The Impact of Information Technology on Patient Engagement and Health Behavior Change: A Systematic Review of the Literature

Sawesi, Suhila; Rashrash, Mohamed; Phalakornkule, Kanitha; Carpenter, Janet S.; Jones, Josette

doi:10.2196/medinform.4514

Cited by 213 publications

(170 citation statements)

References 198 publications

(187 reference statements)

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“…Traditionally, patients have tried to physically obtain medical information from ordinary health professionals (doctors, pharmacists and nurses). However, the expansion and generalization of the use of ICTs has implied a radical change in how we obtain information about health and manage diseases [3,4,5,11,12]. While health professionals continue to be the main source of information about diseases (the first option of 75.5% (462/611) of patients is to turn to their doctor), 61.3% (375/611) (55% in the study by An LC et al [13]) also resort to the Internet for information.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, remote monitoring by health professionals is currently one of the least used functions, although it has the greatest potential for use [18][19][20][21] as one in three patients would like to have an app with this feature. Providing a new means of communication through ICTs could offer patients the opportunity to get involved in their disease and assume more responsibility with regards to monitoring their health, thus promoting patient empowerment [5,6,9,22,23]. That is why an easy to use app would prove to be a complete tool for this type of patient.…”

Section: Discussionmentioning

confidence: 99%

“…The use of wireless, portable devices (smartphones, tablets, wearables, and smartwatches) facilitates the collection, processing, and transmission of patient health information through mobile applications (apps) and remote monitoring devices. All these features can present several advantages, such as developing the active role of patients in their own health care and affording health professionals real-time access to patient clinical information [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Oncology Patient Interest in the Use of New Technologies to Manage Their Disease: Cross-Sectional Survey (Preprint)

Collado-Borrell¹,

Escudero‐Vilaplana²,

Calles³

et al. 2018

Preprint

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Background: Information and communication technologies (ICTs) in oncology can revolutionize the medical care of cancer patients. ICTs can promote patient's empowerment and real-time disease monitoring. There is limited information about the impact of ICTs in cancer patients of ICTs in this patient group or indeed their level of interest in using these tools for greater management of their condition.Objective: We aimed to understand the ICT usage profile in hematology-oncology patients, to identify their needs, and to determine their level of interest in these technologies as a means of managing their disease. Methods:A 28-item questionnaire was drawn up by a multidisciplinary team including pharmacists and oncologists. The questions were organized into three blocks. A: socio-demographic characteristics; B: use of ICTs when searching for health-related information; and C: usage preferences for health apps. Hematology-oncology patients receiving treatment between May and July 2017 were included. A paper copy of the questionnaire was handed to patients in the Day Hospital or the Pharmaceutical Care Consultancy in Pharmacy Services.Results: A total of 650 questionnaires were handed out, with a participation of 94% (611/650).Patient socio-demographic characteristics: Mean age was 57.8 years-old . Of participants, 61.9% (378/611) were women, 40.7% (249/611) had a university education, and 45.1% (276/611) of patients reported their overall state of health to be good. Use of ICTs when searching for health-related information:87.1% (532/611) of subjects were interested in being informed about health-related matters. Of all subjects, 75.5% (532/611) sought information from health professionals and 61.3% (375/611) on the Internet. Of these, 71.2% (436/611) searched through Google and 21.9% (134/611) by means of social networks. Before going to their doctor's appointment, 21.8% (133/611) of patients looked up information about their disease and/or treatment on the Internet. This access to the internet rose to 51% after their first medical appointment with their oncologist, up to 50.9% (311/611) of participants referred to the Internet.Usage preferences for health apps: 82.7% (505/611) had a smartphone, while 20.3% (124/611) had a health app installed. Some 81.5% (498/611) would use an app if their health professional recommended it to them, but 39.6% (242/611) were not willed to pay for it. Conclusions:The hematology-oncology patients showed a great deal of interest in searching for healthrelated information by means of ICTs, especially using smartphones and apps. The issues that drew the most interest in terms of apps were appointment management, advice on disease management, and communication with health professionals. Free access to these features and the recommendation by a health professional are important factors when it comes to their use. Therefore, the health care provider is a key element in the recommendation of ICTs, providing their knowledge and experience concerning their correct usage.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Oncology Patient Interest in the Use of New Technologies to Manage Their Disease: Cross-Sectional Survey (Preprint)

Collado-Borrell¹,

Escudero‐Vilaplana²,

Calles³

et al. 2018

Preprint

View full text Add to dashboard Cite

show abstract

“…14 With respect to mobile phones specifically, one meta-analysis of 16 studies showed that mobile phone text messaging led to a significant increase in medication adherence, 15 and a systematic review of Questions pertaining to two features unique to the military system were excluded. seven interventions for cardiovascular disease management found mobile phone applications effective in increasing medication adherence and physical activity.…”

Section: Discussionmentioning

confidence: 99%

Usability of a Mobile Application for Patients Rehabilitating in their Community

Little¹,

Pavliscsak²,

Cooper³

et al. 2017

JournalMTM

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Background: A potential factor in adherence to use of mobile technologies is usability, yet this is rarely examined.Aims: This article examines the usability of a mobile application ("mCare"), provided to support injured Service Members rehabilitating in their communities, and assesses how usability ratings related to the users' background characteristics and usage of mCare.Methods: Data were from the intervention arm (n=95) of a 36-week, randomized controlled trial. Usability was measured with the System Usability Scale (SUS) (n=41) and semi-structured interviews (n=49). The analysis compared SUS scores by cohort characteristics, with t-tests and ANOVA. Interview responses were coded for valence. Pearson correlations quantified the association between SUS scores and usage.Results: Mean total SUS score was 78.0 [standard deviation (SD) = 21.1; ' A'], usability sub-score was 76.7 (SD = 22.9; ' A'), and learnability sub-score was 82.0 (SD = 25.0; ' A+'). SUS scores differed by mobile device type (p = 0.07) and living arrangement (p = 0.06). Participants with behavioral health problems, of older age, were Warrant Officers, and/or had a specific wireless carrier rated mCare lower, though these findings were not statistically significant. Interview responses provided insight into why SUS scores might have been lower in some cases. Higher usage was associated with higher total SUS scores (r = 0.46, p = 0.004). Conclusion:Overall, mCare was rated favorably. Higher usage was correlated with higher usability scores. Providers planning to use mCare with patients should consider patient's characteristics (e.g., type of mobile phone, living arrangement), as these could affect user experience.

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“…As such, it helps fill a need in the literature to better understand implementation of these interventions in complex clinic settings [19].…”

Section: Introductionmentioning

confidence: 99%

Implementing Web-Based Interventions in HIV Primary Care Clinics: Pilot Implementation Evaluation of Positive Health Check (Preprint)

Harshbarger¹,

Burrus²,

Zulkiewicz³

et al. 2018

Preprint

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Background: Web-based interventions can help people living with human immunodeficiency virus (HIV) achieve better clinical outcomes and behaviors, but integrating them into clinical practice remains challenging. Several studies report on the appropriate content for web-based interventions and their outcomes, but there is a gap in understanding the feasibility of implementing these interventions in HIV clinic settings from the clinicians' perspective. Objective: We examined whether Positive Health Check (PHC)-a web-based, tailored video counseling tool-was acceptable, appropriate, and feasible for HIV primary care clinics to implement. Methods: Four primary care clinics implemented PHC during a 1-month pilot. Nine key clinic staff across clinics who implemented the intervention participated in 54 interviews. We used framework analysis to code the data and identify themes related to implementation outcomes; acceptability, appropriateness, and feasibility. We also analyzed patients' (n=104) intervention usage metrics to quantify patients' intervention completion rates (n=68). Results: At the start of implementation, and with increasing frequency as enrollment was opened to more diverse patient groups, clinic staff reported that PHC was an acceptable and appropriate intervention. Stakeholders successfully dedicated space for patients to use the tool, delivered patients' handouts, and adjusted workflow to facilitate implementation. Clinic staff reported that PHC is feasible to implement in clinic settings, but challenges remained for workflow integration and the best time to administer PHC. Conclusions: To increase implementation effectiveness, we examined implementation outcomes related to the integration of PHC into clinic workflows. Findings from this pilot implementation suggest that PHC can be integrated into clinic workflow systems, but clinicians and researchers need to better understand the role of implementation outcomes to leverage the benefits of tailored web-based interventions for people living with HIV.

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The Impact of Information Technology on Patient Engagement and Health Behavior Change: A Systematic Review of the Literature

Cited by 213 publications

References 198 publications

Oncology Patient Interest in the Use of New Technologies to Manage Their Disease: Cross-Sectional Survey (Preprint)

Oncology Patient Interest in the Use of New Technologies to Manage Their Disease: Cross-Sectional Survey (Preprint)

Usability of a Mobile Application for Patients Rehabilitating in their Community

Implementing Web-Based Interventions in HIV Primary Care Clinics: Pilot Implementation Evaluation of Positive Health Check (Preprint)

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