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mHealth Technology Design and Evaluation for Early Childhood Health Promotion: Systematic Literature Review

BACKGROUND: Recent increases in smartphone ownership among underserved populations have inspired researchers in medicine, computing, and health informatics to design and evaluate mobile health (mHealth) interventions, specifically for those supporting child development and growth. Although these int...

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Detalles Bibliográficos
Autores principales: DeWitt, Akeiylah, Kientz, Julie, Coker, Tumaini R, Liljenquist, Kendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9585442/
https://www.ncbi.nlm.nih.gov/pubmed/36201391
http://dx.doi.org/10.2196/37718
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author DeWitt, Akeiylah
Kientz, Julie
Coker, Tumaini R
Liljenquist, Kendra
author_facet DeWitt, Akeiylah
Kientz, Julie
Coker, Tumaini R
Liljenquist, Kendra
author_sort DeWitt, Akeiylah
collection PubMed
description BACKGROUND: Recent increases in smartphone ownership among underserved populations have inspired researchers in medicine, computing, and health informatics to design and evaluate mobile health (mHealth) interventions, specifically for those supporting child development and growth. Although these interventions demonstrate possible effectiveness at larger scales, few of these interventions are evaluated to address racial disparities and health equity, which are known factors that affect relevance, uptake, and adherence in target populations. OBJECTIVE: In this study, we aimed to identify and document the current design and evaluation practices of mHealth technologies that promote early childhood health, with a specific focus on opportunities for those processes to address health disparities and health equity. METHODS: We completed a systematic literature review of studies that design and evaluate mHealth interventions for early childhood health promotion. We then analyzed these studies to identify opportunities to address racial disparities in early- and late-stage processes and to understand the potential efficacy of these interventions. RESULTS: Across the literature from medical, computing, and health informatics fields, we identified 15 articles that presented a design or evaluation of a parent-facing health intervention. We found that using mobile-based systems to deliver health interventions was generally well accepted by parents of children aged <5 years. We also found that, when measured, parenting knowledge of early childhood health topics and confidence to engage in health-promoting behaviors improved. Design and evaluation methods held internal consistency within disciplines (eg, experimental study designs were the most prevalent in medical literature, while computing researchers used user-centered design methods in computing fields). However, there is little consistency in design or evaluation methods across fields. CONCLUSIONS: To support more interventions with a comprehensive design and evaluation process, we recommend attention to design at the intervention (eg, reporting content sources) and system level; interdisciplinary collaboration in early childhood health intervention development can lead to large-scale deployment and success among populations. TRIAL REGISTRATION: PROSPERO CRD42022359797; https://tinyurl.com/586nx9a2
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spelling pubmed-95854422022-10-22 mHealth Technology Design and Evaluation for Early Childhood Health Promotion: Systematic Literature Review DeWitt, Akeiylah Kientz, Julie Coker, Tumaini R Liljenquist, Kendra JMIR Pediatr Parent Review BACKGROUND: Recent increases in smartphone ownership among underserved populations have inspired researchers in medicine, computing, and health informatics to design and evaluate mobile health (mHealth) interventions, specifically for those supporting child development and growth. Although these interventions demonstrate possible effectiveness at larger scales, few of these interventions are evaluated to address racial disparities and health equity, which are known factors that affect relevance, uptake, and adherence in target populations. OBJECTIVE: In this study, we aimed to identify and document the current design and evaluation practices of mHealth technologies that promote early childhood health, with a specific focus on opportunities for those processes to address health disparities and health equity. METHODS: We completed a systematic literature review of studies that design and evaluate mHealth interventions for early childhood health promotion. We then analyzed these studies to identify opportunities to address racial disparities in early- and late-stage processes and to understand the potential efficacy of these interventions. RESULTS: Across the literature from medical, computing, and health informatics fields, we identified 15 articles that presented a design or evaluation of a parent-facing health intervention. We found that using mobile-based systems to deliver health interventions was generally well accepted by parents of children aged <5 years. We also found that, when measured, parenting knowledge of early childhood health topics and confidence to engage in health-promoting behaviors improved. Design and evaluation methods held internal consistency within disciplines (eg, experimental study designs were the most prevalent in medical literature, while computing researchers used user-centered design methods in computing fields). However, there is little consistency in design or evaluation methods across fields. CONCLUSIONS: To support more interventions with a comprehensive design and evaluation process, we recommend attention to design at the intervention (eg, reporting content sources) and system level; interdisciplinary collaboration in early childhood health intervention development can lead to large-scale deployment and success among populations. TRIAL REGISTRATION: PROSPERO CRD42022359797; https://tinyurl.com/586nx9a2 JMIR Publications 2022-10-06 /pmc/articles/PMC9585442/ /pubmed/36201391 http://dx.doi.org/10.2196/37718 Text en ©Akeiylah DeWitt, Julie Kientz, Tumaini R Coker, Kendra Liljenquist. Originally published in JMIR Pediatrics and Parenting (https://pediatrics.jmir.org), 06.10.2022. 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 Pediatrics and Parenting, is properly cited. The complete bibliographic information, a link to the original publication on https://pediatrics.jmir.org, as well as this copyright and license information must be included.
spellingShingle Review
DeWitt, Akeiylah
Kientz, Julie
Coker, Tumaini R
Liljenquist, Kendra
mHealth Technology Design and Evaluation for Early Childhood Health Promotion: Systematic Literature Review
title mHealth Technology Design and Evaluation for Early Childhood Health Promotion: Systematic Literature Review
title_full mHealth Technology Design and Evaluation for Early Childhood Health Promotion: Systematic Literature Review
title_fullStr mHealth Technology Design and Evaluation for Early Childhood Health Promotion: Systematic Literature Review
title_full_unstemmed mHealth Technology Design and Evaluation for Early Childhood Health Promotion: Systematic Literature Review
title_short mHealth Technology Design and Evaluation for Early Childhood Health Promotion: Systematic Literature Review
title_sort mhealth technology design and evaluation for early childhood health promotion: systematic literature review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9585442/
https://www.ncbi.nlm.nih.gov/pubmed/36201391
http://dx.doi.org/10.2196/37718
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