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1.
Telemed J E Health ; 2022 May 24.
Article in English | MEDLINE | ID: covidwho-1866261

ABSTRACT

Purpose: To improve patient access to skin care, the Department of Veterans Affairs (VA) developed a patient-facing asynchronous mobile teledermatology application (app), which allows patients to follow up remotely with dermatologists. To understand how the app would be received in VA, we examined Organizational Readiness for Change (ORC), an important prelude to effective implementation, which includes the shared resolve and collective ability of organizational members to implement a change. Methods: We used a mixed-methods multiple case study approach to assess ORC at three VA facilities. Data derived from a site process call, surveys, and semistructured telephone interviews of VA staff, field notes, and administrative data. Results: Participants at all three facilities supported the intervention and recognized the value of using the app to increase patients' access to dermatologists, but expressed concerns largely related to disruption of the pre-existing clinical workflow. Participants at the facility most actively using the app had the highest overall ORC score and reported the most facilitators. Facility leadership support when guided by a clinical champion minimized barriers by recognizing the complexities of health care provision at specialty clinics. Discussion: While provider buy-in remained a barrier, leadership, guided by the clinical champion, played a critical role instituting implementation strategies. The strong association between the ORC survey score and the presence of facilitators and barriers suggests that the ORC survey may be a rapid, convenient, and effective tool for health care systems to identify favorable sites for wider implementation of mobile telehealth care. Clinical Trials Identifier: NCT03241589.

2.
JMIR Public Health Surveill ; 7(4): e26460, 2021 04 06.
Article in English | MEDLINE | ID: covidwho-2141312

ABSTRACT

The enormous pressure of the increasing case numbers experienced during the COVID-19 pandemic has given rise to a variety of novel digital systems designed to provide solutions to unprecedented challenges in public health. The field of algorithmic contact tracing, in particular, an area of research that had previously received limited attention, has moved into the spotlight as a crucial factor in containing the pandemic. The use of digital tools to enable more robust and expedited contact tracing and notification, while maintaining privacy and trust in the data generated, is viewed as key to identifying chains of transmission and close contacts, and, consequently, to enabling effective case investigations. Scaling these tools has never been more critical, as global case numbers have exceeded 100 million, as many asymptomatic patients remain undetected, and as COVID-19 variants begin to emerge around the world. In this context, there is increasing attention on blockchain technology as a part of systems for enhanced digital algorithmic contact tracing and reporting. By analyzing the literature that has emerged from this trend, the common characteristics of the designs proposed become apparent. An archetypal system architecture can be derived, taking these characteristics into consideration. However, assessing the utility of this architecture using a recognized evaluation framework shows that the added benefits and features of blockchain technology do not provide significant advantages over conventional centralized systems for algorithmic contact tracing and reporting. From our study, it, therefore, seems that blockchain technology may provide a more significant benefit in other areas of public health beyond contact tracing.


Subject(s)
Algorithms , Blockchain , Contact Tracing , Coronavirus Infections , Privacy , COVID-19 , Coronavirus Infections/diagnosis , Coronavirus Infections/epidemiology , Female , Humans , Male , Public Health
3.
JMIR Hum Factors ; 9(4): e38701, 2022 Nov 04.
Article in English | MEDLINE | ID: covidwho-2109558

ABSTRACT

BACKGROUND: Over the past few years, studies have increasingly focused on the development of mobile apps as complementary tools to existing traditional pharmacovigilance surveillance systems for improving and facilitating adverse drug reaction (ADR) reporting. OBJECTIVE: In this research, we evaluated the potentiality of a new mobile app (vaxEffect@UniMiB) to perform longitudinal studies, while preserving the anonymity of the respondents. We applied the app to monitor the ADRs during the COVID-19 vaccination campaign in a sample of the Italian population. METHODS: We administered vaxEffect@UniMiB to a convenience sample of academic subjects vaccinated at the Milano-Bicocca University hub for COVID-19 during the Italian national vaccination campaign. vaxEffect@UniMiB was developed for both Android and iOS devices. The mobile app asks users to send their medical history and, upon every vaccine administration, their vaccination data and the ADRs that occurred within 7 days postvaccination, making it possible to follow the ADR dynamics for each respondent. The app sends data over the web to an application server. The server, along with receiving all user data, saves the data in a SQL database server and reminds patients to submit vaccine and ADR data by push notifications sent to the mobile app through Firebase Cloud Messaging (FCM). On initial startup of the app, a unique user identifier (UUID) was generated for each respondent, so its anonymity was completely ensured, while enabling longitudinal studies. RESULTS: A total of 3712 people were vaccinated during the first vaccination wave. A total of 2733 (73.6%) respondents between the ages of 19 and 80 years, coming from the University of Milano-Bicocca (UniMiB) and the Politecnico of Milan (PoliMi), participated in the survey. Overall, we collected information about vaccination and ADRs to the first vaccine dose for 2226 subjects (60.0% of the first dose vaccinated), to the second dose for 1610 subjects (43.4% of the second dose vaccinated), and, in a nonsponsored fashion, to the third dose for 169 individuals (4.6%). CONCLUSIONS: vaxEffect@UniMiB was revealed to be the first attempt in performing longitudinal studies to monitor the same subject over time in terms of the reported ADRs after each vaccine administration, while guaranteeing complete anonymity of the subject. A series of aspects contributed to the positive involvement from people in using this app to report their ADRs to vaccination: ease of use, availability from multiple platforms, anonymity of all survey participants and protection of the submitted data, and the health care workers' support.

4.
Tourism Planning & Development ; : 1-24, 2022.
Article in English | Web of Science | ID: covidwho-2107178

ABSTRACT

The COVID-19 pandemic has severely affected the tourism industry, with national lockdowns aimed at curbing the spread of the virus mandating travel restrictions and prohibiting events and gatherings. The shift to online video conferencing tools, which offer limited interactivity, has spurred the need to integrate augmented reality (AR) in various contexts, such as meetings, exhibitions, museums, and travel. This quantitative study examines visitors' perspectives on AR-based apps in tourism. It investigates the influence of three kinds of quality determinants, such as information quality, system quality, and service quality, on visitors' perspectives on AR apps. Their impact on visitor satisfaction ultimately triggers visitors to reuse AR-based mobile apps. The research makes a theoretical contribution to the literature on AR and the quality dimensions of mobile apps. We expect demand for AR-based apps to rapidly increase, as people continue to follow preventive measures even after COVID-19.

5.
Technological Forecasting and Social Change ; 186:122111, 2023.
Article in English | ScienceDirect | ID: covidwho-2086750

ABSTRACT

Nowadays many people use mobile applications for different purposes to manage their daily activities more conveniently and efficiently. Thus, mobile apps contribute to the optimization of consumers' shopping experience during the decision-making process. Based on the S-O-R framework, the present study explores the direct and indirect impact of utilitarian, hedonic and social attributes of mobile apps on consumers' attitudes and purchase intention through fast fashion mobile apps. An online survey was conducted to test the proposed conceptual model, and the partial least squares (PLS) modeling technique was used for the reliability and validity assessment of the reflective constructs. The results indicate that hedonic motivations have a higher impact on consumers' attitudes than utilitarian ones. Attitude has multiple mediation roles, while channel-switching behaviour caused by COVID-19 moderates the relationship between attitude and purchase intention. The findings are relevant for marketers and fashion retailers to optimize branded mobile apps from a utilitarian and hedonic point of view.

6.
Primary Health Care ; 32(5):9-11, 2022.
Article in English | Academic Search Complete | ID: covidwho-2067178

ABSTRACT

Continence care is a fundamental part of nursing, yet it has long been seen as a Cinderella service. [ FROM AUTHOR] Copyright of Primary Health Care is the property of RNCi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

7.
JMIR Mhealth Uhealth ; 10(10): e41282, 2022 10 12.
Article in English | MEDLINE | ID: covidwho-2065331

ABSTRACT

BACKGROUND: Approximately 800 million people, representing 11% of the world's population, are affected by mental health problems. The COVID-19 pandemic exacerbated problems and triggered a decline in well-being, with drastic increase in the incidence of conditions such as anxiety, depression, and stress. Approximately 20,000 mental health apps are listed in mobile app stores. However, no significant evaluation of mental health apps in French, spoken by approximately 300 million people, has been identified in the literature yet. OBJECTIVE: This study aims to review the mental health mobile apps currently available on the French Apple App Store and Google Play Store and to evaluate their quality using Mobile App Rating Scale-French (MARS-F). METHODS: Screening of mental health apps was conducted from June 10, 2022, to June 17, 2022, on the French Apple App Store and Google Play Store. A shortlist of 12 apps was identified using the criteria of selection and assessed using MARS-F by 9 mental health professionals. Intraclass correlation was used to evaluate interrater agreement. Mean (SD) scores and their distributions for each section and item were calculated. RESULTS: The highest scores for MARS-F quality were obtained by Soutien psy avec Mon Sherpa (mean 3.85, SD 0.48), Evoluno (mean 3.54, SD 0.72), and Teale (mean 3.53, SD 0.87). Mean engagement scores (section A) ranged from 2.33 (SD 0.69) for Reflexe reussite to 3.80 (SD 0.61) for Soutien psy avec Mon Sherpa. Mean aesthetics scores (section C) ranged from 2.52 (SD 0.62) for Mental Booster to 3.89 (SD 0.69) for Soutien psy avec Mon Sherpa. Mean information scores (section D) ranged from 2.00 (SD 0.75) for Mental Booster to 3.46 (SD 0.77) for Soutien psy avec Mon Sherpa. Mean Mobile App Rating Scale subjective quality (section E) score varied from 1.22 (SD 0.26) for VOS - journal de l'humeur to 2.69 (SD 0.84) for Soutien psy avec Mon Sherpa. Mean app specificity (section F) score varied from 1.56 (SD 0.97) for Mental Booster to 3.31 (SD 1.22) for Evoluno. For all the mental health apps studied, except Soutien psy avec Mon Sherpa (11/12, 92%), the subjective quality score was always lower than the app specificity score, which was always lower than the MARS-F quality score, and that was lower than the rating score from the iPhone Operating System or Android app stores. CONCLUSIONS: Mental health professionals assessed that, despite the lack of scientific evidence, the mental health mobile apps available on the French Apple App Store and Google Play Store were of good quality. However, they are reluctant to use them in their professional practice. Additional investigations are needed to assess their compliance with recommendations and their long-term impact on users.


Subject(s)
COVID-19 , Mobile Applications , Humans , Mental Health , Pandemics
8.
Digit Health ; 8: 20552076221129070, 2022.
Article in English | MEDLINE | ID: covidwho-2064700

ABSTRACT

Objectives: Technology in the form of mobile apps has played an essential role in facilitating, tracking, and maintaining health and fitness activities during the pandemic. When countries opted for partial or complete lockdowns to contain the spread of the coronavirus disease 2019 virus, it led to people working on their health and fitness-related activities from their homes, just as they continued working from home. This paper aims to quantify the impact of coronavirus disease 2019 on the development of health and fitness mobile apps. Specifically, we compute the effect of coronavirus disease 2019 on the growth of different sub-categories of health and fitness apps. Methods: We scraped data about a population of 78,890 health and fitness apps from the iOS App Store. First, categories of health and fitness apps are identified using text analysis on the descriptions of apps. Second, the rise in the development of new apps is analyzed. To quantify the impact of coronavirus disease 2019 on the growth of the health and fitness apps, multiple time-series forecasting models are created for different categories of health and fitness apps. Results: The text analysis identified twelve different types of health and fitness apps on the app market. Our models estimated that the number of health and fitness apps on the iOS app market exceeded the expected growth by 29.9% after the pandemic. The results of all categories of health and fitness are discussed in the paper. Conclusions: Our analysis found significant growth in the development of new health and fitness apps after the pandemic outbreak. The post hoc study of the population of health and fitness apps presented the current state of this particular area of the app market. In addition, it provided potential growth areas in app markets where there are fewer apps.

9.
i-Manager's Journal on Management ; 16(3):29-36, 2022.
Article in English | ProQuest Central | ID: covidwho-2056929

ABSTRACT

Cashless transactions are common in business sectors and in cities to a large extent. But after the announcement of the demonetization of all Rs. 500 and Rs. 1,000 banknotes on November 8, 2016 by the Government of India, all the sectors to the maximum extent adopted cashless transactions. SHGs too have adopted this culture by installing mobile apps on their smart phones. During 2015-16, NABARD, through its project Eshakti digitisation of SHGs, has made an attempt to update the SHG bookkeeping on a real time basis to bring transparency and credibility. The project EShakti had the advantage of addressing the problem of book keeping through available technology, knowing the credit history of SHG members, generating grades for SHGs based on their financial and non-financial records and making them available to all important stakeholders. The stakeholders, namely bankers can now take informed decisions on extending credit linkages on the basis of reports generated through EShakti. In this paper, an attempt is made to study the adoption of cashless transactions in SHGs in the Konaseema region.

10.
JMIR Hum Factors ; 9(3): e38265, 2022 Sep 06.
Article in English | MEDLINE | ID: covidwho-2054779

ABSTRACT

BACKGROUND: Chronic pain is a prolonged condition that deteriorates one's quality of life. Treating chronic pain requires a multicomponent approach, and in many cases, there are no "silver bullet" solutions. Mobile health (mHealth) is a rapidly expanding category of solutions in digital health with proven potential in chronic pain management. OBJECTIVE: This study aims to contrast the viewpoints of 2 groups of people with chronic pain concerning mHealth: people who have adopted the use of mHealth and those who have not. We highlight the benefits of mHealth solutions for people with chronic pain and the perceived obstacles to their increased adoption. We also provide recommendations to encourage people to try mHealth solutions as part of their self-care. METHODS: The Prolific crowdsourcing platform was used to collect crowdsourced data. A prescreening questionnaire was released to determine what type of pain potential participants have and whether they are currently using mHealth solutions for chronic pain. The participants were invited based on their experience using mHealth to manage their pain. Similar questions were presented to mHealth users and nonusers. Qualitative and quantitative analyses were performed to determine the outcomes of this study. RESULTS: In total, 31 responses were collected from people (aged 19-63 years, mean 31.4, SD 12.1) with chronic pain who use mHealth solutions. Two-thirds (n=20, 65%) of the users identified as female and 11 (35%) as male. We matched these mHealth users with an equal number of nonusers: 31 responses from the pool of 361 participants in the prescreening questionnaire. The nonusers' ages ranged from 18 to 58 years (mean 30.8, SD 11.09), with 15 (50%) identifying as female and 15 (50%) as male. Likert-scale questions were analyzed using the Mann-Whitney-Wilcoxon (MWW) test. Results showed that the 2 groups differed significantly on 10 (43%) of 23 questions and shared similar views in the remaining 13 (57%). The most significant differences were related to privacy and interactions with health professionals. Of the 31 mHealth users, 12 (39%) declared that using mHealth solutions has made interacting with health or social care professionals easier (vs n=22, 71%, of nonusers). The majority of the nonusers (n=26, 84%) compared with about half of the users (n=15, 48%) expressed concern about sharing their data with, for example, third parties. CONCLUSIONS: This study investigated how mHealth is currently used in the context of chronic pain and what expectations mHealth nonusers have for mHealth as a future chronic pain management tool. Analysis revealed contrasts between mHealth use expectations and actual usage experiences, highlighting privacy concerns toward mHealth solutions. Generally, the results showed that nonusers are more concerned about data privacy and expect mHealth to facilitate interacting with health professionals. The users, in contrast, feel that such connections do not exist.

11.
19th Annual International Conference on Privacy, Security and Trust, PST 2022 ; 2022.
Article in English | Scopus | ID: covidwho-2052070

ABSTRACT

Mental health is an extremely important subject, especially in these unprecedented times of the COVID-19 pandemic. Ubiquitous mobile phones can equip users to supplement psychiatric treatment and manage their mental health. Mobile Mental Health (MMH) apps emerge as an effective alternative to assist with a broad range of psychological disorders filling the much-needed patient-provider accessibility gap. However, it also raises significant concerns with sensitive information leakage. The absence of a transparent privacy policy and lack of user awareness may pose a significant threat to undermining the applicability of such tools. We conducted a multifold study of - 1) Privacy policies (Manually and with Polisis, an automated framework to evaluate privacy policies);2) App permissions;3) Static Analysis for inherent security issues;4) Dynamic Analysis for threat surface and vulnerabilities detection, and 5) Traffic Analysis. Our results indicate that apps' exploitable flaws, dangerous permissions, and insecure data handling pose a potential threat to the users' privacy and security. The Dynamic analysis identified 145 vulnerabilities in 20 top-rated MMH apps where attackers and malicious apps can access sensitive information. 45% of MMH apps use a unique identifier, Hardware Id, which can link a unique id to a particular user and probe users' mental health. Traffic analysis shows that sensitive mental health data can be leaked through insecure data transmission. MMH apps need better scrutiny and regulation for more widespread usage to meet the increasing need for mental health care without being intrusive to the already vulnerable population. © 2022 IEEE.

12.
9th Ieee/Acm International Conference on Mobile Software Engineering and Systems, Mobilesoft 2022 ; : 50-61, 2022.
Article in English | Web of Science | ID: covidwho-2032556

ABSTRACT

The COVID-19 pandemic resulted in introducing a large number of "emerging apps" to the mobile app market. These apps were developed and deployed quickly to address the urgency of the situation. This gave us an indication that the cycle of having new emerging apps will likely reoccur in every upcoming emergency in the future e.g. for advice and guidance during bush fires, floods, other pandemics, etc. We carried out an in-depth analysis of user reviews and version history release notes for 30 COVID-19 apps that were developed in a great hurry in 2020. We identified many diverse accessibility issues that exist, not just related to conventional challenged end-user accessibility issues, but including the ability to register, access, download, and use from different app stores in different countries and for different end-users. From this large-scale analysis, we developed a new advisory tool for software developers of emerging apps to avoid many of the wide accessibility issues presented in these COVID-19 apps. A user evaluation of our prototype tool with 13 real-world app developers indicates it will assist developers to address many of these issues prior to initial emerging app deployment.

13.
Lessons from COVID-19: Impact on Healthcare Systems and Technology ; : 341-370, 2022.
Article in English | Scopus | ID: covidwho-2027803

ABSTRACT

In COVID-19 pandemic, ASHAs are frontline workforces in Rural and Urban India. During the outbreak of this national emergency, they were trained to check the public health parameters and conduct surveys to collect medical information from public, hospitals and quarantine camps. The collected data was submitted to Zonal Admin for further curative action. This entire process was time consuming and ineffective. For fast data gathering by ASHA workers and its management we have developed an IoT enabled mobile application ASHA Bot. This integrated solution consists of a portable handheld device to capture body temperature with no direct contact and SpO2 during the mass screening. Further, this device was interfaced with “mobile App Asha Bot”. We have exemplified the utility of ASHA Bot for ASHA workers, in collecting on filed data to gather day-to-day statistics and its management by zonal officers during the pandemic. The proposed app is further scalable for other statistical needs and could be used by the stakeholders for COVID-19 data management. © 2022 Elsevier Inc. All rights reserved.

14.
JMIR Form Res ; 6(8): e38716, 2022 Aug 31.
Article in English | MEDLINE | ID: covidwho-2022402

ABSTRACT

BACKGROUND: Black college-aged men are less likely than their peers to use formal, therapeutic in-person services for mental health concerns. As the use of mobile technologies and social media platforms is steadily increasing, it is important to conduct work that examines the future utility of digital tools and technologies to improve access to and uptake of mental health services for Black men and Black men in college. OBJECTIVE: The aim of this study was to identify and understand college-attending Black men's needs and preferences for using digital health technologies and social media for stress and mental health symptom management. METHODS: Interviews were conducted with Black male students (N=11) from 2 racially diverse universities in the Midwestern United States. Participants were asked questions related to their current mental health needs and interest in using social media platforms and mobile-based apps for their mental health concerns. A thematic analysis was conducted. RESULTS: Four themes emerged from the data: current stress relief strategies, technology-based support needs and preferences (subthemes: mobile-based support and social media-based support), resource information dissemination considerations (subthemes: information-learning expectations and preferences and information-sharing preferences and behaviors), and technology-based mental health support design considerations (subtheme: relatability and representation). Participants were interested in using social media and digital technologies for their mental health concerns and needs, for example, phone notifications and visual-based mental health advertisements that promote awareness. Relatability in the context of representation was emphasized as a key factor for participants interested in using digital mental health tools. Examples of methods for increasing relatability included having tools disseminated by minority-serving organizations and including components explicitly portraying Black men engaging in mental health support strategies. The men also discussed wanting to receive recommendations for stress relief that have been proven successful, particularly for Black men. CONCLUSIONS: The findings from this study provide insights into design and dissemination considerations for future work geared toward developing mental health messaging and digital interventions for young Black men.

15.
JMIR Diabetes ; 7(3): e28153, 2022 Jul 28.
Article in English | MEDLINE | ID: covidwho-1963236

ABSTRACT

BACKGROUND: Most diabetes management involves self-management. Effective self-management of the condition improves diabetes control, reduces the risk of complications, and improves patient outcomes. Mobile apps for diabetes self-management (DSM) can enhance patients' self-management activities. However, they are only effective if clinicians recommend them, and patients use them. OBJECTIVE: This study aimed to explore the determinants of DSM apps' use by patients and their recommendations by health care professionals (HCPs). It also outlines the future research agenda for using DSM apps in diabetes care. METHODS: We systematically reviewed the factors affecting the adoption of DSM apps by both patients and HCPs. Searches were performed using PubMed, Scopus, CINAHL, Cochrane Central, ACM, and Xplore digital libraries for articles published from 2008 to 2020. The search terms were diabetes, mobile apps, and self-management. Relevant data were extracted from the included studies and analyzed using a thematic synthesis approach. RESULTS: A total of 28 studies met the inclusion criteria. We identified a range of determinants related to patients' and HCPs' characteristics, experiences, and preferences. Young female patients were more likely to adopt DSM apps. Patients' perceptions of the benefits of apps, ease of use, and recommendations by patients and other HCPs strongly affect their intention to use DSM apps. HCPs are less likely to recommend these apps if they do not perceive their benefits and may not recommend their use if they are unaware of their existence or credibility. Young and technology-savvy HCPs were more likely to recommend DSM apps. CONCLUSIONS: Despite the potential of DSM apps to improve patients' self-care activities and diabetes outcomes, HCPs and patients remain hesitant to use them. However, the COVID-19 pandemic may hasten the integration of technology into diabetes care. The use of DSM apps may become a part of the new normal.

16.
BMJ Open ; 12(5): e058144, 2022 05 19.
Article in English | MEDLINE | ID: covidwho-1950165

ABSTRACT

OBJECTIVES: To evaluate the efficacy and acceptability of 'Whitu: seven ways in seven days', a well-being application (app) for young people. DESIGN: Prospective randomised controlled trial of Whitu against waitlist control, with 45 participants in each arm. PARTICIPANTS: 90 New Zealand young people aged 16-30 recruited via a social media advertising campaign. SETTING: Participants' homes. INTERVENTIONS: Developed during the COVID-19 pandemic, and refined from a prototype version that was evaluated during a smaller qualitative study, 'Whitu: seven ways in seven days' is a well-being app that, as its name suggests, contains seven modules to help young people (1) recognise and rate emotions, (2) learn relaxation and mindfulness, (3) practice self-compassion and (4) gratitude, (5) connect with others, (6) care for their physical health and (7) engage in goal-setting. It can be completed within a week or as desired. MAIN OUTCOME MEASURES: Primary outcomes were changes in well-being on the WHO 5-item Well-Being Index and Short Warwick-Edinburgh Mental Well-Being Scale. Secondary outcomes were changes in depression on the Centre for Epidemiological Studies Depression Scale, anxiety on the Generalised Anxiety Disorder 7-item Scale, self-compassion on the Self Compassion Scale-Short Form, stress on the 10-item Perceived Stress Scale, sleep on the single-item Sleep Quality Scale and user engagement on the end-user version of the Mobile Application Rating Scale and via qualitative feedback during an online survey. Outcomes were evaluated at baseline, 4 weeks (primary study endpoint) and 3 months, and analysed using linear mixed models with group, time and a group-time interaction. RESULTS: At 4 weeks, participants in the Whitu group experienced significantly higher emotional (Mean difference (md) 13.19 (3.96 to 22.42); p=0.005) and mental (md 2.44 (0.27 to 4.61); p=0.027) well-being, self-compassion (md 0.56 (0.28 to 0.83); p<0.001) and sleep (md 1.13 (0.24 to 2.02); p=0.018), and significantly lower stress (md -4.69 (-7.61 to -1.76); p=0.002) and depression (md -5.34 (-10.14 to -0.53); p=0.030), compared with the waitlist controls. Group differences remained statistically significant at 3 months for all outcomes. Symptoms of anxiety were also lower in the intervention group at 4 weeks (p=0.096), with statistically significant differences at 3 months (md -2.31 (-4.54 to -0.08); p=0.042). Usability of Whitu was high (subjective ratings of 4.45 (0.72) and 4.38 (0.79) out of 5 at 4 weeks and 3 months, respectively) and qualitative feedback indicated individual and cultural acceptability of the app. CONCLUSIONS: Given the evolving psychological burden of the COVID-19 pandemic, Whitu could provide a clinically effective and scalable means of improving the well-being, mental health and resilience of young people. Replication of current findings with younger individuals and in other settings is planned. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN12620000516987).


Subject(s)
COVID-19 , Mobile Applications , Adolescent , Australia , Humans , Pandemics , Prospective Studies
17.
Management & Marketing ; 17(2):220-233, 2022.
Article in English | ProQuest Central | ID: covidwho-1933513

ABSTRACT

As COVID-19 had been posing unprecedented challenges, the economic agents as well as the individuals had to adapt to a new lifestyle. The preventing measures against the spread of the virus determined an increase in e-commerce activity in general, and in mobile commerce in particular. In this regard, sellers redefined their strategies revolving around smartphone applications for online shopping, which will gradually become the global shopping standard. Therefore, the aim of this paper is to evaluate the current situation of e-commerce, focusing on the main transformations since the beginning of the pandemic. The methods used in the paper consist in both qualitative research of the literature regarding e-commerce and a quantitative analysis that captures two aspects: on one hand it highlights the change determined by the pandemic in online commerce, and on the other hand it shows an X-ray of the EU states positioning in terms of e-commerce evolution. The latter consists in a comparative Hierarchical Cluster Analysis that aims to provide an image on the situation of EU states, before and after the pandemic has been installed. The Cluster Analysis was carried out in SPSS software and it is based on a series of chosen indicators from Eurostat database. This comparison provides an image of how changes among the clusters take place in terms of e-commerce indicators. It is noted that in countries where the digitization was more developed, the value of the change in online commerce was less considerable, comparing to the Eastern and Balkan states, which had a more significant increase. However, there are significant limitations based on the small number of indicators taken into consideration in this paper. Future work needs to be done in order to explore new ways to address the challenges identified in the development of e-commerce and online shopping.

18.
8th International Conference on Human Aspects of IT for the Aged Population, ITAP 2022 Held as Part of the 24th HCI International Conference, HCII 2022 ; 13330 LNCS:139-150, 2022.
Article in English | Scopus | ID: covidwho-1930315

ABSTRACT

With the spread of COVID-19, Saudi Arabia implemented a policy to keep people physically distanced. Mandatory pandemic-driven mobile technologies have been utilized in the country to limit the spread of the coronavirus. The current study aimed to explore and understand the experience of Arab elderly people with the pandemic-driven mobile app Eatmarna. We conducted a task-based usability test, followed by a satisfaction questionnaire and interview with Arab elderly between 65 and 85 years old. This study has provided an insight into the challenges that were faced by older adults when using pandemic-driven apps. Identification of these challenges contributes to a better understanding of the situation and can lead to appropriate solutions and plans to improve such apps. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

19.
International Journal of Interdisciplinary Telecommunications and Networking ; 14(1):11, 2022.
Article in English | Web of Science | ID: covidwho-1917935

ABSTRACT

The number of the elderly experiencing cognitive disorders or dementia including Alzheimer's has been increasing worldwide. During COVID-19 pandemic, they are vulnerable not only to the coronavirus, but also to the social isolation with no family visits. The elderly are increasingly depressed, resisting care, refusing medications, and showing signs of agitation. These behavioral disturbances are leading to an increased use of psychotropic medications and/or increased hospitalizations to the already overloaded healthcare systems. To address this, the authors focus on a mobile intervention, named AlzhaTV, as a suite of mobile apps. The intervention, not requiring any technical interaction from the elderly, is available on both Android and iOS platforms. The mobile intervention has the potential to improve the quality of life and reduction in medications for the elderly. The results show that multiple personalized and non-personalized videos can be transmitted over existing wireless networks. During the current and future pandemics and disasters, AlzhaTV can actively support the elderly.

20.
J Affect Disord ; 311: 604-613, 2022 08 15.
Article in English | MEDLINE | ID: covidwho-1914532

ABSTRACT

BACKGROUND: The COVID-19 pandemic has been suggested to constitute a broad base stressor with severe mental health consequences. mHealth applications are accessible self-help tools that can be used to reduce psychological distress during the pandemic. This randomized controlled trial evaluated the effects of mobile-based cognitive training exercises on COVID-19 related distress and maladaptive cognitions. METHODS: Following initial screening (n = 924), participants scoring 1 standard deviations above the mean of the COVID-19 Distress Scale were randomized into two groups. Participants in the immediate-app group (iApp; n = 25) started using the application at baseline (T0) for 12 days (from T0 to T1). Participants in the delayed-app group (dApp; n = 22) started using the mobile application at T1 (crossover) and used it for the following 12 days (T1 to T2). RESULTS: Intention to treat analyses indicated that the iApp group exhibited lower COVID-19 distress, lower depression, fewer intolerance of uncertainty and obsessive beliefs than the dApp group at T1. In addition, using the app for 12 consecutive days was associated with large effect-size reductions (Cohen's d ranging from 0.81 to 2.35) in COVID-19 distress and related maladaptive cognitions in the iApp group (from T0 to T1) and the dApp group (from T1 to T2). Moreover, these reductions were maintained at the follow-up. LIMITATIONS: This study was a crossover trial with a relatively limited sample size and mainly female participants. CONCLUSION: Our findings underscore the usefulness of brief, low-intensity, portable interventions in alleviating the negative effects of the pandemic on mental health.


Subject(s)
COVID-19 , Mobile Applications , Adaptation, Psychological , Cognition , Cross-Over Studies , Female , Humans , Pandemics
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