scholarly journals Consumer Acceptance and Expectations of a Mobile Health Application to Photograph Skin Lesions for Early Detection of Melanoma

Dermatology ◽  
2018 ◽  
Vol 235 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Uyen Koh ◽  
Caitlin Horsham ◽  
H. Peter Soyer ◽  
Lois J. Loescher ◽  
Nicole Gillespie ◽  
...  

Background: Mobile teledermoscopy may facilitate skin self-examinations (SSEs) and further improve monitoring and detection of melanoma. Objective: To assess consumer acceptability and expectations of a mobile health app used to: (i) instruct SSE and (ii) conduct consumer-performed mobile teledermoscopy. Methods: People aged 18 years and above were invited to participate in either (i) an online survey or (ii) focus group in Brisbane, Australia. Participants were asked about their SSE practices, mobile teledermoscopy acceptance, and app design and functionality. The online survey responses and focus group discussions were coded by two researchers who conducted thematic analysis. Results: Four focus groups were held with a total of 28 participants; 88 participants completed the online survey. The mean ages of participants in the focus group and online survey were 46 and 38 years, respectively. There were more males in the focus groups (61%, 17/28) compared to the online survey (19%, 17/88). Regular SSEs were conducted by 56 (64%) of the online survey participants. Barriers to SSE were forgetfulness (44%), low self-perceived risk of melanoma (25%) and low confidence in conducting SSEs (25%). The large majority of online survey participants (95%) would consider sending photos of their skin lesions to a medical practitioner via an app. Focus group participants reported that they would accept using mobile teledermoscopy; however, they would prefer to use it to monitor lesions between face-to-face consultations. Conclusions: Overall, participants had positive views on using mobile teledermoscopy to send images of skin lesions to a dermatologist or other medical practitioner.

Author(s):  
Peyton Mason ◽  
Boyd Davis ◽  
Deborah Bosley

In this chapter, we will first discuss what stance is and highlight how we identify and measure stance using multivariate techniques, using an ongoing example taken from an Online Financial Focus Group. We review differences in stance between online real-time focus groups and online chat, as well as between online and face-to-face focus groups; and finally, proffer examples of stance analysis in two very different online focus groups: older adults discussing financial services and teens discussing clothes. As marketers see that online focus groups offer valuable marketing information by understanding the significance of how something is said as well as what is said, their confidence in the use of online focus-group data should increase.


Author(s):  
Jessica Spence ◽  
David Smith ◽  
Anne Wong

Stress and burnout are alarmingly prevalent in anesthesiologists, with the highest risk occurring during anesthesia residency training. To better understand this phenomenon, we conducted a mixed methods case study of our anesthesia training program to explore the residents’ accounts of stress and burnout and the potential value of peer support groups. Eight out of thirty eight residents participated in nine monthly peer support group (PSG) meetings followed by a focus group interview about stress and burnout in training and the value of PSG. We compared the participants’ mean pre-and post-PSG Maslach Burnout Inventory® (MBI) and Perceived Stress Scale® (PSS) and analysed the focus group interview for recurring themes. We captured the perspectives of twenty seven out of thirty residents who did not participate in support groups (non-participants) through an online survey on stress and burnout. We found evidence of a high prevalence of stress and burnout from the MBI and PSS scores and survey responses. Analysis of the focus group interview showed that the specific stressors of anesthesia training included: an individually-based model of training that predisposes to isolation from peers, an over-reliance on the quality of the faculty-resident relationship and the critical, high stakes nature of the profession. Residents strongly endorsed the value of PSG in decreasing isolation, enhancing validation, and support through the sharing of experiences. Lack of dedicated time and integration into the training program were major barriers to PSG participation. These barriers need to be overcome in order to fully realize its role in mitigating stress and burnout.


Author(s):  
Steven Terrell

Having completed graduate degrees in educational research and counseling, I have studied the theory of focus groups and participated in many while in a classroom setting. Interestingly, I had never moderated one until my first attempt in a text-based online environment. This paper describes my preparation for the session as well as the issues I faced while actually conducted the focus group. Readers will find that being prepared by establishing rapport with their group prior to the event, understanding the change of dynamics that distance brings to the process and handling the pressures of an expanded role as moderator, will help ensure a successful focus group session.


Author(s):  
David Deggs ◽  
Kenda Grover ◽  
Kit Kacirek

Geographic dispersion of research subjects can make traditional face-to-face focus groups difficult if not impractical to conduct. Online focus groups have many advantages such as enabling researchers to save costs, allowing for more efficient collection of data, and allowing researchers to accommodate research subjects' schedules. However, online focus groups require greater skill on the part of the researcher and research subjects alike. This manuscript chronicles the process that we recently used to conduct an online focus group using a message board system with graduate students enrolled in an online degree program. We explain the processes that were followed in conducting our study and the rationale behind the decisions that we made as qualitative researchers. Finally, we offer guidance and insight for other qualitative researchers who wish to utilize message boards to conduct online focus groups.


Author(s):  
Holly Blake ◽  
Jessica Corner ◽  
Cecilia Cirelli ◽  
Juliet Hassard ◽  
Lydia Briggs ◽  
...  

We aimed to explore student and staff perceptions and experiences of a pilot COVID-19 asymptomatic testing service (P-ATS) in a UK university campus setting. This was a mixed-method study comprised of an online survey, and thematic analysis of qualitative data from interviews and focus groups conducted at the end of the 12-week P-ATS programme. Ninety-nine students (84.8% female, 70% first year; 93.9% P-ATS participants) completed an online survey, 41 individuals attended interviews or focus groups, including 31 students (21 first year; 10 final year) and 10 staff. All types of testing and logistics were highly acceptable (virus: swab, saliva; antibody: finger prick) and 94.9% would participate again. Reported adherence to weekly virus testing was high (92.4% completed ≥6 tests; 70.8% submitted all 10 swabs; 89.2% completed ≥1 saliva sample) and 76.9% submitted ≥3 blood samples. Students tested to ‘keep campus safe’, ‘contribute to national efforts to control COVID-19’, and ‘protect others’. 31.3% had high anxiety as measured by the Generalized Anxiety Disorder scale (GAD-7) (27.1% of first year). Students with lower levels of anxiety and greater satisfaction with university communications around P-ATS were more likely to adhere to virus and antibody tests. Increased adherence to testing was associated with higher perceived risk of COVID-19 to self (virus) and others (antibody). Qualitative findings revealed 5 themes and 13 sub-themes: ‘emotional responses to COVID-19’, ‘university life during COVID-19’, ‘influences on testing participation’, ‘testing physical and logistical factors’ and ‘testing effects on mental wellbeing’. Asymptomatic COVID-19 testing (virus/antibodies) is highly acceptable to students and staff in a university campus setting. Clear communications and support for mental wellbeing is likely to be important for testing uptake and adherence. Strategies are needed to facilitate social connections and mitigate the mental health impacts of COVID-19 and self-isolation.


10.2196/14721 ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. e14721
Author(s):  
Christie LM Petrenko ◽  
Jennifer Parr ◽  
Carson Kautz ◽  
Cristiano Tapparello ◽  
Heather Carmichael Olson

Background Fetal alcohol spectrum disorders (FASD) affect approximately 2% to 5% of the US population. However, most families are unable to access FASD-informed interventions. Barriers to care include the lack of a knowledgeable and skilled workforce and family-level barriers such as limited financial resources, inability to access childcare, and stigma. As a result, families often try peer-to-peer and self-help support strategies. However, they often take these strategies from disparate sources, which have quite variable intervention quality and empirical support. Objective This study aimed to initiate systematic development and evaluation of a mobile health intervention (app) for caregivers raising children with FASD. Focus groups were conducted to elicit participant perspectives on app design and functionalities to inform further app development. Methods The app, called FMF Connect, was derived from the scientifically validated Families Moving Forward (FMF) Program, a clinician-delivered behavioral consultation intervention. FMF Connect was intended for caregiver self-delivery and included five main components: (1) Learning Modules, (2) Family Forum, (3) Library, (4) Notebook, and (5) Dashboard. Focus group methods were used to solicit perspectives from diverse families during the early stages of app development. Questions were asked about interface design, relevance of components and content, and perceived barriers and facilitators of use. A total of 25 caregivers participated in 7 focus groups across 5 US cities. Data were analyzed thematically. Results Focus group participants were generally enthusiastic about the app interface design and components. Four global positive impression themes emerged, including (1) ease of access, (2) how the app guides and organizes information, (3) connection to other users and information, and (4) ability to share some content with others. Themes arose not only in discussions relating to positive app features but also when participants were asked about motivators for app use. Participants related how these positive global themes could address some system-level barriers, such as limited access to services, feeling isolated, and increased advocacy needs related to the societal lack of FASD knowledge. Participants identified many positive features about individual app components and functionalities. They also communicated potential barriers to use and raised important concerns and considerations relating to several app components. These included recognizability of the app based on the logo, and the balance of following the planned intervention sequence versus obtaining immediate answers. Also mentioned were privacy and dynamics within the Family Forum. Conclusions FMF Connect is a promising novel intervention with potential to reach many families in need and reduce significant barriers to care, resulting in a broader public health impact. Study findings will guide further app development both in terms of content and technological advances to optimize intervention effects. FMF Connect app development provides useful directions for other apps aimed at changing parenting practices.


2020 ◽  
Author(s):  
Eric Danjel Tutuhatunewa ◽  
Martin Stevens ◽  
Olivier C. Dams ◽  
Jeffrey van Son ◽  
Rebecca D. Louhanepessy ◽  
...  

Abstract BackgroundThere is no consensus on the optimal treatment for displaced midshaft clavicle fractures. Several studies indicate superior patient satisfaction in favour of operative reconstruction. It is unknown what drives superior satisfaction in this treatment group. The aim of this study was to explore patient satisfaction and identify contributors to patient satisfaction after operative and nonoperative treatment for displaced midshaft clavicle fractures in adults using a focus group approach.MethodsFour face-to-face and two web-based focus groups were hosted. A total of 24 participants who were treated nonoperatively (n = 14) or operatively (n = 10) agreed to participate. Participants were selected using purposive sampling, ensuring variation in gender, age, treatment complications and outcomes. A question script was developed to systematically explore patient expectations, attitudes and satisfaction with different dimensions of care. All focus groups were voice-recorded and transcribed at verbatim. Thematic analysis was conducted on all face-to-face and web-based transcripts. ResultsThe main emerging themes across treatment groups were; need for more information, functional recovery, speed of recovery and patient-doctor interaction. There was no difference in themes observed between operative and nonoperative focus groups. The lack of information was the most important complaint in dissatisfied patients. Conclusion Our study shows that informing patients about their injury, treatment options and expectations for recovery is paramount for overall patient satisfaction after treatment for a displaced midshaft clavicle fracture.


2006 ◽  
Vol 1 (4) ◽  
pp. 60
Author(s):  
Wendy Furlan

A review of: Wakimoto, Jina Choi, David S. Walker, and Katherine S. Dabbour. "The Myths and Realities of SFX in Academic Libraries." The Journal of Academic Librarianship 32.2 (Mar. 2006): 127-36. Objective – To determine how successful the link resolver, SFX, is in meeting the expectations of library users and librarians. Design – Analysis of an online user survey, library staff focus groups, retrospective analysis of system statistics, and test searches. Setting – Two California State University campus libraries in the United States: Northbridge, with over 31,000 students on campus, and San Marcos, with over 7,300 students on campus. Subjects – A total of 453 online survey responses were submitted from library users, 421 from Northbridge and 32 from San Marcos. Twenty librarians took part in the focus groups conducted with library staff consisting of 14 of the 23 librarians from Northbridge (2 from technical services and 12 from public services), and 6 of the 10 San Marcos librarians (3 from technical services and 3 from public services). No further information was provided on the characteristics of the subjects. Methods – An online survey was offered to users of the two campus libraries for a two-week period in May 2004. The survey consisted of 8 questions, 7 fixed response and 1 free text. Survey distribution was enabled via a different mechanism at each campus. The Northbridge library offered the survey to users via a pop-up window each time the SFX service was clicked on, while the San Marcos library presented the survey as a link from the library’s home page. Survey responses from both campuses were combined and analysed together. Focus groups were conducted with librarians from each campus library on April 20th, 21st, and 29th, 2004. Librarians attended focus groups only with others from their own campus. Statistics were gathered from each campus’ local SFX system for the 3-month period from September 14, 2004, to December 14, 2004. Statistics from each campus were combined for analysis. The authors also conducted 224 test searches over the 3-month period from July to September, 2004. Main results – Analysis of the surveys revealed that 80% of users expected to see a full-text article online when they clicked on the SFX button; 20% expected to rarely or never see one. Responses also gave an almost equal split when users were asked if the SFX service met their expectations with 49.5% saying it did and 50.5% saying it did not. The free text survey question asking for comments on the user’s overall opinion of SFX received 174 responses, 26% of which were positive, 40% negative, and 34% mixed. The primary theme expressed in 49% of all comments received was disappointment in not gaining full-text access. Thirty-three percent of other comments were classed as having a general theme, while the remaining 19% of comments regarding the SFX service were categorised with themes of complexity, technical problems, efficiency, or confusion. Results from the librarian focus groups differed between the two campuses. Northbridge librarians had 50% to 85% confidence in the accuracy of SFX and were generally impressed with the service. San Marcos librarians had 60% to 100% confidence that SFX would work, however it was also discovered that several participants had suspicions regarding the accuracy of the system. The SFX usage statistics obtained covered 188,944 individual uses of SFX at both campuses. Statistics showed that 48% of these uses resulted in the user clicking on an option provided, either linking to full-text, catalogue look-up, or inter-library loan form access. Of total occurrences, 39.7% had a link to full-text displayed; this link was accessed 65.2% of the time. Forty-seven percent of SFX uses provided a catalogue link (23.8% of which were accessed) and 37.9% of uses provided an inter-library loan link (8.4% of which were accessed). The test searches revealed anomalies to take into account when analysing the SFX usage statistics, including that about 15% of SFX requests display multiple full-text links. Of the test searches conducted, 22.2% of full-text availability results ended in either technical or accuracy errors and 8.8% of catalogue look-ups produced errors. In those cases where errors did not result there were also significant percentages of instances where the library did not have access to the desired resource: 35.3% of searches correctly indicated that no full text was available, and 57.6% correctly linked to the catalogue to show that the periodical was not held locally. While these are correctly generated system results they are still likely to be seen as unfavourable outcomes by users. Conclusion – The results of the study indicated that both library users’ and librarians’ expectations of SFX were slightly higher than their actual experiences. Librarians’ primary concerns related to the need for more accurate results while library users wanted more full text. It was noted that many complaints associated with SFX were likely to actually be problems with systems that SFX links into rather than the software itself. Although imperfect, SFX, and link resolvers in general, are noted to be a vast improvement on the many separate searches required in the past to locate full text and undoubtedly user expectations and demand for 100% seamless accessibility will grow.


2020 ◽  
Vol 8 (4) ◽  
pp. 134
Author(s):  
Amraj. Dhillon ◽  
Tim Doran ◽  
Vishal. Aggarwal

Background: Waterpipe tobacco smoking is becoming increasingly popular in the West among young people. Given the associated health risks of this behaviour, we aimed to investigate why young adults take up waterpipe tobacco smoking and their attitudes to the associated risks. Methods: This was a qualitative study, with a phenomenological perspective. Focus groups and face-to-face semi-structured interviews were conducted among waterpipe smokers aged 20–30 years living in London, UK. Transcripts were analysed using constant comparison and cycling between the data and analysis. Data collection continued until thematic saturation was achieved. Results: Sixteen smokers attended focus groups and face-to-face interviews. Seven main themes emerged encompassing four main dimensions relating to: lack of knowledge, perceived risk, affordability, and social addiction. Waterpipe was perceived to be safer than cigarette smoking due to the pleasant odour, fruity flavours, and belief that water filtered the toxins. The waterpipe had become a “social addiction” enhancing group atmosphere, was cheap and did not have the dangers of violence or hallucinations associated with other addictions like alcohol and drugs. Because of their intermittent smoking patterns and the lack of statutory warnings, none felt they were not at risk of any adverse side effects. Conclusions: Waterpipe smoking is a growing public health problem; the social environment associated with its use is perceived to be a positive outlet by smokers who do not consider it harmful to their health. These perceptions need to be addressed urgently by anti-smoking policies.


2018 ◽  
Vol 34 (3) ◽  
pp. 479-489 ◽  
Author(s):  
Laura J Biggs ◽  
Helen L McLachlan ◽  
Touran Shafiei ◽  
Rhonda Small ◽  
Della A Forster

SummaryPerinatal mental health is an important public health issue, and peer support is a potentially important strategy for emotional well-being in the perinatal period. PANDA Perinatal Anxiety & Depression Australia provides support to individuals impacted by perinatal mental health issues via the National Perinatal Anxiety & Depression Helpline. Callers receive peer support from volunteers and counselling from paid professional staff. The views and experiences of PANDA peer support volunteers have not previously been studied. We conducted two focus groups and an online survey to explore the experiences of women providing volunteer peer support on the Helpline. Data collection took place in October and November 2013. Two social theories were used in framing and addressing the study aims and in interpreting our findings: the Empathy–Altruism Hypothesis, and the Helper Therapy Principle. All PANDA volunteers were invited to participate (n = 40). Eight volunteers attended a focus group, and 11 survey responses were received. Descriptive statistics were used to analyse quantitative data. All survey respondents ‘strongly agreed’ that they felt positive about being part of PANDA. Thematic analysis of data from focus groups and open-ended survey responses identified the following themes: motivated to help others, supported to support callers, helping to make a difference and emotional impacts for volunteers. Respondents described a strong desire to support others experiencing emotional distress as a motivator to volunteer. Although perinatal peer support services are designed to benefit those who receive support, this study suggests volunteers may also experience personal benefits from the role.


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