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进行慢性病自我管理的可能性寄予厚望，但迄今为止，其有效性的实证证据仍然没有定论。为了克服我们的这些知识差距，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，提供理论上无限广度的情境上下文。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。为了扩展我们的移动媒体使用概念，超越使用与不使用或采用与拒绝的简单二分法。为此，我们利用移动媒体使用的利基模型，我们可以对慢性疾病中的移动媒体使用进行建模。情境层面的自我管理，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个体内部和个体之间在慢性病自我管理中使用移动媒体的不同模式。目标：我们想要绘制地图移动媒体在 1 型和 2 型糖尿病以及哮喘/慢性阻塞性肺病的慢性病自我管理中的具体应用首先，我们将系统化现有的移动医疗在这些慢性病自我管理中的应用证据，并明确考虑其作用。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使用类型，最后，我们将重新评估和增强这一利基概念。我们想调查人们如何考虑到患有糖尿病和哮喘/慢性阻塞性肺病的人的经验，我们将进行五项实证研究，以实现这些目标，我们将针对移动医疗在糖尿病类型自我管理中的应用进行两项系统评价。 1 和 2（研究 1）和哮喘/慢性阻塞性肺病（研究 3）基于两项现场研究，我们将绘制糖尿病患者（研究 2）和哮喘/慢性阻塞性肺病患者自我管理的特定领域。 （研究 4；）最后，我们与糖尿病和哮喘/慢性阻塞性肺病患者进行焦点小组讨论，以了解研究 2 和 4 的结果（研究 5）：主要针对 IP2 效应和的双边合作。 IP3 隐私；参与 CG 继续使用 预期结果/贡献：该项目的结果将指导关于慢性病自我管理的移动医疗干预措施的有用性和实施​​的进一步研究，并最终指导适当的开发支持糖尿病和哮喘/慢性阻塞性肺病患者自我管理的移动医疗产品此外，该项目还将深入了解利基概念的经验适用性，以研究一般和移动医疗背景下的移动媒体使用实践。