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Dissertation_FINAL_2019_11_12.pdf (1.56 MB)

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Engaging with mHealth to Improve Self-regulation: A Grounded Theory for Breast Cancer Survivors

Kelley, Marjorie M
http://orcid.org/0000-0001-5387-6119
http://rave.ohiolink.edu/etdc/view?acc_num=osu157365193302496

Abstract Details

2019, Doctor of Philosophy, Ohio State University, Nursing.
Breast cancer survivors are at risk of cancer recurrence and other cancer-related chronic diseases. Lifestyle modification reduces these risks; however, traditional approaches are costly and often lack efficacy. Mobile health (mHealth) interventions may offer advantages over traditional risk-reduction approaches, but limited knowledge about survivors’ use of mHealth interventions restricts scientific advancement. The goal of this dissertation research was to develop a substantive theory to understand the process associated with the use of mHealth interventions by breast cancer survivors for lifestyle behavior improvement. Using a grounded theory approach, 16 female breast cancer survivors from central Ohio were enrolled. Each participated in an interview and an interaction with a prototype mHealth intervention. Data were analyzed using constant comparative analysis. The resultant substantive theory describes the synergy between mHealth Engagement and Self-regulation of lifestyle behaviors. The basic process enabling this synergy consists of 5 non-linear phases: adopting, sustaining, habituating, disengaging, and re-adopting. Four main concepts form the basis of this theory and include mHealth Engagement, Self-regulation, Relationships, and Functionality and Features. These findings may inform future mHealth intervention research and development. However, more research is needed to validate and test this new substantive theory.
Sharon Tucker, PhD, RN, FAAN (Committee Chair)
Randi Foraker, PhD, MA, FAHA (Committee Member)
Mary Beth Happ, PhD, RN, FAAN, FGSA (Committee Member)
Jennifer Kue, PhD (Committee Member)
Rita Pickler, PhD, RN, FAAN (Committee Member)
Po-Yin Yen, PhD, RN (Committee Member)
197 p.
Behavioral Sciences; Behaviorial Sciences; Computer Engineering; Computer Science; Health; Health Care; Health Care Management; Health Education; Information Science; Information Systems; Information Technology; Medicine; Mental Health; Nursing; Organization Theory; Psychology; Public Health; Systems Design; Systems Science; Technology
mHealth; mobile health; digital health; I-apps; behavior; lifestyle; diet; exercise; smoking; stress; depression; anxiety; breast cancer; survivors; cancer; neoplasm; health; technology; informatics; smartphones; eHealth; digital; relationships

Recommended Citations

Citations

  • Kelley, M. M. (2019). Engaging with mHealth to Improve Self-regulation: A Grounded Theory for Breast Cancer Survivors [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu157365193302496

    APA Style (7th edition)

  • Kelley, Marjorie. Engaging with mHealth to Improve Self-regulation: A Grounded Theory for Breast Cancer Survivors. 2019. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu157365193302496.

    MLA Style (8th edition)

  • Kelley, Marjorie. "Engaging with mHealth to Improve Self-regulation: A Grounded Theory for Breast Cancer Survivors." Doctoral dissertation, Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu157365193302496

    Chicago Manual of Style (17th edition)

osu157365193302496
285
© 2019, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.