The Karma system is currently undergoing maintenance (Monday, January 29, 2018).
The maintenance period has been extended to 8PM EST.
Karma Credits will not be available for redeeming during maintenance.
Making health care interventions and technologies usable, safe, and effective
Editorial Board members are currently being recruited, please contact us if you are interested (jmir.editorial.office at gmail.com).
Right click to copy or hit: ctrl+c (cmd+c on mac)
Background: Allergic diseases such as allergic asthma, rhinitis and atopic eczema are widespread and are a considerable burden on the healthcare system. Still, many individuals do not seek regular tre...
Background: Allergic diseases such as allergic asthma, rhinitis and atopic eczema are widespread and are a considerable burden on the healthcare system. Still, many individuals do not seek regular treatment, or rely on self-treatment. Particularly those with mild to moderate symptoms, online training programmes may be quite helpful, not at least because they can be accessed and used easily. While such services are promising, they need to be based on the best available evidence and quality criteria for evidence-based health information. Objective: This study aimed to assess a sample of allergy-specific “online training programmes” – i.e. interactive, feedback-oriented online training platforms promoting health-related behavioural change and improvement of personal skills – regarding a) general characteristics, aims, and target groups, and b) the extent to which these tools take online health information quality criteria into account. Methods: Online training programmes were selected via an initial Google search. In parallel, we searched English and German websites of medical and public health services such as the European Centre for Allergy Research Foundation (German), Asthma UK, and Anaphylaxis Canada. For analysis, an assessment matrix was developed based on a) established guidelines for online health information (e.g. JAMA Benchmarks; DISCERN criteria; HON code) and b) a database search of related studies. The items (n=44) covered aspects related to a) content (completeness, transparency, evidence), b) structure (data safety, qualification of trainers/authors) and c) impact (effectiveness, user perspective, integration into healthcare). Three researchers independently analysed interventions. SPSS 23 was used to calculate sum scores for each OTP to assess the coverage of the above-named categories. Results: On average, the analysed online training programmes (n=15) covered 37% of the quality criteria (sum score 33 of 88). 7 OTPs covered more than 40%, the highest score being 49% (n=1). 5 OTPs covered 30%–40% of all rated criteria; the rest covered fewer (n=3; lowest score 24%). Criteria relating to intervention (58%), content (49%), and data safety (60%) were more often considered, as opposed to user safety (10%), qualification of staff (10%), effectiveness (16%), and user perspective (45%). Also, in 13 of 15 OTPs at least 3 categories and their respective criteria were not covered at all (0%). The evidence base of OTPs was scored according to their use of scientific research (46%), regular information update (53%) and transparent provision of sources (33%). Specific descriptions of the quality of sources and strength of evidence were absent. Conclusions: Online training programmes should be based much more thoroughly on quality criteria and available evidence. Also, criteria for development and evaluation may need improvement. The inclusion of users, communication research, healthcare professionals, and developer perspectives are crucial to adapt current services to user preferences, and to address methodological, technical and content-related challenges.
Background: The awareness of colorectal cancer risk and participation in screening is still low among Malaysian despite increasing trend of new cases. As the consequence of that, more than half of new...
Background: The awareness of colorectal cancer risk and participation in screening is still low among Malaysian despite increasing trend of new cases. As the consequence of that, more than half of new cases were detected in late stage. Improvement of disease knowledge may increase screening participation hence disease can be detected early. Currently, health risk was disseminated to the public via education material in the form of pamphlets in health clinic or health campaign. However, with the advancement of communication technology today, reading through pamphlet has becoming less popular. People nowadays prefer to read from their smartphone using web browser or mobile applications. Despite huge increment in smartphone ownership and availability of mobile apps, little is known about the technology implementation in health promotion and education especially in Malaysia. Objective: The aim of this paper is to document the process of designing and developing a mobile app for community education on colorectal cancer as well as to assess the usability of the application prototype. Methods: The mobile application designing and development includes two part which are the content development using nominal group technique (NGT) and development of the mobile application prototype. NGT was a group of discussion involving experts and target-users to determine the information to be included in the prototype and the features of the prototype that is expected for a user-friendly mobile application. The mobile application prototype has been developed using framework Ionic 1 that is based on the Apache Cordova and Angular JS. After that, it has been published in the Google Play store for the target user to download, tested and assess the usability using validated SKAMA questionnaire. One sample T-test was used to assess the usability score with cut-off value for usable mobile application is 68. Results: The ColorApp (Colorectal Cancer Awareness Application) was successfully developed in local Malay language. The NGT discussion had suggested 6 main menus in the ColorApp prototype which are Introduction, Sign and Symptoms, Risk Factors, Preventive Measures, Colorectal Cancer Screening Program, and iFOBT Kit. Two additional menus were added to allow user-ColorApp interaction and as part of its artificial intelligence properties which are Analyse Your Status and ColorApp Calculator. The prototype has been published in Google Play store. The mean(SD) usability score was 72(11.52) indicates that ColorApp is a usable mobile application for health education and promotion on colorectal cancer. Conclusions: ColorApp mobile application can be used as a tool for community education on colorectal cancer.
Background: Tobacco smoking is the primary cause of preventable premature disease and death worldwide. Evidence of the efficacy of text messaging interventions to reduce smoking behaviour is well esta...
Background: Tobacco smoking is the primary cause of preventable premature disease and death worldwide. Evidence of the efficacy of text messaging interventions to reduce smoking behaviour is well established, but there is still a need for studies targeting young people, especially because young adult smokers are less likely to seek treatment than older adults. A mHealth intervention, NEXit, targeting smoking among university students was developed to support university students to quit smoking. Short-term effectiveness was measured through a randomised controlled trial, and it was found that immediately after the 12-week intervention, 26% of smokers in the intervention group had prolonged abstinence compared with 15% in the control group. Objective: The present study was performed to explore the experience of being allocated to the control group in the NEXit smoking cessation intervention. Methods: Students who were allocated to the control group in the main NEXit randomized controlled trial were asked to report their experiences. An e-mail was sent to the participants with an electronic link to a short questionnaire. The distribution of the responses to the questionnaire was assessed by descriptive analysis. Free-text comments to four questions were analysed. Results: The response rate for the questionnaire was 34% (n = 258/763) and 143 free-text comments were collected. Sixty-one percent of the responders (n=157/258) experienced frustration, disappointment and irritation about being allocated to the control group; they felt they were being denied support having to wait for the intervention. Monthly text messages during the waiting period thanking them for taking part in the trial were perceived as negative by 73% (n=189/258), but for some the messages served as a reminder about the decision to quit smoking. Sixty-one percent of the responders (n=158/258) chose to wait to quit smoking until they had access to the intervention. Approximately 30% (n=77/258) decided to try quit smoking without support. Of the respondents, 77% (n=200/258) claimed they were still smoking and had signed up or were thinking about signing up for the smoking cessation programme at the time of the questionnaire. Conclusions: A majority of the respondents reported negative feelings about having to wait for the support and that they had decided to continue smoking. A similar number decided to wait to quit smoking until they had access to the intervention, and high interest in the intervention was reported among these respondents. Free text comments indicated that some control group participants believed that they had been excluded from the trial, while others were confused when asked to sign up for the intervention again. Clinical Trial: ISRCTN75766527