scholarly journals The Space From Heart Disease Intervention for People With Cardiovascular Disease and Distress: A Mixed-Methods Study

2015 ◽  
Vol 4 (3) ◽  
pp. e81 ◽  
Author(s):  
Elizabeth Alexandra Barley ◽  
Abigail Clifton ◽  
Geraldine Lee ◽  
Ian J Norman ◽  
David O'Callaghan ◽  
...  
2018 ◽  
Author(s):  
Lauren Sinnenberg ◽  
Christina Mancheno ◽  
Frances K Barg ◽  
David A Asch ◽  
Christy Lee Rivard ◽  
...  

BACKGROUND Widespread metaphors contribute to the public’s understanding of health. Prior work has characterized the metaphors used to describe cancer and AIDS. Less is known about the metaphors characterizing cardiovascular disease. OBJECTIVE The objective of our study was to characterize the metaphors that Twitter users employ in discussing hypertension and diabetes. METHODS We filtered approximately 10 billion tweets for keywords related to diabetes and hypertension. We coded a random subset of 5000 tweets for the presence of metaphor and the type of metaphor employed. RESULTS Among the 5000 tweets, we identified 797 (15.9%) about hypertension or diabetes that employed metaphors. When discussing the development of heart disease, Twitter users described the disease as a journey (n=202), as transmittable (n=116), as an object (n=49), or as being person-like (n=15). In discussing the experience of these diseases, some Twitter users employed war metaphors (n=101). Other users described the challenge to control their disease (n=34), the disease as an agent (n=58), or their bodies as machines (n=205). CONCLUSIONS Metaphors are used frequently by Twitter users in their discussion of hypertension and diabetes. These metaphors can help to guide communication between patients and providers to improve public health.


2019 ◽  
Vol 73 (9) ◽  
pp. 597
Author(s):  
Nicole L. Herrick ◽  
Jordan Stone ◽  
Neela Easwar ◽  
Yalda Dehghan ◽  
Howaida El-Said ◽  
...  

Author(s):  
Victoria Haldane ◽  
Yao Guo Tan ◽  
Krichelle Wei Qi Teo ◽  
Joel Jun Kai Koh ◽  
Aastha Srivastava ◽  
...  

BACKGROUND Cardiovascular disease, including atherosclerotic cardiovascular disease (ASCVD), is a growing public health threat globally and many individuals remain undiagnosed, untreated, and uncontrolled. Simultaneously, mobile health (mHealth) interventions using short messaging service (SMS) have gained popularity globally. There is an opportunity for innovative approaches such as mHealth to encourage and enable adherence to medications for ASCVD and its risk factors. OBJECTIVE This study aimed to understand mobile technology acceptance, use, and facilitating conditions among the study population ahead of the design of an mHealth intervention. METHODS Using data from a mixed-methods study conducted in Singapore, we conducted a cross-sectional survey with 100 participants and in-depth, semistructured interviews with 20 patients. All participants were over the age of 40 years with ASCVD or its risk factors. Interviews were conducted in English and Mandarin and if needed translated to English. Nvivo 11 (QSR International) was used for analyses. RESULTS Participants reported their perspectives on technology use and preferences, including low or sporadic mobile phone use and usability concerns including small screen and text size, among others; the benefit of previous mHealth use in creating a favorable opinion of SMS for health information; trust in both the source of mHealth SMS, as well as in treatment; the formation of habits; and fear of sequelae or death for facilitating intention to use an mHealth intervention and adhere to medication. We also highlighted a case that underscored the importance of the period after diagnosis in habit forming as an opportunity for an mHealth intervention. CONCLUSIONS We explored both technology- and adherence-related factors that influence a patient’s intention to use an mHealth intervention for adherence to ASCVD medication in Singapore. We highlighted the importance of identifying the right opportunity to engage with patients and promote an mHealth intervention for adherence, such as immediately following diagnosis when patients are establishing medication-taking habits.


PLoS ONE ◽  
2018 ◽  
Vol 13 (3) ◽  
pp. e0194030 ◽  
Author(s):  
Andrew Y. Chang ◽  
Juliet Nabbaale ◽  
Haddy Nalubwama ◽  
Emmy Okello ◽  
Isaac Ssinabulya ◽  
...  

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