Health Information Technology Commons^™

Daily Smartphone Use Predicts Parent Depressive Symptoms, But Parents' Perceptions Of Responsiveness To Their Child Moderate This Effect., Brandon T. Mcdaniel Phd, Sabrina Uva, Jessica Pater, Victor P. Cornet Ms, Michelle Drouin Phd, Jenny Radesky

Health Services and Informatics Research

INTRODUCTION: Smartphone use during caregiving has become increasingly common, especially around infants and very young children, and this use around young children has been linked with lower quality and quantity of parent-child interaction, with potential implications for child behavior, and parent-child attachment. To understand drivers and consequences of parent phone use, we were interested in the daily associations between parent phone use and depressed mood, as well as the potential for parent perceptions of their responsiveness toward their infant to alter the association between parent phone use and mood.

METHODS: In the present study, we explored associations between day-to-day changes …

Heavy Users, Mobile Gamers, And Social Networkers: Patterns Of Objective Smartphone Use In Parents Of Infants And Associations With Parent Depression, Sleep, Parenting, And Problematic Phone Use., Brandon T. Mcdaniel Phd, Jenny Radesky, Jessica Pater, Adam M Galovan, Annalise Harrison, Victor P. Cornet Ms, Lauren Reining, Alexandria Schaller, Michelle Drouin

Health Services and Informatics Research

Smartphone use during parenting is common, which may lead to distraction (also known as technoference). However, it is likely that some phone activities are less disruptive to parents and children. In this study, we explored smartphone use (via passive sensing across 8 days) within 264 parents of infants, measuring parents' application use on their phone (e.g., messaging, social media, mobile gaming, video chat) and phone use across contexts (e.g., during feeding and at bedtime). We utilized latent profile analysis to identify profiles of users, revealing five user types:

Attachment Security And Problematic Media Use In Infancy: A Longitudinal Study In The United States., Jane Shawcroft, Sarah M Coyne, Lisa Linder, Brandon N Clifford, Brandon T. Mcdaniel Phd

Health Services and Informatics Research

Media use during childhood has quickly become a norm across the United States and in other countries. One area still not well understood is the development of problematic (or maladaptive and disruptive) media use in children. This research examines the role of attachment security as a central component in the development of problematic media use over time in a sample of 248 parent-child dyads (9.50% African American, 20.66% Hispanic, 62.81% White, 2.07% Asian, 4.96% other ethnicities). We examined the relationship between attachment security and problematic media use one and 2 years later. We then constructed a mediation model examining parent …

Identifying Motivations For Relationship Alternatives : Analyzing College Students' Backburner Relationships, Narissra Maria Punyanunt-Carter, V. Santiago Arias, Jayson L. Dibble, Michelle Drouin, Joris Van Ouytsel, Ryan J. Martinez, Thomas R. Wagner

Health Services and Informatics Research

Backburner refers to a desired prospective romantic/sexual partner with whom one interacts with the purpose of possibly creating a future romantic or sexual relationship. Modern technology has made it easier to develop and maintain relationships with backburners. This study analyzed the different motivations that individuals (N = 762) use towards their backburner relationships. Results from this study revealed that there were six main motivations for backburner relationships: 1) sex or possibility of sexual intimacy; 2) previous romantic feelings with this person (e.g., first love, previous romance, ex-boyfriend/girlfriend); 3) to maintain a friendship in hopes of a potential romantic relationship; 4) …

Cost And Utilization Of Healthcare Services For Persons With Diabetes., Evan L Reynolds, Kara Mizokami-Stout, Nathaniel M Putnam, Mousumi Banerjee, Dana Albright, Lynn Ang, Joyce Lee, Rodica Pop-Busui, Eva L Feldman, Brian C Callaghan

Health Services and Informatics Research

AIMS: Describe and compare healthcare costs and utilization for insured persons with type 1 diabetes (T1D), type 2 diabetes (T2D), and without diabetes in the United States.

METHODS: Using a nationally representative healthcare claims database, we identified matched persons with T1D, T2D, and without diabetes using a propensity score quasi-randomization technique. In each year between 2009 and 2018, we report costs (total and out-of-pocket) and utilization for all healthcare services and those specific to medications, diabetes-related supplies, visits to providers, hospitalizations, and emergency department visits.

RESULTS: In 2018, we found out-of-pocket costs and total costs were highest for persons with …

Parents' Desire To Change Phone Use: Associations With Objective Smartphone Use And Feelings About Problematic Use And Distraction., Brandon T. Mcdaniel Phd, Jessica Pater, Victor P. Cornet Ms, Safia Mughal, Lauren Reining, Alexandria Schaller, Jenny Radesky, Michelle Drouin Phd

Health Services and Informatics Research

We examined objective smartphone use (via a mobile sensing application) and self-reported desire to change phone use among a sample of 268 U.S. parents of infants. Using the Transtheoretical Stages of Change model as a conceptual foundation, we contextualized their attitudes and behaviors and explored how phone use and desire to change relate to perceptions of distraction and problematic phone use around their child. Latent profile analysis of parents' precontemplation, contemplation, and action scores revealed two classes-precontemplators (15%) and contemplators (85%). Contemplators-those considering or desiring change-showed more bedtime phone use and general social networking than precontemplors; however, there were no …

School-Issued Devices For Home Use In Kindergarten Through 5th Grade And Parent Perceptions Of Child Learning, Behavior, And Conflict, Brandon T. Mcdaniel Phd, Nathalie Gullo, Zachary Kaiser, Lauren Reining, I. Joyce Chang, Michelle Drouin Phd

Health Services and Informatics Research

With many U.S. schools adopting 1-to-1 school device programs, research on the potential impacts of this device usage at home is critical. In this study, we examined elementary school parents’ perceptions of their child’s use of their school-issued device for academic skill-building and entertainment at home. We then examined the associations between these different types of use and children’s learning, behavior, and parent-child conflict over the device use. Overall, we found that children’s use of school devices at home for building academic skills was predictive of positive impacts on learning and child behaviors and less frequent parent-child conflict over …

A Retrospective Review Of 30-Day Hospital Readmission Risk After Open Heart Surgery In Patients With Atrial Fibrillation, Varun Rao, Genaro Deleon, Aish Thamba, Mindy Flanagan, Kathleen Nickel, Michael Gerue, Douglas Gray

Health Services and Informatics Research

No abstract provided.

Pilot Study Of A Screen-Free Week: Exploration Of Changes In Parent And Child Screen Time, Parent Well-Being And Attitudes, And Parent-Child Relationship Quality, Brandon T. Mcdaniel Phd, Sydney Rasmussen, Lauren Reining, Leesha Culp, Kacey Deverall

Health Services and Informatics Research

Screen use is associated with a variety of potential impacts on child development, which has led to recommendations to regulate screen use. The current pilot study was conducted to explore the potential effects of implementing screen-free times (Screen-Free Week) on parent and child screen use, parent feelings and well-being, and parent-child interactions and relationships. Specifically, we evaluated the outcomes utilizing pre and postintervention self-report surveys with 24 parents (of a child age 5 years or younger). Overall, the screen-free week program decreased parent depressive symptoms, increased the parenting of child screen time and establishments of screen time limits, and decreased …

Online Risks For Youth And Families, Brandon T. Mcdaniel Phd, Jessica Pater Phd

Health Services and Informatics Research

Parkview Mirro Center for Research and Innovation

Executive Statement

Recent congressional attention has focused on the online risks of youth [1]. Parents, caregivers, and families are often unprepared to handle many of these risks, and parents/caregivers also experience some of these risks themselves. Although not an exhaustive list, risks can include cyberbullying, social comparisons, exposure to sexualized content, gambling addiction, Internet addiction, self-harm, and negative impacts on family and personal relationships [1]. Internal platform policies and design features are not enough to fully address key aspects of risky online behavior and potentially harmful digital habits. Additionally, current public policies and …

Behavioral Health Grants Overview 2022, Parkview Health

Health Services and Informatics Research

2022 List of Externally and Internally Funded Research for our Behavioral Health Outreach Initiatives.

Our Mission: To strengthen awareness around mental health, support needs in our community, reduce stigma, and encourage people to connect with care.

Conceptualizing Care Partners' Burden, Stress, And Support For Reintegrating Veterans: A Mixed Methods Study., Nicholas A Rattray, Mindy Flanagan, Allison Mann, Leah Danson, Ai-Nghia Do, Diana Natividad, Katrina Spontak, Gala True

Health Services and Informatics Research

BACKGROUND: People who support Veterans as they transition from their military service into civilian life may be at an increased risk of psychological distress. Existing studies focus primarily on paid family caregivers, but few studies include spouses and informal non-family "care partners." We sought to identify key challenges faced by care partners of Veterans with invisible injuries.

METHODS: Semi-structured interviews were conducted with 36 individuals involved in supporting a recently separated US military Veteran enrolled in a 2-year longitudinal study. CPs completed validated measures on perceived stress, caregiving burden, quality of their relationship, life satisfaction, and flourishing. Independent

RESULTS: Care …

New-Onset Psychosis Following Covid-19 Infection In A Patient With No Psychiatric History: A Longitudinal Case Report., Matthew Runyan, Jay Fawver, Amanda Coupe, Michelle Drouin

Health Services and Informatics Research

BACKGROUND: Viral infection, including COVID-19, has been implicated as a potential cause of various neurobehavioral issues. An increasing number of case reports suggest that current or recent COVID-19 infection may cause new onset of psychotic symptoms in some individuals, potentially related to viral inflammation or infection of the nervous system.

CASE PRESENTATION: A 26-year-old woman with no psychiatric history presented with severe psychotic symptoms days after recovery from a mild COVID-19 infection. No other etiologies for psychosis were identified via diagnostic testing, review of medical history, or interviews with family. Her symptoms persisted for approximately two months, requiring three inpatient …

Designing Displays Of Cardiac Implantable Electronic Device Sensor Data With Patients Who Have Heart Failure With Reduced Ejection Fraction, Carly Daley Phd, Shauna Wagner Bsn, Rn, Ryan Ahmed Ms, Romisa Rohani Ghahari Phd, Tammy Toscos Phd, Michael Mirro Md, Facc, Fhrs, Faha

Health Services and Informatics Research

Background: Cardiac implantable electronic devices (CIEDs) are important life-saving and therapeutic devices for patients with heart failure with reduced ejection fraction (HFrEF). These devices capture a multitude of data, including factors that have potential to indicate worsening heart failure. Patients may be interested to monitor sensor data from their device as part of heart failure self-care, and are key stakeholders in designing visualizations and displays for interpretation of the data.

Objectives: The objective of this study was to explore the presentation of HF-related CIED sensor data in a small participatory design session with people who have HFrEF and CIEDs.

Methods: …

Self-Regulation As A Protective Factor For Diabetes Distress And Adherence In Youth With Type 1 Diabetes During The Covid-19 Pandemic., Alison L Miller, Dana K. Albright Phd, Katherine W Bauer, Hurley O Riley, Marisa E Hilliard, Julie Sturza, Niko Kaciroti, Sharon L Lo, Katy M Clark, Joyce M Lee, Emily M Fredericks

Health Services and Informatics Research

OBJECTIVE: The COVID-19 pandemic increased economic, social, and health stressors for families, yet its impacts on families of youth with chronic conditions, such as type 1 diabetes (T1D), are not well understood. Self-regulation (SR)-or the capacities to control emotions, cognition, and behavior in response to challenge-is known to support T1D management and coping in the face of stress. Strong SR may have protected youth with T1D from the impacts of pandemic-related stressors. This study compared youth and parent emotional functioning and T1D management before and after the pandemic's onset in relation to family pandemic-related stress and youth SR.

METHODS: Parents …

Moment-To-Moment Observation Of Parental Media Use And Parent-Child Interaction: Quality And Media Multitasking, Lisa Linder, Brandon T. Mcdaniel Phd, Heather Jaffe

Health Services and Informatics Research

Mobile media proliferation throughout society has infused and complicated environments that formerly were interaction rich (e.g., waiting rooms, restaurants, and playgrounds) with the presence of smart devices. Ethnographic studies have indicated that parental use negatively impacts parent-child interaction quality. The current study reviews and expands on previous research through observing systematically parent-child interaction quality throughout the course of an entire meal (30-140 minutes). Utilizing five-minute intervals, across 93 parent-child dyads, we assessed both within- and between-person moment-to-moment changes in parenting quality (i.e., parental positivity, negativity, and engagement) in the context of parental media use. Between-person, only positivity appeared to decrease …

Partners With Lower Relationship Commitment Are More Likely To Use Technology During Couple Leisure Time, Justin Matthew, Brandon T. Mcdaniel Phd

Health Services and Informatics Research

The constant availability of digital devices can create opportunities for digital connection or distraction in couple relationships. Prior research has investigated the effects of personal technology use during shared couple time, but how the relational process of commitment may be tied to personal technology use during shared couple time is not yet fully understood. In the current study, we examined whether individuals’ level of relationship commitment would be associated with their likelihood of using technology while with their partner during shared leisure time in a sample of 1065 adult participants. Participants (Mean age = 35.73 years) from across the U.S. …

"It's A Mess Sometimes": Patient Perspectives On Provider Responses To Healthcare Costs, And How Informatics Interventions Can Help Support Cost-Sensitive Care Decisions., Olivia K Richards, Bradley E Iott, Tammy Toscos, Jessica Pater, Shauna Wagner, Tiffany C Veinot

Health Services and Informatics Research

OBJECTIVE: We investigated patient experiences with medication- and test-related cost conversations with healthcare providers to identify their preferences for future informatics tools to facilitate cost-sensitive care decisions.

MATERIALS AND METHODS: We conducted 18 semistructured interviews with diverse patients (ages 24-81) in a Midwestern health system in the United States. We identified themes through 2 rounds of qualitative coding.

RESULTS: Patients believed their providers could help reduce medication-related costs but did not see how providers could influence test-related costs. Patients viewed cost conversations about medications as beneficial when providers could adjust medical recommendations or provide resources. However, cost conversations did not …

Integrating Pharmacists In Hfref Outpatient Care To Improve Use Of Guideline-Directed Medical Therapy, Roy Robertson Md, Mindy Flanagan Phd, Kris Howard Pharmd, Elizabeth Meisberger Pharmd, Emily Keltner Bs, Ma, Lovekirat Singh Ms, Carly Daley Phd, Shauna Wagner Bsn, Rn, Tammy Toscos Phd, Michael Mirro Md, Facc, Fhrs, Faha

Health Services and Informatics Research

Background: Guideline directed medical therapy (GDMT) is the cornerstone of reducing mortality and morbidity in patients with heart failure with reduced ejection fraction (HFrEF); however, uniform prescribing remains low. There is potential for multidisciplinary care teams, including pharmacists, to improve GDMT use in outpatient care for patients with HFrEF. Investigation is needed to understand the impact of pharmacists in outpatient HFrEF care on GDMT prescribing.

Objectives: To examine the impact of integrating a pharmacist into an outpatient cardiology setting on GDMT prescription rates during HFrEF-related clinic visits.

Methods: This retrospective chart review study examined cardiology clinic visits (HF clinic, “general …

Health Informatics Interventions To Minimize Out-Of-Pocket Medication Costs For Patients: What Providers Want., Karalyn A Kiessling, Bradley E Iott, Jessica Pater, Tammy Toscos, Shauna Wagner, Laura M Gottlieb, Tiffany C Veinot

Health Services and Informatics Research

OBJECTIVE: To explore diverse provider perspectives on: strategies for addressing patient medication cost barriers; patient medication cost information gaps; current medication cost-related informatics tools; and design features for future tool development.

MATERIALS AND METHODS: We conducted 38 semistructured interviews with providers (physicians, nurses, pharmacists, social workers, and administrators) in a Midwestern health system in the United States. We used 3 rounds of qualitative coding to identify themes.

RESULTS: Providers lacked access to information about: patients' ability to pay for medications; true costs of full medication regimens; and cost impacts of patient insurance changes. Some providers said that while existing cost-related …

Mindful Parenting And Parent Technology Use: Examining The Intersections And Outlining Future Research Directions, Melissa A. Lippold, Brandon T. Mcdaniel Phd, Todd M. Jensen

Health Services and Informatics Research

Popular media attention and scientific research in both mindful parenting and technology use in the context of parenting has expanded in the 21st century; however, these two streams of research have largely evolved separately from one another. Thus, in this conceptual paper, we integrate the research on mindful parenting with that on parents’ technology use and parenting to examine how parent technology use may impact or be linked with aspects of mindful parenting. Mindful parenting theory outlines five key components: listening with full attention, self-regulation in the parent–child relationship, emotional awareness of self and child, nonjudgmental acceptance of self and …

Neuropsychological Outcomes In Individuals With Type 1 And Type 2 Diabetes., Nathaniel M Putnam, Evan L Reynolds, Mousumi Banerjee, Kara Mizokami-Stout, Dana K. Albright Phd, Joyce Lee, Rodica Pop-Busui, Eva L Feldman, Brian C Callaghan

Health Services and Informatics Research

OBJECTIVE: To determine the prevalence of neuropsychological outcomes in individuals with type 1 diabetes compared to individuals with type 2 diabetes or without diabetes, and to evaluate the association of diabetes status and microvascular/macrovascular complications with neuropsychological outcomes.

PATIENTS AND METHODS: We used a nationally representative healthcare claims database of privately insured individuals (1/1/2001-12/31/2018) to identify individuals with type 1 diabetes. Propensity score matching was used as a quasi-randomization technique to match type 1 diabetes individuals to type 2 diabetes individuals and controls. Diabetes status, microvascular/macrovascular complications (retinopathy, neuropathy, nephropathy, stroke, myocardial infarction, peripheral vascular disease, amputations), and neuropsychological outcomes …

Evaluation Of Standardized Psychological Screening For Pediatric Inpatients., Dana K. Albright Phd, Allison Gornik, Melissa Andersen, Kimberly Monroe, Kristin A. Kullgren

Health Services and Informatics Research

Objective: This study aimed to examine the efficacy of a psychological screening tool for hospitalized pediatric patients to identify those at high risk for adjustment difficulties and optimize referrals to pediatric behavioral health (BH) providers. Specifically, this study evaluated the PROMIS® Parent Proxy 25 to capture the psychosocial needs of the inpatient pediatric population admitted to the general medicine floor in a free standing children’s hospital. Methods: The PROMIS® Parent Proxy 25 was administered to parents of children ages 5 to 17 (N = 128). Chart review was used to group children into those who did or did not receive …

Perhaps It Was Too Soon: College Students' Reflections On The Timing Of Their Sexual Debut., Susan Sprecher, Lucia F O'Sullivan, Michelle Drouin, Julie Verette-Lindenbaum, Marion C Willetts

Health Services and Informatics Research

Early sexual debut has been a focus of social scientific research due to its association with adverse circumstances and negative outcomes. However, there has been a recent shift to considering not only chronological age, but also the degree to which the event is viewed to be optimally timed (i.e., the perception that it occurred at the "right time" versus too soon). The purpose of this study was to assess how individual/family background variables and contextual aspects of the experience (including partner and relationship aspects) are associated with both the actual age at sexual debut and the perceived acceptability of the …

Maternal Nighttime Phone Use And Impacts On Daily Happiness And Exhaustion., Brandon T. Mcdaniel Phd, Elizabeth L Adams, Emily E Hohman, Victor P. Cornet Ms, Lauren Reining, Zachary Kaiser

Health Services and Informatics Research

Brief Report

The Disrupt: A Measure Of Parent Distraction With Phones And Mobile Devices And Associations With Depression, Stress, And Parenting Quality., Brandon T. Mcdaniel Phd

Health Services and Informatics Research

Abstract

The landscape of modern parenting has shifted as an increasing number of parents have and utilize smartphones and other mobile devices throughout the day. A validated measure of parent distraction with these devices is needed in the field. It is important to have a validated measure of parent distraction with mobile devices (e.g., phubbing, technoference), as this distraction can be common at times and could negatively impact the quality of parenting that children receive. In the current study, I developed a brief, parent-reported survey measure of parent distraction (DISRUPT), examined its reliability and validity (convergent, divergent) in two survey …

Work-Related Technoference At Home And Feelings Of Work Spillover, Overload, Life Satisfaction And Job Satisfaction, Brandon T. Mcdaniel Phd, Kimberly Oconner, Michelle Drouin

Health Services and Informatics Research

The purpose of this study is to examine whether work-related technology use outside of work and around family members could produce technoference or phubbing, where time spent with family members is interrupted by or intruded upon by technology use. The authors also examined its impact on work-to-family spillover, feelings of overload, life satisfaction and job satisfaction for workers.


Via an online survey, the authors assessed the frequency of technoference due to work, work-to-family spillover, feelings of overload, life satisfaction and job satisfaction. The authors’ analytic sample included US parents (95 fathers and 88 mothers) who worked for pay and experienced …

Romance And Dating In The Digital Age: Impacts Of Computer-Mediated Communication And A Global Pandemic., Jayson L Dibble, Brandon T. Mcdaniel Phd

Health Services and Informatics Research

Guest Editorial

Scholars have described communication to be the currency, if not the lifeblood, of human relationships in general and romantic relationships more specifically. Through communication romantic relationships are solicited, established, maintained, and dissolved. For example, if prospective partners are to find one another, they must first communicate their desire and availability for romance. With a centuries-long history of intertwining between communication mediums and pursuit of romance—even the earliest newspapers included personal sections1—it was no surprise when the Internet and digital technologies became coopted for love and sexual expression. In short, whatever uses people may have for digital …

“You Phubbed Me For That?” Reason Given For Phubbing And Perceptions Of Interactional Quality And Exclusion, Brandon T. Mcdaniel Phd, Eric Wesselmann

Health Services and Informatics Research

Abstract

When someone focuses on their phone, rather than the person in front of them (“phubbing” or “technoference”), this can lead to feelings of exclusion and dissatisfaction. Few studies have examined this phenomenon experimentally using a confederate during face-to-face interactions, and to our knowledge the published research has yet to examine the role that attributional information may have on the effects of being phubbed. Thus, we conducted an experiment investigating how attributional information influenced the effects of phone use on feelings of exclusion and interactional quality during a face-to-face interaction. We randomly assigned 99 young adults into one of three …

Noninvasive Hemoglobin Level Prediction In A Mobile Phone Environment: State Of The Art Review And Recommendations., Kamrul Hasan Md, Masanul Aziz Md, Ishrak Islam Zarif Md, Mahmudul Hasan, Mma Hashem, Shion Guha Phd, Richard R Love, Sheikh Ahamed

Health Services and Informatics Research

BACKGROUND: There is worldwide demand for an affordable hemoglobin measurement solution, which is a particularly urgent need in developing countries. The smartphone, which is the most penetrated device in both rich and resource-constrained areas, would be a suitable choice to build this solution. Consideration of a smartphone-based hemoglobin measurement tool is compelling because of the possibilities for an affordable, portable, and reliable point-of-care tool by leveraging the camera capacity, computing power, and lighting sources of the smartphone. However, several smartphone-based hemoglobin measurement techniques have encountered significant challenges with respect to data collection methods, sensor selection, signal analysis processes, and machine-learning …