Rajamani Sripriya, Austin Robin, Geiger-Simpson Elena, Jantraporn Ratchada, Park Suhyun, Monsen Karen A
University of Minnesota, Minneapolis, MN, United States.
JMIR Nurs. 2022 May 16;5(1):e38063. doi: 10.2196/38063.
The COVID-19 pandemic has prompted an interest in whole-person health and emotional well-being. Informatics solutions through user-friendly tools such as mobile health apps offer immense value. Prior research developed a consumer-facing app MyStrengths + MyHealth using Simplified Omaha System Terms (SOST) to assess whole-person health. The MyStrengths + MyHealth app assesses strengths, challenges, and needs (SCN) for 42 concepts across four domains (My Living, My Mind and Networks, My Body, My Self-care; eg, Income, Emotions, Pain, and Nutrition, respectively). Given that emotional well-being was a predominant concern during the COVID-19 pandemic, we sought to understand whole-person health for participants with/without Emotions challenges.
This study aims to use visualization techniques and data from attendees at a Midwest state fair to examine SCN overall and by groups with/without Emotions challenges, and to explore the resilience of participants.
This cross-sectional and descriptive correlational study surveyed adult attendees at a 2021 Midwest state fair. Data were visualized using Excel and analyzed using descriptive and inferential statistics using SPSS.
The study participants (N=182) were primarily female (n=123, 67.6%), aged ≥45 years (n=112, 61.5%), White (n=154, 84.6%), and non-Hispanic (n=177, 97.3%). Compared to those without Emotions challenges, those with Emotions challenges were aged 18-44 (P<.001) years, more often female (P=.02), and not married (P=.01). Overall, participants had more strengths (mean 28.6, SD 10.5) than challenges (mean 12, SD 7.5) and needs (mean 4.2, SD 7.5). The most frequent needs were in Emotions, Nutrition, Income, Sleeping, and Exercising. Compared to those without Emotions challenges, those with Emotions challenges had fewer strengths (P<.001), more challenges (P<.001), and more needs (P<.001), along with fewer strengths for Emotions (P<.001) and for the cluster of health-related behaviors domain concepts, Sleeping (P=.002), Nutrition (P<.001), and Exercising (P<.001). Resilience was operationalized as correlations among strengths for SOST concepts and visualized for participants with/without an Emotions challenge. Those without Emotions challenges had more positive strengths correlations across multiple concepts/domains.
This survey study explored a large community-generated data set to understand whole-person health and showed between-group differences in SCN and resilience for participants with/without Emotions challenges. It contributes to the literature regarding an app-aided and data-driven approach to whole-person health and resilience. This research demonstrates the power of health informatics and provides researchers with a data-driven methodology for additional studies to build evidence on whole-person health and resilience.
新冠疫情引发了人们对全人健康和情绪幸福感的关注。通过移动健康应用等用户友好型工具提供的信息学解决方案具有巨大价值。先前的研究开发了一款面向消费者的应用程序“MyStrengths + MyHealth”，使用简化奥马哈系统术语（SOST）来评估全人健康。“MyStrengths + MyHealth”应用程序评估了四个领域（我的生活、我的思想与社交网络、我的身体、我的自我护理；例如，分别为收入、情绪、疼痛和营养）中42个概念的优势、挑战和需求（SCN）。鉴于在新冠疫情期间情绪幸福感是一个主要关注点，我们试图了解有/无情绪挑战的参与者的全人健康状况。
本研究旨在使用可视化技术和来自中西部州博览会参与者的数据，总体上以及按有/无情绪挑战的群体来检查SCN，并探索参与者的恢复力。
这项横断面描述性相关研究对2021年中西部州博览会的成年参与者进行了调查。数据使用Excel进行可视化处理，并使用SPSS进行描述性和推断性统计分析。
研究参与者（N = 182）主要为女性（n = 123，67.6%），年龄≥45岁（n = 112，61.5%），白人（n = 154，84.6%），非西班牙裔（n = 177，97.3%）。与无情绪挑战的人相比，有情绪挑战的人年龄在18 - 44岁（P <.001），女性比例更高（P =.02），且未婚（P =.01）。总体而言，参与者的优势（平均28.6，标准差10.5）多于挑战（平均12，标准差7.5）和需求（平均4.2，标准差7.5）。最常见的需求集中在情绪、营养、收入、睡眠和锻炼方面。与无情绪挑战的人相比，有情绪挑战的人优势更少（P <.001），挑战更多（P <.001），需求更多（P <.001），情绪方面的优势更少（P <.001），与健康相关行为领域概念集群（睡眠（P =.002）、营养（P <.001）和锻炼（P <.001））的优势也更少。恢复力通过SOST概念的优势之间的相关性来衡量，并针对有/无情绪挑战的参与者进行可视化展示。无情绪挑战的人在多个概念/领域的优势相关性更积极。
这项调查研究探索了一个由社区生成的大型数据集以了解全人健康，并显示了有/无情绪挑战的参与者在SCN和恢复力方面的组间差异。它为有关全人健康和恢复力的应用辅助及数据驱动方法的文献做出了贡献。这项研究展示了健康信息学的力量，并为研究人员提供了一种数据驱动的方法，用于进一步的研究，以建立关于全人健康和恢复力的证据。
