Medicine and Health Sciences Commons^™

Technology-Enabled Behavioral Health Integration Decreases Emergency Department Utilization, Adam Pardes, Rachelle Rene, Phansy Chun Chun, Mollie Cherson

Jefferson Hospital Staff Papers and Presentations

Background:

Behavioral health integration allows for patient-centered care, leads to higher levels of provider-patient engagement, and is key to improving patient outcomes. However, behavioral health integration is administratively burdensome and therefore is often not adopted. Technology presents opportunities to increase care team efficiency and improve patient outcomes. The goal of this study was to retrospectively compare clinical outcomes and emergency department utilization in patients using a technology platform compared to patients receiving treatment as usual.

Methods:

The technology platform, NeuroFlow, was deployed to deliver technology-enabled behavioral health integration in 30 clinics, and 598 electronic health records were analyzed.

Results:

In …

Technology Use In Schizotypy Utilizing The Domains Of Technology Use Survey (Dotus), Devin Massaro

Theses and Dissertations

The diathesis stress model for schizophrenia posits that genetics and prenatal factors confer vulnerability (diathesis) for mental illness which then may be activated through exposure to environmental stressors during life. One component of our contemporary environment involves technology use which has demonstrated risk and beneficial capabilities in regards to the schizophrenia spectrum. Using an online and in-person survey, this study aimed to elucidate the manner in which time spent on technology related to schizotypy, problematic technology use (PTU), and health behaviors in 227 undergraduate students (aged 18-30). We hypothesized that levels of schizotypy, as well as time spent on social …

Effects Of Wearable Devices On A Person’S Lifestyle, Krima Patel, Adarsh Gupta

Rowan-Virtua Research Day

Lifestyle of the general population is a genuine concern currently due to processed foods and sedentary lifestyles. Also, technology has geared the new generation towards introversion but, not all technology is bad. If used in the correct way, technology can be helpful in transitioning from an unhealthy lifestyle to a healthy lifestyle. Through the Summer Medical Research Fellowship (SMRF) research program, it addressed whether or not wearable devices have an effect on lifestyle.

During SMRF, everyone above the age of 18 was targeted. The hypothesis was to address if devices have an effect on lifestyle. During the first week of …

Case Studies In Applied Behavior Analysis: Self-Management Package To Increase Walking Behavior And Class Pass Intervention To Decrease Off-Task Behavior, Michelle Wood

USF Tampa Graduate Theses and Dissertations

Case Study 1: Sedentary lifestyles are part of an increasing problem of social significance in the United States. Behavioral interventions can be used to effect change in this area and the target behavior of increase can be physical activity. Multiple behavioral change techniques used within an umbrella of a self-management intervention package were utilized to increase physical activity, more specifically walking behavior, for one participant. The study results showed that the self-management intervention package was effective in increasing walking behavior for the participant, and future research is discussed.

• Applying behavioral interventions to the area of physical activity can assist clinicians …

Rural Residents' Perspectives On An Mhealth Or Personalized Health Coaching Intervention: Qualitative Study With Focus Groups And Key Informant Interviews, Nancy Schoenberg, Madeline Dunfee, Hannah Yeager, Matthew Rutledge, Angela Pfammatter, Bonnie Spring

Behavioral Science Faculty Publications

BACKGROUND: Compared with national averages, rural Appalachians experience extremely elevated rates of premature morbidity and mortality. New opportunities, including approaches incorporating personal technology, may help improve lifestyles and overcome health inequities.

OBJECTIVE: This study aims to gather perspectives on whether a healthy lifestyle intervention, specifically an app originally designed for urban users, may be feasible and acceptable to rural residents. In addition to a smartphone app, this program-Make Better Choices 2-consists of personalized health coaching, accelerometer use, and financial incentives.

METHODS: We convened 4 focus groups and 16 key informant interviews with diverse community stakeholders to assess perspectives on this …

Evaluating The Feasibility And Acceptability Of Internet-Based Cognitive Behavioral Therapy For Insomnia In Rural Women, Mairead Eastin Moloney, Madeline Dunfee, Matthew Rutledge, Nancy Schoenberg

Sociology Faculty Publications

Background: Insomnia, one of the most common sleep disorders among women in midlife, is associated with multiple negative health outcomes. Rural Appalachian women are disproportionately affected by insufficient sleep, but their barriers to care (e.g., health care shortages, cultural norms) may prevent intervention. This study assessed the feasibility and acceptability of Sleep Healthy Using the Internet (SHUTi) an Internet-based version of cognitive behavioral therapy for insomnia in Appalachian women ages 45+ years.

Materials and Methods: We used mixed methods to assess feasibility (through summaries of recruitment and retention data) and acceptability (quantitatively through online survey scales and qualitatively …

Education Institutions Creation Of Partnerships, Iwasan D. Kejawa Ed.D

Department of Educational Administration: Faculty Publications

This issue is embracing the creation of partnerships with establishments worldwide for the provisions of life embodiments to graduates. At moment, there may be lack of friendship or partnership with establishments to create incentives for newly graduates of so many colleges and universities (Hirsh & Weber, 1999). Partnership with external companies will surely bring enormous grants to the colleges and universities and it will also encourage friendly establishments to provide incentives and perks to colleges, universities and alumni. It may be concluded that the advantages of creating rapport with external congruences is the comraderies and also compromises that will be …

Computer Administered Safety Planning For Individuals At Risk For Suicide: Development And Usability Testing, Edwin D. Boudreaux, Gregory K. Brown, Barbara Stanley, Rajani S. Sadasivam, Carlos A. Camargo Jr, Ivan W. Miller

Rajani S. Sadasivam

BACKGROUND: Safety planning is a brief intervention that has become an accepted practice in many clinical settings to help prevent suicide. Even though it is quick compared to other approaches, it frequently requires 20 min or more to complete, which can impede adoption. A self-administered, Web-based safety planning application could potentially reduce clinician time, help promote standardization and quality, and provide enhanced ability to share the created plan. OBJECTIVE: The aim of this study was to design, build, and test the usability of a Web-based, self-administered safety planning application. METHODS: We employed a user-centered software design strategy led by a …

Digital Mindfulness: An Emerging Field Of Inquiry And Practice, Sherri Henderson

Mindfulness Studies Theses

This two-part paper explores digital mindfulness as an emerging field of inquiry and practice into the integration of technology and contemplative practices. The first part surveys the growing research on the effects of technology on health and well-being. Investigating Buddhist teachings leads to a more balanced and aware approach towards integrating mindfulness with the digital world. Digital mindfulness encourages meaningful engagement while online. It also encourages thoughtfulness, awareness and intention. Digital mindfulness also reshapes and encourages conversations in our homes, schools, and proposes digital responsibility and digital citizenship. The second part of the paper proposes a framework for a workshop …

Assessing Latino Caregiver’S Knowledge And Understanding Of Medication Management For Children And The Use Of Health Technology To Gather Information, Kamal Jennifer Johal

Child Development Theses

For people with low literacy who come from other cultures, accessing, understanding and using the United States healthcare system is challenging. Existing literature states that low parental health literacy among the Latino population is related to poor health outcomes for their children. This project explores Latino caregiver’s health practices and the possible uses of technology, specifically Smartphone applications (apps), to provide information about their child’s health care. The project included two focus group sessions (one in English, one in Spanish) with a total of 17 caregivers who attend a Head Start Program. The focus groups addressed two aims: (1) to …

Choosing Embodiment, Tenaya Cowsill

Dance/Movement Therapy Theses

The purpose of this paper is to review and consider the way in which both interpersonal and intrapersonal relationships are affected by technology. As commentary surrounding an epidemic of loneliness becomes increasingly common, this paper looks to identify and understand what it truly means to be connected. By bringing awareness and understanding to the effects of technology on the experience of relationship, and by offering a deeper understanding of the role of embodiment, it is possible to work towards balanced and healthy relationships that satisfy in quality rather than quantity.

Effects Of Delay To Reinforcement On Selections For High-Tech And Low-Tech Leisure Items, Yuram Kim

USF Tampa Graduate Theses and Dissertations

Many children are exposed to excessively technology. Such use of technology may lead to health issues including obesity, attention deficits, and sleep disorders. Research has shown that parameters of reinforcement, such as quality and delay, may influence how children allocate their preferences. One way to drive preference away from high-tech toys may be to arrange delays to reinforcement following such selections and immediate reinforcement for an alternative response. In Experiment 1, four subjects who preferred high-tech leisure items over low-tech leisure items were identified through the pair-stimulus preference assessments. The results of Experiment 2 indicated that all subjects were sensitive …

Reembodying, Human Consciousness In The Earth, John Briggs

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

For the last 20,000 years or so the dominant mode of human consciousness has been one that divides reality into subjects and objects, and focuses on human desires and needs. This anthropocentric mode of consciousness has invented religions, built civilizations, amassed knowledge, and developed technology and science. It has also disembodied us from the Earth and led to the Anthropocene Era. Still with us is another mode of human consciousness that arguably once existed in a balance with the anthropocentric mode during our long hunter-gatherer, Paleolithic sojourn. This holistic, integrative mode of consciousness experiences the Earth as a mother, and …

The Impact Of Technology On Adolescent Identity Development, Christina Frederick, Amy Bradshaw Hoppock, Devin Liskey, Daniel Brown

Publications

This paper explores how technology use in adolescence facilitates adult identity achievement and presents evidence that technological objects, such as smartphones have become adolescent transitional objects. Early and late adolescents were surveyed about technology use and feelings associated with technology. Among older adolescents, anxiety level was related to smart phone use, such that higher anxiety was associated with greater smart phone use. The feelings and behaviors associated with use of the preferred device are consistent with feelings and behaviors associated with use of a transitional object. In contrast, younger adolescents did not appear to use technology as a transitional object. …

Smart Rehabilitation For The 21st Century: The Tampa Smart Home For Veterans With Traumatic Brain Injury, Jan Jasiewicz, William D. Kearns, Jeffrey Craighead, James L. Fozard, Steven Scott, Jay Mccarthy

William D. Kearns, PhD

No abstract provided.

Smart Rehabilitation For The 21st Century: The Tampa Smart Home For Veterans With Traumatic Brain Injury, Jan Jasiewicz, William D. Kearns, Jeffrey Craighead, James L. Fozard, Steven Scott, Jay Mccarthy

Rehabilitation and Mental Health Counseling Faculty Publications

No abstract provided.

Nothing Recedes Like Success - Risk Analysis And The Organizational Amplification Of Risks, William R. Freudenburg

RISK: Health, Safety & Environment (1990-2002)

Professor Freudenburg believes that there is room for improvement in Risk analysis, particularly in drawing on systematic studies of human behavior in the calculation of real, empirical probabilities of failure. The need is argued to be especially acute where technological Risks are associated with low expected probabilities of failure and are managed by human organizations for extended periods of time. This permits complacency to set in.