Youth perspectives on mobile health adherence interventions: A qualitative study guided by the supportive accountability model.

Autor: Sayegh CS; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, USA; Division of General Pediatrics, Children's Hospital Los Angeles, USA; Department of Pediatrics, University of Southern California Keck School of Medicine, USA. Electronic address: cssayegh@chla.usc.edu., Iverson E; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, USA; Department of Pediatrics, University of Southern California Keck School of Medicine, USA., MacDonell KK; Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, USA., Wu S; University of Southern California Dworak-Peck School of Social Work, USA; Department of Industrial and Systems Engineering, University of Southern California Viterbi School of Engineering, USA., Belzer M; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, USA; Department of Pediatrics, University of Southern California Keck School of Medicine, USA.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Feb; Vol. 119, pp. 108079. Date of Electronic Publication: 2023 Nov 21.
DOI: 10.1016/j.pec.2023.108079
Abstrakt: Objective: We applied a Supportive Accountability Model lens to understand how youth view remote human coaching versus automated reminders targeting medication adherence.
Methods: We used thematic analysis to interpret (N = 22) youths' responses to semi-structured interviews after 12 weeks of mobile health intervention.
Results: Participants reported that both coaching and automated reminders prompted them to take medication, improving their adherence. Participants found coaching helpful because they developed routines and strategies, were motivated to avoid disappointing their coach, and felt their coach cared for them. Automated support could be motivational for some but demanded less engagement. Participants described phone calls as disruptive to their daily lives, but conducive to developing a personal connection with their coach, whereas texts were easier and more flexible. Youth emphasized that individual preferences often differ.
Conclusion: Human coaching was viewed as a more potent, engaging adherence intervention than automated reminders, although individual needs and preferences differed. Phone calls may enhance the experience of supportive accountability for adherence, but also pose greater acceptability and usability barriers than texting.
Practice Implications: Intervention developers should provide opportunities for youth to make personal connections with human adherence supporters and attend to youth preferences for communication modality.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: