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2.
PLoS One ; 17(9): e0272235, 2022.
Article in English | MEDLINE | ID: mdl-36107954

ABSTRACT

BACKGROUND: Mobile health applications (apps) are increasing in interest to enhance patient self-management. Few apps are actually used by patients and have been developed for patients with inflammatory arthritis (IA) treated with disease-modifying anti-rheumatic drugs which use entails risk of adverse effects such as infections. OBJECTIVE: To develop Hiboot, a self-management mobile app for patients with IA, by using a user-centred step-by-step approach and assess its real-life use. METHODS: The app development included first a qualitative study with semi-guided audiotaped interviews of 21 patients to identify the impact of IA on daily life and patient treatments practices and an online cross-sectional survey of 344 patients to assess their health apps use in general and potential user needs. A multidisciplinary team developed the first version of the app via five face-to-face meetings. After app launch, a second qualitative study of 21 patients and a users' test of 13 patients and 3 rheumatologists led to the app's current version. The number of app installations, current users and comments were collected from the Google Play store and the Apple store. RESULTS: The qualitative study revealed needs for counselling, patient-health professional partnership, and skills to cope with risk situations; 86.8% participants would be ready to use an app primarily on their rheumatologist's recommendation. Six functionalities were implemented: a safety checklist before treatment administration, aids in daily life situations based on the French academic recommendations, treatment reminders, global well-being self-assessment, periodic counselling messages, and a diary. The Hiboot app was installed 20,500 times from September 2017 to October 2020, with 4300 regular current users. Scores were 4.4/5 stars at Android and iOS stores. CONCLUSION: Hiboot is a free self-management app for patients with IA developed by a step-by-step process including patients and health professionals. Further evaluation of the Hiboot benefit is needed.


Subject(s)
Antirheumatic Agents , Arthritis , Mobile Applications , Self-Management , Cross-Sectional Studies , Humans , Smartphone
3.
PLoS One ; 16(7): e0254927, 2021.
Article in English | MEDLINE | ID: mdl-34324534

ABSTRACT

The Islamic headscarf has been in the middle of heated debates in European society, yet little is known about its influence on day-to-day interactions. The aim of this randomized field experiment (n = 840) is to explore how the generally negative views that surround the hijab in Europe manifest in the behavior that people direct to hijab-wearing women in everyday situations. Using a helping scenario and videotapes of the resulting interactions, we measured whether passengers offered assistance and also various details of behavior that indicate interpersonal involvement. We predicted that in interaction with the covered confederate less help would be offered, that women's level of nonverbal involvement would increase but men's decrease, and that responses would be stronger in Paris, intermediate in Brussels, and weaker in Vienna. We analyzed the data using Generalized Linear Models estimated with Bayesian inference. While the headscarf does not produce concluding differences in "overt" helping, it does affect "subtle" cues of interpersonal involvement. In response to the hijab, women across sites increase, but men in Paris decrease, the level of involvement that they show with their nonverbal behavior.


Subject(s)
Clothing , Islam , Adult , Bayes Theorem , Female , Humans , Male
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