Use of Mobile Health (mHealth) Tools by Primary Care Patients in the WWAMI Region Practice and Research Network (WPRN)

Bauer, Amy M.; Rue, Tessa; Keppel, Gina A.; Cole, Allison; Baldwin, Laura Mae; Katon, Wayne

doi:10.3122/jabfm.2014.06.140108

Cited by 56 publications

(45 citation statements)

References 13 publications

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“…16 As is typical of primary care patients, a majority of participants were female (75%), and many had health literacy limitations (62%), chronic medical conditions (63%), and current depressive symptoms (21%). Participants spanned a range of ages (range: 18–94 years; 15% 18–24 years, 21% 25–34 years, 19% 35–44 years, 19% 45–54 years, 16% 55–64 years, 9% 65 years or greater; mean = 42.7 years; SD = 15.9 years) and ethnicities (80% non-Hispanic white, 5% Hispanic or Latino, 4% Asian American/Pacific Islander, 2% African American, 9% American Indian/Alaska Native or multiracial/other).…”

Section: Resultsmentioning

confidence: 99%

Patient-oriented Health Technologies: Patients’ Perspectives and Use

et al. 2017

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Background For patient-oriented mobile health tools to contribute meaningfully to improving healthcare delivery, widespread acceptance and use of such tools by patients are critical. However, little is known about patients’ attitudes toward using health technology and their willingness to share health data with providers. Aims To investigate primary care patients’ comfort sharing health information through mobile devices, and patients’ awareness and use of patient portals. Methods Patients (n=918) who visited one of 6 primary care clinics in the Northwest US completed a survey about health technology use, medical conditions, and demographics. Results More patients were comfortable sharing mobile health information with providers than having third parties store their information (62% vs 30%, Somers D=.33, p<0.001). Patients older than 55 years were less likely to be comfortable sharing with providers (AORs 0.37–0.42, p<0.01). Only 39% of patients knew if their clinic offered a patient portal; however, of these, 67% used it. Health literacy limitations were associated with lower portal awareness (AOR=0.55, p=0.005) but not use. Portal use was higher among patients with a chronic condition (AOR= 3.18, p=0.004). Conclusion Comfort, awareness, and use of health technologies were variable. Practices introducing patient-facing health technologies should promote awareness, address concerns about data security, and provide education and training, especially to older adults and those with health literacy limitations. Patient-facing health technologies provide an opportunity for delivering scalable health education and self-management support, particularly for patients with chronic conditions who are already using patient portals.

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Section: Resultsmentioning

confidence: 99%

Patient-oriented Health Technologies: Patients’ Perspectives and Use

et al. 2017

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“…9 In only 5 years, mHealth has grown into a billion-dollar industry. 10 Smartphone ownership has markedly increased every year since 2008, with the prevalence of smartphone ownership in the general population increasing from 35% to 56% from 2011 to 2013. 11 We previously demonstrated that kidney transplant patients thought that mHealth provided a platform for self-efficacy and improved medical management.…”

mentioning

confidence: 99%

Kidney transplant recipients' attitudes about using mobile health technology for managing and monitoring medication therapy

Browning¹,

McGillicuddy²,

Treiber³

et al. 2016

Journal of the American Pharmacists Association

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Objectives To assess smartphone ownership, use of mobile health (mHealth) applications, and willingness to use this technology to facilitate medication management after kidney transplantation. Methods A survey was developed with the use of previously validated questions and administered to stable adult kidney recipients from May to July 2015. Descriptive and comparative statistics were used to assess willingness to utilize mHealth technology as it related to sociodemographics, medication adherence, and medication side effects. Comparisons were also made to a survey administered in 2012. The primary outcome was the incidence of cell phone and smartphone ownership, willingness to use mHealth, immunosuppressant side effects, and self-reported nonadherence. Results A total of 142 patients were approached, and 139 (98%) agreed to participate; 96% of respondents indicated mobile phone ownership, 61% owned a smartphone, 30% had prior knowledge of mHealth, and 7% were already using an mHealth app; 78% reported a positive attitude toward the use of mHealth for medication management. Smartphone ownership has nearly doubled since 2012 (61% vs. 35%; P <0.001). Patients <55 years of age were more likely to own smartphones (75% vs. 46%; P <0.001) and to strongly agree with the use of mHealth (62% vs. 36%; P = 0.015). Self-reported nonadherence or severe medication side effects did not appreciably influence a patient's willingness to use mHealth. Conclusion Among recipients of kidney transplants, smartphone ownership has dramatically increased, and recipients have a positive attitude toward the use of mHealth for medication management.

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“…26 Access to smartphones was 1 of the least commonly cited barriers, which corresponds to a recent study indicating that 55% of primary care patients use smartphones, and 70% of those patients with smartphones use them for health-related purposes. 27 An additional potential barrier to studies involving technology-based patient engagement strategies is clinician acceptance. Clinician acceptance is critical to the successful recruitment of practices and has been found to facilitate study implementation.…”

Section: Discussionmentioning

confidence: 99%