Apps for immunization: Leveraging mobile devices to place the individual at the center of care

Wilson, Kumanan; Atkinson, Katherine; Westeinde, Jacqueline

doi:10.1080/21645515.2015.1057362

Cited by 44 publications

(32 citation statements)

References 16 publications

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“…26 Mobile devices are becoming ubiquitous, generating opportunities to improve multiple aspects of future vaccination practices. 27,28 Understanding individual variability in adoption and usage of mobile health apps will be important to inform the effective development and dissemination of digital health solutions.…”

Section: Discussionmentioning

confidence: 99%

Can mobile technologies improve on-time vaccination? A study piloting maternal use of ImmunizeCA, a Pan-Canadian immunization app

Atkinson

Westeinde

Ducharme

et al. 2016

Human Vaccines & Immunotherapeutics

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Mobile applications have the potential to influence vaccination behavior, including on-time vaccination. We sought to determine whether the use of a mobile immunization app was associated with the likelihood of reporting on-time vaccination in a cohort of 50 childbearing women. In this pilot study, we describe participant reported app use, knowledge, attitudes or beliefs regarding pediatric vaccination and technology readiness index (TRI) scores. To explore if app use is associated with change in attitudes, beliefs or behavior, participants were instructed complete a baseline survey at recruitment then download the app. A follow up survey followed 6-months later, reexamining concepts from the first survey as well as collecting participant TRI scores. Changes in Likert scores between pre and post survey questions were compared and multivariate logistic regression was used to assess the relationship between TRI score and select survey responses. Thirty-two percent of participants perceived that the app made them more likely to vaccinate on time. We found some individuals' attitudes toward vaccines improved, some became less supportive and in others there was no change. The mean participant TRI score was 3.25(IQR 0.78) out of a maximum score of 5, indicating a moderate level of technological adoption among the study cohort population. While the app was well received, these preliminary results showed participant attitudes toward vaccination moved dichotomously. Barriers to adoption remain in both usability and accessibility of mobile solutions, which are in part dependent on the user's innate characteristics such as technology readiness.

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Section: Discussionmentioning

confidence: 99%

Can mobile technologies improve on-time vaccination? A study piloting maternal use of ImmunizeCA, a Pan-Canadian immunization app

Atkinson

Westeinde

Ducharme

et al. 2016

Human Vaccines & Immunotherapeutics

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“…Smartphones offer an opportunity to enhance immunization practice and facilitate tailored communication between individuals and public health officials. [7][8][9] With increased mobile device and application (app) usage, the potential exists to capture, transmit, and monitor post immunization experience information in real-time using personal mobile devices. Thus mobile apps could potentially serve as a mechanism for AEFI reporting.…”

Section: Introductionmentioning

confidence: 99%

An evaluation of the feasibility and usability of a proof of concept mobile app for adverse event reporting post influenza vaccination

Wilson

Atkinson

Westeinde

et al. 2016

Human Vaccines & Immunotherapeutics

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The Canadian National Vaccine Safety network (CANVAS) gathers and analyzes safety data on individuals receiving the influenza vaccine during the early stages of annual influenza vaccination campaigns with data collected via participant surveys through the Internet. We sought to examine whether it was feasible to use a mobile application (app) to facilitate AEFI reporting for the CANVAS network. To explore this, we developed a novel smartphone app, recruited participants from a hospital influenza immunization clinic and by word of mouth and instructed them to download and utilize the app. The app reminded participants to complete the CANVAS AEFI surveillance surveys ("AEFI surveys") on day 8 and 30, a survey capturing app usability metrics at day 30 ("usability survey") and provided a mechanism to report AEFI events spontaneously throughout the whole study period. All survey results and spontaneous reports were recorded on a privacy compliant, cloud server. A software plug-in, Lookback, was used to record the on-screen experience of the app sessions. Of the 76 participants who consented to participate, 48(63%) successfully downloaded the app and created a profile. In total, 38 unique participants completed all of the required surveillance surveys; transmitting 1104 data points (survey question responses and spontaneous reports) from 83 completed surveys, including 21 usability surveys and one spontaneous report. In total, we received information on new or worsening health conditions after receiving the influenza vaccine from 11(28%) participants. Of the usability survey responses, 86% agreed or strongly agreed that they would prefer to use a mobile app based reporting system instead of a web-based system. The single spontaneous report received was from a participant who had also reported using the Day 8 survey. Of Lookback observable sessions, an accurate transmission proportion of 100% (nD290) was reported for data points. We demonstrated that a mobile app can be used for AEFI reporting, although download and survey completion proportions suggest potential barriers to adoption. Future studies should examine implementation of mobile reporting in a broader audience and impact on the quality of reporting of adverse events following immunization.

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“…Nudges have been successfully implemented in a number of areas to guide behavior and choices [8,10]. Since an increasing amount of choices today are taking place in digital environments, the design of information in digital interfaces is becoming increasingly important to understand people's choices, hence digital nudging is proposed as an important area of research [19,20]. It is expected to become increasingly important within information systems research and design, as the progression of knowledge within the behavioral and cognitive sciences are needed in the design of interfaces [20].…”

Section: Nudgingmentioning

confidence: 99%

“…In the health area, mobile devices that provide feedback to the user on sleep or physical activity are some examples mentioned in the literature. However, more research is requested, to understand the theoretical basis of nudges in digital interfaces, and how these can inform the design of persuasive systems [20].…”

Section: Nudgingmentioning

confidence: 99%

Technology Mediated Nudging in a Mobile Health Context

Zetterholm

Jokela

Nilsson

2018

2018 UBT International Conference

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According to a vision for eHealth that was launched in 2016 by the Swedish Government, Sweden will be leading the way in using the potential of digitalization and eHealth to help people achieve a good and equal health. To achieve this vision, we argue that initiatives in eHealth need to augment the traditional health perspective. This implies a more preventive approach that transforms the health concept to a continuous participative process over the life course. A stronger emphasis is needed to develop high quality mobile and web based systems in order to empower people to pursue a healthy lifestyle. A topic of particular significance is how mobile applications may utilize the theoretical principles for behavior change. In this context, it is relevant to analyze how nudges can be implemented in order to promote preferred behavioral patterns.

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Apps for immunization: Leveraging mobile devices to place the individual at the center of care

Cited by 44 publications

References 16 publications

Can mobile technologies improve on-time vaccination? A study piloting maternal use of ImmunizeCA, a Pan-Canadian immunization app

Can mobile technologies improve on-time vaccination? A study piloting maternal use of ImmunizeCA, a Pan-Canadian immunization app

An evaluation of the feasibility and usability of a proof of concept mobile app for adverse event reporting post influenza vaccination

Technology Mediated Nudging in a Mobile Health Context

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