Health Communication eJournal最新文献

{"title":"Understanding the Feasibility of a Digital Intervention for Social Behaviour Change to Prevent COVID-19 and Improve Health and Nutrition Outcomes","authors":"Sanjeev Kumar, Vir Narayan, Himanshu Chaudhary, Gelsey Bennett","doi":"10.2139/ssrn.3861158","DOIUrl":"https://doi.org/10.2139/ssrn.3861158","url":null,"abstract":"Background: At the onset of COVID-19, lockdowns and movement restrictions were put in place to control the pandemic, which halted in-person, non-COVID-19 public health and information sharing activities and field visits. To reach beneficiaries during this time, Project Samvad, funded by USAID India and led by Digital Green, implemented a supplementary intervention to share health and nutrition-related advisories among the communities using digital media tools like WhatsApp and interactive voice response (IVR). Digital Green repurposed its videos on health and nutrition in order to share them via digital means. Digital Green evaluated the feasibility of the adapted approaches using digital media tools and capacity building of community-level frontline workers to enhance their knowledge and skills through virtual training programs. <br><br>Methods: A telephonic survey was conducted among community and frontline workers. 299 community members from three Indian states, i.e., Bihar, Jharkhand, and Odisha, where WhatsApp and IVR advisories were sent, and 224 frontline workers were interviewed in five states Bihar, Jharkhand, Chhattisgarh, and Uttarakhand using a quantitative questionnaire developed in ODK.<br><br>Result: Our analysis indicates that the reach of active phone numbers is high (76% of frontline workers and 73% of community members). The exposure to WhatsApp videos is good; 79% of frontline workers and 49% of community members watched videos on WhatsApp. However, only 33% of community members received IVR messages. <br><br>Conclusion: By increasing the size and reach of the phone database, improving frontline workers’ training quality, and increase digital literacy among the community, the outreach of digital media tools can be enhanced to improve the health and nutrition outcomes.","PeriodicalId":119752,"journal":{"name":"Health Communication eJournal","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132155506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Web-Based Support Groups versus Usual Quit-Smoking Care for Men and Women 21–59 Years Old: A Protocol for a Randomized Controlled Trial","authors":"C. Pechmann, Douglas Calder, Connor Phillips, K. Delucchi, J. Prochaska","doi":"10.2139/ssrn.3477028","DOIUrl":"https://doi.org/10.2139/ssrn.3477028","url":null,"abstract":"Background: Existing smoking cessation treatments are challenged by low engagement and high relapse rates, suggesting the need for more innovative, accessible and interactive treatment strategies. Twitter is a web-based platform that allows people to communicate with each other throughout the day right from their phone. Objectives: This study aims to leverage the social media platform of Twitter for fostering peer-to-peer support to decrease relapse with quitting smoking. Further, the study will compare the effects of co-ed versus women-only groups on women’s success with quitting smoking. Methods: The study design is a web-based 3-arm randomized controlled trial with two treatment arms (a co-ed or women-only Twitter support group) and a control arm. Participants are recruited online and are randomized to one of the conditions. All participants receive 8 weeks of combination nicotine replacement therapy (patches plus their choice of gum or lozenges); serial emails with links to Smokefree.gov quit guides; and instructions to record their quit date online (and to quit smoking on that date), on a date falling within a week of study start. Participants randomized to a treatment arm are placed in a fully-automated Twitter support group (co-ed or women-only), paired with a buddy (matched on age, gender, location, and education), and encouraged to communicate with the group and buddy via daily tweeted discussion topics and daily automated feedback texts (a positive tweet if they tweet and an encouraging tweet if they miss tweeting). Recruited online from across the continental United States, the sample consists of 215 men and 745 women current cigarette smokers wanting to quit, between the ages of 21-59. Self-assessed follow-up surveys are completed online at 1, 3, and 6 months past the date they selected to quit smoking with salivary cotinine validation at 3- and 6-months. The primary outcome is sustained biochemically-confirmed abstinence at 6-months follow-up. Results: From November 2016 through September 2018, 960 participants in 36 groups have been recruited for the randomized controlled trial, in addition to 20 participants in an initial pilot group. Data analysis will commence soon for the randomized controlled trial, based on data from 913 of the 960 participants (95.6%) with 47 participants lost to follow-up. Conclusions: This study combines the mobile platform of Twitter with a support group for quitting smoking. Findings will inform the efficacy of virtual peer-to-peer support groups for quitting smoking and potentially elucidate gender differences in quit rates found in prior research. Trial Registration ClinicalTrial.gov Registration # NCT02823028 (Last Updated January 2019).","PeriodicalId":119752,"journal":{"name":"Health Communication eJournal","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126278688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Redefining Boundaries- How the Medical Marketing Tail is Wagging the Professional Dog","authors":"R. Shabanowitz","doi":"10.2139/ssrn.3475990","DOIUrl":"https://doi.org/10.2139/ssrn.3475990","url":null,"abstract":"There are conflicting attitudes between physicians and consumers towards health care advertising. Are there potential advantages/disadvantages of healthcare advertising? Should medical advertising should seek to inform or to persuade? Medical professionalism asks us to avoid inflated claims of clinical effectiveness and to act with the fiduciary responsibility that places the patients’ best interests first. Consumers must rely on the professional integrity implied by advertising. What is the role of physicians in the ethics of institutional marketing? Although physicians often claim that health care advertising can be distasteful, unprofessional and unethical, those working in hospitals often find themselves at the mercy of marketing executives. According to physicians, advertising can be deceptive and misleading and has the capability to distort a patient’s choices. Most physicians believe reputation is the primary good and word of mouth remains the best avenue for advertisement. On the other hand, consumers tend to be more accepting of health care advertising, and see advertising as a means of obtaining information. This preliminary project sought to investigate the relationship between medical professionalism and health-care marketing. Specifically, this study was designed to assess the opinions of health professionals towards an advertising campaign specific to their own institution.","PeriodicalId":119752,"journal":{"name":"Health Communication eJournal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131730325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Right to Be Nudged? Rethinking Social and Economic Rights in the Light of Behavioral Economics","authors":"V. Gauri","doi":"10.1596/1813-9450-8907","DOIUrl":"https://doi.org/10.1596/1813-9450-8907","url":null,"abstract":"Social and economic and rights are incorporated into many national constitutions, and courts in many countries are effectively and legitimately enforcing them. However, the large majority of rights rulings addresses the cost of goods and services and focuses exclusively on access. There is now strong evidence that internal, psychological factors limit the enjoyment of social and economic rights, and that nudges and other behavioral insights can increase welfare and support rights fulfillment. These facts suggest there exists a right to be nudged, or at least a duty to use behavioral insights in the provision of social and economic goods and services. The evidence suggests that a shift in choice architecture that shifts the burden of proof to the state in social and economic rights cases, the simplification of procedures for program eligibility and signup, the establishment of agencies to balance private advertising, the promotion of medications adherence, efforts to change student beliefs about learning, and opt-out savings programs are particularly promising.","PeriodicalId":119752,"journal":{"name":"Health Communication eJournal","volume":"57 3-4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114036848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}