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BACKGROUND: Physical inactivity is associated with adverse health outcomes among Asian Americans, who exhibit the least adherence to physical activity guidelines compared with other racial and ethnic groups. Mobile app-based interventions are a promising approach to promote healthy behaviors. However, there is a lack of app-based interventions focused on improving physical activity among Asian Americans whose primary language is not English. OBJECTIVE: This pilot study aimed to assess the feasibility and acceptability of a 5-week intervention using a culturally and linguistically adapted, evidence-based mobile phone app with an accelerometer program, to promote physical activity among Chinese-, Tagalog-, or Vietnamese-speaking Americans. METHODS: Participants were recruited through collaborations with community-based organizations. The intervention was adapted from a 12-month physical activity randomized controlled trial involving the app and accelerometer for English-speaking adults. Sociodemographic characteristics, lifestyle factors, and physical measurements were collected at the baseline visit. A 7-day run-in period was conducted to screen for the participants who could wear a Fitbit One (Fitbit LLC) accelerometer and complete the apps daily step diary. During the 4-week intervention period, participants wore the accelerometer and reported their daily steps in the app. Participants also received daily messages to reinforce key contents taught during an in-person educational session, remind them to input steps, and provide tailored feedback. Feasibility measures were the percentage of eligible participants completing the run-in period and the percentage of participants who used the app diary for at least 5 out of 7 days during the intervention period. We conducted poststudy participant interviews to explore overall intervention acceptability. RESULTS: A total of 19 participants were enrolled at the beginning of the study with a mean age of 47 (SD 13.3; range 29-70) years, and 58% (n=11) of them were female. Of the participants, 26% (n=5) were Chinese, 32% (n=6) were Vietnamese, and 42% (n=8) were Filipino. All participants met the run-in criteria to proceed with the intervention. Adherence to the app diary ranged from 74% (n=14) in week 2 to 95% (n=18) in week 4. The daily average steps per week from accelerometers increased each week from 8451 (SD 3378) steps during the run-in period to 10,930 (SD 4213) steps in week 4. Participants reported positive experiences including an increased motivation to walk and the enjoyment of being able to monitor their physical activity. CONCLUSIONS: This is the first pilot study of a multicomponent intervention and evidence-based mobile phone app to promote physical activity among Asian Americans who use apps in traditional Chinese, Tagalog, or Vietnamese, which demonstrated high feasibility and acceptability. Future work focused on multilingual mobile apps to address disparities in physical inactivity among Asian Americans should be considered.

Well-designed math apps can foster children's numeracy development. Although parents are interested in using math apps for their children, the quantity and variability in quality of apps can make app selection challenging. As such, it is important to know how parents evaluate numeracy content in math apps for their children. This study investigated parents' evaluations of four numeracy apps of varying quality. Forty-five parents of 3- to 6-year-old children explored each app for three minutes on their own device and rated each on 17 early numeracy skills. Parents were conservative in their ratings of numeracy skills. Likelihood of downloading apps ranged from 24.4% to 73%. If the first app viewed was of the highest quality, it influenced their subsequent ratings suggesting that parents could be using it as a benchmark. Individual differences affected numeracy ratings, such that parents high in both math teaching confidence and/or anxiety rated the apps more favourably than parents low in those traits. Parents experienced some challenges in identifying better content and design features and individual differences contributed to this. Outcomes also suggest practical supports such as providing parents with a "good" referent may aid app selection. Impact Summary: Prior State of Knowledge: Well-designed numeracy apps can have positive effects on children's academic abilities but many apps available are of poor quality. Despite interest in choosing math apps, it is unknown how parents evaluate numeracy features in their children's math apps. Novel Contributions: Parentsevaluated numeracy content in math apps for children. Parent ratings of numeracy content were compared with ratings by trained coders. The impact of parental anxiety and confidence on ratings and parental math app selection was examined. Practical Implications: Parentsprovided conservative evaluations of numeracy content. Individual differences in math anxiety and teaching confidence indicates parental supports may be needed. Presenting a good or bad app first impacted ratings suggesting a potential tool for supporting parents' app decisions. [ABSTRACT FROM AUTHOR]

Two Factor Authentication (2FA) using One Time Password (OTP) codes via SMS messages is widely used. In order to improve user experience, Google has proposed APIs that allow the automatic verification of the SMS messages without the intervention of the users themselves. They reduce the risks of user error, but they also have vulnerabilities. One of these APIs is the SMS Retriever API for Android devices. This article presents a method to study the vulnerabilities of these OTP exchange APIs in a given sector. The most popular API in the sector is selected, and different scenarios of interaction between mobile apps and SMS OTP servers are posed to determine which implementations are vulnerable. The proposed methodology, applied here to the banking sector, is nevertheless simple enough to be applied to any other sector, or to other SMS OTP APIs. One of its advantages is that it proposes a method for detecting bad implementations on the server side, based on analyses of the apps, which boosts reusability and replicability, while offering a guide to developers to prevent errors that cause vulnerabilities. Our study focuses on Spain's banking sector, in which the SMS Retriever API is the most popular. The results suggest that there are vulnerable implementations which would allow cybercriminals to steal the users SMS OTP codes. This suggests that a revision of the equilibrium between ease of use and security would apply in order to maintain the high level of security which has traditionally characterized this sector. [ABSTRACT FROM AUTHOR]

Autism spectrum disorder (ASD) significantly impacts communicative, social, and behavioral skills, especially in children with Level 3 ASD. Augmentative and alternative communication (AAC) systems can help address these challenges. Aided augmented input emerges as an AAC strategy that enhances expression and comprehension through visual and verbal inputs from the communicator. Additionally, the development of information and communication technologies (ICT) has enabled their educational and therapeutic use to support individuals with ASD, providing versatile and accessible tools that facilitate learning, interaction, and skill development. This study aims to analyze the effects of combining aided augmented input with a multimodal ICT support called EC+, compared to ARASAAC paper-based resources, on communicative, social, and behavioral skills. A quasi-experimental design was employed to compare the effects of both resources, including two groups of 6 children each, all with Level 3 ASD. The results showed significant improvements with both resources, but the ICT support proved more effective in the areas of communication and behavior. It is concluded that EC+ offers a more interactive and effective approach to enhancing the overall development of children with ASD, complementing paper-based resources in a valuable and innovative way. [ABSTRACT FROM AUTHOR]

Many alcohol-industry-funded (AIF) organizations disseminate eHealth/mHealth tools that claim to assist users in making health decisions by monitoring alcohol consumption, e.g. blood alcohol calculators, AUDIT scores, consumption trackers. Previously, AIF materials were found to contain health misinformation that could increase consumption (dark nudges) or make healthy behaviour change more difficult (sludge). The accuracy and functionality of AIF tools have never been analysed, and given the history of AIF materials it is possible they contain misinformation and function as covert marketing channels to promote alcohol-industry-friendly narratives on the causes and possible solutions of alcohol-related harms. We evaluated the information accuracy and framing, behaviour change techniques (BCTs), and functions of AIF digital tools (n = 15, from the UK, Ireland, the USA, Canada, New Zealand, Australia; including Drinkaware, Drinkwise, Educ'alcool and others), compared to a non-industry-funded independent sample (n = 10). We identified misinformation and 'dark patterns' (interface design strategies for influencing users against their interest) throughout AIF tools; significantly fewer provided accurate feedback (33% vs 100%), and significantly more omitted information on cancer (67% vs 10%) and cardiovascular disease (80% vs 30%) and promoted industry-friendly narratives (47% vs 0%). AIF tools encouraged consumption through priming nudges (53%) and social norming (40%). AIF tools utilized fewer BCTs, provided users with more limited pre-set options (54%), and fewer drink choices (mean 24 vs 275). Their input structure often impeded their ability to provide guideline advice. We conclude that AIF tools contain pro-industry misinformation strategies and dark patterns that misinform users about their consumption and could 'nudge' them towards continuing to drink alcohol—characteristics of 'Dark Apps' designs. [ABSTRACT FROM AUTHOR]

Based on an interview study with Danish women, this article explores how the frequent use of pregnancy mobile applications shapes the lived or experienced pregnancy. More specifically, we look at a reported dilemma between, on one hand, using the information of pregnancy apps on bodily and fetal developments to gain a sense of control over individual pregnancies and, on the other hand, an experience of the apps becoming something of a controlling factor in the lives of pregnant women. Respondents reported that the information of the apps created different kinds of concerns and that they became almost obsessed with comparing their own symptoms with the apps' standardized information on what they could expect to experience at specific stages of the pregnancy. Our analysis draws on a socio-material perspective that acknowledges the ability of technology to enact certain kinds of experiences and shape concerns. We argue that the power of the apps (so to speak) is related, in part to the abundance of information they provide, which may contribute to a sensation of never knowing enough, but also in part to the use of apps becoming an integrated part of everyday cell phone routines. [ABSTRACT FROM AUTHOR]

The motivation to use apps to measure and automate intimate aspects of life, including sexual behaviours, is growing. This research qualitatively collects diaries and interviews of 21 user experiences with sex-tracking apps, which are designed to help users evaluate and manage relationships via the quantification of sexual activities. The article seeks a tripartite understanding of how the apps are used as an instrument to (1) know oneself, (2) control one's bodies and desires and (3) mapping, ordering and collecting sexual interactions. The results reveal that participatory innovation, performance prioritisation and trophy cataloguing are they key outcomes. [ABSTRACT FROM AUTHOR]

Background: Digital, or eHealth, interventions are highly promising approaches to help adolescents improve their health behaviours and reduce their risk of chronic disease. However, they often have low uptake and retention. There is also a paucity of high-quality research into the predictors of eHealth engagement, and a lack of studies that have systematically evaluated existing engagement strategies in adolescent populations. This paper describes the protocol for a randomised controlled trial which primarily aims to assess the effectiveness of different strategies in increasing engagement with a healthy lifestyles app, Health4Life. Associations between the engagement strategies and improvements in adolescent health behaviours (healthy eating, physical activity, sleep, recreational screen time, smoking, alcohol use) will also be examined, along with potential predictors of adolescents' intentions to use health apps and their use of the Health4Life app. Methods: The current study will aim to recruit 336 adolescent and parent/guardian dyads (total sample N = 672) primarily through Australia wide online advertising. All adolescent participants will have access to the Health4Life app (a multiple health behaviour change, self-monitoring mobile app). The trial will employ a 24 factorial design, where participants will be randomly allocated to receive 1 of 16 different combinations of the four engagement strategies to be evaluated: text messages, access to a health coach, access to additional gamified app content, and provision of parent/guardian information resources. Adolescents and parents/guardians will both complete consent processes, baseline assessments, and a follow-up assessment after 3 months. All participants will also be invited to complete a qualitative interview shortly after follow-up. The primary outcome, app engagement, will be assessed via an App Engagement Index (Ei) using data collected in the Health4Life app and the Mobile App Rating Scale – User version. Discussion: This research will contribute significantly to building our understanding of the types of strategies that are most effective in increasing adolescents' engagement with health apps and which factors may predict adolescents' use of health apps. Trial registration: The trial is registered at the Australian New Zealand Clinical Trials Registry (ACTRN12623000399695). Date registered: 19/04/2023. [ABSTRACT FROM AUTHOR]

There is growing enthusiasm towards the role of smartphone app-based interventions in the management of insomnia and related sleep problems. A considerable number of apps designed to address insomnia have been developed in recent years, and randomized controlled trials (RCTs) have begun to explore their efficacy. We conducted a meta-analysis investigating the effectiveness of apps for insomnia and sleep disturbances. From 19 RCTs, we identified significant pooled effect sizes for the primary outcomes of self-reported insomnia (g = 0.60; 05 % CI = 0.44, 0.76; NNT = 4.8) and sleep disturbances (g = 0.70; 95 % CI = 0.58, 0.83; NNT = 4.1) in favour of apps over control conditions. These effects remained robust when restricting the analyses to trials that delivered a placebo control, received a lower risk of bias rating, and had a larger sample size. Significant pooled effects in favour of apps were also observed for secondary outcomes of night time awakenings (g = 0.56), total sleep time (g = 0.33), and sleep onset latency (g = 0.32), but non-significant effects emerged for daytime sleepiness, dysfunctional beliefs about sleep, sleep efficiency, sleep hygiene, and wake after sleep onset. The pooled dropout rate from app conditions was 13.1 % (95 % CI = 8.3, 20.0), which was significantly higher than control conditions (OR = 1.78, 95 % CI = 1.39, 2.28). Findings suggest that stand-alone app-based interventions can effectively address insomnia and sleep disturbances, and may play an important role in the management of these symptoms. • Conducted a meta-analysis of 19 randomized trials of app-based interventions for insomnia. • Apps produced medium-large effects over controls on insomnia and sleep disturbances. • Apps may play an important role in the management of sleep disturbances. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Hefei University of Technology (Social Sciences) is the property of Editorial Department of Journal of Hefei University of Technology (Social Sciences) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In the age of Apps, where almost everyone is fast becoming accustomed to using apps in almost every walk of life. Such widespread production, consumption, and burgeoning proliferation of Apps are also frequently seen in the various educational pitches and we call them “Learning Apps” (LAs). Now, approximately everyone is believing in and engaging through these apps as the mandatory future of our educational-organizations. However, their overwhelming nature surprised everyone including learners, parents, and other stockholders. Every day, a thousand apps get published, and continuously adding in educational categories of various app stores. Significantly, most LA developers are targeting preschoolers. And, who knows if they contain true educational values or not? Nevertheless, this scenario seems elusive. We observe the emergence of several de facto design paradigms, having no or little theoretical basis. Moreover, their design features do not scientifically connect with evidence-based teaching practices. Despite the expansion of enterprises and the development of new tools and technology, there is a lack of a sound app design strategy grounded in established didactics. Realizing this, we developed A Class-oriented Architecture of LAs to facilitate the content experts’ design. [ABSTRACT FROM AUTHOR]

Amid the increasing reliance on digital tools and services in education, this article examines the datafication and commodification of student life in Denmark. We analyse the web and app (iOS and Android) versions of 45 tools and services that teachers in Danish public primary schools use as part of their teaching, the types of data generated by them, and the market actors harvesting and distributing the user data. The analysis finds that the websites and apps collect significant amounts of user data, use it for functional as well as commercial purposes, and distribute it to a long list of third-party services. In light of these findings, we reflect on how the increasing datafication of school life and the inherent commodification of digital learning challenge established welfare state ideals surrounding public schooling, raise challenges for schools and teachers alike, and create new inequalities amongst students. [ABSTRACT FROM AUTHOR]

Copyright of Revista Electrónica Interuniversitaria De Formación del Profesorado is the property of Asociacion Universitaria de Formacion del Profesorado (AUFOP) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This article reports on the largest randomized control trial (with followup) to examine the effects of mindfulness among police officers and staff. The benefits of mindfulness for wellbeing are established, but less is known about long-term impact on employee wellbeing and the implications of individual outcomes at organizational level. In the RCT, both the wellbeing and performance of users of two mindfulness apps over 24 weeks improved as compared to a control group. In responding to calls for consideration of relevance alongside rigor in public administration field experiments, the study also investigated how a large-scale wellbeing intervention was implemented and applied cost-effectiveness methodology to link individual and organizational outcomes and demonstrate cost savings. This additional contextualization showed how to improve implementation of wellbeing interventions for public personnel and demonstrated a method for rigorously assessing whether interventions deliver on both an individual and organizational level. [ABSTRACT FROM AUTHOR]

BACKGROUND: Stress and anxiety during pregnancy are extremely prevalent and are associated with numerous poor outcomes, among the most serious of which are increased rates of preterm birth and low birth weight infants. Research supports that while in-person mindfulness training is effective in reducing pregnancy stress and anxiety, there are barriers limiting accessibility. OBJECTIVE: The aim of this paper is to determine if mindfulness meditation training with the Headspace app is effective for stress and anxiety reduction during pregnancy. METHODS: A longitudinal, single-arm trial was implemented with 20 pregnant women who were instructed to practice meditation via the Headspace app twice per day during the month-long trial. Validated scales were used to measure participants levels of stress and anxiety pre- and postintervention. Physiological measures reflective of stress (heart rate variability and sleep) were collected via the Oura Ring. RESULTS: Statistically significant reductions were found in self-reported levels of stress (P=.005), anxiety (P=.01), and pregnancy anxiety (P

Abstract Background Digital, or eHealth, interventions are highly promising approaches to help adolescents improve their health behaviours and reduce their risk of chronic disease. However, they often have low uptake and retention. There is also a paucity of high-quality research into the predictors of eHealth engagement, and a lack of studies that have systematically evaluated existing engagement strategies in adolescent populations. This paper describes the protocol for a randomised controlled trial which primarily aims to assess the effectiveness of different strategies in increasing engagement with a healthy lifestyles app, Health4Life. Associations between the engagement strategies and improvements in adolescent health behaviours (healthy eating, physical activity, sleep, recreational screen time, smoking, alcohol use) will also be examined, along with potential predictors of adolescents’ intentions to use health apps and their use of the Health4Life app. Methods The current study will aim to recruit 336 adolescent and parent/guardian dyads (total sample N = 672) primarily through Australia wide online advertising. All adolescent participants will have access to the Health4Life app (a multiple health behaviour change, self-monitoring mobile app). The trial will employ a 24 factorial design, where participants will be randomly allocated to receive 1 of 16 different combinations of the four engagement strategies to be evaluated: text messages, access to a health coach, access to additional gamified app content, and provision of parent/guardian information resources. Adolescents and parents/guardians will both complete consent processes, baseline assessments, and a follow-up assessment after 3 months. All participants will also be invited to complete a qualitative interview shortly after follow-up. The primary outcome, app engagement, will be assessed via an App Engagement Index (Ei) using data collected in the Health4Life app and the Mobile App Rating Scale – User version. Discussion This research will contribute significantly to building our understanding of the types of strategies that are most effective in increasing adolescents’ engagement with health apps and which factors may predict adolescents’ use of health apps. Trial registration The trial is registered at the Australian New Zealand Clinical Trials Registry (ACTRN12623000399695). Date registered: 19/04/2023.

Researchers must increasingly account for growing expectations from scientific journals to infuse their work with real-world significance through field experiments. However, field experiments often require researchers to have access to substantial resources or a network that includes nonacademic partners willing to provide those resources. This article aims at overcoming those barriers by providing researchers with the tools they need to conduct randomized field experiments delivered to participants through mobile applications, given limited resources. The method presented herein takes advantage of the facilitated access to user data made possible by computing and development platforms such as Google's Firebase. While the programming tools required to collect and analyze the data may feel intimidating, this article provides step-by-step instructions and illustrates the procedure with a case study experiment. [ABSTRACT FROM AUTHOR]

El mobile journalism (MOJO) o periodismo móvil es una modalidad periodística que está en auge, pues usando el smartphone y sus apps hoy el periodista desarrolla su labor profesional. El estudio tiene como objetivo conocer las apps que utilizan los periodistas en diversos formatos, así como las ventajas que ofrecen éstas y el smartphone en el ejercicio del MOJO. Se aplicó una metodología mixta. Para el estudio cuantitativo se encuestó a 63 periodistas, y para el estudio cualitativo se entrevistó a cuatro entrenadores móviles. Los resultados muestran que los periodistas utilizan más las apps de video y comunicación. Entre los beneficios que brinda el smartphone están la agilidad y el no intimidar, y en referencia a las apps se mencionó su variedad de funcionalidades. Se resalta que los periodistas deben poseer habilidades en prácticas MOJO, ya que estos conocimientos se consideran hoy un requisito en el mercado laboral.

With the proliferation of wound assessment apps across various app stores and the increasing integration of artificial intelligence (AI) in healthcare apps, there is a growing need for a comprehensive evaluation system. Current apps lack sufficient evidence-based reliability, prompting the necessity for a systematic assessment. The objectives of this study are to evaluate the wound assessment and monitoring apps, identify limitations, and outline opportunities for future app development. An electronic search across two major app stores (Google Play store, and Apple App Store) was conducted and the selected apps were rated by three independent raters. A total of 170 apps were discovered, and 10 were selected for review based on a set of inclusion and exclusion criteria. By modifying existing scales, an app rating scale for wound assessment apps is created and used to evaluate the selected ten apps. Our rating scale evaluates apps' functionality and software quality characteristics. Most apps in the app stores, according to our evaluation, do not meet the overall requirements for wound monitoring and assessment. All the apps that we reviewed are focused on practitioners and doctors. According to our evaluation, the app ImitoWound got the highest mean score of 4.24. But this app has 7 criteria among our 11 functionalities criteria. Finally, we have recommended future opportunities to leverage advanced techniques, particularly those involving artificial intelligence, to enhance the functionality and efficacy of wound assessment apps. This research serves as a valuable resource for future developers and researchers seeking to enhance the design of wound assessment-based applications, encompassing improvements in both software quality and functionality. [ABSTRACT FROM AUTHOR]

Men who have sex with men (MSM) are disproportionately affected by HIV. Given that over 70% of MSM meet sexual partners via dating apps, such apps may be an effective platform for promoting HIV pre-exposure prophylaxis (PrEP) use. We aimed to describe preferences among MSM for PrEP advertisements displayed on dating apps. We conducted individual in-depth interviews with 16 MSM recruited from a mobile sexual health unit in Boston, Massachusetts. Two focus groups were also held: one with mobile unit staff (N = 3) and one with mobile unit users (N = 3). Content analysis was used to identify themes related to advertisement content and integration with app use. Mean participant age was 28 (SD 6.8); 37% identified as White and 63% as Latinx. 21% of interviews were conducted in Spanish. Preferences were organized around four themes: (1) relevant and relatable advertisements, (2) expansion of target audiences to promote access, (3) concise and captivating advertisements, and (4) PrEP advertisements and services as options, not obligations. MSM are supportive of receiving information about PrEP on dating apps, but feel that existing advertisements require modification to better engage viewers. Dating apps may be an underutilized tool for increasing PrEP awareness and knowledge among MSM. [ABSTRACT FROM AUTHOR]

The rising number of apps requires careful consideration in how these apps are being selected for students with extensive support needs in school-based settings. Current practices suggest that educational apps are being purchased without utilizing an evaluation tool to determine the quality or effectiveness of the apps. A systematic literature review was conducted to identify educational app evaluation tools for students with extensive support needs. A three-phase search process (electronic database search, journal hand-search, and ancestral search) was conducted using 14 keywords to maximize the number of articles. A two-step coding procedure was conducted to ensure articles met the four inclusion criteria. A 15 criteria checklist was used to evaluate the methodological rigor of accepted articles. Findings focused on the type of app evaluation tools and their specific evaluation dimensions. A total of 107 articles were identified with 13 articles meeting the inclusion criteria. Stage 1 evaluated the methodological rigor of the app evaluation tools (M = 6.15, range 0.5 – 14). Stage 2 categorized the articles based on the type of evaluation tools (rubric = 5, rating scale = 6, checklist = 2). Stage 3 identified five evaluation dimensions (background, design features, usability, individualization, and overall impression). There is a lack of empirically tested evaluation tools for communication and educational apps, making it difficult to recommend a valid app evaluation tool. Thus, barriers are likely to persist in the effective identification of apps for students with extensive support needs. There is a need for validated and reliable app evaluation tools as an essential mean to ensure there is a closer match between the student's needs and the app's features. Practitioners should carefully consider the evaluation approach as a holistic process that uses a valid and reliable tool, and that includes five evaluation dimensions. [ABSTRACT FROM AUTHOR]

For artificial intelligence (AI) to support nutrition care, high quality and accuracy of its features within smartphone applications (apps) are essential. This study evaluated popular apps' features, quality, behaviour change potential, and comparative validity of dietary assessment via manual logging and AI. The top 200 free and paid nutrition-related apps from Australia's Apple App and Google Play stores were screened (n = 800). Apps were assessed using MARS (quality) and ABACUS (behaviour change potential). Nutritional outputs from manual food logging and AI-enabled food-image recognition apps were compared with food records for Western, Asian, and Recommended diets. Among 18 apps, Noom scored highest on MARS (mean = 4.44) and ABACUS (21/21). From 16 manual food-logging apps, energy was overestimated for Western (mean: 1040 kJ) but underestimated for Asian (mean: −1520 kJ) diets. MyFitnessPal and Fastic had the highest accuracy (97% and 92%, respectively) out of seven AI-enabled food image recognition apps. Apps with more AI integration demonstrated better functionality, but automatic energy estimations from AI-enabled food image recognition were inaccurate. To enhance the integration of apps into nutrition care, collaborating with dietitians is essential for improving their credibility and comparative validity by expanding food databases. Moreover, training AI models are needed to improve AI-enabled food recognition, especially for mixed dishes and culturally diverse foods. [ABSTRACT FROM AUTHOR]

Typically free, accessible on-demand and easy to use, smartphone-based applications (apps) targeting mental health have expanded in recent years. This article discusses a qualitative research study with 14 young adults aged 18 to 25 years old who use apps to understand, track, and monitor their mental health. I present four vignettes drawn from a screenshot elicitation and a qualitative interview that sought to explore what is significant, socially and materially, for young adults in their usage of apps for their mental health. In this article, I examine how apps transform, interrupt, and mediate young adults' understandings and experiences of mental (ill) health. The analysis draws on sociomaterialism to demonstrate how, at a time when digital mental health is expanding, mental (ill) health is assembled and disassembled with and through apps, and users' experiences are enmeshed in affective intensities and entangled with technology. [ABSTRACT FROM AUTHOR]

The algebraic group $ \operatorname {Spin}_{3\times 3} $ Spin 3 × 3 arises from spinning collections of the numbers 1–9 on a $ 3\times 3 $ 3 × 3 game board. The authors have been using this group, as well as a corresponding online application, to introduce undergraduate students to core concepts in group theory. We discuss the benefits of using this deceptively simple, toy-like puzzle in terms of student learning and engagement. Practical exercises as well as use cases outside the abstract algebra classroom are provided at the end. [ABSTRACT FROM AUTHOR]

As learning is more real and permanent when connected to learners' private lives beyond the classroom (Godwin-Jones, 2011), mobile-assisted language learning (MALL) has emerged as a good way to support language learning, especially in informal contexts. With thousands of language learning applications (apps) becoming available, more and more language learners have started to use them as a support for their language learning. The purpose of this research is to investigate the life cycle of language learning apps and the reasons why learners decide to start, stop and restart using apps to better understand the use of the apps outside formal education contexts. The data collected from a survey of 186 participants with experience using language learning apps were analyzed. The results showed that the language learning app has three different phases in its life cycle, which are the "increasing period," "decreasing period," and "reviving period" with three turning points. This life cycle is similar to the Hype Cycle, a model describing how a new technology develops. Furthermore, the reasons behind the three turning points were also discussed. Influence from teachers and friends was the most significant factor contributing to starting using apps. The reasons for abandoning apps can be divided into app-related ones such as dissatisfaction of apps, and learner-related ones, such as stop learning a language. Restarting to learn a language is the major reason for participants who chose to use apps again. The results also revealed that language learners had a positive attitude towards language learning apps, while the high abandonment rate of using apps also indicated that both apps and learning patterns could be improved if teachers can provide more sufficient and appropriate guidance to support the selection and use of apps, and app-designers can include more meaningful and interactive activities rather than just providing drills. [ABSTRACT FROM AUTHOR]

Background: eHealth applications can support early mobilization and physical activity (PA) after surgery. This systematic review provides an overview of eHealth services to enhance or record PA after visceral surgery interventions. Methods: Two electronic databases (MEDLINE PubMed and Web of Science) were systematically searched (November 2023). Articles were considered eligible if they were controlled trials and described digital devices used to promote PA after visceral surgery. The Cochrane risk of bias (RoB-2) tool was used to determine the methodological quality of studies. Results: A total of nine randomized controlled studies (RCT) were included in this systematic review. The studies differed with respect to the interventions, surgical indications and evaluation variables. The risk of bias of the individual studies was moderate. The six studies using activity trackers (AT) predominantly showed insignificant improvements in the postoperative step count. The more complex fitness applications could partially reveal significant advantages compared to the control groups and the home-based online training also showed a significant increase in functional capacity. Conclusion: Activity tracking alone has so far failed to show clinically relevant effects. In contrast, the more complex eHealth applications revealed advantages compared to usual postoperative care. More high-quality studies are needed for evidence-based recommendations for eHealth services in conjunction with visceral surgery. [ABSTRACT FROM AUTHOR]

Background: Digital devices and applications (apps) are already being used in various areas of sport and health. However, digital media are rarely used for the education of students and physical education teachers. The use of digital media in physical education could increase the potential for health promotion through physical activity in schoolchildren and contribute to the optimization of teaching and learning processes. Purpose: The aim of the current systematic literature review was therefore to identify health-promoting interventions for schoolchildren through physical education using digital media. The overview also provides information for school teachers who want to use digital media in health-promoting physical education. Methodology: To answer the research questions – what types of digital media have been used in health promotion in physical education (RQ 1) and with what results (RQ 2) – a systematic literature search was conducted in four databases (Web of Science, ERIC, Scopus and PubMed) using keywords related to physical education, health promotion and digital media according to the PRISMA guidelines and using the 'Effective Public Health Practice Project' (EPHPP) tool to assess the studies. Results: In the original sample of 1492 articles, 17 empirical studies were included in the review. Positive results were found for the use of fitness technologies in physical education to improve motor skills, for online physical education and apps to improve physical activity, for the inclusion of digital games in physical education to increase motivation, for video feedback in physical education to improve knowledge and motor skills, and for flipped learning approaches using digital media to improve knowledge acquisition and student-teacher interactions in physical education. The studies were mostly classified as "weak" in terms of evidence using the EPHPP tool. Discussion: The literature review shows a gap in research on the question of how health promotion can be implemented using digital media in physical education. Digital media types, such as apps, video feedback and online physical education, showed controversial results. In addition, whether physical activity is increased or decreased by digital media could not be clearly answered by the results in this review. However, these results can provide a basis for future studies in order to develop health-promoting interventions, whereby attention should be paid to the quality of the study methodology. [ABSTRACT FROM AUTHOR]

Introduction: Type 1 Diabetes (T1D) presents self-management challenges, requiring an additional 180 daily decisions to regulate blood glucose (BG) levels. Despite the potential, T1D-focused applications have a 43% attrition rate. This work delves into the willingness of people living with T1D (PwT1D) to use technology. Method: An online questionnaire investigated the current practices for carbohydrate estimation, nutritional tracking, and attitudes towards technology engagement, along with hypothetical scenarios and preferences regarding technology use. Results: Thirty-nine responses were collected from PwT1D (n = 33) and caregivers (n = 6). Nutrition reporting preferences varied, with 50% favoring 'type and scroll' while 30% preferred meal photographing. Concerning the timing of reporting, 33% reported before meals, 55% after, and 12% at a later time. Improved Time in Range (TIR) was a strong motivator for app use, with 78% expressing readiness to adjust insulin doses based on app suggestions for optimizing TIR. Meal descriptions varied; a single word was used in 42% of cases, 23% used a simple description (i.e., "Sunday dinner"), 30% included portion sizes, and 8% provided full recipes. Conclusion: PwT1D shows interest in using technology to reduce the diabetes burden when it leads to an improved TIR. For such technology to be ecologically valid, it needs to strike a balance between requiring minimal user input and providing significant data, such as meal tags, to ensure accurate blood glucose management without overwhelming users with reporting tasks. [ABSTRACT FROM AUTHOR]

Students with complex communication needs have increasingly been using non-dedicated communication systems, such as mobile devices, to support their communication needs. This in turn, has led to an increased used of augmentative and alternative communication apps. The main challenge currently faced is the lack of empirically validated apps and evaluation systems to assess the features of the apps. As a result, this study attempted to determine the reliability of an app evaluation tool that was grounded in the components of the feature matching model. The goal was also to identify if the app evaluation tool could be used to evaluate various types of augmentative and alternative communication apps. Participants evaluated apps across the dimensions of usability, output, and display. Results suggest that expert raters were more reliability than novice raters across the various types of apps. Practical implications and future research directions are discussed. [ABSTRACT FROM AUTHOR]

The knowledge of passenger flows between each origin–destination (OD) pair is a main requirement in public transport for service planning, design, operation, and monitoring, and is represented by OD matrices. Although they can be determined by traditional approaches (e.g., surveys, ride-check counts, and/or smartcard-based methods), the availability of new technologies and the proliferation of portable devices triggers an emerging interest in building OD matrices from the apps of bus operators. This research proposes the first framework for the estimation of OD matrices on transit networks by processing smartphone app call detail records (SACDRs). The framework is experimentally tested on a sample of 30 workdays of an Italian bus operator. The results are represented by easy-to-read control dashboards based on maps, which help quantify and visualise the OD matrices in the metropolitan area of Cagliari (Italy). The experimentation shows that the framework can properly estimate the number of trips for both origin and destination w.r.t. OD matrices built from household surveys: the mean absolute error is on average lower than five movements for 90% of the origins and 85% of the destinations. [ABSTRACT FROM AUTHOR]

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BackgroundSelf-monitoring smartphone apps and health coaching have both individually been shown to improve weight-related outcomes, but their combined effects remain unclear.ObjectiveThis study aims to examine the effectiveness of combining self-monitoring apps with health coaching on anthropometric, cardiometabolic, and lifestyle outcomes in people with overweight and obesity.MethodsRelevant articles published from inception till June 9, 2022, were searched through 8 databases (Embase, CINAHL, PubMed, PsycINFO, Scopus, The Cochrane Library, and Web of Science). Effect sizes were pooled using random-effects models. Behavioral strategies used were coded using the behavior change techniques taxonomy V1.ResultsA total of 14 articles were included, representing 2478 participants with a mean age of 39.1 years and a BMI of 31.8 kg/m2. Using combined intervention significantly improved weight loss by 2.15 kg (95% CI -3.17 kg to -1.12 kg; P

Yi-Hsien Shiao,1,2 Chung-Chieh Yu,3 Yuan-Chieh Yeh1,4 1Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan; 2Graduate Institute of Natural Products, College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Department of Chest, Critical Care, and Sleep Medicine, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan; 4Program in Molecular Medicine, College of Life Sciences, National Yang Ming Chiao Tung University, Taipei, TaiwanCorrespondence: Yuan-Chieh Yeh, Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Keelung Medical Center, No. 222, Maijin Road, Anle Dist, Keelung, 204, Taiwan, Tel +886 02-24313131 ext 2777, Fax +886 02-24313161, Email b9005030@gmail.comPurpose: Obstructive sleep apnea (OSA) is a common breathing disorder during sleep that is associated with symptoms such as snoring, excessive daytime sleepiness, and breathing interruptions. Polysomnography (PSG) is the most reliable diagnostic test for OSA; however, its high cost and lengthy testing duration make it difficult to access for many patients. With the availability of free snore applications for home-monitoring, this study aimed to validate the top three ranked snore applications, namely SnoreLab (SL), Anti Snore Solution (ASS), and Sleep Cycle Alarm (SCA), using PSG.Patients and Methods: Sixty participants underwent an overnight PSG while simultaneously using three identical smartphones with the tested apps to gather sleep and snoring data.Results: The study discovered that all three applications were significantly correlated with the total recording time and snore counts of PSG, with ASS showing good agreement with snore counts. Furthermore, the Snore Score, Time Snoring of SL, and Sleep Quality of SCA had a significant correlation with the natural logarithm of apnea hypopnea index (lnAHI) of PSG. The Snore Score of SL and the Sleep Quality of SCA were shown to be useful for evaluating snore severity and for pre-diagnosing or predicting OSA above moderate levels.Conclusion: These findings suggest that some parameters of free snore applications can be employed to monitor OSA progress, and future research could involve adjusted algorithms and larger-scale studies to further authenticate these downloadable snore and sleep applications.Keywords: polysomnography, snoring, smartphone applications, apps, obstructive sleep apnea, apnea hypopnea index

Purpose – Robotics and automation are successful in construction, health and safety, but costs and expertise hinder their use in developing nations. This study examined mobile apps as a more accessible and affordable alternative. Design/methodology/approach – This descriptive study explored the use of mobile apps in construction, health and safety management. It used a literature review to identify their availability, accessibility, and capabilities. The study consisted of four five stages: searching for relevant apps, selecting them based on versatility, examining their specific functions, removing untested apps and discussing their functions based on empirical studies. Findings – A comprehensive literature review identified 35 mobile apps that are relevant to health and safety management during construction. After rigorous analysis, eight apps were selected for further study based on their relevance, user friendliness and compliance with safety standards. These apps collectively serve 28 distinct functions, including first-aid training and administration, safety compliance and danger awareness, safety education and training, hazard detection and warnings. Practical implications – This study suggests that mobile apps can provide a cost-effective and readily accessible alternative to robotics and automation in health and safety management in construction. Further research is needed to accurately assess the efficacy of these apps in real-world conditions. Originality/value – This study explored the use of apps in health and safety management, highlighting their diverse capabilities and providing a framework for project managers, contractors and safety officers to select suitable apps.

Abstract Background The literature is consensual regarding the academic community exhibiting higher levels of mental disorder prevalence than the general population. The potential of digital mental health apps for improving access to resources to cope with these issues is ample. However, studies have yet to be performed in Portugal on individuals’ attitudes and perceptions toward digital mental health applications or their preferences and decision drivers on obtaining mental health care, self-assessment, or treatment. Objective This study aims to understand the determinants of digital mental health applications use in the Portuguese academic community of Porto, along with potential adoption barriers and enablers. Methods A cross-sectional, web-based survey was delivered via dynamic email to the University of Porto’s academic community. Data collection occurred between September 20 and October 20, 2022. We used structural equation modeling to build three models, replicating a peer-reviewed and published study and producing a newly full mediation model shaped by the collected data. We tested the relationships between use of digital mental health apps and perceived stress, perceived need to seek help for mental health, perceived stigma, past use of mental health services, privacy concerns, and social influence. Results Of the 539 participants, 169 (31.4%) reported having used digital mental health apps. Perceived stress and a latent variable, comprising perceptions of mental health problems and coping strategies, were positively associated with mental health app use, while privacy concerns regarding one’s information being accessible to others were negatively associated. Perceived stigma, need to seek help, and close relationships did not have a statistically significant direct effect. Conclusions These findings can inform product and policy development of new, better-targeted digital mental health app interventions, with implications for researchers and academia, industry, and policymakers. Our study concludes that, to maximize adherence to these apps, they should have low to no financial charges, demonstrate evidence of their helpfulness and focus on the timely delivery of care. We also conclude that to foster digital mental health app use, there is a need to improve mental health literacy, namely regarding self-awareness of one’s conditions, acceptable stress levels, and overall behavior towards mental health. Trial registration RR2-10.2196/41040.

Software-Apps sind inzwischen zentraler Bestandteil des alltäglichen Lebens. Vor dem Hintergrund dieser umfassenden Digitalisierung des Sozialen fragt der Beitrag danach, welche Selbstverhältnisse und generationalen Beziehungen durch Erziehungs- und Schwangerschaftsapps konstruiert und adressiert werden, welche normierenden Effekte diese Apps haben und welche Themen ausgeklammert werden. Der Beitrag beruht auf einer qualitativen Analyse von 55 Inhaltsbeschreibungen von Schwangerschafts- und Erziehungsapps aus App-Stores. Wir zeigen, dass neben hetero- und geschlechternormativen Adressierungen Schwangere und Eltern als vorausschauende Subjekte adressiert werden, die im Sinne einer antizipatorischen Risikologik insbesondere mit einem Regime des Upto- Date- bzw. Alert-sein-Müssens und einer ‚Pflicht zum Wissen‘ konfrontiert sind. Der Handlungsdruck, der auf diese Weise erzeugt wird, geht zugleich mit dem Versprechen einher, diese Aufgaben an die App abgeben zu können.

BackgroundSouth Asians, inclusive of individuals originating in India, Pakistan, Maldives, Bangladesh, Sri Lanka, Bhutan, and Nepal, comprise the largest diaspora in the world, with large South Asian communities residing in the Caribbean, Africa, Europe, and elsewhere. There is evidence that South Asian communities have disproportionately experienced COVID-19 infections and mortality. WhatsApp, a free messaging app, is widely used in transnational communication within the South Asian diaspora. Limited studies exist on COVID-19-related misinformation specific to the South Asian community on WhatsApp. Understanding communication on WhatsApp may improve public health messaging to address COVID-19 disparities among South Asian communities worldwide.ObjectiveWe developed the COVID-19-Associated misinfoRmation On Messaging apps (CAROM) study to identify messages containing misinformation about COVID-19 shared via WhatsApp.MethodsWe collected messages forwarded globally through WhatsApp from self-identified South Asian community members between March 23 and June 3, 2021. We excluded messages that were in languages other than English, did not contain misinformation, or were not relevant to COVID-19. We deidentified each message and coded them for one or more content categories, media types (eg, video, image, text, web link, or a combination of these elements), and tone (eg, fearful, well intentioned, or pleading). We then performed a qualitative content analysis to arrive at key themes of COVID-19 misinformation.ResultsWe received 108 messages; 55 messages met the inclusion criteria for the final analytic sample; 32 (58%) contained text, 15 (27%) contained images, and 13 (24%) contained video. Content analysis revealed the following themes: "community transmission" relating to misinformation on how COVID-19 spreads in the community; "prevention" and "treatment," including Ayurvedic and traditional remedies for how to prevent or treat COVID-19 infection; and messaging attempting to sell "products or services" to prevent or cure COVID-19. Messages varied in audience from the general public to South Asians specifically; the latter included messages alluding to South Asian pride and solidarity. Scientific jargon and references to major organizations and leaders in health care were included to provide credibility. Messages with a pleading tone encouraged users to forward them to friends or family.ConclusionsMisinformation in the South Asian community on WhatsApp spreads erroneous ideas regarding disease transmission, prevention, and treatment. Content evoking solidarity, "trustworthy" sources, and encouragement to forward messages may increase the spread of misinformation. Public health outlets and social media companies must actively combat misinformation to address health disparities among the South Asian diaspora during the COVID-19 pandemic and in future public health emergencies.

Introduction: The number of mHealth apps has increased rapidly during recent years. Literature suggests a number of problems and barriers to the adoption of mHealth apps, including issues such as validity, usability, as well as data privacy and security. Continuous quality assessment and assurance systems might help to overcome these barriers. Aim of this scoping review was to collate literature on quality assessment tools and quality assurance systems for mHealth apps, compile the components of the tools, and derive overarching quality dimensions, which are potentially relevant for the continuous quality assessment of mHealth apps. Methods: Literature searches were performed in Medline, EMBASE and PsycInfo. Articles in English or German language were included if they contained information on development, application, or validation of generic concepts of quality assessment or quality assurance of mHealth apps. Screening and extraction were carried out by two researchers independently. Identified quality criteria and aspects were extracted and clustered into quality dimensions. Results: A total of 70 publications met inclusion criteria. Included publications contain information on five quality assurance systems and further 24 quality assessment tools for mHealth apps. Of these 29 systems/tools, 8 were developed for the assessment of mHealth apps for specific diseases, 16 for assessing mHealth apps for all fields of health and another five are not restricted to health apps. Identified quality criteria and aspects were extracted and grouped into a total of 14 quality dimensions, namely "information and transparency", "validity and (added) value", "(medical) safety", "interoperability and compatibility", "actuality", "engagement", "data privacy and data security", "usability and design", "technology", "organizational aspects", "social aspects", "legal aspects", "equity and equality", and "cost(-effectiveness)". Discussion: This scoping review provides a broad overview of existing quality assessment and assurance systems. Many of the tools included cover only a few dimensions and aspects and therefore do not allow for a comprehensive quality assessment or quality assurance. Our findings can contribute to the development of continuous quality assessment and assurance systems for mHealth apps. [ABSTRACT FROM AUTHOR]

Aim: Therapeutic non‐compliance remains the main difficulty for people with psychotic disorders, standing around 50% in people with schizophrenia. Lack of treatment adherence, either partial or total, to medication has economic and clinical consequences. E‐health technologies may be a promising therapeutic tool to improve adherence, with the subsequent reduction in clinical and economic burden. Our aims were to know the preferences on how technologies in mental health treatment should be for use in clinical practice, and to learn about the opinion and preferences on the use of technologies in mental health treatment from the perspectives of patients with FEP, their relatives, and mental health professionals. Methods: Forty‐one patients with a diagnosis of first‐episode psychosis (FEP), 18 relatives and 49 mental health professionals were included in the study. They completed an online survey related to the use, availability and user‐skill of online platforms and apps created by a group of experts in psychosis and in the use of technologies. Data were summarized in frequencies, percentages, and means, and Chi‐square tests were used to calculate differences between‐groups. Results: An app directed to people with psychosis would be well received by users if it contains psychoeducational material, offers reminders for scheduled visits and treatment and allows online consultations. Conclusions: Co‐creating an app with users, their families and mental health professionals allows incorporating their preferences to increase its use, improve outpatient care and creating an app that is viable in clinical practice. [ABSTRACT FROM AUTHOR]