Please use this identifier to cite or link to this item: https://hdl.handle.net/10356/153973
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dc.contributor.authorOllier, Josephen_US
dc.contributor.authorNeff, Simonen_US
dc.contributor.authorDworschak, Christineen_US
dc.contributor.authorSejdiji, Arberen_US
dc.contributor.authorSanthanam, Prabhakaranen_US
dc.contributor.authorKeller, Romanen_US
dc.contributor.authorXiao, Graceen_US
dc.contributor.authorAsisof, Alinaen_US
dc.contributor.authorRüegger, Dominiken_US
dc.contributor.authorBérubé, Caterinaen_US
dc.contributor.authorTomas, Lena Hilfikeren_US
dc.contributor.authorNeff, Joëlen_US
dc.contributor.authorYao, Jialien_US
dc.contributor.authorAlattas, Aishahen_US
dc.contributor.authorVarela-Mato, Veronicaen_US
dc.contributor.authorPitkethly, Amandaen_US
dc.contributor.authorVara, Mª Doloresen_US
dc.contributor.authorHerrero, Rocíoen_US
dc.contributor.authorBaños, Rosa Mªen_US
dc.contributor.authorParada, Carolinaen_US
dc.contributor.authorAgatheswaran, Rajashree Sundaramen_US
dc.contributor.authorVillalobos, Victoren_US
dc.contributor.authorKeller, Olivia Clareen_US
dc.contributor.authorChan, Wai Szeen_US
dc.contributor.authorMishra, Varunen_US
dc.contributor.authorJacobson, Nicholasen_US
dc.contributor.authorStanger, Catherineen_US
dc.contributor.authorHe, Xinmingen_US
dc.contributor.authorvon Wyl, Viktoren_US
dc.contributor.authorWeidt, Steffien_US
dc.contributor.authorHaug, Severinen_US
dc.contributor.authorSchaub, Michaelen_US
dc.contributor.authorKleim, Birgiten_US
dc.contributor.authorBarth, Jürgenen_US
dc.contributor.authorWitt, Claudiaen_US
dc.contributor.authorScholz, Urteen_US
dc.contributor.authorFleisch, Elgaren_US
dc.contributor.authorvon Wangenheim, Florianen_US
dc.contributor.authorCar, Lorainne Tudoren_US
dc.contributor.authorMüller-Riemenschneider, Falken_US
dc.contributor.authorHauser-Ulrich, Sandraen_US
dc.contributor.authorAsomoza, Alejandra Núñezen_US
dc.contributor.authorSalamanca-Sanabria, Aliciaen_US
dc.contributor.authorMair, Jacqueline Louiseen_US
dc.contributor.authorKowatsch, Tobiasen_US
dc.date.accessioned2022-05-24T05:09:49Z-
dc.date.available2022-05-24T05:09:49Z-
dc.date.issued2021-
dc.identifier.citationOllier, J., Neff, S., Dworschak, C., Sejdiji, A., Santhanam, P., Keller, R., Xiao, G., Asisof, A., Rüegger, D., Bérubé, C., Tomas, L. H., Neff, J., Yao, J., Alattas, A., Varela-Mato, V., Pitkethly, A., Vara, M. D., Herrero, R., Baños, R. M., ...Kowatsch, T. (2021). Elena+ care for COVID-19, a pandemic lifestyle care intervention: intervention design and study protocol. Frontiers in Public Health, 9, 625640-. https://dx.doi.org/10.3389/fpubh.2021.625640en_US
dc.identifier.issn2296-2565en_US
dc.identifier.urihttps://hdl.handle.net/10356/153973-
dc.description.abstractBackground: The current COVID-19 coronavirus pandemic is an emergency on a global scale, with huge swathes of the population required to remain indoors for prolonged periods to tackle the virus. In this new context, individuals' health-promoting routines are under greater strain, contributing to poorer mental and physical health. Additionally, individuals are required to keep up to date with latest health guidelines about the virus, which may be confusing in an age of social-media disinformation and shifting guidelines. To tackle these factors, we developed Elena+, a smartphone-based and conversational agent (CA) delivered pandemic lifestyle care intervention. Methods: Elena+ utilizes varied intervention components to deliver a psychoeducation-focused coaching program on the topics of: COVID-19 information, physical activity, mental health (anxiety, loneliness, mental resources), sleep and diet and nutrition. Over 43 subtopics, a CA guides individuals through content and tracks progress over time, such as changes in health outcome assessments per topic, alongside user-set behavioral intentions and user-reported actual behaviors. Ratings of the usage experience, social demographics and the user profile are also captured. Elena+ is available for public download on iOS and Android devices in English, European Spanish and Latin American Spanish with future languages and launch countries planned, and no limits on planned recruitment. Panel data methods will be used to track user progress over time in subsequent analyses. The Elena+ intervention is open-source under the Apache 2 license (MobileCoach software) and the Creative Commons 4.0 license CC BY-NC-SA (intervention logic and content), allowing future collaborations; such as cultural adaptions, integration of new sensor-related features or the development of new topics. Discussion: Digital health applications offer a low-cost and scalable route to meet challenges to public health. As Elena+ was developed by an international and interdisciplinary team in a short time frame to meet the COVID-19 pandemic, empirical data are required to discern how effective such solutions can be in meeting real world, emergent health crises. Additionally, clustering Elena+ users based on characteristics and usage behaviors could help public health practitioners understand how population-level digital health interventions can reach at-risk and sub-populations.en_US
dc.description.sponsorshipNational Research Foundation (NRF)en_US
dc.language.isoenen_US
dc.relation.ispartofFrontiers in Public Healthen_US
dc.rights© 2021 Ollier, Neff, Dworschak, Sejdiji, Santhanam, Keller, Xiao, Asisof, Rüegger, Bérubé, Hilfiker Tomas, Neff, Yao, Alattas, Varela-Mato, Pitkethly, Vara, Herrero, Baños, Parada, Agatheswaran, Villalobos, Keller, Chan, Mishra, Jacobson, Stanger, He, von Wyl, Weidt, Haug, Schaub, Kleim, Barth, Witt, Scholz, Fleisch, Wangenheim, Car, Müller-Riemenschneider, Hauser-Ulrich, Asomoza, SalamancaSanabria, Mair and Kowatsch. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these termsen_US
dc.subjectScience::Medicineen_US
dc.titleElena+ care for COVID-19, a pandemic lifestyle care intervention: intervention design and study protocolen_US
dc.typeJournal Articleen
dc.contributor.schoolLee Kong Chian School of Medicine (LKCMedicine)en_US
dc.contributor.organizationCampus for Research Excellence and Technological Enterprise (CREATE)en_US
dc.identifier.doi10.3389/fpubh.2021.625640-
dc.description.versionPublished versionen_US
dc.identifier.pmid34746067-
dc.identifier.scopus2-s2.0-85118675500-
dc.identifier.volume9en_US
dc.identifier.spage625640en_US
dc.subject.keywordsChatboten_US
dc.subject.keywordsDigital Coachingen_US
dc.description.acknowledgementThis research was supported by the National Research Foundation, Prime Minister's Office, Singapore under its Campus for Research Excellence and Technological Enterprise (CREATE) programme.en_US
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