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Darker CD, Moore E, Flynn E, O'Neill M, Doherty L, McMahon J, McLoughlin O, Rouine E, Ivers JH, Allwright S, McGrath D, Seery A, McAndrew M, Barrett E, Tanner M, Bennett AE, Brennan S, Mullin M, Barry JM. Development and proposed evaluation of an eHealth learning tool for undergraduate university students in Ireland. Health Promot Int 2021; 37:6289848. [PMID: 34056643 DOI: 10.1093/heapro/daab071] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Undergraduate university students are at a critical stage of development in terms of their academic, social, psychological and behavioural health. Patterns established during these formative years can last a lifetime. eHealth tools have the potential to be engaging, convenient and accessible to a wide range of students by providing health information and enhancing the uptake of positive health behaviours. The 'Healthy Trinity Online Tool' (H-TOT) was developed in collaboration with students and a transdisciplinary team with decades of experience between them in terms of research, clinical responsibility and service delivery. Developmental steps undertaken included: a literature review to formulate the topic content choices; a survey of students to check the relevance and suitability of topics identified; and, the tacit experience of the development team. This co-design model led to the development of content encompassing academic life, healthy eating, physical activity, mood, financial matters, alcohol, tobacco, drugs and relaxation. Qualitative focus groups were subsequently conducted for in-depth exploration of the usage and functionality of H-TOT. The theoretical underpinnings include the locus of control and social cognitive theory. Evidence-based behavioural change techniques are embedded throughout. During early pre-piloting of H-TOT, the team identified and solved content functionality problems. The tone of the content was also revised to ensure it was non-judgemental. To make the H-TOT as interactive as possible, video scenarios were included and all content was audio-recorded to allow playback for students with visual or learning difficulties. Evaluation plans for the pilot year of H-TOT are outlined.
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Affiliation(s)
- Catherine D Darker
- Discipline of Public Health & Primary Care, Institute of Population Health Sciences, School of Medicine, Trinity College Dublin, Russell Centre, Tallaght Cross, Dublin, D24 DH74, Ireland
| | - Emma Moore
- Discipline of Public Health & Primary Care, Institute of Population Health Sciences, School of Medicine, Trinity College Dublin, Russell Centre, Tallaght Cross, Dublin, D24 DH74, Ireland
| | - Ellen Flynn
- Discipline of Public Health & Primary Care, Institute of Population Health Sciences, School of Medicine, Trinity College Dublin, Russell Centre, Tallaght Cross, Dublin, D24 DH74, Ireland
| | - Mary O'Neill
- School of Medicine, Trinity Centre for Health Sciences, St James's Healthcare Campus, Old Stone Building, Dublin, D08 W9RT, Ireland
| | - Lena Doherty
- Faculty of Health Sciences, The University of Dublin, Trinity College, College Street, Dublin, D02 PN40, Ireland
| | - Jean McMahon
- Library Services, Tallaght University Hospital, Tallaght, Dublin, D24 NR04, Ireland
| | - Orla McLoughlin
- Student Counselling Service, 7-9 Leinster Street South, Dublin, D02 K104, Ireland
| | - Eimear Rouine
- Office of Chief Operating Officer, The University of Dublin, Trinity College, West Theatre, Dublin, D02 PN40, Ireland
| | - Jo-Hanna Ivers
- Discipline of Public Health & Primary Care, Institute of Population Health Sciences, School of Medicine, Trinity College Dublin, Russell Centre, Tallaght Cross, Dublin, D24 DH74, Ireland
| | - Shane Allwright
- Discipline of Public Health & Primary Care, Institute of Population Health Sciences, School of Medicine, Trinity College Dublin, Russell Centre, Tallaght Cross, Dublin, D24 DH74, Ireland
| | - David McGrath
- College Health Service, The University of Dublin, Trinity College, College Street, House 47, Dublin, D02 PN40, Ireland
| | - Aidan Seery
- Senior Tutor Office, The University of Dublin, Trinity College, College Street, House 27, Dublin, D02 PN40, Ireland
| | - Martin McAndrew
- Senior Tutor Office, The University of Dublin, Trinity College, College Street, House 27, Dublin, D02 PN40, Ireland
| | - Emer Barrett
- Discipline of Physiotherapy, Trinity Centre for Health Sciences, St James's Healthcare Campus, Dublin, D08 W9RT, Ireland
| | - Michelle Tanner
- Trinity College Sports Centre, The University of Dublin, Trinity College, 43 Pearse Street, Dublin, D02 WO85, Ireland
| | - Annemarie E Bennett
- Unit of Nutrition and Dietetics, Discipline of Clinical Medicine, Trinity Centre for Health Sciences, St James's Healthcare Campus, Dublin, D08 W9RT, Ireland
| | - Sabina Brennan
- ADAPT Centre, O'Reilly Institute, The University of Dublin, Trinity College, College Street, Dublin, D02 PN40, Ireland
| | - Martina Mullin
- College Health Service, The University of Dublin, Trinity College, College Street, House 47, Dublin, D02 PN40, Ireland
| | - Joe M Barry
- Discipline of Public Health & Primary Care, Institute of Population Health Sciences, School of Medicine, Trinity College Dublin, Russell Centre, Tallaght Cross, Dublin, D24 DH74, Ireland
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Reis S, Matthews EL, Grenyer BFS. Characteristics of effective online interventions: implications for adolescents with personality disorder during a global pandemic. ACTA ACUST UNITED AC 2020; 23:488. [PMID: 33585296 PMCID: PMC7875074 DOI: 10.4081/ripppo.2020.488] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 11/27/2020] [Indexed: 11/29/2022]
Abstract
In recent years, the necessity of providing online interventions for adolescents, as an alternative to face-to-face interventions, has become apparent due to several barriers some adolescents face in accessing treatment. This need has become more critical with the coronavirus disease 2019 (COVID-19) global pandemic impacting the delivery of psychotherapy and limiting accessibility of face-to-face therapy. Whilst it has been established that face-to-face psychotherapy for adolescents with personality disorder can be effective in reducing the impact these complex mental illnesses have on functioning, online interventions for adolescents are rare, and to our knowledge there are no empirically validated online interventions for personality disorder. The development of novel online interventions are therefore necessary. To inform the development of online interventions for adolescents with personality disorder or symptoms of emerging personality disorder, a two-phase rapid review was conducted. Phase one consisted of a search and examination of existing online mental health programs for adolescents with symptoms of personality disorder, to understand how to best use online platforms. Phase two consisted of a rapid review of empirical literature examining online interventions for adolescents experiencing symptoms of personality disorder to identify characteristics that promote efficacy. There were no online programs specific to personality disorder in adolescence. However, 32 online mental health programs and 41 published empirical studies were included for analysis. Common intervention characteristics included timeframes of one to two months, regular confidential therapist contact, simple interactive online components and modules, and the inclusion of homework or workbook activities to practice new skills. There is an urgent need for online interventions targeting personality dysfunction in adolescence. Several characteristics of effective online interventions for adolescents were identified. These characteristics can help inform the development and implementation of novel online treatments to prevent and reduce the burden and impact of personality disorder, or symptoms of emerging personality disorder, in adolescents. This has implications for the COVID-19 pandemic when access to effective online interventions has become more urgent.
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Affiliation(s)
| | | | - Brin F S Grenyer
- School of Psychology.,Illawarra Health and Medical Research Institute, University of Wollongong, Australia
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Ho TJH, Lee CCS, Wong SN, Lau Y. Internet-based self-monitoring interventions for overweight and obese adolescents: A systematic review and meta-analysis. Int J Med Inform 2018; 120:20-30. [PMID: 30409343 DOI: 10.1016/j.ijmedinf.2018.09.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 09/11/2018] [Accepted: 09/24/2018] [Indexed: 02/07/2023]
Abstract
BACKGROUND Internet-based self-monitoring intervention offers accessibleand convenient weight management. This review aimed to systematically review the evidence on the effectiveness of internet-based self-monitoring intervention for overweight and obese adolescents. METHOD PubMed, CINAHL, Cochrane Library, EMBASE, ProQuest, PsycINFO and SCOPUS were systematically searched for randomised controlled trials (RCTs) from inception until December 13, 2017. The risk of bias and strength of evidence was assessed using the Cochrane Collaboration Risk of Bias Tool and the Grading of Recommendations, Assessment, Development and Evaluations criteria. Meta-analysis was performed on the RevMan software using a random effects model. The overall effect was assessed using effect size (Cohen'sd)and heterogeneity was evaluated using Cochrane Q and I2 values. PROSPERO database #CRD42016050089. RESULTS A total of 6841 records were identified. Six RCTs in 10 articles were selected amongst 505 adolescents across three countries who were overweight and obese. The meta-analysis revealed a small effect on the reduction of body mass index (BMI) and BMI z-scores (d = 0.30, 95% CI: -0.48 to -0.12). Subgroup analyses suggest the use of daily multicomponent self-monitoring, specified goal setting, face-to-face counselling and parental involvement. The overall quality of evidence was low due to the risk of bias and imprecision. CONCLUSION Internet-based self-monitoring intervention is a possible approach for overweight and obese adolescents to reduce their BMI. Further well-designed RCTs with follow-up data and large sample sizes are needed to ensure the robustness of the evidence.
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Affiliation(s)
| | - Cindy Ching Siang Lee
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Suei Nee Wong
- National University of Singapore Libraries, National University of Singapore, Singapore
| | - Ying Lau
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
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Baños RM, Etchemendy E, Mira A, Riva G, Gaggioli A, Botella C. Online Positive Interventions to Promote Well-being and Resilience in the Adolescent Population: A Narrative Review. Front Psychiatry 2017; 8:10. [PMID: 28194117 PMCID: PMC5277019 DOI: 10.3389/fpsyt.2017.00010] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Accepted: 01/13/2017] [Indexed: 11/13/2022] Open
Abstract
Numerous studies have shown an alarming prevalence of depression, anxiety, and behavior disorders in youth. Thus, prevention of psychological problems in this population becomes crucial. According to the World Health Organization (1), prevention should also include the promotion and development of the individual's strengths in order to reduce vulnerability to suffering from mental disorders. In addition, other key elements of prevention are the reach, adoption, implementation, and maintenance of interventions. The information and communication technologies, especially the Internet, have much to offer in terms of the prevention and promotion of positive mental health in adolescents. This paper reviews these fields of research-prevention, positive psychology, Internet, and adolescents-and discusses the potential of positive interventions delivered over the Internet as effective and sustainable health promotion tools. The paper provides a brief description of the systems developed so far and a summary of selected features of the studies detected in the literature review. The overall conclusions are that there is a need for more controlled studies with long-term follow-ups, the interventions should be designed considering the specific features of the target users and the specific contexts where the interventions will be delivered, and they could be enhanced by the use of other technologies, such as smartphones, sensors, or social networks.
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Affiliation(s)
- Rosa M Baños
- CiberObn ISCIII, Valencia, Spain; Red de Excelencia PROMOSAM (PSI2014-56303-REDT), Madrid, Spain; Universidad de Valencia, Valencia, Spain
| | - Ernestina Etchemendy
- CiberObn ISCIII, Valencia, Spain; Red de Excelencia PROMOSAM (PSI2014-56303-REDT), Madrid, Spain; University of Zaragoza, Teruel, Spain
| | - Adriana Mira
- Red de Excelencia PROMOSAM (PSI2014-56303-REDT), Madrid, Spain; Universitat Jaume I, Castelló, Spain
| | - Giuseppe Riva
- Interactive Communication and Ergonomics of NEw Technologies - ICE-NET Lab, Milano, Italy; Applied Technology for Neuro-Psychology Lab, Milano, Italy
| | - Andrea Gaggioli
- Interactive Communication and Ergonomics of NEw Technologies - ICE-NET Lab, Milano, Italy; Applied Technology for Neuro-Psychology Lab, Milano, Italy
| | - Cristina Botella
- CiberObn ISCIII, Valencia, Spain; Red de Excelencia PROMOSAM (PSI2014-56303-REDT), Madrid, Spain; Universitat Jaume I, Castelló, Spain
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