Can health promotion also do harm?

Gugglberger, Lisa

doi:10.1093/heapro/day060

Cited by 19 publications

(10 citation statements)

References 24 publications

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“…[37][38][39] When interventions are implemented in complex settings, such as a health service setting, facilitators and barriers are often encountered, which can directly affect patient health outcomes. [40][41][42] In this instance, barriers to wound care can potentially lead to wound breakdown or prolonged wound healing. Acknowledging the barriers and facilitators that were reported by clinicians and patients in this study, the intervention (the TA app) did not have any negative impact on patient outcomes or on wound healing.…”

Section: Discussionmentioning

confidence: 99%

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Reshaping wound care: Evaluation of an artificial intelligence app to improve wound assessment and management amid the COVID‐19 pandemic

Barakat‐Johnson

Jones

Burger

et al. 2022

International Wound Journal

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Wound documentation is integral to effective wound care, health data coding and facilitating continuity of care. This study evaluated the usability and effectiveness of an artificial intelligence application for wound assessment and management from a clinician‐and‐patient user perspective. A quasi‐experimental design was conducted in four settings in an Australian health service. Data were collected from patients in the standard group (n = 166, 243 wounds) and intervention group (n = 124, 184 wounds), at baseline and post‐intervention. Clinicians participated in a survey (n = 10) and focus group interviews (n = 13) and patients were interviewed (n = 4). Wound documentation data were analysed descriptively, and bivariate statistics were used to determine between‐group differences. Thematic analysis of interviews was conducted. Compared with the standard group, wound documentation in the intervention group improved significantly (more than two items documented 24% vs 70%, P < .001). During the intervention, 101 out of 132 wounds improved (mean wound size reduction = 53.99%). Positive evaluations identified improvements such as instantaneous objective wound assessment, shared wound plans, increased patient adherence and enhanced efficiency in providing virtual care. The use of the application facilitated remote patient monitoring and reduced patient travel time while maintaining optimal wound care.

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Section: Discussionmentioning

confidence: 99%

“…When interventions are implemented in complex settings, such as a health service setting, facilitators and barriers are often encountered, which can directly affect patient health outcomes 40‐42 . In this instance, barriers to wound care can potentially lead to wound breakdown or prolonged wound healing.…”

Section: Discussionmentioning

confidence: 99%

Reshaping wound care: Evaluation of an artificial intelligence app to improve wound assessment and management amid the COVID‐19 pandemic

Barakat‐Johnson

Jones

Burger

et al. 2022

International Wound Journal

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“…The majority of health messaging interventions using mobile technologies, have up until now, included generic health promotion content [4]. Such content is generally acceptable and have most likely been considered as safe, which might explain the low attention towards unintended consequences of public health intervention in general [38], and health promotion in particular [10]. Precautions in composing individually tailored messages, which are increasing, are warranted to avoid harmful consequences.…”

Section: Plos Onementioning

confidence: 99%

“…While tailoring based on individual-level risk factors has advantages, it may also result in potential unintended consequences, such as, the triggering of worries among the message recipients. Documenting and preventing potential unintended consequences have generally been given little attention in the field of health education and promotion interventions [10].…”

Section: Introductionmentioning

confidence: 99%

The effect of a digital targeted client communication intervention on pregnant women’s worries and satisfaction with antenatal care in Palestine–A cluster randomized controlled trial

Bogale

Mørkrid

Abbas³

et al. 2021

PLoS ONE

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Background The eRegCom cluster randomized controlled trial assesses the effectiveness of targeted client communication (TCC) via short message service (SMS) to pregnant women, from a digital maternal and child health registry (eRegistry) in Palestine, on improving attendance and quality of care. In this paper, we assess whether this TCC intervention could also have unintended consequences on pregnant women’s worries, and their satisfaction with antenatal care (ANC). Methods We interviewed a sub-sample of Arabic-speaking women attending ANC at public primary healthcare clinics, randomized to either the TCC intervention or no TCC (control) in the eRegCom trial, who were in 38 weeks of gestation and had a phone number registered in the eRegistry. Trained female data collectors interviewed women by phone from 67 intervention and 64 control clusters, after securing informed oral consent. The Arabic interview guide, pilot-tested prior to the data collection, included close-ended questions to capture the woman’s socio-demographic status, agreement questions about their satisfaction with ANC services, and the 13-item Cambridge Worry Scale (CWS). We employed a non-inferiority study design and an intention-to-treat analysis approach. Results A total of 454 women, 239 from the TCC intervention and 215 from the control arm participated in this sub-study. The mean and standard deviation of the CWS were 1.8 (1.9) for the intervention and 2.0 (1.9) for the control arm. The difference in mean between the intervention and control arms was -0.16 (95% CI: -0.31 to -0.01) after adjusting for clustering, which was below the predefined non-inferiority margin of 0.3. Women in both groups were equally satisfied with the ANC services they received. Conclusion The TCC intervention via SMS did not increase pregnancy-related worries among recipients. There was no difference in women’s satisfaction with the ANC services between intervention and control arms.

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“…Der Versuch menschliches Verhalten zu beeinflussen beinhaltet grundsätzlich die Gefahr, andere Wirkungen hervorzurufen als ursprünglich erwartet. So können Gesundheitsprogramme am Arbeitsplatz zur Stigmatisierung von Übergewichtigen oder an Schulen zur Überlastung der Lehrer führen (Gugglberger 2018). Gegebenenfalls können Gesundheitsprobleme durch gut gemeinte Interventionen noch weiter vergrößert (Fortsetzung) werden.…”

Section: Unbeabsichtigte Konsequenzen Von Public-health-maßnahmenunclassified

Evidence-Based Public Health

Seuring¹

2020

Springer Reference Pflege – Therapie – Gesundheit

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Can health promotion also do harm?

Cited by 19 publications

References 24 publications

Reshaping wound care: Evaluation of an artificial intelligence app to improve wound assessment and management amid the COVID‐19 pandemic

Reshaping wound care: Evaluation of an artificial intelligence app to improve wound assessment and management amid the COVID‐19 pandemic

The effect of a digital targeted client communication intervention on pregnant women’s worries and satisfaction with antenatal care in Palestine–A cluster randomized controlled trial

Evidence-Based Public Health

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