scholarly journals Smartphone Self-Monitoring by Young Adolescents and Parents to Assess and Improve Family Functioning: Qualitative Feasibility Study

10.2196/15777 ◽  
2020 ◽  
Vol 4 (6) ◽  
pp. e15777
Author(s):  
Dallas Swendeman ◽  
Stephanie Sumstine ◽  
Amber Brink ◽  
Deborah Mindry ◽  
Melissa Medich ◽  
...  
Keyword(s):  
Family Functioning ◽  
Parental Monitoring ◽  
Positive Interactions ◽  
Smartphone App ◽  
Young Adolescents ◽  
User Experiences ◽  
Self Monitoring ◽  
Daily Routines ◽  
Family Wellness

Background The natural integration of mobile phones into the daily routines of families provides novel opportunities to study and support family functioning and the quality of interactions between family members in real time. Objective This study aimed to examine user experiences of feasibility, acceptability, and reactivity (ie, changes in awareness and behaviors) of using a smartphone app for self-monitoring of family functioning with 36 participants across 15 family dyads and triads of young adolescents aged 10 to 14 years and their parents. Methods Participants were recruited from 2 family wellness centers in a middle-to-upper income shopping area and a low-income school site. Participants were instructed and prompted by alarms to complete ecological momentary assessments (EMAs) by using a smartphone app over 2 weeks 4 times daily (upon waking in the morning, afternoon, early evening, and end of day at bedtime). The domains assessed included parental monitoring and positive parenting, parent involvement and discipline, parent-child conflict and resolution, positive interactions and support, positive and negative affect, sleep, stress, family meals, and general child and family functioning. Qualitative interviews assessed user experiences generally and with prompts for positive and negative feedback. Results The participants were primarily white and Latino of mixed-income- and education levels. Children were aged 10 to 14 years, and parents had a mean age of 45 years (range 37-50). EMA response rates were high (95% to over 100%), likely because of cash incentives for EMA completion, engaging content per user feedback, and motivated sample from recruitment sites focused on social-emotional programs for family wellness. Some participants responded for up to 19 days, consistent with some user experience interview feedback of desires to continue participation for up to 3 or 4 weeks. Over 80% (25/31) of participants reported increased awareness of their families’ daily routines and functioning of their families. Most also reported positive behavior changes in the following domains: decision making, parental monitoring, quantity and quality of time together, communication, self-regulation of stress and conflict, discipline, and sleep. Conclusions The results of this study support the feasibility and acceptability of using smartphone EMA by young adolescents and parents for assessing and self-monitoring family daily routines and interactions. The findings also suggest that smartphone self-monitoring may be a useful tool to support improvement in family functioning through functions of reflection on antecedents and consequences of situations, prompting positive and negative alternatives, seeding goals, and reinforcement by self-tracking for self-correction and self-rewards. Future studies should include larger samples with more diverse and higher-risk populations, longer study durations, the inclusion of passive phone sensors and peripheral biometric devices, and integration with counseling and parenting interventions and programs.

scholarly journals Smartphone Self-Monitoring by Young Adolescents and Parents to Assess and Improve Family Functioning: Qualitative Feasibility Study (Preprint)

2019 ◽  
Author(s):  
Dallas Swendeman ◽  
Stephanie Sumstine ◽  
Amber Brink ◽  
Deborah Mindry ◽  
Melissa Medich ◽  
...  
Keyword(s):  
Family Functioning ◽  
Parental Monitoring ◽  
Positive Interactions ◽  
Smartphone App ◽  
Young Adolescents ◽  
User Experiences ◽  
Self Monitoring ◽  
Daily Routines ◽  
Family Wellness

BACKGROUND The natural integration of mobile phones into the daily routines of families provides novel opportunities to study and support family functioning and the quality of interactions between family members in real time. OBJECTIVE This study aimed to examine user experiences of feasibility, acceptability, and reactivity (ie, changes in awareness and behaviors) of using a smartphone app for self-monitoring of family functioning with 36 participants across 15 family dyads and triads of young adolescents aged 10 to 14 years and their parents. METHODS Participants were recruited from 2 family wellness centers in a middle-to-upper income shopping area and a low-income school site. Participants were instructed and prompted by alarms to complete ecological momentary assessments (EMAs) by using a smartphone app over 2 weeks 4 times daily (upon waking in the morning, afternoon, early evening, and end of day at bedtime). The domains assessed included parental monitoring and positive parenting, parent involvement and discipline, parent-child conflict and resolution, positive interactions and support, positive and negative affect, sleep, stress, family meals, and general child and family functioning. Qualitative interviews assessed user experiences generally and with prompts for positive and negative feedback. RESULTS The participants were primarily white and Latino of mixed-income- and education levels. Children were aged 10 to 14 years, and parents had a mean age of 45 years (range 37-50). EMA response rates were high (95% to over 100%), likely because of cash incentives for EMA completion, engaging content per user feedback, and motivated sample from recruitment sites focused on social-emotional programs for family wellness. Some participants responded for up to 19 days, consistent with some user experience interview feedback of desires to continue participation for up to 3 or 4 weeks. Over 80% (25/31) of participants reported increased awareness of their families’ daily routines and functioning of their families. Most also reported positive behavior changes in the following domains: decision making, parental monitoring, quantity and quality of time together, communication, self-regulation of stress and conflict, discipline, and sleep. CONCLUSIONS The results of this study support the feasibility and acceptability of using smartphone EMA by young adolescents and parents for assessing and self-monitoring family daily routines and interactions. The findings also suggest that smartphone self-monitoring may be a useful tool to support improvement in family functioning through functions of reflection on antecedents and consequences of situations, prompting positive and negative alternatives, seeding goals, and reinforcement by self-tracking for self-correction and self-rewards. Future studies should include larger samples with more diverse and higher-risk populations, longer study durations, the inclusion of passive phone sensors and peripheral biometric devices, and integration with counseling and parenting interventions and programs.

Impact of ADHD symptoms on family functioning, family burden and parents’ quality of life in a hospital area in Spain

2020 ◽  
Author(s):  
I. Peñuelas-Calvo ◽  
N. Palomar-Ciria ◽  
A. Porras-Segovia ◽  
C. Miguélez-Fernández ◽  
I. Baltasar-Tello ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Family Functioning ◽  
Family Burden ◽  
Adhd Symptoms

scholarly journals The Influence of Race and Gender on Staff-Resident Interactions in Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 185-185
Author(s):  
Rachel McPherson ◽  
Barbara Resnick ◽  
Elizabeth Galik
Keyword(s):  
Racial Differences ◽  
Long Term Care ◽  
Analysis Of Covariance ◽  
Positive Interactions ◽  
Term Care ◽  
Race And Gender ◽  
Significant Difference ◽  
And Gender

Abstract Communication and interactions are an integral part of care in long-term care settings. Resident variables, such as race and gender, shape communication and interaction between staff and residents. The Quality of Interactions Schedule (QuIS) was developed to measure the quality of verbal and nonverbal interactions among nursing staff and older adults initially for those in acute care and later used as well in a variety of long term care settings. A quantified measurement of the quality of interactions between residents and staff was created to quantify the QuIS. The purpose of this study was to describe the gender and racial differences in scored quality of interactions. Data for the present study was based on baseline data from the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD) implementation study. A total of 535 residents from 55 settings were included in the analyses. An analysis of covariance was conducted to determine a difference in QuIS scores between males and females while controlling for age. The second model tested for differences in QuIS scores between blacks and whites while controlling for age and gender. There was not a statistically significant difference in QuIS scores between male and female residents. There was a significant difference in QuIS scores between those who were black versus white, such that those who were black received more positive interactions from staff than those who were white. Future work should focus on a deeper examination of resident factors and staff factors that may influence these interactions.

The quality of user experiences for mobile recommendation systems: an end-user perspective

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Woon Kian Chong ◽  
Zhuang Ma
Keyword(s):  
Social Norms ◽  
User Experience ◽  
Online Survey ◽  
Recommendation Systems ◽  
User Involvement ◽  
Sample Population ◽  
User Experiences ◽  
Content Type ◽  
Involvement Theory

PurposeThis paper attempts to identify key factors (i.e., personalization, privacy awareness and social norms) that affect user experiences (UXs) of mobile recommendation systems according to the user involvement theory (push-based and pull-based) and their relationships.Design/methodology/approachThe study is based on an online survey with students from an international business school located in southwestern China. The sample population for the study included randomly selected 600 university students who are active mobile phone users. A total of 470 questionnaires were returned; 456 were valid (14 were invalid due to the incompleteness of their responses), providing a response rate of 65%.FindingsSocial norms have the largest impact on user experience quality, followed by personalization and privacy awareness. User involvement in mobile recommendation systems has mediating effects on the above relationships, with larger effects on pull-based systems than on push-based systems.Originality/valueThis study provides an integrated framework for researchers to measure the effects of social, personal and risk factors on the quality of user experience. The results enrich the literature on user involvement, mobile recommendation systems and UX. The findings provide significant implications for both retailers and developers of mobile recommendation systems.

Promoting physical activity compliance in a low socioeconomic Latina population with chronic neurological disorders: A Proof-of-Concept Study (Preprint)

2021 ◽  
Author(s):  
Alexander Garbin ◽  
Jesús Díaz ◽  
Vy Bui ◽  
Janina Morrison ◽  
Beth E Fisher ◽  
...  
Keyword(s):  
Physical Activity ◽  
Effect Size ◽  
Neurological Disorders ◽  
Medical Center ◽  
Vigorous Physical Activity ◽  
Community Based ◽  
Self Monitoring ◽  
Low Socioeconomic ◽  
Behavioral Coaching

BACKGROUND Physical activity is known to improve quality of life as well as reduce mortality and disease progression in individuals with chronic neurological disorders. However, Latinas are less likely to participate in recommended levels of physical activity due to common socioeconomic barriers including limited resources and access to exercise programs. Therefore, we developed a community-based intervention with activity-monitoring and behavioral coaching to target these barriers and facilitate sustained participation in an exercise program promoting physical activity. OBJECTIVE To determine the feasibility and efficacy of a community-based intervention to promote physical activity (PA) through self-monitoring via a Fitbit and behavioral coaching in Latina participants with chronic neurological disorders. METHODS We conducted a proof-of-concept study in 21 Spanish-speaking Latina participants recruited from the Los Angeles County/ University of Southern California (LAC/USC) neurology clinic and enrolled in the 16-week intervention at The Wellness Center at The Historic General Hospital. Demographic data was assessed at baseline. Feasibility was defined by participant attrition and Fitbit adherence. Physical activity promotion was determined by examining change in time spent performing moderate-vigorous physical activity (MVPA) over the 16-week period. The effect of behavioral coaching was assessed by quantifying the difference in MVPA on days coaching occurred vs. days without coaching. Change in psychometric measures (baseline vs. post-intervention) and medical center visits (16-weeks pre-intervention vs. during intervention) were also examined. RESULTS Participants were of low socioeconomic status and acculturation. 19 participants completed the study (attrition 9.5%) with high Fitbit wear adherence (90.31%). Time performing moderate-vigorous physical activity (MVPA) significantly increased throughout the study (P<0.001). Behavioral coaching enhanced intervention effectiveness as evidenced by a higher time spent in MVPA on days coaching occurred. Participants’ illness perception (Effect Size g=.30), self-rated quality-of-life (Effect Size g=.32), and medical center visit frequency (Effect Size r =.44) improved. CONCLUSIONS Self-monitoring with behavioral coaching is a feasible community-based intervention for PA promotion in low socioeconomic Latinas with chronic neurological conditions. PA is known to be important in brain health in neurological conditions but remains relatively unexplored in minority populations. CLINICALTRIAL Clinicaltrials.gov; NCT04820153

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