKGROUND: In the past decade, smartphone applications (Apps) have experienced remarkable development across all fields of medicine, including neurosurgery. However, owing to a lack of regulatory oversight and peer review, a clear need exists for a comprehensive review and audit of the existing available Apps. In the present study, we systematically reviewed the existing mobile Apps in neurosurgery, evaluated their clinical use by neurosurgery residents in Canada, and performed a quality audit of the most popular Apps. METHODS: Indexed Apps were identified from either the Google Play Store or the iOS App Store using a comprehensive list of keywords related to neurosurgery. A subsequent cross-sectional survey of 76 Canadian neurosurgery residents was conducted, including a section on smartphone App use. We next evaluated the most popular Apps among the residents using the Healthcare Smartphone App Evaluation Tool and performed a quality audit of their content using established medical references. RESULTS: The survey identified 118 mobile Apps related to neurosurgery. The 3 most used Apps used by the current cohort of Canadian neurosurgery residents were Neurosurgery Survival Guide, Neuromind, and the Journal of Neurosurgery App. Each of these 3 Apps received an excellent score on the Healthcare Smartphone App Evaluation Tool. A quality audit of 30 pages of the Neurosurgery Survival Guide and 40 clinical scores of the Neuromind App, performed by 10 neurosurgery residents, failed to reveal inaccurate or false statements. CONCLUSION: The present study has highlighted the current landscape of neurosurgery mobile Apps and their use among neurosurgery residents.


Assuntos
Internato e Residência/tendências , Aplicativos Móveis/tendências , Neurocirurgia/educação , Neurocirurgia/tendências , Smartphone/tendências , Inquéritos e Questionários , Canadá/epidemiologia , Humanos
9.
Behav Ther ; 50(2): 395-409, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30824254

RESUMO

The objective of this study was to use qualitative methodology to tailor and refine an existing smoking cessation intervention for the population of people who use cigarettes and are diagnosed with schizophrenia, schizoaffective, or psychotic disorder. Successive cohort design methodology was used to iteratively modify the treatment in response to qualitative participant, therapist, and consultant feedback on the intervention. Qualitative methodology for participant feedback included analysis of semistructured interviews with participants, visualization of app utilization data, and stakeholder feedback from study therapists and consultants. Using the successive cohort design, a tailored multicomponent mobile health smoking cessation intervention was developed. The intervention included mobile contingency management (i.e., financial compensation for confirmed abstinence from smoking), pharmacotherapy for smoking cessation, cognitive-behavioral counseling sessions, and the Stay Quit app for relapse prevention. Two cohorts (N = 13) were completed in the study; after each cohort, the treatment protocol was revised. The intervention is described, as well as the qualitative findings from each cohort and subsequent changes made to the intervention based upon patient and provider feedback. Metrics of patient engagement included treatment adherence (40% in Cohort 1 and 63% in Cohort 2). Both participants and therapists reported that the intervention was helpful. Over one third of participants self-reported abstinence at posttreatment. Since qualitative methodology is often underutilized in mental health treatment development, this study demonstrates the utility of the successive cohort design for treatment development of behavior change interventions for at-risk, vulnerable populations.


Assuntos
Esquizofrenia/terapia , Psicologia do Esquizofrênico , Smartphone , Abandono do Hábito de Fumar/métodos , Fumar/terapia , Telemedicina/métodos , Adulto , Bupropiona/uso terapêutico , Terapia Cognitivo-Comportamental/métodos , Terapia Cognitivo-Comportamental/tendências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Participação do Paciente/métodos , Participação do Paciente/tendências , Esquizofrenia/epidemiologia , Prevenção Secundária/métodos , Prevenção Secundária/tendências , Smartphone/tendências , Fumar/epidemiologia , Fumar/psicologia , Abandono do Hábito de Fumar/psicologia , Telemedicina/tendências
10.
Clin Neuropsychol ; 33(2): 246-270, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30760117

RESUMO

OBJECTIVE: The current review briefly addresses the history of neuropsychology as a context for discussion of developmental milestones that have advanced the profession, as well as areas where the progression has lagged. More recently in the digital/information age, utilization and incorporation of emerging technologies has been minimal, which has stagnated ongoing evolution of the practice of neuropsychology despite technology changing many aspects of daily living. These authors advocate for embracing National Institutes of Health (NIH) initiatives, or interchangeably referred to as transformative opportunities, for the behavioral and social sciences. These initiatives address the need for neuropsychologists to transition from fragmented and data-poor approaches to integrated and data-rich scientific approaches that ultimately improve translational applications. Specific to neuropsychology is the need for the adoption of novel means of brain-behavior characterizations. METHOD: Narrative review Conclusions: Clinical neuropsychology has reached a developmental plateau where it is ready to embrace the measurement science and technological advances which have been readily adopted by the human neurosciences. While there are ways in which neuropsychology is making inroads into these areas, a great deal of growth is needed to maintain relevance as a scientific discipline (see Figures 1, 2, and 3) consistent with NIH initiatives to advance scientific developments. Moreover, implications of such progress require discussion and modification of training, ethical, and legal mandates of the practice of neuropsychology.


Assuntos
Transtornos Mentais/psicologia , National Institutes of Health (U.S.)/tendências , Testes Neuropsicológicos , Neuropsicologia/tendências , Humanos , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Neuropsicologia/educação , Smartphone/tendências , Terapia Assistida por Computador/métodos , Terapia Assistida por Computador/tendências , Estados Unidos/epidemiologia
11.
Psychiatry Res ; 273: 523-527, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30708204

RESUMO

The aim of this study is to assess the association between smartphone usage and depression in each gender of senior high school students. A cross-sectional study with self-administered questionnaires for 295 high school students, aged 15-19 was conducted in Japan. Depression was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). Female adolescents used smartphones more hours a day than males. Students who used the smartphones for three hours a day accounted for 44.3% of female students and 22.5% of male students. Female students spent longer hours on online chat, social networking sites (SNS), and Internet browsing. The longer hours they spent for online chat (Odds ratio (OR): 1.74; 95% confidence interval (CI): 1.18-2.56), and SNS (OR: 1.41, 95% CI: 1.04-1.92) were associated with depression. On the other hand, male students spent more hours playing games than female students, and their smartphone use was not correlated with depression. There were gender differences in smartphone usage: female students spent more time on social contacts, whereas males were more likely to use them for entertainment. Therefore, if female students overuse online communication, they may be at a higher risk for depression.


Assuntos
Comportamento do Adolescente/psicologia , Depressão/epidemiologia , Depressão/psicologia , Smartphone/tendências , Rede Social , Adolescente , Comportamento Aditivo/diagnóstico , Comportamento Aditivo/epidemiologia , Comportamento Aditivo/psicologia , Estudos Transversais , Depressão/diagnóstico , Feminino , Humanos , Japão/epidemiologia , Masculino , Fatores Sexuais , Estudantes/psicologia , Inquéritos e Questionários
12.
Clin Neuropsychol ; 33(2): 271-286, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30614374

RESUMO

OBJECTIVE: Digital devices are now broadly accessible and have the capacity to measure aspects of human behavior with high precision and accuracy, in a standardized manner. The purpose of this article is to characterize opportunities and barriers for modern digital neuropsychology, particularly those that are unique to digital assessment. METHODS: We provide a critical overview of the state-of-the-art in digital neuropsychology, focusing on personal digital devices. RESULTS: We identify three major barriers associated with digital neuropsychology, which affect both the interpretation of test scores and test norms: (1) variability in the perceptual, motor and cognitive demands of the same test across digital device classes (e.g. personal computer, tablet and smartphone); (2) hardware and software variability between devices within the same class that affect stimulus presentation and measurement and (3) rapid changes over time in hardware, software and device ownership, which can lead to rapid obsolescence of particular tests and test norms. We offer specific recommendations to address these barriers and outline new opportunities to understand and measure neuropsychological functioning over time and in everyday environments. CONCLUSIONS: Digital neuropsychology provides new approaches for measuring and monitoring neuropsychological functioning, informed by an understanding of the limitations and potential of digital technology.


Assuntos
Neuropsicologia/tendências , Smartphone/tendências , Software/tendências , Terapia Assistida por Computador/tendências , Humanos , Testes Neuropsicológicos/normas , Neuropsicologia/normas , Smartphone/normas , Software/normas , Telemedicina , Terapia Assistida por Computador/normas
14.
Turk Patoloji Derg ; 35(2): 134-138, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30632119

RESUMO

OBJECTIVE: The primary aim of the study was to evaluate whether the WhatsApp application can be used for obtaining a quick second opinion on histopathological and cytological diagnosis and also for discussing difficult cases in pathology practice. MATERIAL AND METHOD: A WhatsApp group named "FESPATH" was created with total of 17 pathologists (the authors of this manuscript as group administrators and 15 general pathologists from 7 different cities in Morocco, working in 12 different institutions as members). The group was used to discuss difficult routine sign out cases, to obtain a second opinion. Pathology-related academic files, books and links were also shared. At the end of 20 months, members were asked to complete a feedback questionnaire. RESULTS: Over a 20-month period, 86 cases were discussed with 515 posted pictures. 78 cases were related to histopathology, and 8 cases to cytopathology. Twenty-one links regarding educational materials and books were also shared. A total of 14 participants out of 17 were active participants, and the majority of them found the discussions very useful for overcoming challenging cases. CONCLUSION: Sharing microphotographs of histopathological or cytological cases via WhatsApp is a very easy and fast method to obtain a second opinion in pathology practice and also to discuss difficult cases.


Assuntos
Patologia/métodos , Encaminhamento e Consulta/tendências , Mídias Sociais/tendências , Diagnóstico Diferencial , Humanos , Marrocos , Patologia/tendências , Fotomicrografia/tendências , Smartphone/tendências , Inquéritos e Questionários
15.
BMC Geriatr ; 19(1): 19, 2019 01 23.
Artigo em Inglês | MEDLINE | ID: mdl-30674284

RESUMO

BACKGROUND: The increasing use of smartphones by older adults also increases their potential for improving different aspects of health in this population. Some studies have shown promising results in the improvement of cognitive performance through lifestyle modification. All this may have a broad impact on the quality of life and carrying out daily living activities. The objective of this study is to evaluate the effectiveness of combining the use of smartphone and smartband technology for 3 months with brief counseling on life habits, as opposed to providing counseling only, in increasing physical activity and improving adherence to the Mediterranean diet. Secondary objectives are to assess the effect of the intervention on body composition, quality of life, independence in daily living activities and cognitive performance. METHODS: This study is a two-arm cluster-randomized trial that will be carried out in urban health centers in Spain. We will recruit 160 people aged between 65 and 80 without cardiovascular disease or cognitive impairment (score in the Mini-mental State Examination ≥24). On a visit to their center, intervention group participants will be instructed to use a smartphone application for a period of 3 months. This application integrates information on physical activity received from a fitness bracelet and self-reported information on the patient's daily nutritional composition. The primary outcome will be the change in the number of steps measured by accelerometer. Secondary variables will be adherence to the Mediterranean diet, sitting time, body composition, quality of life, independence in daily living activities and cognitive performance. All variables will be measured at baseline and on the assessment visit after 3 months. A telephone follow-up will be carried out at 6 months to collect self-reported data regarding physical activity and adherence to the Mediterranean diet. DISCUSSION: Preventive healthy aging programs should include health education with training in nutrition and lifestyles, while stressing the importance of and enhancing physical activity; the inclusion of new technologies can facilitate these goals. The EVIDENT-AGE study will incorporate a simple, accessible intervention with potential implementation in the care of older adults. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03574480 . Date of trial Registration July 2, 2018.


Assuntos
/métodos , Exercício Físico/fisiologia , Estilo de Vida Saudável , Smartphone , Dispositivos Eletrônicos Vestíveis , Idoso , Idoso de 80 Anos ou mais , Doenças Cardiovasculares/epidemiologia , Doenças Cardiovasculares/prevenção & controle , Aconselhamento/métodos , Feminino , Humanos , Masculino , Qualidade de Vida , Smartphone/tendências , Espanha/epidemiologia , Dispositivos Eletrônicos Vestíveis/tendências
17.
JMIR Mhealth Uhealth ; 7(1): e11942, 2019 01 24.
Artigo em Inglês | MEDLINE | ID: mdl-30679149

RESUMO

BACKGROUND: Safe driving training for adolescents aims to prevent injury and promote their well-being. In that regard, information and communication technologies have been used to understand adolescent driving behavior and develop interventions. OBJECTIVE: The purpose of this review is to explore and discuss existing approaches to technology-based driving interventions, driving assessments, and solutions in the literature. METHODS: We searched the Web of Science and PubMed databases following a review protocol to collect relevant peer-reviewed journal articles. Inclusion criteria were (1) being published in the English language, (2) being published in a peer-reviewed journal, (3) testing the driving behavior of teens with technology-based intervention methods, and (4) being published between January 2000 and March 2018. We appraised the articles by reading their abstracts to select studies matching the inclusion criteria and reading the full text of articles for final refinement. RESULTS: Initial keyword searches on technology-based solutions resulted in 828 publications that we refined further by title screening (n=131) and abstract evaluation against inclusion criteria (n=29). Finally, we selected 16 articles that met the inclusion criteria and examined them regarding the use of technology-based interventions, assessments, and solutions. Use of built-in tracking devices and installation of black box devices were widely used methods for capturing driving events. Smartphones were increasingly adapted for data collection, and use of gamification for intervention design was an emerging concept. Visual and audio feedback also were used for intervention. CONCLUSIONS: Our findings suggest that social influence is effective in technology-based interventions; parental involvement for promoting safe driving behavior is highly effective. However, the use of smartphones and gamification needs more study regarding their implementation and sustainability. Further developments in technology for predicting teen behavior and programs for behavioral change are needed.


Assuntos
Comportamento do Adolescente/psicologia , Condução de Veículo/educação , Ensino/tendências , Adolescente , Condução de Veículo/psicologia , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde/métodos , Smartphone/tendências , Ensino/psicologia , Estados Unidos
18.
Drug Alcohol Depend ; 195: 101-105, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30611977

RESUMO

BACKGROUND: There is limited evidence of the efficacy of smartphone applications to reduce unhealthy alcohol use. We tested the efficacy of providing access to a smartphone-based brief intervention for unhealthy alcohol use. METHODS: We conducted a two parallel-group randomized controlled trial with follow-up at 6 months, among 977 individuals with an Alcohol Use Disorder Identification Test ≥8 and drinking 15 or more drinks/week. Participants were randomized to receive (or not) access to a smartphone application consisting of personalized feedback, risk assessment and self-monitoring. The primary outcome was the mean number of drinks/week. An intention to treat analysis (ITT) and a per protocol analysis (PP) were conducted. RESULTS: Mean age of participants was 34.2(9.8), 46% were female. The baseline mean number of drinks per week was 28.9(16.7). Results differed by type of analysis: ITT: all 977 participants were included in the analysis. Follow-up rate was 70.7% (n = 691). There was no significant intervention effect: the Incidence Rate Ratio (IRR) (95%CI) for number of drinks per week was 0.93(0.84; 1.03). PP: 702 participants were included in the analysis. Follow-up rate was 78.1% (n = 548). There was a significant intervention effect: the IRR for number of drinks per week was 0.88(0.78; 0.99). CONCLUSIONS: Providing access to a smartphone-based brief intervention had no impact on drinking at 6 months and does not appear to be an effective intervention in reducing drinking. Those who downloaded the app appear to benefit from it, nevertheless downloads were limited and further development of similar apps should focus on increasing use.


Assuntos
Alcoolismo/prevenção & controle , Alcoolismo/psicologia , Aplicativos Móveis/tendências , Vigilância da População , Smartphone/tendências , Adulto , Consumo de Bebidas Alcoólicas/prevenção & controle , Consumo de Bebidas Alcoólicas/psicologia , Consumo de Bebidas Alcoólicas/tendências , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Vigilância da População/métodos
19.
An. psicol ; 35(1): 41-46, ene. 2019. tab, graf
Artigo em Inglês | IBECS | ID: ibc-181022

RESUMO

Addictive behaviors are not limited to drugs use, but also include certain daily behaviors that can cause gratification. Their progression to more severe pathological patterns entails grave consequences for the individual, including multiple psychopathological manifestations. The early detection of this type of behavior is of concern to primary health care. Therefore, in order to detect risk at early stages, reliable and valid tools for daily practice are essential. The MULTICAGE CAD-4 questionnaire is a screening tool for simultaneously detecting addictive behaviors. This study includes a new scale for the detection of smartphone abuse. The objective is to evaluate the adequacy of its psychometric properties. A sample of 2,074 subjects that were recruited from primary care centers ofMadrid(Spain) completed the MULTICAGE CAD-4 questionnaire. A confirmatory factor analysis, using unweighted least squares method, was performed. The test showed good internal consistency both at item and scale levels. The questionnaire structure was consistent with theoretical expectations. The MULTICAGE CAD-4, including the new smartphone scale, is a robust, reliable tool with a valid structure for assessing the presence of dysfunctional or potentially addictive behaviors, and especially useful in primary health care services


Los comportamientos adictivos no se limitan al uso de drogas, sino que también incluyen ciertos comportamientos diarios que pueden causar gratificación. Su progresión a patrones patológicos más severos conlleva graves consecuencias para el individuo, incluidas múltiples manifestaciones psicopatológicas. La detección temprana de este tipo de comportamiento es de interés para la atención primaria de salud. Por lo tanto, para detectar riesgos en etapas tempranas, las herramientas confiables y válidas para la práctica diaria son esenciales. El cuestionario MULTICAGE CAD-4 es una herramienta de detección para detectar simultáneamente conductas adictivas. Este estudio incluye una nueva escala para la detección del abuso de teléfonos inteligentes. El objetivo es evaluar la adecuación de sus propiedades psicométricas. Una muestra de 2.074 sujetos reclutados en centros de atención primaria de Madrid (España) completó el cuestionario MULTICAGE CAD-4. Se realizó un análisis factorial confirmatorio, utilizando el método de mínimos cuadrados no ponderados. La prueba mostró una buena consistencia interna tanto a nivel del ítem como de las escalas. La estructura del cuestionario fue consistente con las expectativas teóricas. El MULTICAGE CAD-4, incluida la nueva escala para teléfonos inteligentes, es una herramienta robusta y confiable con una estructura válida para evaluar la presencia de comportamientos disfuncionales o potencialmente adictivos, y especialmente útil en servicios de atención primaria de salud


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Idoso , Idoso de 80 Anos ou mais , Pessoa de Meia-Idade , Comportamento Aditivo/epidemiologia , Comportamento Aditivo/psicologia , Psicometria/métodos , Smartphone/tendências , Atenção Primária à Saúde , Inquéritos e Questionários , Análise Fatorial , Estudos Transversais , Análise de Dados , Pessoa de Meia-Idade
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