Background and method of the Striving to be Strong study a RCT testing the efficacy of a m-health self-management intervention

Abstract

Active and rigorous quality management processes continually evaluate enrollment and retention goals, functionality of the automated intervention delivery and data collection systems, EMAs, and dispersion of incentives.

Self-management Processes Used by Healthy Middle-aged Women to Change Behaviors

“…The Action Planning intervention is similar to the process dimension of the IFSM theory as both include goal setting and planning. Early efficacy testing of both Action Planning (Farmer et al, 2016; Gutnick et al, 2014; Hui et al, 2017) and studies based on IFSM theory yielded both positive and negative finding (Ryan, Maierle, Csuka, Thomson, & Szabo, 2013; Ryan et al, 2018). It is entirely possible people can learn a cadre of activities and skills that better equip them to make change across multiple behaviors.…”

“…Twenty women currently enrolled in the experimental arm of the StbS study were recruited (Ryan et al, 2018) for this qualitative study (Striving Stories). Our rationale for determining the sample size was based on two factors.…”

“…The other app contained a system to manage ecological momentary assessments (EMA) in which text messages were sent to participants multiple times throughout the day or week querying them about their use of the self-regulation processes. Initial findings from the StbS data suggested that the women actively engaging in change used a variety of strategies, in arbitrary order, to change behaviors (Ryan et al, 2018).…”

E-health – modern technologies in mental health care

“…W świetle literatury przedmiotu rozwiązania stosowane w paradygmacie e-zdrowia okazały się bardzo skuteczne w profilaktyce, diagnostyce i leczeniu pacjentów z chorobami zarówno somatycznymi: sercowo-naczyniowymi [10,11], anemią sierpowatą [12], łuszczycą [13], zapaleniem jelita [14], śródmiąższowym zapaleniem pęcherza moczowego [15], uszkodzeniami słuchu [16,17] oraz osteoporozą [18], jak i psychicznymi [11]: uzależnieniami od substancji psychoaktywnych [19,20], depresją [21,22], chorobą afektywną dwubiegunową [23], lękiem, stresem, cierpieniem psychicznym, myślami samobójczymi, zachowaniami obsesyjno-kompulsywnymi [24][25][26][27][28][29]. Stosowano je także w celu przygotowania pacjentów do zabiegów chirurgicznych oraz wspierania ich zdrowienia po tych zabiegach [30][31][32][33][34].…”

“…Relevant literature suggests that e-health solutions turned out to be highly successful in the prevention, diagnostics and treatment of not only somatic conditions such as cardiovascular diseases [10,11], sickle cell anemia [12], psoriasis [13], inflammatory bowel disease [14], interstitial cystitis [15], hearing impairment [16,17] and osteoporosis [18], but also mental disorders [11] including substance dependence [19,20], depression [21,22], bipolar affective disorder [23], anxiety, distress, mental suffering, suicidal thoughts, or obsessive-compulsive behaviors [24][25][26][27][28][29]. E-interventions were also used to prepare patients for surgery and to support their postoperative recovery [30][31][32][33][34].…”