1
|
Hong F, Liu F, Li Y, Liu P. Evaluating a technologically enhanced rehabilitation programme for wound healing in patients with coronary heart disease. Int Wound J 2024; 21:e14568. [PMID: 38124400 PMCID: PMC10961874 DOI: 10.1111/iwj.14568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Revised: 12/04/2023] [Accepted: 12/04/2023] [Indexed: 12/23/2023] Open
Abstract
Wound healing symptoms in patients with coronary heart disease (CHD) are frequently problematic, potentially resulting in complications. In order to tackle this concern, a state-of-the-art rehabilitation programme was created, which incorporated telehealth, virtual reality and robotics in an effort to optimize wound healing in patients with coronary heart disease. The purpose of this research was to assess the efficacy of a rehabilitation programme that utilized cutting-edge technology in enhancing the outcomes of wound recovery for individuals diagnosed with (CHD). Data from 120 CHD patients who participated in this longitudinal randomized controlled trial of a specialized rehabilitation programme intended to promote wound repair were utilized in a cross-sectional analysis. Anthropometric measurements, sociodemographical factors, exercise capacity and the progression of wound recovery were gathered as data. The research participants were primarily comprised of older males from various socioeconomic backgrounds. Age, gender, BMI, socio-educational orientation, physical activity, identified regulation and identified regulation were all significant determinants of wound healing. The significance of customized strategies in cardiac rehabilitation programmes that aim to achieve favourable wound healing outcomes is underscored by these results. In conclusion, this study emphasized the importance of incorporating unique patient attributes when designing technologically advanced rehabilitation protocols aimed at facilitating wound recovery in patients with coronary heart disease. Personalized interventions that consider these variables could potentially result in improved outcomes for wound healing among this particular group of patients.
Collapse
Affiliation(s)
- Feifei Hong
- School of NursingTianjin University of Traditional Chinese MedicineTianjinChina
| | - Feifei Liu
- Department of Cardiovascular MedicineThe Second Affiliated hospital of Tianjin University of Traditional Chinese MedicineTianjinChina
| | - Yan Li
- School of NursingTianjin University of Traditional Chinese MedicineTianjinChina
| | - Pengxi Liu
- School of NursingTianjin University of Traditional Chinese MedicineTianjinChina
| |
Collapse
|
2
|
Hakami AM, Almutairi B, Alanazi AS, Alzahrani MA. Effect of Mobile Apps on Medication Adherence of Type 2 Diabetes Mellitus: A Systematic Review of Recent Studies. Cureus 2024; 16:e51791. [PMID: 38192533 PMCID: PMC10772302 DOI: 10.7759/cureus.51791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/07/2024] [Indexed: 01/10/2024] Open
Abstract
Medication adherence is a critical aspect of managing type 2 diabetes mellitus (T2DM) and achieving optimal clinical outcomes. Mobile app-based interventions have emerged as a promising tool to enhance adherence and glycemic control in T2DM patients. This systematic review aims to evaluate the effectiveness of mobile app interventions in improving medication adherence and glycated hemoglobin among T2DM patients. A comprehensive search was conducted in PubMed, Cochrane Library, and Google Scholar for studies published between September 2018 and September 2023. Studies were included if they were published in English and investigated the effectiveness of mobile apps in enhancing medication adherence among patients with T2DM. Studies were excluded if they included additional interventions, such as electronic pillboxes, phone calls, or SMS text messages, or if they focused on populations with chronic illnesses other than T2DM. Five studies involving 527 participants from diverse geographic locations were included in the review. The findings from the included studies show that mobile-based app interventions can significantly improve medication adherence in patients with T2DM. From the included studies, the mean HbA1c change for the intervention group was -0.664 (95%CI -0.823 to -0.506), while the mean change in HbA1c for the control group was -0.103 (95%CI -0.305 to 0.099). Studies have demonstrated the potential of mobile app-based interventions to enhance medication adherence and improve glycemic control in T2DM; further research is needed to determine the long-term effects of these interventions.
Collapse
Affiliation(s)
| | - Bader Almutairi
- Family Medicine, King Fahad Military Medical Complex, Dammam, SAU
| | - Ahmad S Alanazi
- Family Medicine, King Fahad Military Medical Complex, Dammam, SAU
| | | |
Collapse
|
3
|
Whealin JM, Saleem JJ, Armstrong CM, Roth J, Herout J. Automated Text Messaging During COVID-19: Patient Feedback to Increase Adoption. JOURNAL OF TECHNOLOGY IN BEHAVIORAL SCIENCE 2023; 8:1-11. [PMID: 36852102 PMCID: PMC9946868 DOI: 10.1007/s41347-023-00305-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 01/10/2023] [Accepted: 01/26/2023] [Indexed: 06/18/2023]
Abstract
Automated text messaging interventions can effectively improve self-care and were used to support the U.S. Veterans Health Administration's (VHA) public health outreach during the COVID pandemic. Currently, significant gaps exist in knowledge about VHA patients' texting protocol preferences that may impact user receptivity, engagement, and effectiveness. This study qualitatively evaluated patient suggestions to improve two VHA Covid-related texting interventions and preferences for future text message protocols. We reviewed cross-sectional type-written survey responses from patients receiving either the "Coronavirus Precautions" or the "Coping During COVID" multi-week text protocols. Two team members independently and inductively coded all responses allowing for an upward abstraction of qualitative data. Nine hundred five patients (72.8% male) responded to the open-response item questions targeted by this research. An item that sought feedback to improve protocol acceptability generated thirteen distinct descriptive categories (inter-rater reliability 83.5%). Codable feedback showed, for example, that patients desired to manipulate message frequency and to have a more sophisticated interaction with messages. Patients' suggestions for future automated text messaging protocols yielded nine distinct topic areas. Patients offered suggestions that may impact receptivity and engagement of future automated text message protocols, particularly as they relate to outreach during a public health crisis. In addition, patients offered specific topics they would like to see in future text message protocols. We discuss how the findings can be used to increase engagement in current and post-pandemic public health interventions.
Collapse
Affiliation(s)
- Julia M. Whealin
- Clinical Informatics Service, VA Pacific Islands Health Care System, Department of Veterans Affairs, HI 96819 Honolulu, USA
- University of Hawaii School of Medicine, Manoa, HI USA
| | - Jason J. Saleem
- Department of Industrial Engineering, University of Louisville, Louisville, KY USA
| | | | - Jennifer Roth
- St. Cloud VA Health Care System, Department of Veterans Affairs, MN St. Cloud, USA
| | - Jennifer Herout
- Office of Health Informatics, Department of Veterans Affairs, Washington, DC USA
| |
Collapse
|
4
|
Cao C, Dai H, Li D. How to promote the healthy development of continuous participation in smart medical and elderly care systems: The dual perspective of perceived value and risk. Digit Health 2023; 9:20552076231197425. [PMID: 37654713 PMCID: PMC10467248 DOI: 10.1177/20552076231197425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 08/09/2023] [Indexed: 09/02/2023] Open
Abstract
Objective In an environment with an ageing population, elderly care has become a focus of social attention. The combination of smart medical care with elderly care and how to encourage the elderly to participate in the systems and enjoy a higher quality of life have become social priorities. We aimed to analyse the perceived risk and value associations of self-health management-conscious older adults regarding smart medical and elderly care systems (SMECS) and to explore the mechanisms of SMECS affecting them. Methods Using a Likert scale, we conducted a questionnaire-based survey and collected 387 valid responses. This was a cross-sectional study, and various key data were collected relating to the continued participation of older users in SMECS. Partial least squares structural equation modelling was used to explore the data. Results According to the data analysis, price, operability and personalisation all have significant correlations with perceived value and perceived risk. Perceptions of value and risk influence the continuous participation of the elderly, and this has a potentially positive effect on their mental and physical health. Conclusions Under the home-based care model, economic factors and technological accessibility were important factors affecting the elderly's continuous participation in SMECS. A personalised programme for the elderly warrants attention. In addition, the effect of perceived risk from the health-related systems was stronger than their perceived value. This research can help elderly users bridge the digital divide and enjoy smart health and medical care.
Collapse
Affiliation(s)
- Cong Cao
- School of Management, Zhejiang University of Technology, Hangzhou, China
| | - Huangyi Dai
- School of Management, Zhejiang University of Technology, Hangzhou, China
| | - Dan Li
- School of Management, Zhejiang University of Technology, Hangzhou, China
| |
Collapse
|
5
|
Pratiwi H, Kristina SA, Widayanti AW, Prabandari YS, Kusuma IY. A Systematic Review of Compensation and Technology-Mediated Strategies to Maintain Older Adults' Medication Adherence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:803. [PMID: 36613130 PMCID: PMC9819645 DOI: 10.3390/ijerph20010803] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 12/24/2022] [Accepted: 12/28/2022] [Indexed: 06/16/2023]
Abstract
Elderly medication adherence is a challenge in health care. The elderly are often at higher risk for non-adherence, and more likely to be on multiple prescription medications for many comorbidities. This systematic review aimed to explore the current strategies for maintaining older adults' medication adherence with compensation and technology-mediated strategies. We conducted a systematic review to examine related articles published in the PubMed, Web of Science, and Scopus databases, as well as Google Scholar for additional reference sources by cross-reference review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to guide this review. A total of 217 articles were screened, and 27 studies fulfilled the inclusion criteria. Older adults applied a variety of methods to maintain or enhance their medication adherence. Three studies indicated compensation strategies, 19 studies reported technological assistance, two studies used other strategies (community-offered help or caregivers help), and three studies used a combination of compensation with another strategy or technology. Studies identified various compensation- and technology-based strategies carried out by older adults to help remind them to take medication. This review identified potential benefits of technology and compensation strategy implementation in older adults to increase medication adherence. Although we are conscious of the heterogeneity of the included studies, it remains challenging to determine which elements underpin the most effective approaches.
Collapse
Affiliation(s)
- Hening Pratiwi
- Doctoral Program in Pharmacy, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
- Department of Pharmacy, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto 53122, Indonesia
| | - Susi Ari Kristina
- Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
| | - Anna Wahyuni Widayanti
- Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
| | - Yayi Suryo Prabandari
- Department of Health Behavior, Environment, and Social Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
| | - Ikhwan Yuda Kusuma
- Pharmacy Study Program, Faculty of Health, Universitas Harapan Bangsa, Purwokerto 53182, Indonesia
| |
Collapse
|
6
|
Foster M, Xiong W, Quintiliani L, Hartmann CW, Gaehde S. Preferences of Older Adult Veterans With Heart Failure for Engaging With Mobile Health Technology to Support Self-care: Qualitative Interview Study Among Patients With Heart Failure and Content Analysis. JMIR Form Res 2022; 6:e41317. [PMID: 36538348 PMCID: PMC9812271 DOI: 10.2196/41317] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 11/09/2022] [Accepted: 11/14/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Heart failure (HF) affects approximately 6.5 million adults in the United States, disproportionately afflicting older adults. Mobile health (mHealth) has emerged as a promising tool to empower older adults in HF self-care. However, little is known about the use of this approach among older adult veterans. OBJECTIVE The goal of this study was to explore which features of an app were prioritized for older adult veterans with HF. METHODS Between January and July 2021, we conducted semistructured interviews with patients with heart failure aged 65 years and older at a single facility in an integrated health care system (the Veterans Health Administration). We performed content analysis and derived themes based on the middle-range theory of chronic illness, generating findings both deductively and inductively. The qualitative questions captured data on the 3 key themes of the theory: self-care maintenance, self-care monitoring, and self-care management. Qualitative responses were analyzed using a qualitative data management platform, and descriptive statistics were used to analyze demographic data. RESULTS Among patients interviewed (n=9), most agreed that a smartphone app for supporting HF self-care was desirable. In addition to 3 a priori themes, we identified 7 subthemes: education on daily HF care, how often to get education on HF, support of medication adherence, dietary restriction support, goal setting for exercises, stress reduction strategies, and prompts of when to call a provider. In addition, we identified 3 inductive themes related to veteran preferences for app components: simplicity, ability to share data with caregivers, and positive framing of HF language. CONCLUSIONS We identified educational and tracking app features that can guide the development of HF self-care for an older adult veteran population. Future research needs to be done to extend these findings and assess the feasibility of and test an app with these features.
Collapse
Affiliation(s)
- Marva Foster
- VA Boston Healthcare System, Center for Healthcare Organization and Implementation Research, Boston, MA, United States
- Department of General Internal Medicine, School of Medicine, Boston University, Boston, MA, United States
| | - Wei Xiong
- Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States
| | - Lisa Quintiliani
- Department of General Internal Medicine, School of Medicine, Boston University, Boston, MA, United States
| | - Christine W Hartmann
- VA Bedford Healthcare System, Center for Healthcare Organization and Implementation Research, Bedford, MA, United States
- Department of Public Health, Zuckerberg College of Health Sciences, University of Massachusetts, Lowell, MA, United States
| | - Stephan Gaehde
- VA Boston Healthcare System, Department of Medicine, Section of Emergency Services, Boston, MA, United States
- Department of Medicine, School of Medicine, Boston University, Boston, MA, United States
| |
Collapse
|
7
|
Irnawati, Laksana FF, Hardini DS, Lufianti A, Sulistyanto BA, Sansuwito TB, Muliani R, Hadiyanto H, Lusiani M, Hayati S, Amir MD, Armayani, Desriva N, Mulyani S, Anggraini NA, Ambarika R, Azizah F, Maidartati, Poddar R. Users' perceptions of the "My Medicine" mobile app usability. J Public Health Res 2022; 11:22799036221115782. [PMID: 36277233 PMCID: PMC9583208 DOI: 10.1177/22799036221115782] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2022] [Accepted: 07/09/2022] [Indexed: 11/17/2022] Open
Abstract
Introduction One of the causes of health problems is the use of drugs irrationally, which can result in therapy becoming less effective and inefficient. According to World Health Organization (WHO), more than 50% of the world's drugs are prescribed and used improperly. People still lack information about drugs, how to use drugs and how to get drugs. My Medicine is a drug data information system, how to use drugs, and map locations of pharmacies that sell drugs. This study aims to evaluate the user perception of the use of my medicine. Materials and methods The method in this study was a quantitative study with a cross-sectional approach. One hundred twenty respondents were included in this study involving communities in Pekalongan district by using univariate analysis. Results The result was 82% of the respondents explained that the performance or interface user of the My Medicine App was very good and the language was easy to understand, 82% of the respondents said that the information on the My Medicine App is needed daily, 84% of the respondents said that My Medicine App easy to access from the mobile phone, 80% of the respondents explained the data provided in the My Medicine App was accurate and as what they are expected. Conclusion The conclusion is My Medicine App has a very good performance, the language is easy to understand, the information is needed daily, the app is easy to access through a mobile phone. The data presented in the My Medicine Application is accurate, and by user expectations.
Collapse
Affiliation(s)
- Irnawati
- Department of Nursing, Faculty of
Health Sciences, University of Muhammadiyah Pekajangan Pekalongan (UMPP),
Indonesia,Irnawati, Faculty of Health Sciences,
University of Muhammadiyah Pekajangan Pekalongan (UMPP), Jl. Raya Ambokembang
No. 8, Kambang Tengah, Ambokembang, Kec. Kedungwuni, Kabupaten Pekalongan, Jawa
Tengah 51172, Indonesia.
| | - Feri Febria Laksana
- Faculty of Information Technology,
University of Nahdlatul Ulama (UNU) Yogyakarta, Indonesia
| | - Deisy Sri Hardini
- Department of Nursing, Faculty of
Health Sciences, University of Muhammadiyah Purwokerto, Indonesia
| | - Anita Lufianti
- Department of Nursing, Faculty of
Health Sciences, University of Annur Purwodadi, Indonesia
| | - Benny Arief Sulistyanto
- Department of Nursing, Faculty of
Health Sciences, University of Muhammadiyah Pekajangan Pekalongan (UMPP),
Indonesia
| | - Tukimin bin Sansuwito
- Faculty of Applied Sciences, Lincoln
University College of Malaysia, Petaling Jaya, Selangor, Malaysia
| | - Rizki Muliani
- Department of Nursing, Faculty of
Nursing, University of Bhakti Kencana, Indonesia
| | - Hendri Hadiyanto
- Department of Nursing, Faculty of
Health, University of Muhammadiyah Sukabumi, Indonesia
| | - Milawati Lusiani
- Department of Nursing, Faculty of
Nursing, University of Faletehan, Serang, Banten, Indonesia
| | - Sri Hayati
- Department of Nursing, Faculty of
Nursing, University of Adhirajasa Reswara Sanjaya, Bandung, Indonesia
| | | | - Armayani
- Department of Faculty of Nursing,
University of Mandala Waluya Kendari, Indonesia
| | - Nia Desriva
- Department of Obstetrics, College of
Health Sciences General Pekanbaru Medical Center, Indonesia
| | - Sri Mulyani
- Department of Nursing, College of
Health Sciences General Rajekwesi Bojonegoro, Indonesia
| | - Novita Ana Anggraini
- Department of Nursing, Institute of
Health Sciences STRADA Indonesia, Kediri, Indonesia
| | - Rahmania Ambarika
- Department of Nursing, Institute of
Health Sciences STRADA Indonesia, Kediri, Indonesia
| | - Fidrotin Azizah
- Department of Nursing, College of
Health Sciences General Rajekwesi Bojonegoro, Indonesia
| | - Maidartati
- Department of Nursing, Faculty of
Nursing, University of Adhirajasa Reswara Sanjaya, Bandung, Indonesia
| | - Ruma Poddar
- Lincoln University College, Petaling
Jaya, Selangor, Malaysia
| |
Collapse
|
8
|
Chaudhry BM, Dasgupta D, Chawla NV. Successful Aging for Community-Dwelling Older Adults: An Experimental Study with a Tablet App. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13148. [PMID: 36293730 PMCID: PMC9603432 DOI: 10.3390/ijerph192013148] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 09/17/2022] [Accepted: 09/24/2022] [Indexed: 05/08/2023]
Abstract
Mobile health (mHealth) technologies offer an opportunity to enable the care and support of community-dwelling older adults, however, research examining the use of mHealth in delivering quality of life (QoL) improvements in the older population is limited. We developed a tablet application (eSeniorCare) based on the Successful Aging framework and investigated its feasibility among older adults with low socioeconomic status. Twenty five participants (females = 14, mean age = 65 years) used the app to set and track medication intake reminders and health goals, and to play selected casual mobile games for 24 weeks. The Older person QoL and Short Health (SF12v2) surveys were administered before and after the study. The Wilcoxon rank tests were used to determine differences from baseline, and thematic analysis was used to analyze post-study interview data. The improvements in health-related QoL (HRQoL) scores were statistically significant (V=41.5, p=0.005856) across all participants. The frequent eSeniorCare users experienced statistically significant improvements in their physical health (V=13, p=0.04546) and HRQoL (V=7.5, p=0.0050307) scores. Participants reported that the eSeniorCare app motivated timely medication intake and health goals achievement, whereas tablet games promoted mental stimulation. Participants were willing to use mobile apps to self-manage their medications (70%) and adopt healthy activities (72%), while 92% wanted to recommend eSeniorCare to a friend. This study shows the feasibility and possible impact of an mHealth tool on the health-related QoL in older adults with a low socioeconomic status. mHealth support tools and future research to determine their effects are warranted for this population.
Collapse
Affiliation(s)
- Beenish Moalla Chaudhry
- School of Computing and Informatics, University of Louisiana at Lafayette, 104 E. University Circle, Lafayette, LA 70501, USA
| | - Dipanwita Dasgupta
- Department of Computer Science and Engineering, University of Notre Dame, Indiana, IN 46656, USA
| | - Nitesh V. Chawla
- Department of Computer Science and Engineering, University of Notre Dame, Indiana, IN 46656, USA
| |
Collapse
|
9
|
Kalgotra P, Raja U, Sharda R. Growth in the development of health and fitness mobile apps amid COVID-19 pandemic. Digit Health 2022; 8:20552076221129070. [PMID: 36211794 PMCID: PMC9536106 DOI: 10.1177/20552076221129070] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Accepted: 11/09/2022] [Indexed: 11/12/2022] Open
Abstract
Objectives Technology in the form of mobile apps has played an essential role in facilitating, tracking, and maintaining health and fitness activities during the pandemic. When countries opted for partial or complete lockdowns to contain the spread of the coronavirus disease 2019 virus, it led to people working on their health and fitness-related activities from their homes, just as they continued working from home. This paper aims to quantify the impact of coronavirus disease 2019 on the development of health and fitness mobile apps. Specifically, we compute the effect of coronavirus disease 2019 on the growth of different sub-categories of health and fitness apps. Methods We scraped data about a population of 78,890 health and fitness apps from the iOS App Store. First, categories of health and fitness apps are identified using text analysis on the descriptions of apps. Second, the rise in the development of new apps is analyzed. To quantify the impact of coronavirus disease 2019 on the growth of the health and fitness apps, multiple time-series forecasting models are created for different categories of health and fitness apps. Results The text analysis identified twelve different types of health and fitness apps on the app market. Our models estimated that the number of health and fitness apps on the iOS app market exceeded the expected growth by 29.9% after the pandemic. The results of all categories of health and fitness are discussed in the paper. Conclusions Our analysis found significant growth in the development of new health and fitness apps after the pandemic outbreak. The post hoc study of the population of health and fitness apps presented the current state of this particular area of the app market. In addition, it provided potential growth areas in app markets where there are fewer apps.
Collapse
Affiliation(s)
- Pankush Kalgotra
- Department of Business Analytics and Information Systems, Harbert College of Business, Auburn University, Auburn, AL, USA,Pankush Kalgotra, 222 Lowder Business Building, Raymond J. Harbert College of Business, Auburn University, Auburn, AL 36849, USA
| | - Uzma Raja
- Department of Business Analytics and Information Systems, Harbert College of Business, Auburn University, Auburn, AL, USA
| | - Ramesh Sharda
- Spears School of Business, Oklahoma State University, Stillwater, OK, USA
| |
Collapse
|
10
|
Emadi F, Ghanbarzadegan A, Ghahramani S, Bastani P, Baysari MT. Factors affecting medication adherence among older adults using tele-pharmacy services: a scoping review. Arch Public Health 2022; 80:199. [PMID: 36042508 PMCID: PMC9429665 DOI: 10.1186/s13690-022-00960-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Accepted: 08/22/2022] [Indexed: 11/21/2022] Open
Abstract
Background Medication adherence among older adults (aged 60 and above), particularly those with chronic conditions who take several medications, is critical, and tele-pharmacy services are a way to improve medication adherence. This study sought to determine the factors influencing medication adherence (MA) in older adults using tele-pharmacy services. Method The Joana Briggs Institute scoping review methodology was implemented. Searches were conducted in databases PubMed, Scopus, ProQuest, Web of Science, and Embase from 2000 to the present day, to identify both qualitative and quantitative studies focusing on the use of tele-pharmacy by older people. Factors impacting MA were extracted and analyzed into themes using a qualitative approach. A concept map was also designed summarising these factors. Results Of 7495 articles obtained in the initial search, 52 articles met the inclusion criteria. The analysis resulted in 5 themes and 21 sub-themes representing factors that impacted MA with tele-pharmacy. These themes are divided broadly into technology and user related factors. Technology factors included design of the tele-pharmacy intervention, commercial aspects, and adherence measurement method. User factors included user-health constraints, behaviors and perceptions. Conclusion Industry, policymakers, and stakeholders should consider using tele-pharmacy services for improving medication adherence among older adults; however, ensuring interventions facilitate communication between patients and health care teams, and are accompanied by user training and support, is essential for technology uptake and effectiveness. Supplementary Information The online version contains supplementary material available at 10.1186/s13690-022-00960-w.
Collapse
|
11
|
Guasti L, Dilaveris P, Mamas MA, Richter D, Christodorescu R, Lumens J, Schuuring MJ, Carugo S, Afilalo J, Ferrini M, Asteggiano R, Cowie MR. Digital health in older adults for the prevention and management of cardiovascular diseases and frailty. A clinical consensus statement from the ESC Council for Cardiology Practice/Taskforce on Geriatric Cardiology, the ESC Digital Health Committee and the ESC Working Group on e-Cardiology. ESC Heart Fail 2022; 9:2808-2822. [PMID: 35818770 DOI: 10.1002/ehf2.14022] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 04/04/2022] [Accepted: 06/03/2022] [Indexed: 12/14/2022] Open
Abstract
Digital health technology is receiving increasing attention in cardiology. The rise of accessibility of digital health tools including wearable technologies and smart phone applications used in medical practice has created a new era in healthcare. The coronavirus pandemic has provided a new impetus for changes in delivering medical assistance across the world. This Consensus document discusses the potential implementation of digital health technology in older adults, suggesting a practical approach to general cardiologists working in an ambulatory outpatient clinic, highlighting the potential benefit and challenges of digital health in older patients with, or at risk of, cardiovascular disease. Advancing age may lead to a progressive loss of independence, to frailty, and to increasing degrees of disability. In geriatric cardiology, digital health technology may serve as an additional tool both in cardiovascular prevention and treatment that may help by (i) supporting self-caring patients with cardiovascular disease to maintain their independence and improve the management of their cardiovascular disease and (ii) improving the prevention, detection, and management of frailty and supporting collaboration with caregivers. Digital health technology has the potential to be useful for every field of cardiology, but notably in an office-based setting with frequent contact with ambulatory older adults who may be pre-frail or frail but who are still able to live at home. Cardiologists and other healthcare professionals should increase their digital health skills and learn how best to apply and integrate new technologies into daily practice and how to engage older people and their caregivers in a tailored programme of care.
Collapse
Affiliation(s)
- Luigina Guasti
- University of Insubria - Department of Medicine and Surgery; ASST-settelaghi, Varese, Italy
| | - Polychronis Dilaveris
- First Department of Cardiology, Hippokration Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - Mamas A Mamas
- Keele Cardiovascular Research Group, Centre for Prognosis Research, Keele University, Keele, UK
| | | | | | - Joost Lumens
- CARIM School for Cardiovascular Diseases, Maastricht University Medical Center, Maastricht, The Netherlands
| | - Mark J Schuuring
- Department of Cardiology, Amsterdam UMC location AMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Stefano Carugo
- University of Milan, Cardiology, Policlinico di Milano, Milan, Italy
| | - Jonathan Afilalo
- Division of Experimental Medicine, McGill University; Centre for Clinical Epidemiology, Jewish General Hospital; Division of Cardiology, Jewish General Hospital, McGill University; Research Institute, McGill University Health Centre, Montreal, Quebec, Canada
| | | | - Riccardo Asteggiano
- University of Insubria - Department of Medicine and Surgery; ASST-settelaghi, Varese, Italy.,LARC (Laboratorio Analisi e Ricerca Clinica), Turin, Italy
| | - Martin R Cowie
- Royal Brompton Hospital (Guy's& St Thomas' NHS Foundation Trust) & Faculty of Lifesciences & Medicine, King's College London, London, UK
| |
Collapse
|
12
|
Ping Y, Visaria A, Suppiah SD, Tan YW, Malhotra R. Prevalence and correlates of medication reminder app ‘use and use intention’ among older adults. EXPLORATORY RESEARCH IN CLINICAL AND SOCIAL PHARMACY 2022; 6:100150. [PMID: 35755719 PMCID: PMC9218158 DOI: 10.1016/j.rcsop.2022.100150] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Revised: 04/20/2022] [Accepted: 06/03/2022] [Indexed: 11/27/2022] Open
Abstract
Background Medication adherence is relatively poor among older adults. Although there exist medication reminder apps, data on the prevalence and correlates of their ‘use and use intention’ by older adults are limited. Objective To examine the prevalence, and socio-demographic and health correlates of medication reminder app use and use intention among older adults in Singapore. Methods Data from a nationally representative survey of 2228 adults aged 62 years and above, who were taking at least one prescription medication, were analysed. Medication reminder app use (in the past one month) and use intention (in the next one month) were self-reported. Bivariate and multivariable logistic regression models were used to identify the correlates of medication reminder app use and use intention. Results The prevalence of medication reminder app use and use intention was low at 2.6% (comprising 0.5% for use and 2.1% for use intention). Age, ethnicity, education level, previous participation in information technology/computer-related courses, comorbidity, health literacy, medication adherence and polypharmacy were correlated with app use and use intention in multivariable analyses. Conclusion The very low prevalence of medication reminder app use and use intention among older adults in Singapore and identified correlates point to opportunities to increase the use of such apps.
Collapse
Affiliation(s)
- Yongjing Ping
- Health Services and Systems Research, Duke-NUS Medical School, Singapore
| | - Abhijit Visaria
- Centre for Ageing Research and Education, Duke-NUS Medical School, Singapore
| | | | - Yi Wen Tan
- Centre for Ageing Research and Education, Duke-NUS Medical School, Singapore
| | - Rahul Malhotra
- Health Services and Systems Research, Duke-NUS Medical School, Singapore
- Centre for Ageing Research and Education, Duke-NUS Medical School, Singapore
- Corresponding author at: Centre for Ageing Research and Education, Duke-NUS Medical School, Singapore, 8 College Road, Level 4, 169857, Singapore.
| |
Collapse
|
13
|
Ahmad NA, Mat Ludin AF, Shahar S, Mohd Noah SA, Mohd Tohit N. Willingness, perceived barriers and motivators in adopting mobile applications for health-related interventions among older adults: a scoping review. BMJ Open 2022; 12:e054561. [PMID: 35264349 PMCID: PMC8915330 DOI: 10.1136/bmjopen-2021-054561] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES This scoping review aims to identify the level of willingness, the existing barriers, and motivators among older adults in using mobile applications to monitor and manage their health conditions. The secondary aim of this paper is to categorise these willingness, barriers and motivators using the Theoretical Domains Framework (TDF). DESIGN Scoping review. DATA SOURCE PubMed, Embase, CINAHL, Cochrane Library, Google Scholar and Science Direct (January 2009-December 2020). STUDY SELECTION Studies that describe older adults' perspectives with regard to their willingness, barriers or motivators towards the use of mobile applications in monitoring and managing their health condition were included. DATA EXTRACTION Titles and abstracts were initially screened by two reviewers. Articles agreed by both reviewers were proceeded to full-text screening. One reviewer extracted the data, which were verified by a second reviewer. Findings were further classified according to the 14 TDF domains by two researchers. RESULTS Six studies were included in the final scoping review. Barriers to adopting mobile applications for health-related interventions among older adults were the most common topic identified in the included studies. Barriers included being unaware of the existence of mobile health applications, lack of technological skills, lack of perceived ability and time, absence of professional involvements, and violation of trust and privacy. With regard to willingness, older adults are willing to use mobile applications if the apps incorporated features from a trusted source and have valid credentials. Motivators included continuous improvements of mobile applications' design interface and personalised features tailored to older adults' needs. CONCLUSIONS With the constant research for more diversified technology, the development of mobile applications to help older adults to manage and monitor health is seen as feasible, but barriers have to be addressed. The most prominent barriers linked to TDF domains were: (1) technological skills, (2) belief about consequences, and (3) memory, attention and decision process. Future interventions should use behaviour change techniques that target these three TDF domains in order to improve the ability to engage older adults with mobile technology.
Collapse
Affiliation(s)
- Nurul Asilah Ahmad
- Center for Healthy Ageing and Wellness, National University of Malaysia, Faculty of Health Sciences, Kuala Lumpur, Wilayah Persekutuan, Malaysia
| | - Arimi Fitri Mat Ludin
- Center for Healthy Ageing and Wellness, National University of Malaysia, Faculty of Health Sciences, Kuala Lumpur, Wilayah Persekutuan, Malaysia
- Biomedical Science Programme, Universiti Kebangsaan Malaysia Faculty of Health Sciences, Kuala Lumpur, Malaysia
| | - Suzana Shahar
- Center for Healthy Ageing and Wellness, National University of Malaysia, Faculty of Health Sciences, Kuala Lumpur, Wilayah Persekutuan, Malaysia
| | - Shahrul Azman Mohd Noah
- Faculty of Information, Science and Technology, Universiti Kebangsaan Malaysia, Bangi, Selangor, Malaysia
| | - Noorlaili Mohd Tohit
- Department of Family Medicine, Universiti Kebangsaan Malaysia, Bangi, Selangor, Malaysia
| |
Collapse
|
14
|
Wang G, Bailey JF, Yang M, Krauss J. Older Adult Use and Outcomes in a Digital Musculoskeletal (MSK) Program, by Generation. Front Digit Health 2021; 3:693170. [PMID: 34713170 PMCID: PMC8521841 DOI: 10.3389/fdgth.2021.693170] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Accepted: 07/09/2021] [Indexed: 11/30/2022] Open
Abstract
Objective: We investigated use and clinical outcomes in a digital musculoskeletal (MSK) program, by generation. Method: This longitudinal study uses retrospective data collected online or by app. The study included adults with 12 or more weeks of pain who took part in a digital MSK program. We compared Gen Z and Millennials, Gen X, working age Baby Boomers, and retiree age Baby Boomer and Silent Generation. Program use outcomes were program start, program completion, and number of exercises, educational articles, and messages to coaches. Clinical outcomes were changes in pain, depression, and anxiety from baseline to 12 weeks. We calculated descriptive statistics and conducted adjusted regression models. Results: Odds of starting the program were significantly higher for Gen Xers (OR: 1.12) and working age Baby Boomers (OR: 1.37) vs. Gen Zers and Millennials. Compared to Gen Zers and Millennials, we observed significantly higher odds of program completion among Gen Xers (OR: 1.62), working age Baby Boomers (OR: 2.24), and retirees (OR: 2.36). Compared to Gen Zers and Millennials, retirees had 19 more exercise sessions (IRR: 1.69), accessed 11 more articles (IRR: 1.84), and sent 4 more messages to coaches (IRR: 1.26). Compared to Gen Z and Millennials, we observed no significant differences in change in pain for Gen Xers, working age Baby Boomers, or retirees. Conclusions: Adults from multiple generations took part in a digital MSK program. Findings suggest that older generations used a digital MSK program more than younger generations, but had similar pain outcomes.
Collapse
Affiliation(s)
- Grace Wang
- Director of Clinical Research, Hinge Health, Inc., San Francisco, CA, United States
| | - Jeannie F Bailey
- Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA, United States
| | - Manshu Yang
- Department of Psychology, University of Rhode Island, Kingston, NY, United States
| | - Jeffrey Krauss
- Hinge Health, Inc., San Francisco, CA, United States.,Department of Orthopedics (Physical Medicine and Rehabilitation Division), Stanford University, Stanford, CA, United States
| |
Collapse
|
15
|
Islam SMS, Mishra V, Siddiqui MU, Moses JC, Adibi S, Nguyen L, Wickramasinghe N. Smartphone Apps for Diabetes Medication Adherence: A Systematic Review (Preprint). JMIR Diabetes 2021; 7:e33264. [PMID: 35727613 PMCID: PMC9257622 DOI: 10.2196/33264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 02/24/2022] [Accepted: 04/08/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Sheikh Mohammed Shariful Islam
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Faculty of Health, Deakin University, Melbourne, Australia
| | - Vinaytosh Mishra
- College of Healthcare Management and Economics, Gulf Medical University, Ajman, United Arab Emirates
| | - Muhammad Umer Siddiqui
- Department of Internal Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States
| | | | - Sasan Adibi
- School of Information Technology, Deakin University, Burwood, Australia
| | - Lemai Nguyen
- School of Information Technology, Deakin University, Burwood, Australia
| | - Nilmini Wickramasinghe
- Iverson Health Innovation Research Institute, Swinburne University of Technology, Melbourne, Australia
| |
Collapse
|
16
|
Wilson J, Heinsch M, Betts D, Booth D, Kay-Lambkin F. Barriers and facilitators to the use of e-health by older adults: a scoping review. BMC Public Health 2021; 21:1556. [PMID: 34399716 PMCID: PMC8369710 DOI: 10.1186/s12889-021-11623-w] [Citation(s) in RCA: 117] [Impact Index Per Article: 39.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Accepted: 08/11/2021] [Indexed: 11/29/2022] Open
Abstract
Background Limited attention has been paid to how and why older adults choose to engage with technology-facilitated health care (e-health), and the factors that impact on this. This scoping review sought to address this gap. Methods Databases were searched for papers reporting on the use of e-health services by older adults, defined as being aged 60 years or older, with specific reference to barriers and facilitators to e-health use. Result 14 papers were included and synthesised into five thematic categories and related subthemes. Results are discussed with reference to the Unified Theory of Acceptance and Use of Technology2. The most prevalent barriers to e-health engagement were a lack of self-efficacy, knowledge, support, functionality, and information provision about the benefits of e-health for older adults. Key facilitators were active engagement of the target end users in the design and delivery of e-health programs, support for overcoming concerns privacy and enhancing self-efficacy in the use of technology, and integration of e-health programs across health services to accommodate the multi-morbidity with which older adults typically present. Conclusion E-health offers a potential solution to overcome the barriers faced by older adults to access timely, effective, and acceptable health care for physical and mental health. However, unless the barriers and facilitators identified in this review are addressed, this potential will not be realised. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11623-w.
Collapse
Affiliation(s)
- Jessica Wilson
- Centre for Brain and Mental Health Research, University of Newcastle, Callaghan, NSW, 2308, Australia.
| | - Milena Heinsch
- Centre for Brain and Mental Health Research, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - David Betts
- School of Humanities and Social Science, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Debbie Booth
- University Library, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Frances Kay-Lambkin
- Centre for Brain and Mental Health Research, University of Newcastle, Callaghan, NSW, 2308, Australia
| |
Collapse
|
17
|
Praus F, Krzowski B, Walther T, Gratzke C, Balsam P, Miernik A, Pohlmann PF. Smartphone applications managing antithrombotic therapy: a scoping literature review (Preprint). JMIR Cardio 2021; 6:e29481. [PMID: 35727608 PMCID: PMC9257616 DOI: 10.2196/29481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 07/16/2021] [Accepted: 03/30/2022] [Indexed: 11/18/2022] Open
Abstract
Background Antithrombotic therapy is complex and requires informed decisions and high therapy adherence. Several mobile phone apps exist to either support physicians in the management of antithrombotic therapies or to educate and support patients. For the majority of these apps, both their medical evidence and their development background are unknown. Objective This review aims to investigate the available literature describing high-quality apps for managing antithrombotic therapy based on professional scientific information. Methods Keywords and Medical Subject Heading terms were used to search MEDLINE via PubMed and Ovid between December 2019 and January 2022. Inclusion criteria were the availability of full text and publications in the English language. Apps that solely focused on atrial fibrillation were excluded. Qualitative findings were thematically synthesized and reported narratively. Results Out of 149 identified records, 32 were classified as eligible. We identified four groups: (1) apps for patients supporting self-management of vitamin K antagonists, (2) apps for patients increasing therapy adherence, (3) educational apps for patients, and (4) apps for physicians in supporting guideline adherence. Conclusions Throughout the evaluated data, patients from all age groups receiving antithrombotic drugs expressed the desire for a digital tool that could support their therapy management. In addition, physicians using mobile guideline-based apps may have contributed to decreased adverse event rates among their patients. In general, digital apps encompassing both user-friendly designs and scientific backgrounds may enhance the safety of antithrombotic therapies. However, our evaluation did not identify any apps that addressed all antithrombotic drugs in combination with perioperative stratification strategies. Currently, strict regulations for smartphone apps seem to negatively affect the development of new apps. Therefore, new legal policies for medical digital apps are urgently needed.
Collapse
Affiliation(s)
- Friederike Praus
- Department of Urology, Faculty of Medicine, University of Freiburg-Medical Centre, Freiburg, Germany
| | - Bartosz Krzowski
- First Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
| | - Tabea Walther
- Department of Urology, Faculty of Medicine, University of Freiburg-Medical Centre, Freiburg, Germany
| | - Christian Gratzke
- Department of Urology, Faculty of Medicine, University of Freiburg-Medical Centre, Freiburg, Germany
| | - Paweł Balsam
- First Department of Cardiology, Medical University of Warsaw, Warsaw, Poland
| | - Arkadiusz Miernik
- Department of Urology, Faculty of Medicine, University of Freiburg-Medical Centre, Freiburg, Germany
| | - Philippe Fabian Pohlmann
- Department of Urology, Faculty of Medicine, University of Freiburg-Medical Centre, Freiburg, Germany
| |
Collapse
|
18
|
Schorr EN, Gepner AD, Dolansky MA, Forman DE, Park LG, Petersen KS, Still CH, Wang TY, Wenger NK. Harnessing Mobile Health Technology for Secondary Cardiovascular Disease Prevention in Older Adults: A Scientific Statement From the American Heart Association. Circ Cardiovasc Qual Outcomes 2021; 14:e000103. [PMID: 33793309 DOI: 10.1161/hcq.0000000000000103] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Secondary prevention of cardiovascular disease (CVD), the leading cause of morbidity and mortality, is critical to improving health outcomes and quality of life in our aging population. As mobile health (mHealth) technology gains universal leverage and popularity, it is becoming more user-friendly for older adults and an adjunct to manage CVD risk and improve overall cardiovascular health. With the rapid advances in mHealth technology and increasing technological engagement of older adults, a comprehensive understanding of the current literature and knowledge of gaps and barriers surrounding the impact of mHealth on secondary CVD prevention is essential. After a systematic review of the literature, 26 studies that used mHealth for secondary CVD prevention focusing on lifestyle behavior change and medication adherence in cohorts with a mean age of ≥60 years were identified. Improvements in health behaviors and medication adherence were observed, particularly when there was a short message service (ie, texting) component involved. Although mobile technologies are becoming more mainstream and are starting to blend more seamlessly with standard health care, there are still distinct barriers that limit implementation particularly in older adults, including affordability, usability, privacy, and security issues. Furthermore, studies on the type of mHealth that is the most effective for older adults with longer study duration are essential as the field continues to grow. As our population ages, identifying and implementing effective, widely accepted, cost-effective, and time-efficient mHealth interventions to improve CVD health in a vulnerable demographic group should be a top health priority.
Collapse
|
19
|
Knaepen L, Delesie M, Theunis R, Vijgen J, Dendale P, Desteghe L, Heidbuchel H. A new smartphone application for integrated transmural care of atrial fibrillation, AF-EduApp: Usability and validation study. Digit Health 2021; 7:20552076211067105. [PMID: 34992790 PMCID: PMC8725214 DOI: 10.1177/20552076211067105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Accepted: 11/29/2021] [Indexed: 11/15/2022] Open
Abstract
Introduction Digital technology creates the opportunity to develop and evaluate new tools, such as smartphone applications, to support integrated atrial fibrillation management. This study aimed to develop, evaluate, and validate a new, integrated care application (AF-EduApp) mainly focusing on targeted atrial fibrillation education to improve patient self-care capabilities and therapy adherence. Methods The newly developed AF-EduApp, available for Android and iOS, consists of six different modules. The prototype was validated and optimized for its usability and functionality at Jessa Hospital Hasselt and Antwerp University Hospital in two phases: (1) validity evaluation with interviews of an expert panel with 15 healthcare professionals and 10 atrial fibrillation patients, and (2) a pilot study of 1 month with 20 atrial fibrillation patients. Results Both experts and patients found that the application aids atrial fibrillation management. Based on the input of patients and experts, the main optimizations concerned the medication module (patient choice on setting reminder; interactivity of reminders with a “taken” or “snooze” function) and development of a clinical dashboard for the caregivers allowing telemonitoring of measurements and feedback to the patients. After the pilot study ( n = 20), 16 patients indicated they wanted to use the app for a longer period. The measurement (27%) and education (17%) modules were the two most used modules with a significant improvement in knowledge (71.9% to 87.5%; P = 0.013). Discussion The AF-EduApp received a positive evaluation from health professionals and atrial fibrillation patients. Further development should be focused on the medication module and improvement of the clinical dashboard.
Collapse
Affiliation(s)
- Lieselotte Knaepen
- Faculty of Medicine and Life Sciences, Hasselt University, Belgium
- Heart Center Hasselt, Jessa Hospital, Belgium
- Antwerp University Hospital, Belgium
- Research Group Cardiovascular Diseases, University of Antwerp, Belgium
| | - Michiel Delesie
- Faculty of Medicine and Life Sciences, Hasselt University, Belgium
- Antwerp University Hospital, Belgium
- Research Group Cardiovascular Diseases, University of Antwerp, Belgium
| | | | | | - Paul Dendale
- Faculty of Medicine and Life Sciences, Hasselt University, Belgium
- Heart Center Hasselt, Jessa Hospital, Belgium
| | - Lien Desteghe
- Faculty of Medicine and Life Sciences, Hasselt University, Belgium
- Heart Center Hasselt, Jessa Hospital, Belgium
- Antwerp University Hospital, Belgium
- Research Group Cardiovascular Diseases, University of Antwerp, Belgium
| | - Hein Heidbuchel
- Faculty of Medicine and Life Sciences, Hasselt University, Belgium
- Antwerp University Hospital, Belgium
- Research Group Cardiovascular Diseases, University of Antwerp, Belgium
| |
Collapse
|
20
|
Dasgupta D, Chaudhry B, Greeves K, Long J, Duarte M, Chawla N. A Tablet-based App for Successful Aging in Community-Dwelling Older Adults with Low Socioeconomic Status: A Feasibility Study (Preprint). JMIR Aging 2020. [DOI: 10.2196/26686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|