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A Novel Educational Control Group Mobile App for Meditation Interventions: Single-Group Feasibility Trial

BACKGROUND: Smartphone ownership is becoming ubiquitous among US adults, making the delivery of health interventions via a mobile app (ie, mobile health [mHealth]) attractive to many researchers and clinicians. Meditation interventions have become popular and have been delivered to study participant...

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Autores principales: Huberty, Jennifer, Eckert, Ryan, Puzia, Megan, Laird, Breanne, Larkey, Linda, Mesa, Ruben
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7404006/
https://www.ncbi.nlm.nih.gov/pubmed/32706719
http://dx.doi.org/10.2196/19364
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author Huberty, Jennifer
Eckert, Ryan
Puzia, Megan
Laird, Breanne
Larkey, Linda
Mesa, Ruben
author_facet Huberty, Jennifer
Eckert, Ryan
Puzia, Megan
Laird, Breanne
Larkey, Linda
Mesa, Ruben
author_sort Huberty, Jennifer
collection PubMed
description BACKGROUND: Smartphone ownership is becoming ubiquitous among US adults, making the delivery of health interventions via a mobile app (ie, mobile health [mHealth]) attractive to many researchers and clinicians. Meditation interventions have become popular and have been delivered to study participants via mobile apps to improve a range of health outcomes in both healthy adults and those with chronic diseases. However, these meditation mHealth interventions have been limited by a lack of high-quality control groups. More specifically, these studies have lacked consistency in their use of active, time-matched, and attention-matched control groups. OBJECTIVE: The purpose of this study is to beta test a novel health education podcast control condition delivered via a smartphone app that would be a strong comparator to be used in future studies of app-based meditation interventions. METHODS: Patients with myeloproliferative neoplasm (MPN) cancer were recruited nationally. Upon enrollment, participants were informed to download the investigator-developed health education podcast app onto their mobile phone and listen to ~60 min/week of cancer-related educational podcasts for 12 weeks. The benchmarks for feasibility included ≥70% of participants completing ≥70% of the prescribed 60 min/week of podcasts, ≥70% of participants reporting that they were satisfied with the intervention, and ≥70% of participants reporting that they enjoyed the health education podcasts. RESULTS: A total of 96 patients with MPN were enrolled in the study; however, 19 never began the intervention. Of the 77 patients who participated in the intervention, 39 completed the entire study (ie, sustained participation through the follow-up period). Participation averaged 103.2 (SD 29.5) min/week. For 83.3% (10/12) of the weeks, at least 70% of participants completed at least 70% of their total prescribed use. Almost half of participants reported that they enjoyed the health education podcasts (19/39, 48.7%) and were satisfied with the intervention (17/39, 43.6%). There were no significant changes in cancer-related outcomes from baseline to postintervention. CONCLUSIONS: A 12-week, health education podcast mobile app was demanded but not accepted in a sample of patients with cancer. Using the mobile app was not associated with significant changes in cancer-related symptoms. Based on findings from this study, a health education podcast mobile app may be a feasible option as a time- and attention-matched control group for efficacy trials with more extensive formative research for the content of the podcasts and its acceptability by the specific population. TRIAL REGISTRATION: ClinicalTrials.gov NCT03907774; https://clinicaltrials.gov/ct2/show/NCT03907774
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spelling pubmed-74040062020-08-17 A Novel Educational Control Group Mobile App for Meditation Interventions: Single-Group Feasibility Trial Huberty, Jennifer Eckert, Ryan Puzia, Megan Laird, Breanne Larkey, Linda Mesa, Ruben JMIR Form Res Original Paper BACKGROUND: Smartphone ownership is becoming ubiquitous among US adults, making the delivery of health interventions via a mobile app (ie, mobile health [mHealth]) attractive to many researchers and clinicians. Meditation interventions have become popular and have been delivered to study participants via mobile apps to improve a range of health outcomes in both healthy adults and those with chronic diseases. However, these meditation mHealth interventions have been limited by a lack of high-quality control groups. More specifically, these studies have lacked consistency in their use of active, time-matched, and attention-matched control groups. OBJECTIVE: The purpose of this study is to beta test a novel health education podcast control condition delivered via a smartphone app that would be a strong comparator to be used in future studies of app-based meditation interventions. METHODS: Patients with myeloproliferative neoplasm (MPN) cancer were recruited nationally. Upon enrollment, participants were informed to download the investigator-developed health education podcast app onto their mobile phone and listen to ~60 min/week of cancer-related educational podcasts for 12 weeks. The benchmarks for feasibility included ≥70% of participants completing ≥70% of the prescribed 60 min/week of podcasts, ≥70% of participants reporting that they were satisfied with the intervention, and ≥70% of participants reporting that they enjoyed the health education podcasts. RESULTS: A total of 96 patients with MPN were enrolled in the study; however, 19 never began the intervention. Of the 77 patients who participated in the intervention, 39 completed the entire study (ie, sustained participation through the follow-up period). Participation averaged 103.2 (SD 29.5) min/week. For 83.3% (10/12) of the weeks, at least 70% of participants completed at least 70% of their total prescribed use. Almost half of participants reported that they enjoyed the health education podcasts (19/39, 48.7%) and were satisfied with the intervention (17/39, 43.6%). There were no significant changes in cancer-related outcomes from baseline to postintervention. CONCLUSIONS: A 12-week, health education podcast mobile app was demanded but not accepted in a sample of patients with cancer. Using the mobile app was not associated with significant changes in cancer-related symptoms. Based on findings from this study, a health education podcast mobile app may be a feasible option as a time- and attention-matched control group for efficacy trials with more extensive formative research for the content of the podcasts and its acceptability by the specific population. TRIAL REGISTRATION: ClinicalTrials.gov NCT03907774; https://clinicaltrials.gov/ct2/show/NCT03907774 JMIR Publications 2020-07-21 /pmc/articles/PMC7404006/ /pubmed/32706719 http://dx.doi.org/10.2196/19364 Text en ©Jennifer Huberty, Ryan Eckert, Megan Puzia, Breanne Laird, Linda Larkey, Ruben Mesa. Originally published in JMIR Formative Research (http://formative.jmir.org), 21.07.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on http://formative.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Huberty, Jennifer
Eckert, Ryan
Puzia, Megan
Laird, Breanne
Larkey, Linda
Mesa, Ruben
A Novel Educational Control Group Mobile App for Meditation Interventions: Single-Group Feasibility Trial
title A Novel Educational Control Group Mobile App for Meditation Interventions: Single-Group Feasibility Trial
title_full A Novel Educational Control Group Mobile App for Meditation Interventions: Single-Group Feasibility Trial
title_fullStr A Novel Educational Control Group Mobile App for Meditation Interventions: Single-Group Feasibility Trial
title_full_unstemmed A Novel Educational Control Group Mobile App for Meditation Interventions: Single-Group Feasibility Trial
title_short A Novel Educational Control Group Mobile App for Meditation Interventions: Single-Group Feasibility Trial
title_sort novel educational control group mobile app for meditation interventions: single-group feasibility trial
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7404006/
https://www.ncbi.nlm.nih.gov/pubmed/32706719
http://dx.doi.org/10.2196/19364
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