F. Alethea Marti

Implications of Commerce and Urbanization for the Learning Environments of Everyday Life A Zinacantec Maya Family Across Time and Space

In recent decades, Maya ecocultural environments in Chiapas, Mexico, have undergone continuous change from more subsistence based to more commerce based and from more rural to more urban. Through ethnographic observations of one family during a 10-year period in rural and urban settings, activity settings analysis revealed changes on the micro level that reflected these shifts in the macro environment. The development of commerce between 1997 and 2007 led to increased reliance on technology, increases in individuation and individual choice, specialization for economic tasks, and for women, more formal education. Other changes in this period that were greatly intensified by urban dwelling included contact with strangers, contact with people of different ethnicities, and women’s economic achievement. Urban dwelling also introduced freedom for young women to have unchaperoned contact with young men.

Mobile Health Interventions for Psychiatric Conditions in Children: A Scoping Review

A scoping review was performed to determine what evidence exists to support the clinical use of mobile health (mHealth) interventions to address child psychiatric disorders. The review focused on children less than 18 years old who were diagnosed with a mental disorder, used an mHealth intervention, and included novel outcome data. Each study assessed feasibility of the intervention and concluded that the interventions were accepted and/or liked by patients. Of the 2 studies that examined effectiveness using a randomized controlled trial design, there were no statistically significant differences in clinical outcomes, but results were limited by small sample size.

Affordances of mHealth technology and the structuring of clinic communication

ABSTRACT Careful examination of communicative outcomes of mHealth technology is critical for understanding its capacity to shape the clinical interview and structure clinic communication. Drawing on a communicative affordances framework and adopting a video-based inductive analytic approach, we extend the concept of actualizations. We do so by examining the in situ communicative actions afforded by a mHealth web interface utilized during medication titration interviews with parents of children beginning stimulant medication for ADHD. We find that the web interface served five broad communicative functions that provided opportunities for improving information accuracy and for rendering clinical reasoning transparent, while jeopardizing opportunities for parents to narrativize medication experiences. We discuss clinical, theoretical, and methodological implications.