Passive sensing on mobile devices to improve mental health services with adolescent and young mothers in low-resource settings: the role of families in feasibility and acceptability.
Passive sensing on mobile devices to improve mental health services with adolescent and young mothers in low-resource settings: the role of families in feasibility and acceptability.
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DOI：
10.1186/s12911-021-01473-2
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发表时间：
2021-04-07
影响因子：
3.5
通讯作者：
Hagaman A
中科院分区：
文献类型：
--
作者：
Maharjan SM;Poudyal A;van Heerden A;Byanjankar P;Thapa A;Islam C;Kohrt BA;Hagaman A
来自移动设备的被动传感器数据可以揭示日常活动、社交行为和母婴互动，以改善包括精神保健在内的母婴健康服务。我们评估了在低资源设置(StandStrong)平台上用于母亲抑郁治疗的传感技术的可行性和可接受性。StandStrong被动数据收集平台在尼泊尔的青少年和年轻母亲中进行了试点，其中包括患有产后抑郁症的母亲。带着婴儿(<； 12个月大)的母亲(15-25岁)是从尼泊尔农村的疫苗接种诊所亲自招募的。他们被提供了一部Android智能手机和一个蓝牙信标来收集四个领域的数据：使用全球定位系统(GPS)的母亲的位置，使用手机加速计的身体活动，使用手机上的插曲音频记录的听觉环境，以及通过安装在婴儿衣服上的蓝牙信标测量母婴接近程度。根据收集的被动传感数据量与两周内可收集的总量进行比较，对可行性和可接受性进行评估。最后进行了定性访谈，以了解母亲在被动数据收集方面的经历和看法。在接洽的782名妇女中，320名符合资格标准，38名母亲(11名抑郁症患者，27名非抑郁症患者)登记在册。38名母亲(11名抑郁，27名非抑郁)入选。在所有参与者中，5,579个小时数据收集窗口至少有一次音频记录[平均(M) = 占每个参与者可能的总记录窗口的57.4%；中位数(M) = 62.6%]，5,001个活动读数(M = 50.6%；M = 63.2%)，4,168个近距离读数(M = 41.1%；M = 47.6%)，以及3,482个GPS读数(M = 35.4%；MDN = 39.2%)。可行性挑战包括手机电池充电、数据使用量超过预付费限制以及携带手机的负担。可接受性的挑战是隐私问题和缺乏家庭参与。总体而言，家庭对被动感知的了解和家庭对母婴潜在益处的认识是增加可接受性和缩小数据收集差距的主要可修改因素。对于每种传感器类型，大约半个小时的收集窗口至少有一个读数。移动设备被动感知的可行性挑战可以通过提供替代手机充电选项、对应用程序进行反向计费以及用智能手表取代手机来解决。提高可接受性将需要更多的家庭参与和改善关于被动感知对心理干预和其他保健服务的好处的沟通。14734国际注册报告识别号：DERR1021-01473-2在线版本包含补充材料，网址为10.1186/s12911-021-021-2。
Passive sensor data from mobile devices can shed light on daily activities, social behavior, and maternal-child interactions to improve maternal and child health services including mental healthcare. We assessed feasibility and acceptability of the Sensing Technologies for Maternal Depression Treatment in Low Resource Settings (StandStrong) platform. The StandStrong passive data collection platform was piloted with adolescent and young mothers, including mothers experiencing postpartum depression, in Nepal. Mothers (15–25 years old) with infants (< 12 months old) were recruited in person from vaccination clinics in rural Nepal. They were provided with an Android smartphone and a Bluetooth beacon to collect data in four domains: the mother’s location using the Global Positioning System (GPS), physical activity using the phone’s accelerometer, auditory environment using episodic audio recording on the phone, and mother-infant proximity measured with the Bluetooth beacon attached to the infant’s clothing. Feasibility and acceptability were evaluated based on the amount of passive sensing data collected compared to the total amount that could be collected in a 2-week period. Endline qualitative interviews were conducted to understand mothers’ experiences and perceptions of passive data collection. Of the 782 women approached, 320 met eligibility criteria and 38 mothers (11 depressed, 27 non-depressed) were enrolled. 38 mothers (11 depressed, 27 non-depressed) were enrolled. Across all participants, 5,579 of the hour-long data collection windows had at least one audio recording [mean (M) = 57.4% of the total possible hour-long recording windows per participant; median (Mdn) = 62.6%], 5,001 activity readings (M = 50.6%; Mdn = 63.2%), 4,168 proximity readings (M = 41.1%; Mdn = 47.6%), and 3,482 GPS readings (M = 35.4%; Mdn = 39.2%). Feasibility challenges were phone battery charging, data usage exceeding prepaid limits, and burden of carrying mobile phones. Acceptability challenges were privacy concerns and lack of family involvement. Overall, families’ understanding of passive sensing and families’ awareness of potential benefits to mothers and infants were the major modifiable factors increasing acceptability and reducing gaps in data collection. Per sensor type, approximately half of the hour-long collection windows had at least one reading. Feasibility challenges for passive sensing on mobile devices can be addressed by providing alternative phone charging options, reverse billing for the app, and replacing mobile phones with smartwatches. Enhancing acceptability will require greater family involvement and improved communication regarding benefits of passive sensing for psychological interventions and other health services. Registration International Registered Report Identifier (IRRID): DERR1-10.2196/14734 The online version contains supplementary material available at 10.1186/s12911-021-01473-2.
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