Health Behavior Change Support Systems (HBCSS)

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    Toward Understanding the Technology Trust Calculus in Healthcare: A Generation Z and Millennial View
    ( 2021-01-05) Rahman, Mohammed Sajedur ; Chavarria, Juan A. ; Hoque, Md. Rakibul ; Senn, William D. ; Lakshmikanth, Geethalakshmi S. ; Flores, Javier ; Smith, Douglass
    Generation Z and Millennial comprise 50% of the American population and are considered the savviest users of Information Technology (IT). They are also critical beneficiaries of the transformation of healthcare processes and services enabled by IT. Increasingly, the capabilities to leverage digital healthcare depends on the richness of collected data. Consequently, it is imperative to understand the contextual factors that influence Millennial and Gen Z trust in healthcare IT to disclose personal health information. To address this question, we draw on social cognitive theory, social exchange theory, and privacy calculus framework to propose a healthcare technology trust calculus model. We validated it using a survey study collecting responses from 736 individuals. Findings indicate that although the concern of disclosing personal health information negatively influences trust in healthcare IT, organizational trust, perceived benefits, and risks of health information disclosure have a more substantial effect on it.
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    Piloting the Alcohol Feedback, Reflection, and Morning Evaluation (A-FRAME) Program : A Smartphone-delivered Alcohol Intervention
    ( 2021-01-05) Merrill, Jennifer ; Fogle, Scott ; Boyle, Holly ; Barnett, Nancy ; Carey, Kate
    Many college students engage in heavy drinking and experience negative consequences, but typically show little motivation to change their drinking behavior. Although personalized feedback interventions (PFIs) show promise, improved effect sizes, engagement, and potential for reach are needed. We developed and pilot-tested a theory-based, smartphone-delivered PFI for heavy-drinking college students that incorporated innovations, including a choice of feedback delivered in multiple doses that occur close in time to drinking events. In an open trial, we delivered the 4-week intervention to 18 heavy-drinking students, followed by individual interviews of participants’ experience. Feasibility was demonstrated by high enrollment and response rates, and acceptability was demonstrated by positive participant ratings and interview responses. Results will inform efforts to continue to develop this novel and scalable mobile intervention for alcohol misuse among college students, with potential impact for the public health problem of high-risk drinking.
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    Leveraging Mobile Health Technology and Multidisciplinary Methodology to Optimize Self-Management Education for Advanced Cancer Pain: Development of STAMP
    ( 2021-01-05) Azizoddin, Desiree ; Adam, Rosalind ; Kessler, Daniela ; Enzinger, Andrea
    Objective. Pain continues to be a primary and challenging symptom of cancer. We sought to use mobile health (mHealth) technology to tailor psycho-education to better meet patients’ needs. Methods: Using the Agile and mHealth Development and Evaluation Frameworks, a multidisciplinary team of clinician researchers, patients, and software and design specialists followed a four-phase iterative process to develop multi-media cancer pain education within a patient-facing smartphone application. Results: The resulting application pairs comprehensive cancer pain education spanning pharmacologic and behavioral support with medication hosting and symptom surveys. MHealth enables creative, interactive educational approaches utilizing written text, graphics, animated videos, quizzes, audio-recordings, and motivational messages. Computable algorithms were used to tailor content to patients’ symptom surveys. Cancer patients found the materials to be useful. Conclusion: By bridging technology and research methodology, we incorporated theory, evidence, and patient feedback to create a tailored and scalable educational intervention to support cancer pain self-management.
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    Designing Information Systems to Break Habits and Promote Preventive Behaviours During Large-Scale Disease Outbreaks
    ( 2021-01-05) Chung, Alexander ; Lessard, Lysanne ; Andreev, Pavel ; O'Reilly, Philip
    Adhering to preventive behaviours, like social distancing and wearing a mask, can help reduce the spread of some transmissible diseases; however, doing so can be a challenge as it requires people to break established habits. This challenge will be most evident for organisations as they need to ensure that all stakeholders adhere to preventive behaviours to resume in-person business operations. While various information systems (IS) have emerged to address this challenge, they remain limited in scope and fall short of helping users navigate the evolving practices and guidelines of a pandemic. To address this shortcoming, we adopt the design science research approach to derive design principles for IS supporting the breaking of established habits and promotion of preventive behaviours. The design principles are rigorously anchored in the habit alteration knowledge base and the Health Belief Model. We demonstrate how the design principles can be applied using an illustrative case.
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    Designing for Pandemics - a Design Concept based on Technology Mediated Nudging for Health Behavior Change
    ( 2021-01-05) Zetterholm, My ; Elm, Patrik ; Salavati, Sadaf
    This paper addresses the Covid-19 pandemic and the need to find innovative approaches to fight transmission when societies open up. Throughout the pandemic, a number of countries have released mobile applications for contact tracing which has sparked a debate about privacy and ethics. To complement existing solutions, this paper proposes a different approach. This paper presents a design concept for an application promoting health behavior change based on Bluetooth proximity estimation and nudging theory. The approach is underpinned by current understanding of the main transmission routes, the risk of asymptomatic spreaders, and evidence of physical distancing to reduce transmission risk. The aim of this mobile system is to promote physical distancing, in line with public health guidelines promoted all over the globe. The concept stems from design thinking and a shift in perspective: from solutions focused on tracking infections to solutions focused on primary prevention by supporting human behavior.
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    Designing a Gamified Adherence System for Tuberculosis Treatment Support in Urban Vietnam
    ( 2021-01-05) Ostern, Nadine ; Perscheid, Guido ; Moormann, Jürgen
    Tuberculosis remains one of the deadliest infectious diseases in Vietnam. Its occurrence is exacerbated by erratic treatment, in particular by taking medication only sporadically or if patients discontinue the medication in an early stage. Previous approaches to support treatment adherence focus on monitoring (e.g., tele-observation) or external stimulation (e.g., rewards). These approaches, however, have not yet shown the desired effects. We assert that this is because current approaches focus on combatting the outcome, i.e., erratic treatment, instead of tackling the reasons for treatment non- compliance. Notably, the latter is heavily related to the stigmatization of TB patients and, especially, self- stigmatization. Using a design science research approach, this paper proposes a research plan for developing a gamified information system that aims at reducing patients self-stigmatization, by providing features that support TB patients community building as well as TB patients empowerment.
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    Introduction to the Minitrack on Health Behavior Change Support Systems (HBCSS)
    ( 2021-01-05) Win, Khin Than ; Blok, Amanda ; Oinas-Kukkonen, Harri