scholarly journals Improving Mood Through Community Connection and Resources Using an Interactive Digital Platform: Development and Usability Study

10.2196/25834 ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. e25834
Author(s):  
Robin Ortiz ◽  
Lauren Southwick ◽  
Rachelle Schneider ◽  
Elissa V Klinger ◽  
Arthur Pelullo ◽  
...  

Background COVID-19 continues to disrupt global health and well-being. In April-May 2020, we generated a digital, remote interactive tool to provide health and well-being resources and foster connectivity among community members through a text messaging platform. Objective This study aimed to prospectively investigate the ability of a health system–based digital, remote, interactive tool to provide health and well-being resources to local community participants and to foster connectivity among them during the early phases of COVID-19. Methods We performed descriptive and nonparametric longitudinal statistical analyses to describe and compare the participants’ mood ratings over time and thematic analysis of their responses to text messages to further assess mood. Results From among 393 individuals seeking care in an urban emergency department in an academic setting, engaged in a two-way text messaging platform, we recorded 287 mood ratings and 368 qualitative responses. We observed no difference in the initial mood rating by week of enrollment [Kruskal-Wallis chi-square H(5)=1.34; P=.93], and the average mood rating did not change for participants taken together [Friedman chi-square Q(3)=0.32; P=.96]. However, of participants providing mood ratings at baseline, mood improved significantly among participants who reported a low mood rating at baseline [n=25, 14.97%; Q(3)=20.68; P<.001] but remained stable among those who reported a high mood rating at baseline [n=142, 85.03%; Q(3)=2.84; P=.42]. Positive mood elaborations most frequently included words related to sentiments of thankfulness and gratitude, mostly for a sense of connection and communication; in contrast, negative mood elaborations most frequently included words related to anxiety. Conclusions Our findings suggest the feasibility of engaging individuals in a digital community with an emergency department facilitation. Specifically, for those who opt to engage in a text messaging platform during COVID-19, it is feasible to assess and respond to mood-related queries with vetted health and well-being resources.

2020 ◽  
Author(s):  
Robin Ortiz ◽  
Lauren Southwick ◽  
Rachelle Schneider ◽  
Elissa V. Klinger ◽  
Arthur Pellulo ◽  
...  

BACKGROUND The coronavirus (COVID-19) pandemic continues to disrupt global health and well-being. We built a digital, remote interactive tool for local community patients to engage in wellbeing resources and connection through a text platform during March-May 2020. OBJECTIVE To prospectively investigate the ability of a health-system based, digital, remote, and interactive tool to engage individuals in health and well-being resources and connection during the early phases of the COVID-19 pandemic. METHODS Descriptive and non-parametric longitudinal statistical analyses were used to describe and compare mood ratings over time. Thematic analysis was conducted on mood text responses. RESULTS Of 393 patients seeking care in an urban, academic Emergency Department opted into a text message line. 287 mood ratings and 368 qualitative responses were recorded. No difference in initial mood rating by week of enrollment was seen (H(5)=1.34, P=0.93), and across the intervention per participant, the mood did not change overall (Q(3)=0.32, P=0.96). However, mood improved for participants with baseline low reported mood (n=25, Q(3)=20.68, P<.001) while remaining stable for those with baseline high initial mood (n=142, Q(3)=2.84, P=0.42). Analysis found that that positive mood elaborations most frequently included words related to sentiments of thanks and gratitude, often for connection and communication, while negative mood elaborations most frequently included words related to anxiety. CONCLUSIONS Our findings suggest feasibility for digital community engagement through emergency department facilitation. Specifically, for those who choose to engage in a texting platform amid the challenging times of the COVID-19 pandemic, it is feasible to assess and respond to mood with vetted resources, and such an intervention may even carry benefit.


2020 ◽  
Vol 21 (5) ◽  
pp. 791-801
Author(s):  
Emily Champoux ◽  
Rory Price ◽  
Joan E. Cowdery ◽  
Mackenzie Dinh ◽  
William J. Meurer ◽  
...  

Background. Hypertension affects nearly 30% of the U.S. adult population. Due to the ubiquitous nature of mobile phone usage, text messaging offers a promising platform for interventions to assist in the management of chronic diseases including hypertension, including among populations that are historically underserved. We present the intervention development of Reach Out, a health behavior theory–based, mobile health intervention to reduce blood pressure among hypertensive patients evaluated in a safety net emergency department primarily caring for African Americans. Aims. To describe the process of designing and refining text messages currently being implemented in the Reach Out randomized controlled trial. Method. We used a five-step framework to develop the text messages used in Reach Out. These steps included literature review and community formative research, conception of a community-centered behavioral theoretical framework, draft of evidence-based text messages, community review, and revision based on community feedback and finalization. Results. The Reach Out development process drew from pertinent evidence that, combined with community feedback, guided the development of a community-centered health behavior theory framework that led to development of text messages. A total of 333 generic and segmented messages were created. Messages address dietary choices, physical activity, hypertension medication adherence, and blood pressure monitoring. Discussion. Our five-step framework is intended to inform future text-messaging-based health promotion efforts to address health issues in vulnerable populations. Conclusion. Text message–based health promotion programs should be developed in partnership with the local community to ensure acceptability and relevance.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
G. J. McGeechan ◽  
D. Woodall ◽  
L. Anderson ◽  
L. Wilson ◽  
G. O’Neill ◽  
...  

Research highlights that asset-based community development where local residents become equal partners in service development may help promote health and well-being. This paper outlines baseline results of a coproduction evaluation of an asset-based approach to improving health and well-being within a small community through promoting tobacco control. Local residents were recruited and trained as community researchers to deliver a smoking prevalence survey within their local community and became local health champions, promoting health and well-being. The results of the survey will be used to inform health promotion activities within the community. The local smoking prevalence was higher than the regional and national averages. Half of the households surveyed had at least one smoker, and 63.1% of children lived in a smoking household. Nonsmokers reported higher well-being than smokers; however, the differences were not significant. Whilst the community has a high smoking prevalence, more than half of the smokers surveyed would consider quitting. Providing smoking cessation advice in GP surgeries may help reduce smoking prevalence in this community. Work in the area could be done to reduce children’s exposure to smoking in the home.


2021 ◽  
Author(s):  
Cynthia Shih ◽  
Ruhi Pudipeddi ◽  
Arany Uthayakumar ◽  
Peter Washington

UNSTRUCTURED These are authors' responses to peer review of ms#24972.


2021 ◽  
Vol 10 (12) ◽  
pp. 482
Author(s):  
Michaeline Jensen ◽  
Emily Haston ◽  
Andrea M. Hussong

In emerging adulthood, when many young people are away from their families for the first time, mobile phones become an important conduit for maintaining relationships with parents. Yet, objective assessment of the content and frequency of text messaging between emerging adults and their parents is lacking in much of the research to date. We collected two weeks of text messages exchanged between U.S. college students (N = 238) and their parents, which yielded nearly 30,000 parent-emerging adult text messages. We coded these text message exchanges for traditional features of parent-emerging adult communication indexing positive connection, monitoring and disclosures. Emerging adults texted more with mothers than with fathers and many messages constitute parental check-ins and emerging adult sharing regarding youth behavior and well-being. Findings highlight that both the frequency and content of parent-emerging adult text messages can be linked with positive (perceived text message support) and negative (perceived digital pressure) aspects of the parent-emerging adult relationship. The content of parent-emerging adult text messages offers a valuable, objective window into the nature of the parent-emerging adult relationships in the digital age of the 21st century.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Clémence Vannier ◽  
Malcolm Campbell ◽  
Simon Kingham

Social and natural capital are fundamental to people’s wellbeing, often within the context of local community. Developing communities and linking people together provide benefits in terms of mental well-being, physical activity and other associated health outcomes. The research presented here was carried out in Christchurch - Ōtautahi, New Zealand, a city currently re-building, after a series of devastating earthquakes in 2010 and 2011. Poor mental health has been shown to be a significant post-earthquake problem, and social connection has been postulated as part of a solution. By curating a disparate set of community services, activities and facilities, organised into a Geographic Information Systems (GIS) database, we created i) an accessibility analysis of 11 health and well-being services, ii) a mobility scenario analysis focusing on 4 general well-being services and iii) a location-allocation model focusing on 3 primary health care and welfare location optimisation. Our results demonstrate that overall, the majority of neighbourhoods in Christchurch benefit from a high level of accessibility to almost all the services; but with an urban-rural gradient (the further away from the centre, the less services are available, as is expected). The noticeable exception to this trend, is that the more deprived eastern suburbs have poorer accessibility, suggesting social inequity in accessibility. The findings presented here show the potential of optimisation modelling and database curation for urban and community facility planning purposes.


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