This document summarizes research presented at the Johns Hopkins University Department of Psychiatry Research Conference on using technology to promote mental health. It describes several text messaging-based programs for smoking cessation, sexual health promotion, and bullying prevention that were developed using multi-step processes including formative research, content development and testing, and pilot randomized controlled trials. Key lessons learned included the importance of usability testing, addressing barriers to program engagement, and ensuring safety in interactive programs. Preliminary results found these types of programs showed promise in improving health outcomes.
This document summarizes a study that tested the effectiveness of a tailored symptom management intervention for low health literacy veterans with prostate cancer. The study found that the intervention improved urinary symptoms and quality of life, particularly for those with low health literacy. It also improved scores on a measure of urinary symptoms. However, some unexpected findings emerged, such as a worsening of sexual functioning for high literacy men in the treatment group. The study demonstrates the importance of considering health literacy in oncology social work and providing low literacy interventions and materials to empower clients.
This fact sheet provides information about a luxury residential development called ECHO Brickell located at 1451 Brickell Avenue in Miami, Florida. The development will consist of 175 luxury condominium units in a new high-rise tower designed by Carlos Ott. Amenities will include a full-floor infinity edge pool, a 4,000 square foot gym and spa, and high-level security. All units will be furnished and feature smart home technology. The project is expected to be completed in December 2016 and is being developed by PMG Property Markets Group.
Desmontamos nueve mitos sobre el Tarot. Son las nueve principales creencias populares sobre la taromancia, explicadas con la intención de arrojar un poco de luz sobre este tema.
Innovation Design Systems: Catalonia, México City and Asturias.Marco Ferruzca
El documento describe tres casos de sistemas de diseño e innovación en Cataluña, México y Asturias. Analiza los datos e información sobre el sector de diseño en México, incluyendo el número de establecimientos, ingresos y estructura de los negocios. También menciona algunos modelos de negocio emergentes como TIC's, Living Labs e innovación abierta. El objetivo general es modelizar los sistemas de diseño para identificar actores clave y su papel, así como fortalecer el rol del diseño en la economía, innovación
Solomzi is Oikado Martial Arts School International Botswana monthly newsletter from the desk of Kyoshi Moses Kgosibodiba. Currently released for free to international readership and members.
Este documento presenta una introducción al libro "Inmigración, discurso y medios de comunicación". El libro analiza la representación de la inmigración en los medios de comunicación y discursos a través de diferentes capítulos escritos por expertos en el tema. La introducción destaca la importancia de profundizar en el fenómeno migratorio y ofrecer una visión positiva del mismo desde una perspectiva de derechos humanos. El libro también critica los estereotipos transmitidos a menudo por los medios y pretende adoptar
This document provides an analysis of taxation laws related to e-commerce transactions in India from Advaita Legal. It discusses different e-commerce business models and the challenges in applying VAT and entry tax laws to transactions on online marketplaces. Specifically, it analyzes attempts by state governments to levy these taxes on e-commerce companies and the resulting legal issues. It also summarizes some key cases like Amazon v. Karnataka and recent amendments to state laws regarding mandatory disclosures and tax collection mechanisms for e-commerce transactions.
This document summarizes a study that tested the effectiveness of a tailored symptom management intervention for low health literacy veterans with prostate cancer. The study found that the intervention improved urinary symptoms and quality of life, particularly for those with low health literacy. It also improved scores on a measure of urinary symptoms. However, some unexpected findings emerged, such as a worsening of sexual functioning for high literacy men in the treatment group. The study demonstrates the importance of considering health literacy in oncology social work and providing low literacy interventions and materials to empower clients.
This fact sheet provides information about a luxury residential development called ECHO Brickell located at 1451 Brickell Avenue in Miami, Florida. The development will consist of 175 luxury condominium units in a new high-rise tower designed by Carlos Ott. Amenities will include a full-floor infinity edge pool, a 4,000 square foot gym and spa, and high-level security. All units will be furnished and feature smart home technology. The project is expected to be completed in December 2016 and is being developed by PMG Property Markets Group.
Desmontamos nueve mitos sobre el Tarot. Son las nueve principales creencias populares sobre la taromancia, explicadas con la intención de arrojar un poco de luz sobre este tema.
Innovation Design Systems: Catalonia, México City and Asturias.Marco Ferruzca
El documento describe tres casos de sistemas de diseño e innovación en Cataluña, México y Asturias. Analiza los datos e información sobre el sector de diseño en México, incluyendo el número de establecimientos, ingresos y estructura de los negocios. También menciona algunos modelos de negocio emergentes como TIC's, Living Labs e innovación abierta. El objetivo general es modelizar los sistemas de diseño para identificar actores clave y su papel, así como fortalecer el rol del diseño en la economía, innovación
Solomzi is Oikado Martial Arts School International Botswana monthly newsletter from the desk of Kyoshi Moses Kgosibodiba. Currently released for free to international readership and members.
Este documento presenta una introducción al libro "Inmigración, discurso y medios de comunicación". El libro analiza la representación de la inmigración en los medios de comunicación y discursos a través de diferentes capítulos escritos por expertos en el tema. La introducción destaca la importancia de profundizar en el fenómeno migratorio y ofrecer una visión positiva del mismo desde una perspectiva de derechos humanos. El libro también critica los estereotipos transmitidos a menudo por los medios y pretende adoptar
This document provides an analysis of taxation laws related to e-commerce transactions in India from Advaita Legal. It discusses different e-commerce business models and the challenges in applying VAT and entry tax laws to transactions on online marketplaces. Specifically, it analyzes attempts by state governments to levy these taxes on e-commerce companies and the resulting legal issues. It also summarizes some key cases like Amazon v. Karnataka and recent amendments to state laws regarding mandatory disclosures and tax collection mechanisms for e-commerce transactions.
El documento describe diferentes buscadores de internet, incluyendo Google, Yahoo, SearchMash, WikiaSearch, AltaVista, Accoona, A-9, Ask, Scroogle, Gennio y Chacha. Proporciona una breve descripción de cada buscador, destacando sus características y servicios principales.
The Next Generation of Canadian Giving AFP Manitobahjc
This document summarizes the findings of a study on generational giving trends in Canada. The study found that while baby boomers currently give the most money to non-profits annually, younger generations are emerging as an important source of donations. Generational preferences for causes, donation methods, and communication channels were identified to help non-profits adapt their fundraising strategies to different age groups. Specific recommendations are provided to better engage Generation X donors and appeal to Generation Y supporters through online giving programs.
Emepete es una plataforma digital creada por tres emprendedores para unir las apuestas entre amigos con videos. Los usuarios podrán lanzar retos para que otros los cumplan a cambio de dinero recaudado mediante financiación colectiva, o aceptar retos de otros y ganar dinero al completarlos mostrando un video como prueba. La plataforma busca ser un lugar divertido para que los usuarios interactúen y también ganen un poco de dinero al mismo tiempo.
Colin Selfe has over 30 years of experience in electronics, including designing and repairing systems to the component level. He has worked as an ROV pilot and supervisor for over 10 years, logging over 1000 hours flying ROVs. Some of his recent projects in these roles include riser replacement, FPSO inspections, and pipeline inspections. He has extensive skills with Seaeye ROVs and experience designing pneumatic, hydraulic, and software systems.
El documento describe las diferentes formas y usos de la energía, incluyendo la energía térmica, mecánica, cinética, potencial, electromagnética, luminosa, sonora, así como los tipos de energía como la eólica, hidráulica, geotérmica y biomasa. También explica cómo se produce la energía eléctrica y cómo se utiliza la energía en actividades cotidianas.
El documento proporciona información sobre el pueblo de Castel de Cabra, ubicado en la provincia de Teruel, España. Describe los cambios que ha experimentado el pueblo a lo largo de los años, incluyendo mejoras a las viviendas, servicios y equipamientos, pero también el cierre de las minas y la emigración de los residentes más jóvenes. Incluye breves secciones sobre la agricultura y tradiciones del pueblo como la matanza del cerdo y la historia de una posada local.
Tobacco use is the single most preventable cause of disease including many cancers and non-communicable diseases, so why not make every day a World No Tobacco Day with the CANSA’S eKick Butt Programme – a unique online smoking cessation programme.
Tobacco contains nicotine, a powerful and highly addictive substance, and most tobacco products deliver nicotine to the brain very effectively, bringing on the rapid onset and maintenance of addiction. This addiction leads to the unfortunate situation where an otherwise motivated, knowledgeable person, who understands the risks of tobacco, continues to use it.
http://www.cansa.org.za/avoid-tobacco/
Digital Foresight, a ready-to-implement solution that
helps inform you about a high-value customer’s likelihood to
defect and enable you to take the next best action to keep
existing customers
El documento habla sobre el Día Mundial de las Telecomunicaciones y la Sociedad de la Información, que se celebra el 17 de mayo. Desde 1973, la Unión Internacional de Telecomunicaciones ha dedicado esta fecha a conmemorar el primer Convenio Telegráfico Internacional. En 2005, a iniciativa de España, las Naciones Unidas aprobaron que también fuera el Día Mundial de la Sociedad de la Información. El tema de este año es la juventud y su importancia para el desarrollo de la sociedad de la información. El documento también
Este documento presenta el catálogo de la Primera Fábrica de Equipamientos Pilates de Argentina. Describe varios equipos de Pilates como el Reformer, Ladder Barrel, Trapecio, Reformer con Torre, Reformer con Trapecio y Wall Unit. También incluye accesorios como la tabla de salto, bandas, manillares y más. El catálogo proporciona detalles sobre los materiales y características de cada equipo.
The document describes the design and evaluation of a text messaging-based smoking cessation program for young adults called Stop My Smoking (SMS) USA. Some key points:
- The program involved 6 weeks of tailored text messages about quitting smoking, sent 1-5 times per day depending on where participants were in the quitting process. Content was tailored based on pre-quit, early quit, late quit, and relapse stages.
- An evaluation of 164 participants found the intervention group had higher rates of continuous abstinence than the control at 4 weeks (19% vs 30%) but not at 12 weeks (40% vs 40%).
- Participants generally found the messages supportive and helpful in quitting smoking
This document summarizes a presentation on an SMS text messaging-based smoking cessation program for young adults ages 18-25. Craigslist was the most effective online strategy for recruitment. The program achieved a racially and economically diverse sample across several states. Common cell phone access problems included phones no longer in service or compatible. Text messaging was the preferred data collection method. Challenges included understanding instructions for text buddy and text crave features. Overall, participant retention was high at 80% over the 14-week study period.
DrugInfo seminar: OnTrack internet and smart phone approaches to alcohol misuseAustralian Drug Foundation
This document summarizes research on internet and therapist-supported substance use treatment programs. Studies found that internet-based programs alone can significantly reduce substance use, though some participants prefer face-to-face support. An alcohol and depression trial found that adding a therapist to an internet program significantly increased the number of logins and percentage of the program completed. Further research is still needed to fully understand how therapist support impacts engagement and retention in internet-based treatment programs.
Best strategies for successful recruitment and retentionTrialJoin
Best strategies for successful recruitment and retention for clinical research studies
Contact info@trialjoin.com for more information about patient recruitment help, obtaining new studies or help with site management.
This document summarizes an international tobacco control workshop presentation on developing and testing an mHealth smoking cessation program called "Cebiniz Bırakın Diyor" for adult smokers in Ankara, Turkey. The program was developed and tested in several phases: conducting a community survey to assess interest and acceptability of an mHealth program, developing culturally appropriate content, conducting a feasibility trial with 75 participants, and piloting a randomized controlled trial with 151 participants comparing the mHealth program to a control group. Preliminary results found the program was feasible and acceptable to participants, with higher continuous abstinence rates at 3 months for those in the intervention group compared to control.
This document describes a study assessing the knowledge, attitudes, and beliefs of university students at risk of becoming first-time electronic cigarette users. The study involved surveying 455 students, identifying 39 at-risk participants. Most students were aware of e-cigarettes and many had tried them or were contemplating using them. Based on pre-testing different communication designs with the at-risk group, three designs - a hand with text, aerosol spray can, and infographic - tested most favorably and will be implemented in a campus health communication campaign to educate students on e-cigarette risks. The project aims to contribute to the university's initiative to discourage first-time e-cigarette use among students.
This document summarizes a presentation on using text messaging to support addiction treatment. It discusses two projects using text messaging interventions for smoking cessation - one in Turkey and one in the US. The presentation reviewed the rationale for using cell phones as an intervention delivery method, considerations for designing text messaging programs, and potential target populations. It noted that text messaging allows for scalable, low-cost interventions that can reach people in their daily lives, but technology alone is not sufficient and successful programs still require understanding the target audience and behavior.
El documento describe diferentes buscadores de internet, incluyendo Google, Yahoo, SearchMash, WikiaSearch, AltaVista, Accoona, A-9, Ask, Scroogle, Gennio y Chacha. Proporciona una breve descripción de cada buscador, destacando sus características y servicios principales.
The Next Generation of Canadian Giving AFP Manitobahjc
This document summarizes the findings of a study on generational giving trends in Canada. The study found that while baby boomers currently give the most money to non-profits annually, younger generations are emerging as an important source of donations. Generational preferences for causes, donation methods, and communication channels were identified to help non-profits adapt their fundraising strategies to different age groups. Specific recommendations are provided to better engage Generation X donors and appeal to Generation Y supporters through online giving programs.
Emepete es una plataforma digital creada por tres emprendedores para unir las apuestas entre amigos con videos. Los usuarios podrán lanzar retos para que otros los cumplan a cambio de dinero recaudado mediante financiación colectiva, o aceptar retos de otros y ganar dinero al completarlos mostrando un video como prueba. La plataforma busca ser un lugar divertido para que los usuarios interactúen y también ganen un poco de dinero al mismo tiempo.
Colin Selfe has over 30 years of experience in electronics, including designing and repairing systems to the component level. He has worked as an ROV pilot and supervisor for over 10 years, logging over 1000 hours flying ROVs. Some of his recent projects in these roles include riser replacement, FPSO inspections, and pipeline inspections. He has extensive skills with Seaeye ROVs and experience designing pneumatic, hydraulic, and software systems.
El documento describe las diferentes formas y usos de la energía, incluyendo la energía térmica, mecánica, cinética, potencial, electromagnética, luminosa, sonora, así como los tipos de energía como la eólica, hidráulica, geotérmica y biomasa. También explica cómo se produce la energía eléctrica y cómo se utiliza la energía en actividades cotidianas.
El documento proporciona información sobre el pueblo de Castel de Cabra, ubicado en la provincia de Teruel, España. Describe los cambios que ha experimentado el pueblo a lo largo de los años, incluyendo mejoras a las viviendas, servicios y equipamientos, pero también el cierre de las minas y la emigración de los residentes más jóvenes. Incluye breves secciones sobre la agricultura y tradiciones del pueblo como la matanza del cerdo y la historia de una posada local.
Tobacco use is the single most preventable cause of disease including many cancers and non-communicable diseases, so why not make every day a World No Tobacco Day with the CANSA’S eKick Butt Programme – a unique online smoking cessation programme.
Tobacco contains nicotine, a powerful and highly addictive substance, and most tobacco products deliver nicotine to the brain very effectively, bringing on the rapid onset and maintenance of addiction. This addiction leads to the unfortunate situation where an otherwise motivated, knowledgeable person, who understands the risks of tobacco, continues to use it.
http://www.cansa.org.za/avoid-tobacco/
Digital Foresight, a ready-to-implement solution that
helps inform you about a high-value customer’s likelihood to
defect and enable you to take the next best action to keep
existing customers
El documento habla sobre el Día Mundial de las Telecomunicaciones y la Sociedad de la Información, que se celebra el 17 de mayo. Desde 1973, la Unión Internacional de Telecomunicaciones ha dedicado esta fecha a conmemorar el primer Convenio Telegráfico Internacional. En 2005, a iniciativa de España, las Naciones Unidas aprobaron que también fuera el Día Mundial de la Sociedad de la Información. El tema de este año es la juventud y su importancia para el desarrollo de la sociedad de la información. El documento también
Este documento presenta el catálogo de la Primera Fábrica de Equipamientos Pilates de Argentina. Describe varios equipos de Pilates como el Reformer, Ladder Barrel, Trapecio, Reformer con Torre, Reformer con Trapecio y Wall Unit. También incluye accesorios como la tabla de salto, bandas, manillares y más. El catálogo proporciona detalles sobre los materiales y características de cada equipo.
The document describes the design and evaluation of a text messaging-based smoking cessation program for young adults called Stop My Smoking (SMS) USA. Some key points:
- The program involved 6 weeks of tailored text messages about quitting smoking, sent 1-5 times per day depending on where participants were in the quitting process. Content was tailored based on pre-quit, early quit, late quit, and relapse stages.
- An evaluation of 164 participants found the intervention group had higher rates of continuous abstinence than the control at 4 weeks (19% vs 30%) but not at 12 weeks (40% vs 40%).
- Participants generally found the messages supportive and helpful in quitting smoking
This document summarizes a presentation on an SMS text messaging-based smoking cessation program for young adults ages 18-25. Craigslist was the most effective online strategy for recruitment. The program achieved a racially and economically diverse sample across several states. Common cell phone access problems included phones no longer in service or compatible. Text messaging was the preferred data collection method. Challenges included understanding instructions for text buddy and text crave features. Overall, participant retention was high at 80% over the 14-week study period.
DrugInfo seminar: OnTrack internet and smart phone approaches to alcohol misuseAustralian Drug Foundation
This document summarizes research on internet and therapist-supported substance use treatment programs. Studies found that internet-based programs alone can significantly reduce substance use, though some participants prefer face-to-face support. An alcohol and depression trial found that adding a therapist to an internet program significantly increased the number of logins and percentage of the program completed. Further research is still needed to fully understand how therapist support impacts engagement and retention in internet-based treatment programs.
Best strategies for successful recruitment and retentionTrialJoin
Best strategies for successful recruitment and retention for clinical research studies
Contact info@trialjoin.com for more information about patient recruitment help, obtaining new studies or help with site management.
This document summarizes an international tobacco control workshop presentation on developing and testing an mHealth smoking cessation program called "Cebiniz Bırakın Diyor" for adult smokers in Ankara, Turkey. The program was developed and tested in several phases: conducting a community survey to assess interest and acceptability of an mHealth program, developing culturally appropriate content, conducting a feasibility trial with 75 participants, and piloting a randomized controlled trial with 151 participants comparing the mHealth program to a control group. Preliminary results found the program was feasible and acceptable to participants, with higher continuous abstinence rates at 3 months for those in the intervention group compared to control.
This document describes a study assessing the knowledge, attitudes, and beliefs of university students at risk of becoming first-time electronic cigarette users. The study involved surveying 455 students, identifying 39 at-risk participants. Most students were aware of e-cigarettes and many had tried them or were contemplating using them. Based on pre-testing different communication designs with the at-risk group, three designs - a hand with text, aerosol spray can, and infographic - tested most favorably and will be implemented in a campus health communication campaign to educate students on e-cigarette risks. The project aims to contribute to the university's initiative to discourage first-time e-cigarette use among students.
This document summarizes a presentation on using text messaging to support addiction treatment. It discusses two projects using text messaging interventions for smoking cessation - one in Turkey and one in the US. The presentation reviewed the rationale for using cell phones as an intervention delivery method, considerations for designing text messaging programs, and potential target populations. It noted that text messaging allows for scalable, low-cost interventions that can reach people in their daily lives, but technology alone is not sufficient and successful programs still require understanding the target audience and behavior.
A dissertation on anti-smoking advertising aimed at adolescents (1)mohsinsane
The document summarizes a research study that investigated the effects of anti-smoking advertisements on high school students aged 15-17. The study involved a field experiment with 100 students divided into a control group and experimental group. The experimental group was exposed to various anti-smoking ads while the control group was not. Questionnaires administered before and after found that students exposed to the ads were less likely to smoke, have lower smoking intentions, and greater intentions to quit smoking compared to the control group. Effects of the ads differed based on grade level, socioeconomic status, and level of exposure. Overall, the study indicates anti-smoking ads can help reduce smoking among adolescents when incorporated into tobacco education programs.
The txt2stop trial assessed the effectiveness of an automated smoking cessation program delivered via mobile phone text messaging. Over 5,800 smokers were randomly assigned to either receive the text messaging intervention providing motivational messages and support or control messages unrelated to quitting. The primary outcome of biochemically verified continuous abstinence at 6 months was significantly higher in the intervention group at 10.7% compared to 4.9% in the control group. The text messaging program significantly improved smoking cessation rates at 6 months and should be considered for inclusion in smoking cessation services.
W E B Version L S T Pilot Program May 2009bhatherly
The document summarizes a Life Skills Training pilot project being conducted in Manitoba. Schools from throughout Manitoba will participate in either an intervention group that receives the Life Skills Training program, or a control group. The program aims to reduce risky behaviors in youth like substance abuse, violence, and smoking. It will be evaluated using questionnaires administered before and after to measure its effectiveness. Participating schools will help with implementation and data collection to evaluate if the program is effective in a Manitoba context.
Abroms health education technology sophe rLeah Leavitt
Health Education Technology in the 21st Century. Presented by Dr. Lorien Abroms, ScD at the George Washington University Milken Institute School of Public Health.
Abroms Health Education & Technology in the 21st Century. Society for Public ...Lorien Abroms
This document discusses the use of technology for health education and smoking cessation in the 21st century. It covers current uses of text messaging programs, smartphone apps, social media, and electronic health records for smoking cessation. Text messaging programs have been shown to increase smoking cessation rates by 70% compared to control groups. Smartphone apps are popular but often lack elements shown to be effective like counseling and connecting to quitlines. Social media platforms are emerging areas of research with some studies showing potential. Electronic health records have increased documentation of smoking status but have not consistently shown effects on quit rates. Overall technology provides major opportunities but also challenges to integrate platforms and balance privacy with care.
The document discusses the rationale and design considerations for using text messaging as a method to deliver addiction treatment support services. It notes that text messaging allows for an "always on" intervention that can reach people wherever they are. However, the technology alone is not the intervention - the content and targeting are still important. Design elements discussed include tailoring the messages but not too much, using a positive tone, having an action plan, and gathering user feedback on preferences like message frequency. The document provides examples of text message content and flow from projects in the US and Turkey.
Thoughts, Feelings And Behaviours Of Clients Attending Five Stop Smoking Clin...PRN USM
(1) The document summarizes findings from a study of smokers attending five stop-smoking clinics in Malaysia. (2) Key findings include that younger smokers and professionals made up a significant minority of attendees, and many had not seriously considered quitting prior. Health reasons were a main motivation. (3) Smokers had complex feelings about quitting - most wanted to stop but also enjoyed smoking and its perceived benefits. (4) Triggers to quit can happen unexpectedly, so smokers may act without preparation and succeed with help. Future support and interventions need flexibility to address ambivalence.
Preventing Alcohol and Marijuana Use Among Youth: What’s the evidence?Health Evidence™
Presented as part of a Canadian Institutes of Health funded Knowledge Translation Supplement grant (KTB-112487) (2 of 8 webinars). Recorded June 27, 2012.
No matter what type of client your Drug Court is serving, case management is one of the keystones to success. The learning objectives for this session are:
* Learn best practices in the filed of case management
* Learn how to best serve specific case management needs
School and community social influence programming for preventing tobacco and ...Health Evidence™
Health Evidence hosted a 90 minute webinar on substance use prevention and treatment interventions in children and adolescents, funded by the Canadian Centre on Substance Abuse. This webinar presented key messages and implications for practice.
This webinar focussed on interpreting the evidence in the following review, which synthesizes evidence related to social influence programming:
Skara, S. & Sussman, S. (2003). A review of 25 long-term adolescent tobacco and other drug use prevention program evaluations. Preventive Medicine (37) 451-474.
This document summarizes the beta test results of an SMS-based smoking cessation program for young adults called SMS USA. The program used text messaging to provide support through features like "text buddies" who encouraged and supported each other, and "text crave" messages that were sent immediately in response to cravings. 12 young adult smokers between ages 18-25 participated. Results found that the social support and craving support features were well received and should be considered for inclusion in future programs targeting young adults. Recruiting through Craigslist also proved effective in reaching this age group. The program showed potential and warrants further evaluation.
Research Proposal Presentation by Maria Pau for Doctorate in Professional Studies Research on the impact of remotely delivered CPRC on recovery capital resources in subjects with poly drug use issues.
Email: maria@coachingwithsubstance.org.au or
Call: 07 56 066 315
Similar to Drawing upon successes in other fields to inform opportunities for technology-based mental health promotion (20)
The document summarizes research on the motivations of sexual minority adolescent girls for having sex or considering having sex with females and males. It found that physical desire and love were the predominant reasons reported for actual and hypothetical sex with both females and males. These motives were cited significantly more often for sex with females. Curiosity and exploring/confirming sexual identity were also common motivations. Defensive reasons like pressure, feeling unsafe to refuse, or passing as straight were reported by some, especially for sex with males. The research was based on surveys of 357 sexual minority girls aged 13-18 exploring their sexual attractions, identities, experiences, and reasons for sex.
This document summarizes a study exploring the reasons sexual minority girls give for deciding to have sex with other girls and/or guys. Through online focus groups with 153 sexual minority girls ages 14-18, several key themes emerged for their reasons for having sex. Many of the reasons echoed those of heterosexual girls, such as love, desire, pleasure, and curiosity. However, some reasons were specific to sexual minority youth's experiences, like feeling pressure to prove or change their sexual orientation. The study highlights the need for inclusive sex education that discusses the diverse reasons behind sexual minority girls' decisions.
A survey of over 900 youth ages 16-24 in Cape Town, South Africa found that rates of anal sex were higher among boys (31%) than girls (11%). Youth who had engaged in anal sex were more likely to have negative views of abstinence, inconsistent condom use, experience or perpetrate dating violence and sexually coercive behaviors. While rates differed between boys and girls, risk factors associated with anal sex were similar, indicating a need for harm reduction programs addressing anal sex and its integration into relationship education curriculum.
This document describes lessons learned from using Facebook ads to recruit LGBT adults in eastern Africa into online sexual health focus groups. Researchers targeted Facebook ads towards individuals in several eastern African countries who indicated same-sex attraction. Several different online focus group formats were piloted, starting with an online bulletin board that received few responses. Changing to a survey format with expedited access and fewer questions resulted in greater participation, with 96 men, 85 women, and 31 transgender individuals providing responses. The goal was to find effective ways to engage LGBT communities in the region in discussions about sexual health and decision making.
This study surveyed 91 sexually active lesbian, gay, and bisexual (LGB) adolescent females in the United States, recruited through Facebook, about their sexual testing behaviors. The results found that 21% had tested positive for an STI, with equal rates of HIV and other STI testing reported. STI testing rates were highest among those who had sex with both males and females (46%), compared to those who only had sex with females (30%) or only males (19%). LGB adolescents who did not use a condom during last penile-vaginal sex were more likely to have been tested for STIs than those who did use a condom. The study concludes some LGB teens may be using testing
Ugandan young adults face challenges in making healthy sexual decisions that are not addressed by current HIV prevention programs. A study was conducted with 202 Ugandans ages 18-22 to understand their sexual decision making through online focus groups. The focus groups found that abstinent young adults felt pressure from peers and partners to have sex. Culturally, having multiple partners was seen as normal but barriers to condom use included discomfort, health concerns, and embarrassment. Women especially struggled with negotiating condom use and refusing sex could damage relationships. Tailored HIV prevention is needed that addresses these real issues for Ugandan youth.
317 sexual minority adolescent women completed an online survey as part of a pregnancy prevention program after being recruited from Facebook across the United States. 14% had been tested for HIV and 16% for other STIs, with 2% testing positive for HIV and 15% for other STIs. 3% of participants had ever been pregnant. The study challenges assumptions that sexual minority girls are not at risk for STIs/HIV and pregnancy, and calls for identity-inclusive sexual health education for these groups.
The study surveyed 779 youth ages 17-25 about their experiences with sexual violence perpetration. It found that those who perpetrated against romantic partners differed in their tactics, reasons, and blame attribution compared to those who perpetrated against non-romantic partners. Specifically, romantic partner perpetrators were more likely to feel guilty or angry, target partners because of personal feelings, and blame the victim, whereas non-romantic partner perpetrators were more likely to use alcohol and feel horny as reasons to target strangers. The study concludes more research is needed to better understand and prevent sexual violence depending on the relationship between perpetrator and victim.
The document summarizes a study on young adult female perpetrators of sexual violence in the United States. The study surveyed 779 youth ages 17-25 online in 2016. It found that slightly over a third of reported sexual violence perpetration behaviors were committed by women. Specifically, 34% of female perpetrators reported engaging in sexual assault, 38% in rape, and 37% in coercive sex. Most female perpetrators knew the male victims prior to the assault, which commonly involved pressuring or making the victim feel guilty rather than physical force. Perpetrators reported feeling horny, angry or guilty as reasons for the aggression. [END SUMMARY]
Rural and non-rural sexual minority youth showed similar health indicators, with a few exceptions. Rural sexual minority youth reported poorer mental health, lower safety, and higher substance use than both rural and non-rural heterosexual youth. Compared to heterosexual youth, sexual minority youth of both urbanicities were more likely to engage in social/political activities, perhaps to connect with a supportive community. While urbanicity differences have decreased for sexual minority youth, their health outcomes still lag behind heterosexual peers, highlighting ongoing disparities.
Rural and non-rural sexual minority youth showed similar health indicators, with a few exceptions. Rural sexual minority youth reported poorer mental health, lower safety, and higher substance use than both rural and non-rural heterosexual youth. Compared to heterosexual youth, sexual minority youth were more likely to be involved in social or political activities, perhaps to connect with a supportive community. While urbanicity may no longer confer differences for sexual minority youth, their sexual identity remains associated with greater health risks regardless of rural or non-rural location.
This study analyzed data from a nationally representative sample of 1,143 individuals ages 16-22 to examine patterns of sexual violence perpetration over time. Three key profiles of perpetration were identified for both younger (16-18) and older (19+) age groups: 1) a high perpetration profile with a high probability of sexual harassment, rape, coercive sex, and sexual assault; 2) a middle perpetration profile with a high probability of sexual harassment; and 3) a low perpetration profile with low probabilities of any perpetration. While most individuals remained stable in their perpetration profiles over time, some escalated or reduced their perpetration behaviors. Few gender differences were found except that males ages 16-18 were more
This study uses latent class analysis to identify patterns of response inconsistency, or "misreporting", in survey responses about sexual violence perpetration. The analysis identified three latent classes - high, sexual harassment, and low/no perpetration - for both 16-18 year olds and 19+ year olds. Specificity was high for both age groups but sensitivity was low, indicating it is difficult to identify perpetrators based on self-reported behavior alone. For 16-18 year olds, evidence was found for both under-reporting and over-reporting, while for older individuals over-reporting appeared more common. The next steps will identify predictors of biased reporting and compare results controlling for measurement error.
This document summarizes an expert consultation on bullying and cyberbullying. It discusses the need to clearly define bullying and use consistent terminology. Bullying includes intentional, unwanted acts involving a power imbalance that are repeated. While online bullying occurs, most bullying takes place at school or on the way to/from school. Bullying disproportionately impacts LGBT youth. It can be a precursor to other violence like sexual assault. More research is still needed on effective prevention programs, though a few programs have shown success in certain contexts. Policymakers should support evidence-based solutions, early intervention, and increased funding for prevention program development and evaluation.
This document summarizes a presentation on a text-message based HIV prevention program for gay, bisexual, and queer adolescent males. The program, called Guy2Guy (G2G), involved sending tailored text messages on healthy sexuality and HIV prevention to 302 participants ages 14-18 over 6 months. Evaluation found high rates of program acceptability and learning among participants. The attention-matched control group also found the program engaging. Overall, the results suggest text-based programs can effectively engage youth in HIV prevention behaviors.
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Drawing upon successes in other fields to inform opportunities for technology-based mental health promotion
1. Johns Hopkins University Department of Psychiatry
Research Conference
Baltimore, MD
Drawing upon successes in other fields to
inform opportunities for technology-based
mental health promotion
December 16, 2014
12:00 – 1:00 PM
Michele L. Ybarra MPH PhD
Center for Innovative Public Health Research
* Thank you for your interest in this presentation. Please note that analyses
included herein are preliminary. More recent, finalized analyses may be available
by contacting CiPHR for further information.
2. Opportunities for the mental health field
Medication reminders
https://itunes.apple.com/us/app/medcoach-medication-reminder/id443065594?mt=8
3. Opportunities for the mental health field
Symptom monitoring / facilitated communication
http://www.glasbergen.com/doctor-cartoons-cartoons-about-doctors/
4. Opportunities for the mental health field
Health literacy / disease management skills
http://blog.surroundhealth.net/2013/10/21/how-have-you-been-celebrating-health-literacy-month/
5. Benefits of using technology
The wide adoption of technology
provides novel opportunities to go where
people are.
Technology-based programs overcome
many structural issues of traditional
programs:
◦ Lack of services in the local area,
◦ Transportation,
◦ Competing life demands.
They are cost-effective.
6. Text messaging versus Internet
Messages are “pushed” to the user
rather than “pulled” as is the case for
online programs / “apps”
Greater ubiquity because more people
have phones that can text than have
smart phones
Text messaging-based delivery may be
superior because most you carry your
cell phone with you everywhere, making
intervention messages never far from
reach.
8. SMS Turkey: Development steps
1. Survey of adult smokers to document
the demand for cessation programs
(n=148)
2. Content development
3. 1-arm trial for feasibility and
acceptability (n=75)
4. Pilot RCT to further test feasibility and
acceptability, preliminary efficacy
(n=151)
9. Despite high prevalence rates, smokers
want to quit
73%
47%
27%
53%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Seriously thinking
about quitting in the
next 30 days
1+ quit attempted in
the past year
Many want to quit smoking
No Yes
55%
57%
45%
43%
0% 20% 40% 60% 80% 100%
Text messaging
Online
Would try a smoking
cessation program if it
were available…
All other Somewhat/extremely likely to
10. SMS Turkey theoretical model -> content
map
Message type Description
Preparing to quit Describes steps to take in preparing to quit
smoking, including preparing oneself mentally and
physically, and preparing one’s own and others’
environment
Benifits of quitting Describes the health-related, social, and financial
benefits of becoming a nonsmoker
Coping and
coping strategies
Describes and encourages the effectiveness and
use of cognitive and behavioral strategies to avoid
smoking during a craving or impulse to smoke
Discomfort and
difficulties
Discusses discomfort associated with the quitting
process and how the participant may see his or
her discomfort as normal and how to cope with
such discomfort
Encouragement Offers motivation and support to the participant to
continue with quitting
.
.
.
11. Algorithm for cessation messages
Messag
e type
Pre-quit Quit day
and Day
2
Early
quit
Late
quit
Relapse Encoura
gement
Preparin
g to quit
17 0 0 0 0 0
Benefits
of
quitting
4 2 3 19 3 2
Coping
and
coping
strategie
s
14 4 11 6 7 1
Discomf
ort and
difficultie
s
1 6 3 1 2 0
12. Example SMS Turkey messages:
Encouragement arm
Timing Message text
Day 1a Most smokers try to quit 6–7 times before they quit for good.
Don’t quit quitting!
Day 1b It’s a great thing that you’ve tried to quit smoking. You
learned some things that you can apply to the next time you
try to quit. What worked? What didn’t?
Day 2a Quitting smoking is the single most important step you can
take to improve your health.
Day 2b Medicines that treat craving can double your success. Try
medicine next time you quit. If you used medicine, try a
different one next time. Ask your doctor.
Day 3a Smokers live an average of 7–12 years less than
nonsmokers. Consider quitting again!
Day 3b Whatever you decide about smoking, believe in yourself.
You CAN quit smoking if you put your mind to it and have a
plan for success.
13. Testing for feasibility and acceptability: 1-
arm trial
No one requested that we stop sending text messages,
complained about the text messages, or requested to
be removed from the study. In contrast, when the
program had ended, 15 participants asked to receive
more text messages. Many participants told the
research staff that they kept the text messages on their
phones and referred back to them.
Participants had favorable reactions to the text
messages.
◦ Most (89%) said the messages were easy to understand and
talked about what they were experiencing and feeling during the
quitting process (78%).
◦ Although 63% reported that there were too many text messages
received per day, respondents said that they read almost all of
their messages (an average of 9.7 on a scale of 1 being never,
and 10 being always.
14. Testing for feasibility and acceptability: 1-
arm trial
Sixty-three participants (84%) provided
12-week post Quit day carbon monoxide
data at the study office.
Based upon intention-to-treat, 13%
(n=10) of participants reported
continuous abstinence since their quit
date at 12-week follow up, confirmed by
carbon monoxide readings.
https://mfinocchiaro.files.wordpress.com/2012/06/cigarette-smash1.jpg
15. Preliminary efficacy: Pilot RCT
Participants were randomly assigned to the
intervention (n=76) or control group (n=75)
Intervention group:
◦ Received 6 weeks’ worth of text messages tailored to
where in the quitting process the person was
◦ On Day 2 and Day 7 post-quit, the RA called the
participant, asked if s/he had a cigarette and assigned
them the subsequent content “path” accordingly
Control group participants received a brochure with
quitting tips
16. SMS Turkey pilot RCT cessation rates at 3-
months post quit-day
5%
0% 0%
11%
17%
14%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
Among all adults Among light smokers Among female
smokers
Control Intervention
Ybarra M1, Bağci Bosi AT, Korchmaros J, Emri S A text messaging-based smoking cessation program for adult
smokers: randomized controlled trial.. J Med Internet Res. 2012 Dec 27;14(6):e172.
18. SMS USA: Development steps
Translating the program for salience for young adult
smokers:
1. Focus groups to understand why young adults
smoke, what their common triggers are, what their
previous experiences are with quitting, and what
issues we need to be aware of when designing a
text messaging-based smoking program (n=35)
2. Young Adult Advisory Board to review and provide
feedback on the content messages (n=10)
3. Beta test the program and protocol (n=12, 28)
4. Pilot RCT for feasibility, acceptability, and
preliminary efficacy (n=164)
19. SMS USA: Lessons learned
Young adults 18-24 years old are just as
addicted to cigarettes as older adults
Young adults *want* to quit – for
themselves, for their families
They have a lot going on: almost of our
participants had a job – even if they were
enrolled in tertiary education
Many did not want to use NRT as it was
seen as “more nicotine”
DO A COMPLETE BETA TEST!!
http://holykaw.alltop.com/smokers-cravings-get-triggered-by-seeing-e-cigarettes
20. SMS USA example program
messages
Day sent Text message
Day 1
(Pre-Quit)
Congratulations! The hardest part – deciding to quit – is already
behind you. Write down your quit date [insert day] and post it
where you can see it every day.
Day 2
(Pre-Quit)
Write down a list of reasons why you want to quit smoking. Put
the list in a place where you’ll see it every day.
Day 3
(Pre-Quit)
Got stress? Maybe it’s your cigarettes. In between cigarettes,
your body goes through nicotine withdrawal and makes you feel
stressed out and anxious.
Day 15 (Quit
Day)
I bet you’re feeling cranky and annoyed right now. This is all
normal. Just take a deep breath and get through the next 5
minutes.
Day 20 (Early
Quit)
Right now, you’re learning to quit. Just like learning to ride a
bike or drive a car, it takes time. Before you know it, you’ll learn
to be a non-smoker too.
Day 31
(Late Quit)
Encouragement from your friends and family might be starting
to wane about now, but remember that they are probably still
proud of you for quitting.
21. SMS USA cessation at 3-months post quit-
day
30%
26%
40%
45%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Among all youth Among youth who are not in a
tertiary setting
Control Intervention
24. Guy2Guy: Development steps
1. Focus groups to understand their
sexual decision making processes
(n=80)
2. Content Advisory team to test
messages and confirm tone,
understandability (n=56; twice)
3. Beta test to confirm protocol (n=18)
4. Pilot RCT to examine preliminary
efficacy (n=301)
25. Guy2Guy: Lessons Learned
Facebook is a *great* place to recruit gay,
bisexual, and queer teen guys
The “text buddy” is very popular. Safety is critical:
◦ Constant monitoring
◦ Geographical distance
High interest and high engagement with the
program (e.g., texting back to the program with
“musings”)
26. BullyDown theoretical model -> message
development
Social emotional learning:
◦ Empathy and communication
◦ Attitudes toward bullying and attitudes
supportive of aggression
◦ Managing Anger, hostility, and impulsivity
◦ Problem solving and coping
◦ Perspective-taking, respect for diversity, and
intentions to intervene to help others
27. BullyDown: Development steps
1. Focus groups to understand youth’s current
exposure to bullying prevention programs in
their schools (n=40)
2. Content Advisory Team to review and
provide feedback on the text messages
(n=10)
3. Beta test to confirm protocol (n=21)
4. Pilot RCT to obtain preliminary estimates of
efficacy (n=?)
http://www.dreamstime.com/royalty-free-stock-photography-stepwise-progress-image13674027
28. BullyDown: Lessons learned
Facebook is *not* a good place to recruit
youth for BullyDown, nor are youth likely
good recruitment targets
Middle school students’ relationship with their
phone is different than older teens:
◦ They don’t have as much control over their
phone ‘ownership’
◦ They may not even know their own phone
number
◦ They don’t bring their phones to school
Text buddy seems to be acceptable, but they
would prefer it to be with someone they don’t
know
29. Limitations to technology-based
interventions
Use technology in a way that fits the
population. Be aware that technology
may not work for all populations.
There’s sometimes an assumption that:
If you build it, will it come. Technology-
based programs require self-motivation
and interest.
Can be costly to develop.
30. Conclusions
There is support from other fields that
behavior change programs delivered
online and via text messaging can
change behavior
Evidence-based programs for people
with serious mental illness that utilize
technology should be explored further
Figuring out how to engage people
with SMI and keep them coming back,
may be key
http://eurout.org/2010/03/24/studying-lesbians-being-ignored-and-excluded-non-targeted-research
31. Acknowledgements
SMS Turkey was funded by the Fogerty
International Center (R01 TW007918)
SMS USA was funded by the National Institute of
Cancer (R21 CA135669)
Guy2Guy is funded by the National Institute of
Mental Health (R01 MH096660)
BullyDown was funded by HopeLab
In all cases, the content is solely the responsibility of
Dr. Ybarra and does not necessarily represent the
official views of the Funders.
Editor's Notes
Indeed, over half (63%) of 12- to 17-year-olds text every day, with adolescent women the most avid texters: They send and receive a median of 100 text messages per day.68 Cell phone ownership is high across racial and ethnic groups (78% White, 75% Black, 68% Hispanic), and income levels (62% of youth from households with incomes of <=$30,000; 76-81% among youth from higher income households).69 This is the primary mode of communication between peers and is preferred over other communication modes.69
: Compared to the high personnel and infrastructure costs of in-person interventions, Girl2Girl is scalable and costs <5 cents per message
Indeed, over half (63%) of 12- to 17-year-olds text every day, with adolescent women the most avid texters: They send and receive a median of 100 text messages per day.68 Cell phone ownership is high across racial and ethnic groups (78% White, 75% Black, 68% Hispanic), and income levels (62% of youth from households with incomes of <=$30,000; 76-81% among youth from higher income households).69 This is the primary mode of communication between peers and is preferred over other communication modes.69
: Compared to the high personnel and infrastructure costs of in-person interventions, Girl2Girl is scalable and costs <5 cents per message
SMS Turkey was supported by Award Number R01TW007918 from the Fogarty International Center..
SMS USA was supported by Award Number R21CA135669 from the National Cancer Institute at the National Institutes of Health.
In both cases, the content is solely the responsibility of the author and does not reflect those of the funder.
Stop My Smoking was piloted in both Ankara, Turkey among adult smokers and in the United States among young adult smokers.
Completion rates were high, and text messaging appeared to be a useful method of data collection for young adults as well – it resulted in an 89% response rate at 3-months.
148 adult smokers took part in a community-based survey in Ankara, Turkey.
Two in five (43%) respondents reported typically smoking their first cigarette within 30 minutes of waking.
Many participants expressed a desire to quit smoking: 27% reported seriously thinking about quitting in the next 30 days
53% reported at least one quit attempt in the past year.
Two in five smokers wanting to quit reported they were somewhat or extremely like to try a smoking cessation program if it were accessible via text messaging (45%) or online (43%).
Participants were recruited through mall intercepts, word-of-mouth, and posters at the Hacettepe University Medical School campus.
Half (49%) were female by design, and 48% were married.
Average of 37.6 years of age (Range: 19 - 62 years; SD: 10.8 years).
Median monthly household income was 2000-4000 YTL (approximately US$1250 - $2500).
All participants said that quitting was very important to them (Range: 1-10; M: 9.3, SD: 1.3) although their confidence in being able to quit was generally low (Range: 1-10; M: 5.9, SD: 2.6) at baseline.
The average participant was addicted to cigarettes based upon the Fagerström score (Range: 0-8; M: 4.3, SD: 2.4).
Remember that in the 1 arm trial, 13% were quit; so this seems to be about the % that we can hope to affect
Guy2Guy is supported by Award Number R01 MH096660 from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health.
Development steps:Focus groups to understand their sexual decision making processes
Content Advisory team to test messages and confirm tone, understandability
Beta test to confirm protocol
Pilot RCT to examine preliminary efficacy
Focus groups to understand youth’s current exposure to bullying prevention programs in their schools
Focus groups to understand youth’s current exposure to bullying prevention programs in their schools