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1.
BMC Public Health ; 21(1): 110, 2021 01 09.
Artigo em Inglês | MEDLINE | ID: mdl-33422034

RESUMO

BACKGROUND: The rapid expansion of dengue, Zika and chikungunya with large scale outbreaks are an increasing public health concern in many countries. Additionally, the recent coronavirus pandemic urged the need to get connected for fast information transfer and exchange. As response, health programmes have -among other interventions- incorporated digital tools such as mobile phones for supporting the control and prevention of infectious diseases. However, little is known about the benefits of mobile phone technology in terms of input, process and outcome dimensions. The purpose of this scoping review is to analyse the evidence of the use of mobile phones as an intervention tool regarding the performance, acceptance, usability, feasibility, cost and effectiveness in dengue, Zika and chikungunya control programmes. METHODS: We conducted a scoping review of studies and reports by systematically searching: i) electronic databases (PubMed, PLOS ONE, PLOS Neglected Tropical Disease, LILACS, WHOLIS, ScienceDirect and Google scholar), ii) grey literature, using Google web and iii) documents in the list of references of the selected papers. Selected studies were categorized using a pre-determined data extraction form. Finally, a narrative summary of the evidence related to general characteristics of available mobile health tools and outcomes was produced. RESULTS: The systematic literature search identified 1289 records, 32 of which met the inclusion criteria and 4 records from the reference lists. A total of 36 studies were included coming from twenty different countries. Five mobile phone services were identified in this review: mobile applications (n = 18), short message services (n=7), camera phone (n = 6), mobile phone tracking data (n = 4), and simple mobile communication (n = 1). Mobile phones were used for surveillance, prevention, diagnosis, and communication demonstrating good performance, acceptance and usability by users, as well as feasibility of mobile phone under real life conditions and effectiveness in terms of contributing to a reduction of vectors/ disease and improving users-oriented behaviour changes. It can be concluded that there are benefits for using mobile phones in the fight against arboviral diseases as well as other epidemic diseases. Further studies particularly on acceptance, cost and effectiveness at scale are recommended.


Assuntos
Infecções por Arbovirus/prevenção & controle , Telefone Celular/estatística & dados numéricos , Humanos , Ensaios Clínicos Controlados Aleatórios como Assunto
3.
PLoS One ; 15(11): e0240526, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33141833

RESUMO

In-person (face-to-face) data collection methods offer many advantages but can also be time-consuming and expensive, particularly in areas of difficult access. We take advantage of the increasing mobile phone penetration rate in rural areas to evaluate the feasibility of using cell phones to monitor the provision of key health and nutrition interventions linked to the first 1,000 days of life, a critical period of growth and development. We examine response rates to calendarized text messages (SMS) and phone calls sent to 1,542 households over a period of four months. These households have children under two years old and pregnant women and are located across randomly selected communities in Quiche, Guatemala. We find that the overall (valid) response rate to phone calls is over 5 times higher than to text messages (75.8% versus 14.4%). We also test whether simple SMS reminders improve the timely reception of health services but do not find any effects in this regard. Language, education, and age appear to be major barriers to respond to text messages as opposed to phone calls, and the rate of response is not correlated with a household's geographic location (accessibility). Moreover, response veracity is high, with an 84-91% match between household responses and administrative records. The costs per monitored intervention are around 1.12 US dollars using text messages and 85 cents making phone calls, with the costs per effective answer showing a starker contrast, at 7.76 and 1.12 US dollars, respectively. Our findings indicate that mobile phone calls can be an effective, low-cost tool to collect reliable information remotely and in real time. In the current context, where in-person contact with households is not possible due to the COVID-19 crisis, phone calls can be a valuable instrument for collecting information, monitoring development interventions, or implementing brief surveys.


Assuntos
Telefone Celular/estatística & dados numéricos , Infecções por Coronavirus/epidemiologia , Monitorização Fisiológica/estatística & dados numéricos , Estado Nutricional/fisiologia , Pandemias , Pneumonia Viral/epidemiologia , População Rural/estatística & dados numéricos , Adulto , Telefone Celular/economia , Pré-Escolar , Feminino , Guatemala/epidemiologia , Humanos , Lactente , Recém-Nascido , Masculino , Monitorização Fisiológica/economia , Gravidez , Sistemas de Alerta/economia , Sistemas de Alerta/estatística & dados numéricos , Inquéritos e Questionários , Telemedicina/economia , Telemedicina/estatística & dados numéricos , Envio de Mensagens de Texto/economia , Envio de Mensagens de Texto/estatística & dados numéricos
4.
Nat Commun ; 11(1): 4631, 2020 09 15.
Artigo em Inglês | MEDLINE | ID: mdl-32934205

RESUMO

The knowledge of the spatial and temporal distribution of human population is vital for the study of cities, disaster risk management or planning of infrastructure. However, information on the distribution of population is often based on place-of-residence statistics from official sources, thus ignoring the changing population densities resulting from human mobility. Existing assessments of spatio-temporal population are limited in their detail and geographical coverage, and the promising mobile-phone records are hindered by issues concerning availability and consistency. Here, we present a multi-layered dasymetric approach that combines official statistics with geospatial data from emerging sources to produce and validate a European Union-wide dataset of population grids taking into account intraday and monthly population variations at 1 km2 resolution. The results reproduce and systematically quantify known insights concerning the spatio-temporal population density structure of large European cities, whose daytime population we estimate to be, on average, 1.9 times higher than night time in city centers.


Assuntos
Densidade Demográfica , Telefone Celular/estatística & dados numéricos , Cidades/estatística & dados numéricos , Europa (Continente) , Humanos , Análise Espaço-Temporal
5.
Sante Publique ; 32(2): 253-262, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32985842

RESUMO

OBJECTIVE: To describe the acceptability and factors associated with the use of mobile telephones in the care of people living with HIV (PLHIV) in Lomé, Togo. METHOD: A cross-sectional study was conducted from January 5th to March 31st, 2018 in Lomé. PLHIV were recruited from the Department of Infectious and Tropical Diseases of the teaching hospital “CHU Sylvanus Olympio” and the NGO “Espoir Vie Togo”. Socio-demographic and clinical data, mobile phone possession and acceptability of communication with health professionals using a mobile phone were collected with a standardized questionnaire during a face-to-face interview. RESULTS: A total of 259 PLHIV (79.6% women) were recruited. The mean age (± standard deviation) of PLHIV was 43.7 ± 9.8 years and the majority (95.4%) had a mobile phone. Almost all (98.1%) of respondents declared that mobile phone could be a means to maintain contact with a health professional. Phone calls (43.0%), text messages (SMS) (35.1%), and voice messages (20.0%) were the preferred means of communication with health professionals. Factors associated with the acceptability of receiving SMS from a health professional were age < 44 years and having at least a secondary level of education. CONCLUSION: PLHIV are receptive to the integration of mobile technology into the management of their condition. M-health could be an opportunity to improve the management of HIV infection in Togo.


Assuntos
Telefone Celular/estatística & dados numéricos , Infecções por HIV/terapia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Telemedicina/métodos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Envio de Mensagens de Texto/estatística & dados numéricos , Togo
6.
Cochrane Database Syst Rev ; 8: CD012927, 2020 08 18.
Artigo em Inglês | MEDLINE | ID: mdl-32813281

RESUMO

BACKGROUND: The widespread use of mobile technologies can potentially expand the use of telemedicine approaches to facilitate communication between healthcare providers, this might increase access to specialist advice and improve patient health outcomes. OBJECTIVES: To assess the effects of mobile technologies versus usual care for supporting communication and consultations between healthcare providers on healthcare providers' performance, acceptability and satisfaction, healthcare use, patient health outcomes, acceptability and satisfaction, costs, and technical difficulties. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase and three other databases from 1 January 2000 to 22 July 2019. We searched clinical trials registries, checked references of relevant systematic reviews and included studies, and contacted topic experts. SELECTION CRITERIA: Randomised trials comparing mobile technologies to support healthcare provider to healthcare provider communication and consultations compared with usual care. DATA COLLECTION AND ANALYSIS: We followed standard methodological procedures expected by Cochrane and EPOC. We used the GRADE approach to assess the certainty of the evidence. MAIN RESULTS: We included 19 trials (5766 participants when reported), most were conducted in high-income countries. The most frequently used mobile technology was a mobile phone, often accompanied by training if it was used to transfer digital images. Trials recruited participants with different conditions, and interventions varied in delivery, components, and frequency of contact. We judged most trials to have high risk of performance bias, and approximately half had a high risk of detection, attrition, and reporting biases. Two studies reported data on technical problems, reporting few difficulties. Mobile technologies used by primary care providers to consult with hospital specialists We assessed the certainty of evidence for this group of trials as moderate to low. Mobile technologies: - probably make little or no difference to primary care providers following guidelines for people with chronic kidney disease (CKD; 1 trial, 47 general practices, 3004 participants); - probably reduce the time between presentation and management of individuals with skin conditions, people with symptoms requiring an ultrasound, or being referred for an appointment with a specialist after attending primary care (4 trials, 656 participants); - may reduce referrals and clinic visits among people with some skin conditions, and increase the likelihood of receiving retinopathy screening among people with diabetes, or an ultrasound in those referred with symptoms (9 trials, 4810 participants when reported); - probably make little or no difference to patient-reported quality of life and health-related quality of life (2 trials, 622 participants) or to clinician-assessed clinical recovery (2 trials, 769 participants) among individuals with skin conditions; - may make little or no difference to healthcare provider (2 trials, 378 participants) or participant acceptability and satisfaction (4 trials, 972 participants) when primary care providers consult with dermatologists; - may make little or no difference for total or expected costs per participant for adults with some skin conditions or CKD (6 trials, 5423 participants). Mobile technologies used by emergency physicians to consult with hospital specialists about people attending the emergency department We assessed the certainty of evidence for this group of trials as moderate. Mobile technologies: - probably slightly reduce the consultation time between emergency physicians and hospital specialists (median difference -12 minutes, 95% CI -19 to -7; 1 trial, 345 participants); - probably reduce participants' length of stay in the emergency department by a few minutes (median difference -30 minutes, 95% CI -37 to -25; 1 trial, 345 participants). We did not identify trials that reported on providers' adherence, participants' health status and well-being, healthcare provider and participant acceptability and satisfaction, or costs. Mobile technologies used by community health workers or home-care workers to consult with clinic staff We assessed the certainty of evidence for this group of trials as moderate to low. Mobile technologies: - probably make little or no difference in the number of outpatient clinic and community nurse consultations for participants with diabetes or older individuals treated with home enteral nutrition (2 trials, 370 participants) or hospitalisation of older individuals treated with home enteral nutrition (1 trial, 188 participants); - may lead to little or no difference in mortality among people living with HIV (RR 0.82, 95% CI 0.55 to 1.22) or diabetes (RR 0.94, 95% CI 0.28 to 3.12) (2 trials, 1152 participants); - may make little or no difference to participants' disease activity or health-related quality of life in participants with rheumatoid arthritis (1 trial, 85 participants); - probably make little or no difference for participant acceptability and satisfaction for participants with diabetes and participants with rheumatoid arthritis (2 trials, 178 participants). We did not identify any trials that reported on providers' adherence, time between presentation and management, healthcare provider acceptability and satisfaction, or costs. AUTHORS' CONCLUSIONS: Our confidence in the effect estimates is limited. Interventions including a mobile technology component to support healthcare provider to healthcare provider communication and management of care may reduce the time between presentation and management of the health condition when primary care providers or emergency physicians use them to consult with specialists, and may increase the likelihood of receiving a clinical examination among participants with diabetes and those who required an ultrasound. They may decrease the number of people attending primary care who are referred to secondary or tertiary care in some conditions, such as some skin conditions and CKD. There was little evidence of effects on participants' health status and well-being, satisfaction, or costs.


Assuntos
Pessoal de Saúde , Telemedicina/estatística & dados numéricos , Tempo para o Tratamento , Adulto , Viés , Telefone Celular/estatística & dados numéricos , Agentes Comunitários de Saúde/estatística & dados numéricos , Segurança Computacional , Dermatologistas , Retinopatia Diabética/diagnóstico , Serviço Hospitalar de Emergência/estatística & dados numéricos , Fidelidade a Diretrizes/estatística & dados numéricos , Custos de Cuidados de Saúde , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Nível de Saúde , Humanos , Satisfação do Paciente , Satisfação Pessoal , Atenção Primária à Saúde/estatística & dados numéricos , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Encaminhamento e Consulta/estatística & dados numéricos , Insuficiência Renal Crônica/terapia , Dermatopatias/terapia , Telemedicina/economia , Fatores de Tempo , Ultrassonografia
7.
Artigo em Inglês | MEDLINE | ID: mdl-32781529

RESUMO

The use of mobile phones while driving is a very common phenomenon that has become one of the main causes of traffic accidents. Many studies on the effects of mobile phone use on accident risk have focused on conversation and texting; however, few studies have directly compared the impacts of speech-based texting and handheld texting on accident risk, especially during sudden braking events. This study aims to statistically model and quantify the effects of potential factors on accident risk associated with a sudden braking event in terms of the driving behavior characteristics of young drivers, the behavior of the lead vehicle (LV), and mobile phone distraction tasks (i.e., both speech-based and handheld texting). For this purpose, a total of fifty-five licensed young drivers completed a driving simulator experiment in a Chinese urban road environment under five driving conditions: baseline (no phone use), simple speech-based texting, complex speech-based texting, simple handheld texting, and complex handheld texting. Generalized linear mixed models were developed for the brake reaction time and rear-end accident probability during the sudden braking events. The results showed that handheld texting tasks led to a delayed response to the sudden braking events as compared to the baseline. However, speech-based texting tasks did not slow down the response. Moreover, drivers responded faster when the initial time headway was shorter, when the initial speed was higher, or when the LV deceleration rate was greater. The rear-end accident probability respectively increased by 2.41 and 2.77 times in the presence of simple and complex handheld texting while driving. Surprisingly, the effects of speech-based texting tasks were not significant, but the accident risk increased if drivers drove the vehicle with a shorter initial time headway or a higher LV deceleration rate. In summary, these findings suggest that the effects of mobile phone distraction tasks, driving behavior characteristics, and the behavior of the LV should be taken into consideration when developing algorithms for forward collision warning systems.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Atenção/fisiologia , Condução de Veículo/estatística & dados numéricos , Uso do Telefone Celular/efeitos adversos , Telefone Celular/estatística & dados numéricos , Envio de Mensagens de Texto , Adolescente , China , Cidades , Simulação por Computador , Feminino , Humanos , Masculino , Fala , População Urbana , Adulto Jovem
8.
Accid Anal Prev ; 144: 105678, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32659492

RESUMO

PURPOSE: The current study had three aims: 1) describe distracted driving beliefs among adolescents by various distraction types (i.e., talking on a hands-free/hands-held cell phone, texting or emailing, taking "selfies," and updating/checking social media); 2) examine the factor structure of distracted driving beliefs; and 3) test whether individual difference factors, shown in prior work to be related to distracted driving behavior, significantly predicted factors of distracted driving beliefs. METHODS: Three hundred seventy-nine high school students enrolled in non-mandatory Driver's Education courses completed surveys of distracted driving beliefs, sensation seeking, and demographics. RESULTS: A factor analysis revealed four factors of distracted driving beliefs: 1) self-acceptance of interacting with a cell phone while driving; 2) perceived peer acceptance of interacting with a cell phone while driving; 3) perceived threat of distracted driving to personal safety; and 4) self- and peer- acceptance of talking on a cell phone while driving. Adolescents perceived a greater threat to safety and less self- and peer-acceptance of interacting with cell phones while driving (i.e., texting/emailing, updating/posting to social media, taking selfies) than talking on a cell phone while driving. In general, men, those with more driving experience, higher in sensation seeking, and those placing more importance on checking notifications on a phone had riskier beliefs about distracted driving. CONCLUSION: Findings suggest adolescent distracted driving beliefs are influenced by individual difference factors, providing some knowledge about the motivations for distracted driving. Future work should consider novel strategies for intervening to reduce this common yet extremely dangerous behavior among adolescents.


Assuntos
Acidentes de Trânsito/prevenção & controle , Direção Distraída/psicologia , Infuência dos Pares , Percepção Social , Adolescente , Comportamento do Adolescente/psicologia , Telefone Celular/estatística & dados numéricos , Feminino , Humanos , Masculino , Inquéritos e Questionários
9.
PLoS One ; 15(7): e0236078, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32687527

RESUMO

BACKGROUND: The disruptive potential of mobile phones in catalyzing development is increasingly being recognized. However, numerous gaps remain in access to phones and their influence on health care utilization. In this cross-sectional study from India, we assess the gaps in women's access to phones, their influencing factors, and their influence on health care utilization. METHODS: Data drawn from the 2015 National Family Health Survey (NFHS) in India included a national sample of 45,231 women with data on phone access. Survey design weighted estimates of household phone ownership and women's access among different population sub-groups are presented. Multilevel logistic models explored the association of phone access with a wide range of maternal and child health indicators. Blinder-Oaxaca (BO) decomposition is used to decompose the gaps between women with and without phone access in health care utilization into components explained by background characteristics influencing phone access (endowments) and unexplained components (coefficients), potentially attributable to phone access itself. FINDINGS: Phone ownership at the household level was 92·8% (95% CI: 92·6-93·0%), with rural ownership at 91·1% (90·8-91·4%) and urban at 97.1% (96·7-97·3%). Women's access to phones was 47·8% (46·7-48·8%); 41·6% in rural areas (40·5-42·6%) and 62·7% (60·4-64·8%) in urban. Phone access in urban areas was positively associated with skilled birth attendance, postnatal care and use of modern contraceptives and negatively associated with early antenatal care. Phone access was not associated with improvements in utilization indicators in rural settings. Phone access (coefficient components) explained large gaps in the use of modern contraceptives, moderate gaps in postnatal care and early antenatal care, and smaller differences in the use of skilled birth attendance and immunization. For full antenatal car, phone access was associated with reducing gaps in utilization. INTERPRETATION: Women of reproductive age have significantly lower phone access use than the households they belong to and marginalized women have the least phone access. Existing phone access for rural women did not improve their health care utilization but was associated with greater utilization for urban women. Without addressing these biases, digital health programs may be at risk of worsening existing health inequities.


Assuntos
Telefone Celular/estatística & dados numéricos , Nível de Saúde , Inquéritos Epidemiológicos , Adulto , Feminino , Habitação/estatística & dados numéricos , Humanos , Índia , Serviços de Saúde Materna/estatística & dados numéricos , Análise Multivariada , Propriedade/estatística & dados numéricos
10.
Infect Dis Poverty ; 9(1): 62, 2020 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-32503667

RESUMO

BACKGROUND: Rabies is a fatal but preventable viral disease, which causes an estimated 59 000 human deaths globally every year. The vast majority of human rabies cases are attributable to bites from infected domestic dogs and consequently control of rabies in the dog population through mass vaccination campaigns is considered the most effective method of eliminating the disease. Achieving the WHO target of 70% vaccination coverage has proven challenging in low-resource settings such as Sub Saharan Africa, and lack of public awareness about rabies vaccination campaigns is a major barrier to their success. In this study we surveyed communities in three districts in Southern Malawi to assess the extent of and socio-economic factors associated with mobile phone ownership and explore the attitudes of communities towards the use of short message service (SMS) to inform them of upcoming rabies vaccination clinics. METHODS: This study was carried out between 1 October-3 December 2018 during the post-vaccination assessment of the annual dog rabies campaign in Blantyre, Zomba and Chiradzulu districts, Malawi. 1882 questionnaires were administered to households in 90 vaccination zones. The surveys gathered data on mobile phone ownership and use, and barriers to mobile phone access. A multivariable regression model was used to understand factors related to mobile phone ownership. RESULTS: Most survey respondents owned or had use of a mobile phone, however there was evidence of an inequality of access, with higher education level, living in Blantyre district and being male positively associated with mobile phone ownership. The principal barrier to mobile phone ownership was the cost of the phone itself. Basic feature phones were most common and few owned smartphones. SMS was commonly used and the main reason for not using SMS was illiteracy. Attitudes to receiving SMS reminders about future rabies vaccination campaigns were positive. CONCLUSIONS: The study showed a majority of those surveyed have the use of a mobile phone and most mobile phone owners indicated they would like to receive SMS messages about future rabies vaccination campaigns. This study provides insight into the feasibility of distributing information about rabies vaccination campaigns using mobile phones in Malawi.


Assuntos
Atitude , Telefone Celular/estatística & dados numéricos , Programas de Imunização/estatística & dados numéricos , Propriedade/estatística & dados numéricos , Raiva/prevenção & controle , Fatores Socioeconômicos , Vacinação/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Malaui , Masculino , Pessoa de Meia-Idade , Adulto Jovem
11.
Int J Clin Pharm ; 42(4): 1197-1206, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32524513

RESUMO

Background An infectious disease caused by a novel coronavirus (later called COVID-19) reached pandemic levels in 2020 and community pharmacists were involved in responding to this pandemic, also in Kosovo. Objectives To explore the experiences of community pharmacists in relation to provision of community pharmacy services during COVID-19 pandemic. Setting Community pharmacists in Kosovo. Methods This was a cross-sectional study where data was collected via a self-administered online questionnaire, from 264 pharmacists actively practicing in Kosovo during the pandemic. The questionnaire consisted of a combination of closed and open-ended questions, optional statements and statements on a five-point Likert scale, derived at least in part from the Transtheoretical Model. One-way analysis of variance was used to analyze differences in responses to Likert-type items whereas categorical variables were analyzed using Chi square testing. Main outcome measures Community pharmacists' perceptions on COVID-19 related preventative measures. Results A response rate of 40.6% was achieved. Sufficient and adequate COVID-19-related preventative measures were being implemented by a majority of pharmacies (n = 232; 87.9%), and over two-thirds of respondents agreed/strongly agreed that their pharmacies were sufficiently prepared with protective equipment for their personnel. Implementation of preventative measures was associated with respondents' perception that pharmacists and the pharmacy profession were valued more by patients during the pandemic and to a lesser degree, by other health professionals. Most commonly stated pros dealt with employee and patient safety, while key cons dealt with increased costs and running out of the necessary protective equipment. Key barriers to pharmacy activities were price increases by wholesalers, and patients' panic and excessive buying, whereas drivers dealt with professional obligation to assist and opportunity to prove inseparable to other health professionals. The most popular means of accessing COVID-19 related information by pharmacists was via mobile devices and information from professional organizations was considered most useful by pharmacists. Conclusions Community pharmacies actively implemented various measures as precautions to mitigate the spread of COVID-19. Our findings highlight the value of continuous provision of information by professional organizations and use of mobile devices as key means to access information by pharmacists.


Assuntos
Serviços Comunitários de Farmácia/organização & administração , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Farmacêuticos/organização & administração , Pneumonia Viral/prevenção & controle , Telefone Celular/estatística & dados numéricos , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Feminino , Humanos , Kosovo , Masculino , Pneumonia Viral/epidemiologia , Papel Profissional , Sociedades Farmacêuticas/estatística & dados numéricos , Inquéritos e Questionários
13.
PLoS One ; 15(4): e0231863, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32352978

RESUMO

We introduce and validate the use of commercially available human mobility datasets based on cell phone locations to estimate visitation to natural areas. By combining this data with on-the-ground observations of visitation to water recreation areas in New England, we fit a model to estimate daily visitation for four months to more than 500 sites. The results show the potential for this new big data source of human mobility to overcome limitations in traditional methods of estimating visitation and to provide consistent information at policy-relevant scales. However, the data providers' opaque and rapidly developing methods for processing locational information required a calibration and validation against data collected by traditional means to confidently reproduce the desired estimates of visitation. We found that with this calibration, the high-resolution information in both space and time provided by cell phone location-derived data creates opportunities for developing next-generation models of human interactions with the natural environment.


Assuntos
Telefone Celular/estatística & dados numéricos , Análise de Dados , Recreação , Calibragem , Humanos , New England
14.
Sleep Health ; 6(2): 172-178, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32111524

RESUMO

OBJECTIVES: The objective was to describe (1) the type, (2) the amount of use, and (3) the time of usage of electronic devices, for school days and weekends, as well as its impact on adolescents' sleep quality. DESIGN: A cross-sectional study using hierarchical regressions accounting for confounding sleep-related variables was used. SETTING: The participants were from six public schools in Porto Alegre, Brazil. PARTICIPANTS: The participants included 177 students of both sexes aged between 11 and 18 years. MEASUREMENTS: An electronic usage diary assessed the span of time during which the electronic device was used (separated by "TV and computer monitors", "tablets, e-readers and portable video games," and "cell phones") for school days and weekends. The Munich Chronotype Questionnaire was used to assess sleep duration, midpoint of sleep, and social jetlag. Sleep quality was assessed using the Pittsburgh Sleep Quality Index. RESULTS: Greater nighttime use and last time of use of cell phones at night are associated with worse sleep quality in univariate analyses. A hierarchical regression model shows that poor sleep quality associates with shorter sleep duration on school days and with a delayed midpoint of sleep on weekends. Electronic device use did not reach statistical significance in the regression model with confounding factors. CONCLUSIONS: Adequate sleep duration is imperative to maintain a good sleep quality on school days, independently of the use of cell phones. It is important to underpin the need for evaluation of sleep phase and chronotype in future research on the topic aiming to elucidate its relationship with electronic use on school-free days.


Assuntos
Eletrônica/estatística & dados numéricos , Sono , Estudantes/psicologia , Adolescente , Brasil , Telefone Celular/estatística & dados numéricos , Criança , Computadores/estatística & dados numéricos , Estudos Transversais , Feminino , Humanos , Masculino , Instituições Acadêmicas , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Televisão/estatística & dados numéricos , Fatores de Tempo , Jogos de Vídeo/estatística & dados numéricos
15.
PLoS One ; 15(3): e0229411, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32142514

RESUMO

BACKGROUND: Smoking among adolescents remains a global public health issue as youth continue to maintain high prevalence rates. The evidence for the efficacy of text messaging interventions to reduce smoking behavior is well established, yet there is still a need for studies targeting high school students. The aim of the study was to determine the effectiveness of a text-based smoking cessation intervention among high school students in Sweden. METHODS: The study was a two-arm randomized trial conducted from January 10 2018 to January 11 2019, data were analysed from April 12 2019 to May 21 2019. Inclusion criteria were high school students who were daily or weekly smokers willing to attempt to quit smoking and owned a mobile phone. The study invited all students at 630 high schools units throughout Sweden. The intervention group received text messages based on components of effective smoking cessation interventions for 12 weeks. The control group were offered treatment as usual. The primary outcomes were self-reported prolonged abstinence (not having smoked more than 5 cigarettes over the last 8 weeks) and 4-week point prevalence of smoking abstinence. FINDINGS: A total of 535 participants, with a median age of 17 (IQR 16-18), were randomized into the study; 276 (164 [59.4%] women) were allocated to the intervention and 259 (162 [62.5%] women) to the control group. The outcomes of the trial were analyzed on a total of 212 (76.8%) participants in the intervention group and 201 (77.6%) participants in the control group. Prolonged abstinence at the 3-month follow-up was reported by 49 (23.1%) individuals in the intervention group and 39 (19.4%) individuals in the control group (adjusted OR, 1.21; 95% CI, 0.73-2.01; P value, .46). Four-week point prevalence of complete smoking cessation was reported by 53 (25.0%) individuals in the intervention group and 31 (15.4%) individuals in the control group (adjusted OR, 1.87; 95% CI, 1.12-3.17; P value, .018). CONCLUSIONS: Estimates of 4-week point prevalence of complete cessation was 10 percentage points higher in the group that were given access to the intervention compared to the control. Findings provide confirmation that text messaging-based smoking cessation programs can affect quit rates among adolescents. TRIAL REGISTRATION: ISRCTN15396225; registration date October 13, 2017, https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-018-3028-2.


Assuntos
Terapia Comportamental , Telefone Celular/estatística & dados numéricos , Comportamentos Relacionados com a Saúde , Abandono do Hábito de Fumar/métodos , Fumar/epidemiologia , Estudantes/psicologia , Telemedicina/métodos , Adolescente , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Avaliação de Resultados em Cuidados de Saúde , Autorrelato , Fumar/psicologia , Prevenção do Hábito de Fumar , Suécia/epidemiologia , Envio de Mensagens de Texto/estatística & dados numéricos
16.
Ir J Med Sci ; 189(4): 1145-1146, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32219674

RESUMO

We reported several personal-oriented and mobile phone-based information technologies which were recently developed and widely used during the outbreak of COVID-19 in China. These technologies help reduce the transmission of COVID-19 and maintain normal social order.


Assuntos
Betacoronavirus , Telefone Celular/estatística & dados numéricos , Infecções por Coronavirus/prevenção & controle , Surtos de Doenças/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , China , Humanos
17.
Int J Rehabil Res ; 43(2): 188-191, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32106175

RESUMO

World demography is changing as the population ages and there are more people with disabilities having problems to stay independently at home. Innovative technologies could help extend the independence of older people living at home. As part of a collaborative project, we investigated ownership and use of information and communication technologies (ICT) among older people with lower limb loss (LLL) using questionnaires and retrospective analysis. Our aim was to analyse factors associated with ICT use among people with LLL. We identified age as the main factor that limits ownership and use of ICT among older people with LLL in Slovenia. Cause of amputation also appears to be relevant, whereby those who had amputation because of peripheral vascular disease are more likely to use a personal or tablet computer, social networks, messaging apps, email and internet than those who had amputation because of diabetes. In addition, those living in the suburbs are more likely to use a health monitoring device than those living in the countryside.


Assuntos
Amputados , Telefone Celular/estatística & dados numéricos , Rádio/estatística & dados numéricos , Televisão/estatística & dados numéricos , Dispositivos Eletrônicos Vestíveis/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Diabetes Mellitus/epidemiologia , Feminino , Humanos , Perna (Membro) , Masculino , Pessoa de Meia-Idade , Doenças Vasculares Periféricas/epidemiologia , Estudos Retrospectivos , Eslovênia/epidemiologia , Inquéritos e Questionários
18.
J Pediatr ; 219: 180-187, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32057438

RESUMO

OBJECTIVE: To examine the cross-sectional associations between young adolescents' access, use, and perceived impairments related to digital technologies and their academic, psychological, and physical well-being. STUDY DESIGN: There were 2104 adolescents (ages 10-15 years), representative of the North Carolina Public School population, who completed questionnaires in 2015. Administrative educational records were linked with parental consent. RESULTS: Nearly all young adolescents (95%) had Internet access, 67% owned a mobile phone, and 68% had a social media account. Mobile phone ownership was not associated with any indicators of well-being (math and reading test scores, school belonging, psychological distress, conduct problems, or physical health) after controlling for demographic factors. Having a social media account and frequency of social media use were only robustly associated with conduct problems (explaining ∼3% of the variation in conduct problems). Despite the lack of strong associations, 91% of adolescents reported at least 1 perceived technology-related impairment and 29% of adolescents reported online-to-offline spillover of negative experiences. Economically disadvantaged adolescents reported similar access, but greater online-to-offline spillover and stronger associations between social media account ownership and poor psychological well-being compared with their more affluent peers. CONCLUSIONS: At the population level, there was little evidence that digital technology access and use is negatively associated with young adolescents' well-being. Youth from economically disadvantaged families were equally likely to have access to digital technologies, but were more likely than their more affluent peers to report negative online experiences. Closing the digital divide requires prioritizing equity in experiences and opportunities, as well as in access.


Assuntos
Telefone Celular/estatística & dados numéricos , Internet/estatística & dados numéricos , Comportamento Problema , Mídias Sociais/estatística & dados numéricos , Adolescente , Criança , Bem-Estar da Criança , Estudos Transversais , Feminino , Humanos , Masculino , Autorrelato
19.
Sci Rep ; 10(1): 7, 2020 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-31913296

RESUMO

Non-adherence to self-management poses a serious risk to diabetes complications. Digital behavioural change interventions have the potential to provide education and motivate users to regularly engage with self-management of diabetes. This paper describes the development of My Care Hub mobile phone application (app) aimed at supporting self-management in people with type 1 or type 2 diabetes. The development of My Care Hub involved a comprehensive process of healthy behavioural change identification, end users' needs, expert consensus, data security and privacy considerations. The app translation was a highly iterative process accompanied by usability testing and design modification. The app development process included: (1) behaviour change strategy selection; (2) users' involvement; (3) expert advisory involvement; (4) data security and privacy considerations; (5) design creation and output translation into a smartphone app and (6) two usability testings of the app prototype version. The app features include self-management activities documentation, analytics, personalized and generalized messages for diabetes self-management as well as carbohydrate components of common foods in Australia. Twelve respondents provided feedback on the usability of the app. Initially, a simplification of the documentation features of the app was identified as a need to improve usability. Overall, results indicated good user satisfaction rate.


Assuntos
Telefone Celular/estatística & dados numéricos , Diabetes Mellitus Tipo 1/terapia , Diabetes Mellitus Tipo 2/terapia , Aplicativos Móveis/normas , Autocuidado , Autogestão/métodos , Telemedicina/métodos , Adulto , Idoso , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto
20.
J Affect Disord ; 260: 498-505, 2020 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-31539686

RESUMO

BACKGROUND: This 3-year longitudinal study investigated the prospective relationships between mobile phone dependence and mental health status (i.e., subjective well-being, anxiety and depression) and the mediating role of college adjustment among Chinese undergraduate students. METHODS: The study recruited 265 first-year undergraduate students from a university (mean age = 18.95 years, SD = 0.72) in Wenzhou, China. A baseline survey and two follow-up surveys were conducted between November 2013 and December 2015 (the response rate was 76.4%). The validated Mobile Phone Addiction Tendency Scale (MPATS), Chinese College Student Adjustment Scale (CCSAS), Index of Well-being, Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS) were used for assessments. RESULTS: The prevalence of anxiety and depression at Year 3 was 7.5% and 9.4%, respectively. Correlation analyses showed that mobile phone dependence at Year 1, college adjustment at Year 2, and mental health status at Year 3 were significantly correlated with each other. Structural equation modeling analyses showed that mobile phone dependence at Year 1 significantly predicted poor mental health status at Year 3. College adjustment at Year 2 significantly mediated the effect of mobile phone dependence at Year 1 on mental health status at Year 3. CONCLUSIONS: Interventions both on reduction of mobile phone dependency and improvement of college adjustment (especially among those with mobile phone dependence) are possible and needed among new college students to prevent their future depression and anxiety. Such interventions should be incorporated into regular education programs in universities.


Assuntos
Comportamento Aditivo/epidemiologia , Comportamento Aditivo/psicologia , Telefone Celular/estatística & dados numéricos , Estudantes/psicologia , Adulto , Ansiedade/psicologia , Grupo com Ancestrais do Continente Asiático , China/epidemiologia , Feminino , Nível de Saúde , Humanos , Estudos Longitudinais , Masculino , Estudos Prospectivos , Inquéritos e Questionários , Universidades , Adulto Jovem
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