IP1: Niches structuring mobile media use in chronic disease self-management

IP1：在慢性病自我管理中构建移动媒体使用的利基

• 批准号: 524944497
• 负责人: Professorin Dr. Veronika Karnowski
• 金额: --
• 依托单位: Institut für Medienforschung
• 依托单位国家: 德国
• 项目类别: Research Units
• 资助国家: 德国
• 项目状态: 未结题
• 来源: https://gepris.dfg.de/gepris/projekt/524944497?language=en
• 关键词: IP1; Niches; structuring; mobile; media

Background: Despite high hopes associated with mobile media’s possibilities for chronic disease self-management, empirical evidence on their effectiveness remains inconclusive so far. To overcome these gaps in our knowledge, we need to reconsider the use of mobile media for chronic disease self-management. Mobile media can be used ubiquitously, providing a theoretically unlimited breadth of situational contexts. In addition, most mobile media are metamedia, i.e., structures into which an unlimited number of constituent media can be embedded and rearranged. Hence, we need to extend our concept of mobile media use beyond the simple dichotomy of use versus non-use or adoption versus rejection. To do so, we draw on the niche model of mobile media use. With this, we can model mobile media use in chronic disease self-management on a situational level, integrating features on the device side, users’ motivations and gratifications, and situational factors. This approach allows us to uncover intra- and inter-individual differing patterns of mobile media use in chronic disease self-management. Objective: We want to map the specific niches of mobile media use in chronic disease self-management for diabetes type 1 and 2 and asthma/COPD. First, we will systematize extant empirical evidence on the uses of mHealth in the self-management of these chronic conditions, explicitly considering the role of the entire mobile media ecosystem. We will then map types of mobile media use for the self-management of diabetes and asthma/COPD on the situation and person level. Based on these findings, we will reevaluate and enhance the niche concept. Finally, we want to investigate how persons living with diabetes and asthma/COPD contextualize our findings, considering their experiences. Work program: We will conduct five empirical studies to meet these objectives. First, we will conduct two systematic reviews on the uses of mHealth for the self-management of diabetes type 1 and 2 (study 1) and asthma/COPD (study 3). Based on two in-situ studies, we will then map the specific niches that structure the self-management of individuals living with diabetes (study 2) and asthma/COPD (study 4;) using mobile devices. Finally, we conduct focus groups with individuals living with diabetes and asthma/COPD to contextualize the findings of studies 2 and 4 (study 5). Collaborations and Interest groups: bilateral collaborations mainly with IP2 effects and IP3 privacy; participation in CG continued use Expected results/contributions: The results of this project will guide further studies on the usefulness and implementation of mHealth interventions in chronic disease self-management, as well as, ultimately, the development of adequate mHealth products to support self-management for diabetes and asthma/COPD patients. In addition, this project will provide insights into the empirical applicability of the niche concept to study mobile media use practices in general and in the context of mHealth.

背景：尽管人们对移动媒体在慢性病自我管理方面的可能性寄予厚望，但迄今为止，关于其有效性的经验证据仍不确定。为了克服我们知识上的这些差距，我们需要重新考虑使用移动媒体进行慢性病自我管理。移动媒体可以无处不在地使用，理论上提供了无限的情境背景。此外，大多数移动媒体都是元媒体，即可以嵌入和重新排列无限数量的组成媒体的结构。因此，我们需要扩展移动媒体使用的概念，超越使用与不使用或采用与拒绝的简单二分法。为此，我们借鉴了移动媒体使用的利基模式。有了这个，我们可以在情境层面上对慢性病自我管理中的移动媒体使用进行建模，整合设备端的功能、用户的动机和满足感以及情境因素。这种方法使我们能够发现慢性疾病自我管理中移动媒体使用的个体内部和个体之间的不同模式。目的：我们希望绘制移动媒体在1型和2型糖尿病和哮喘/COPD慢性疾病自我管理中的特定利基。首先，我们将系统化现有的关于移动医疗在这些慢性病自我管理中的应用的经验证据，明确考虑整个移动媒体生态系统的作用。然后，我们将根据情况和个人水平绘制用于糖尿病和哮喘/慢性阻塞性肺病自我管理的移动媒体类型。基于这些发现，我们将重新评估和加强生态位概念。最后，我们想调查糖尿病和哮喘/慢性阻塞性肺病患者如何考虑他们的经历来看待我们的发现。工作计划：我们将开展五项实证研究来实现这些目标。首先，我们将对移动健康在1型和2型糖尿病（研究1）和哮喘/慢性阻塞性肺病（研究3）自我管理中的应用进行两次系统综述。基于两项原位研究，我们将利用移动设备绘制糖尿病（研究2）和哮喘/慢性阻塞性肺病（研究4）患者自我管理的特定利基图。最后，我们对糖尿病和哮喘/慢性阻塞性肺病患者进行了焦点小组研究，以了解研究2和4（研究5）的结果。合作和利益集团：双边合作主要具有IP2效应和IP3隐私；预期结果/贡献：该项目的结果将指导进一步研究移动健康干预措施在慢性病自我管理中的作用和实施情况，并最终指导开发适当的移动健康产品，以支持糖尿病和哮喘/慢性阻塞性肺病患者的自我管理。此外，这个项目将提供洞察到利基概念的经验适用性，以研究移动媒体的使用实践在一般和移动健康的背景下。