DOI QR코드

DOI QR Code

Development of a Smartphone Application for Promoting Bone Health in Korean Young Adult Women: A Pilot Study

성인초기 여성의 골건강 증진을 위한 스마트폰 앱 개발 및 적용: 예비연구

  • 박영주 (고려대학교 간호대학) ;
  • 이숙자 (고려대학교 간호대학) ;
  • 신나미 (고려대학교 간호대학) ;
  • 신현정 (고려대학교 간호대학) ;
  • 윤성진 (고려대학교 사범대학 체육교육과) ;
  • 전송이 (고려대학교 대학원 간호학과) ;
  • 조인해 (고려대학교 대학원 간호학과)
  • Received : 2015.06.30
  • Accepted : 2015.08.12
  • Published : 2015.08.31

Abstract

Purpose: The purpose of this study was to develop a smartphone application and evaluate it's effectiveness and usability for promoting bone health in Korean young adult women. Methods: A smartphone application was developed covering exercise, nutrition, and health habits related to bone health. A pilot testing was conducted using a one-group pre/posttest design. A total of 22 female college students with low bone mass participated in the 8-week use of a pilot testing. Results: The "Strong bone Fit body (SbFb)" application was developed using Android platform. In the pilot testing, bone mineral density, serum CTX, and 25 (OH)Vit.D were significantly decreased. There is no significant change in serum osteocalcin and calcium. Serum phosphorus concentration, nutrient intakes (fiber, VitB6, and pantotenic acid), and all bone composition profiles were significantly increased. Bone-health knowledge was significantly increased but no change in health belief and self-efficacy. Conclusion: The results of this pilot testing suggest the effectiveness of the SbFb application to enhance and promote self-managing abilities for bone health. It can provide continuous feedback and high-quality bone health information. However, some contents and working methods of the application need to be modified and its effectiveness on bone health requires further investigations.

Keywords

References

  1. Murray CJL, Vos T, Lozano L, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the global burden of diseases study 2010. Lancet. 2012;380:2197-223. https://doi.org/10.1016/S0140-6736(12)61689-4
  2. Wright NCW, Looker AC, Saag KG, Curtis JR, Delzell ES, Randall S, et al. The recent prevalence of osteoporosis and low bone mass in the united states based on bone mineral density at the femoral neck or lumbar spine. Journal of Bone and Mineral Research. 2014;29(11):2520-6. http://dx.doi.org/10.1002/jbmr.2269
  3. Park EJ, Joo IW, Jang MJ, Kim YT, Oh K, Oh HJ. Prevalence of osteoporosis in the Korean population based on Korea national health and nutrition examination survey (KHANES), 2008-2011. Yonsei Medical Journal. 2014;55(4):1049-57. http://dx.doi.org/10.3349/ymj.2014.55.4.1049
  4. Chang SM, Park CM, Chang SH, Shin CS, Ha YC, Medical utilization and prescription pattern of Korean patients with osteoporosis. Seoul: Health Insurance Review & Assessment Service; 2009.
  5. Hernandez CJ, Beaupre GS, Carter DR. A theoretical analysis of the relative influences of peak BMD, age-related bone loss and menopause on the development of osteoporosis. Osteoporosis International. 2003;14:843-7. http://dx.doi.org/10.1007/s00198-003-1454-8
  6. Harvey N, Dennison E, Cooper C. Osteoporosis: a lifecourse approach. Journal of Bone and Mineral Research. 2014;29(9):1917-25. http://dx.doi.org/10.1002/jbmr.2286
  7. Bohaty K, Rocole H, Wehling K, Waltman N. Testing the effectiveness of an educational intervention to increase dietary intake of calcium and vitamin D in young adult women. Journal of the American Academy of Nurse Practitioners. 2008;20: 93-9. http://dx.doi.org/10.1111/j.1745-7599.2007.00281.x
  8. Sedlak CA, Doheny MO, Jones SL. Osteoporosis education programs: changing knowledge and behaviors. Public Health Nursing. 2000;17(5):398-402. https://doi.org/10.1046/j.1525-1446.2000.00398.x
  9. Wu F, Laslett LL, Wills K, Oldenburg B, Jones G, Winzenberg T. Effects of individualized bone density feedback and educational interventions on osteoporosis knowledge and selfefficacy: a 12 year prospective study. Journal of Clinical Densitometry: Assessment & Musculoskeletal Health. 2014; 17(4):466-72. http://dx.doi.org/10.1016/j.jeod.2014.07.008
  10. Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Selfmanagement approaches for people with chronic conditions: a review. Patient Education and Counseling. 2002;48:177-87. https://doi.org/10.1016/S0738-3991(02)00032-0
  11. Robinson JH, Callister LC, Berry JA, Dearing KA. Patientcentered care and adherence: definitions and applications to improve outcomes. Journal of the American Academy of Nurse Practitioners. 2008;20:600-7. http://dx.doi.org/10.1111/j.1745-7599.2008.00360.x
  12. Bandura A. Health promotion by social cognitive means. Health Education & Behavior. 2004;31(2):143-64. http://dx.doi.org/10.1177/1090198104263660
  13. Klein M, Mogles N, van Wissen A. Intelligent mobile support for therapy adherence and behavior change. Journal of Biomedical Informatics. 2014;51:137-51. http://dx.doi.org/10.1016/j.jbi.2014.05.005
  14. Reid SC, Kauer SD, Hearps SJC, Crooke AHD, Khor AS, Sanci LA. A mobile phone application for the assessment and management of youth mental health problems in primary care: a randomized controlled trial. BMC Family Practice. 2011;12:131. http://www.biomedcentral.com/1471-2296/12/131 https://doi.org/10.1186/1471-2296-12-131
  15. Gustafson DH, McTavish FM, Chih MY, Atwood AK, Johnson RA, Boyle MG. A smartphone application to support recovery from alcoholism: a randomized clinical trial. JAMA Psychiatry. 2014;71(5):566-72. http://dx.doi.org/10.1001/jamapsychiatry.2013.4642
  16. Park YJ, Lee SJ, Shin NM, Shin H, Kim YK, Cho YJ, et al. Bone mineral density, biochemical bone turnover markers and factors associated with bone health in young Korean women. Journal of Korean Academy of Nursing. 2014;44(5):504-14. http://dx.doi.org/10.4040/jkan.2014.44.5.504
  17. Howe TE, Shea B, Dawson LJ, Downie F, Murray A, Ross C, et al. Exercise for preventing and treating osteoporosis in postmenopausal women. The Cochrane Database of Systematic Reviews. 2011;7:CD000333. http://dx.doi.org/10.1002/14651858.cd000333.pub2
  18. The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul: Author; 2010.
  19. Waller J, Eriksson O, Foldevi M, Kronhed A-CG, Larssen L, Lofman O, et al. Knowledge of osteoporosis in a swedish municipality: a prospective study, Preventive Medicine. 2002;34(4):485-91. http://dx.doi.org/10.1006/pmd.2002.1007
  20. Kim KK, Horan M, Gendler P, Patel M. Osteoporosis health belief, self-efficacy, and knowledge tests. In: Redman BK, editor. Measurement tools in patient education. New York, NY: Springer Publishing Company; 1998. p. 307-8.
  21. Horan ML, Kim KK, Gendler P, Froman RD, Patel MD. Development and evaluation of the osteoporosis self-efficacy scale. Research in Nursing and Health. 1998;21(5):395-403. https://doi.org/10.1002/(SICI)1098-240X(199810)21:5<395::AID-NUR3>3.0.CO;2-I
  22. Weeks BK, Beck BR. The BPAQ: a bone-specific physical activity assessment instrument. Osteoporosis International. 2008; 19:1567-77. http://dx.doi.org/10.1007/s00198-008-0606-2
  23. Turner CH, Robling AG. Designing exercise regimens to increase bone strength. Exercise and Sport Sciences Reviews. 2003;31(1):45-50. https://doi.org/10.1097/00003677-200301000-00009
  24. Korean Society for Bone and Mineral Research. Osteoporosis. 3rd ed. Seoul: Hanmee Medical Publishing Company; 2006.
  25. Cheung AM, Giangregorio L. Mechanical stimuli and bone health: what is the evidence? Current Opinion Rheumatology. 2012;24:561-6. http://dx.doi.org/10.1097/BOR.0b013e3283570238
  26. Amrein K, Amrein S, Drexler C, Dimai HP, Dobling H, Pfeifer K. et al. Sclerostin and its association with physical activity, age, gender, body composition, and bone mineral content in healthy adults. Journal of Clincal Endocrinology Metabolism. 2012;97(1):148-54. http://dx.doi.org/10.1210/jc.2011-2152
  27. de Jongh T, Guro-Urganci I, Vodopivec-Jamsek V, Car J, Atun R. Mobile phone messaging for facilitating self-management of long-term illness. Cochrane Database of Systematic Reviews. 2012; 12: Art No.: CD007459. http://dx.doi.org/10.1002/14651858.CD007459.pub2

Cited by

  1. Application and Effect of Mobiletype-Bone Health Intervention in Korean Young Adult Women with Low Bone Mass: A Randomized Control Trial vol.11, pp.1, 2017, https://doi.org/10.1016/j.anr.2017.03.005
  2. Development and evaluation of a self‐management application for patients with gout vol.17, pp.2, 2015, https://doi.org/10.1111/jjns.12285