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Feasibility and Acceptability of an Interactive Mobile...
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RESEARCH POSTER PRESENTATION DESIGN © 2012 www.PosterPresentations.com • Touch-screen tablets, like the iPad, present exciting opportunities to extend mobile health technology to vulnerable populations. • Mobile tablets have been piloted in a number of adult clinical-research settings. Studies show they are feasible and acceptable for collecting patient information and improving patient-provider communication, particularly around sensitive health topics. • However, little is known about adolescent patient and provider perspectives on using health applications (apps) use in real-world clinical settings. Introduction • Two sexual health apps were introduced at two school- based health centers (Wellness Centers) in Los Angeles. Methods • Chlamydia and contraception apps were offered to adolescents immediately prior to the clinical encounter; risk assessment data from the app was e- mailed to the provider for discussion during the visit. Methods Continued Results Continued Acceptability • Staff felt provider counseling was more effective; patients were more confident about their sexual health choices after using the app. Feasibility and Acceptability of an Interactive Mobile Application to Improve the Sexual Health of Low-Income Minority Adolescents 1 University of California, Los Angeles; 2 Los Angeles Trust for Children’s Health; 3 University of California, San Francisco Results Conclusions • Using sexual health apps is feasible and acceptable for adolescent clinic providers and patients. • Use of the apps improved sexual health knowledge, perceived efficiency and effectiveness of the clinical encounter. • Clinics serving vulnerable populations may benefit from additional support to successfully adopt new health technology. Objective • To determine the feasibility and acceptability of using mobile health apps in two school-based health centers to promote responsible sexual health behaviors of low-income minority adolescents. Rebecca Dudovitz, MD, MSHS 1 ; Hillary Seidenberg, BS 1 ; Sang Leng Trieu, DrPH 2 ; Kathleen P. Tebb, PhD 3 % (N) Age 16-25 16.7% (1) 26-35 50% (3) 36-45 33.3% (2) Gender Female 100% (6) Race/Ethnicity Black 16.7% (1) Filipino 16.7% (1) Latino 66.7% (4) • Patients completed items regarding acceptability of the apps at the end of each app. Scores on their pre- and post-app contraception knowledge assessments were compared. Data was analyzed in Excel. • Two months after introduction of the apps, clinic staff completed a semi-structured interview. Interviews were digitally recorded, transcribed, and qualitatively analyzed to identify themes. Table 1: Interview Participant Demographics “It was easier because I don’t have to ask as much. [My patients] know what they want when they come in [to my office] or they have an idea.” ~ Provider “[My patients] seemed more confident about what they want.” ~ Provider Feasibility was related to: • Adequate space and staff to administer apps • Comfort with technology • Worry about theft, damage or misuse of devices • Time to complete apps extending beyond wait-time • Willingness to adjust work- flow • Belief in benefit to patient care “[There were ] glitches in the technology, [but] the app itself was really good.” ~ Office Manager Figure 4: Change in Sexual Health Knowledge Before and After App Use Figure 3: Percent of Users who Agreed with Acceptability Statements Figure 2: Race/Ethnicity of Patient Participants Figure 1: Screen Shots of the Contraception App We would like to thank the Short Term Training Program at UCLA and the UCLA/RAND Prevention Research Center for funding this research and the Jordan and Carson High School Wellness Centers for their enthusiasm. • 143 total users (May-Oct 2013) • Contraception app=76 • Chlamydia app=67 Latina 39% African American 27% Asian 18% White 11% Other 5% 16 83 0 10 20 30 40 50 60 70 80 90 Before After Percent of Sexual Health Questions Answered Correctly P<0.001 0 20 40 60 80 100 Would recommend to a friend Videos helped decision-making Confortable answering questions Learned something new Trust information App easy to use Percent Agreed “I learned that condoms prevent STDs and that pills and the patch don’t. I never thought to ask before I read the app.” ~ Patient • Both sites elected to continue using the apps after the project period
Transcript of Feasibility and Acceptability of an Interactive Mobile...
RESEARCH POSTER PRESENTATION DESIGN © 2012
www.PosterPresentations.com
• Touch-screen tablets, like the iPad, present exciting opportunities to extend mobile health technology to vulnerable populations.
• Mobile tablets have been piloted in a number of adult clinical-research settings. Studies show they are feasible and acceptable for collecting patient information and improving patient-provider communication, particularly around sensitive health topics.
• However, little is known about adolescent patient and provider perspectives on using health applications (apps) use in real-world clinical settings.
Introduction
• Two sexual health apps were introduced at two school-based health centers (Wellness Centers) in Los Angeles.
Methods
• Chlamydia and contraception apps were offered to adolescents immediately prior to the clinical encounter; risk assessment data from the app was e-mailed to the provider for discussion during the visit.
Methods Continued Results Continued
Acceptability • Staff felt provider counseling was
more effective; patients were more confident about their sexual health choices after using the app.
Feasibility and Acceptability of an Interactive Mobile Application to Improve the Sexual Health of Low-Income Minority Adolescents
1 University of California, Los Angeles; 2 Los Angeles Trust for Children’s Health; 3 University of California, San Francisco
Results
Conclusions • Using sexual health apps is feasible and
acceptable for adolescent clinic providers and patients.
• Use of the apps improved sexual health knowledge, perceived efficiency and effectiveness of the clinical encounter.
• Clinics serving vulnerable populations may benefit from additional support to successfully adopt new health technology.
Objective • To determine the feasibility and acceptability of
using mobile health apps in two school-based health centers to promote responsible sexual health behaviors of low-income minority adolescents.
Rebecca Dudovitz, MD, MSHS1; Hillary Seidenberg, BS1; Sang Leng Trieu, DrPH2; Kathleen P. Tebb, PhD3
% (N) Age
16-25 16.7% (1) 26-35 50% (3) 36-45 33.3% (2)
Gender Female 100% (6)
Race/Ethnicity Black 16.7% (1)
Filipino 16.7% (1) Latino 66.7% (4)
• Patients completed items regarding acceptability of the apps at the end of each app. Scores on their pre- and post-app contraception knowledge assessments were compared. Data was analyzed in Excel.
• Two months after introduction of the apps, clinic staff completed a semi-structured interview. Interviews were digitally recorded, transcribed, and qualitatively analyzed to identify themes.
Table 1: Interview Participant Demographics
“It was easier because I don’t have to ask as much. [My patients] know what they want when they come in [to my office] or they have
an idea.” ~ Provider
“[My patients] seemed more confident about what they
want.” ~ Provider
Feasibility was related to: • Adequate space and staff to
administer apps • Comfort with technology • Worry about theft, damage or
misuse of devices • Time to complete apps
extending beyond wait-time • Willingness to adjust work-
flow • Belief in benefit to patient
care
“[There were ] glitches in the
technology, [but] the app itself was really
good.” ~ Office Manager
Figure 4: Change in Sexual Health Knowledge Before and After App Use
Figure 3: Percent of Users who Agreed with Acceptability Statements
Figure 2: Race/Ethnicity of
Patient Participants
Figure 1: Screen Shots of the Contraception App
We would like to thank the Short Term Training Program at UCLA and the UCLA/RAND Prevention Research Center for funding this research and the Jordan and Carson High School Wellness Centers for their enthusiasm.
• 143 total users (May-Oct
2013) • Contraception
app=76 • Chlamydia app=67 Latina
39%
African American
27%
Asian 18%
White 11%
Other 5%
16
83
0102030405060708090
Before After
Percent of Sexual Health Questions Answered
Correctly
P<0.001
0 20 40 60 80 100
Would recommend to a friendVideos helped decision-making
Confortable answering questionsLearned something new
Trust informationApp easy to use
Percent Agreed
“I learned that condoms prevent STDs and that
pills and the patch don’t. I never thought to ask
before I read the app.” ~ Patient
• Both sites elected to continue using the apps after the
project period
Presenter
Presentation Notes
I think we should add that one of the apps was on chlamydia testing and one was on contraception methods– you can just tell people that. I don’t think you need to write it on the poster.
