Use of the FITT framework to understand patients’ experiences using a real-time medication monitoring pill bottle linked to a mobile-based HIV self-management app: A qualitative study

Cho, Hwayoung; Sanabria, Gabriella; Saylor, Maureen; Gradilla, Melissa; Schnall, Rebecca

doi:10.1016/j.ijmedinf.2019.08.009

Cited by 30 publications

(34 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, the weCare team, which has done non-HIV work on social media, is currently developing a tailored Facebook, text, and social and sexual networking app–based intervention to help engage care [ 90 ]. Hwayoung et al [ 91 ] combined an electronic pill bottle, fitness tracker, and phone alerts and found that the pill bottle encouraged adherence and self-management of medications. However, they mentioned that the smart pill bottle was too small to fit all the pills, although they liked how it was easy to open and discrete [ 91 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

mHealth Interventions to Promote Anti-Retroviral Adherence in HIV: Narrative Review

Lee¹,

Valerius²

2020

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

Background Antiretrovirals (ARVs) are key in the management of HIV. Although no cure exists, ARVs help patients live healthy lives and prevent transmission to others. Adherence to complex regimens is paramount to outcomes and in avoiding the emergence of drug-resistant viruses. The goal of therapy is to reach an undetectable viral load. However, adherence is a common problem, stemming from issues such as mental health, chaotic home situations, and busy work schedules. Mobile health (mHealth) represents a new approach in improving medication adherence, and multiple studies have been performed in this area. Objective This study aims to review the current implementation of mHealth in the management of HIV among different groups of patients. Methods We used PubMed, Academic Search Elite, and 1 journal database with various search terms to review the current implementation of mHealth in HIV care. Results Titles and abstracts were screened, and 61 papers were identified and fully reviewed. The literature was divided into lower- and higher-income nations, as defined by the United Nations. A total of 20 studies with quantitative results were identified, with 10 being text- and SMS-based interventions (the majority of these being in lower-income countries) and 8 being smartphone-based apps (primarily in higher-income countries). The majority of these studies determined whether there was an effect on adherence or biochemical parameters (viral load and CD4 count). Various qualitative studies have also been conducted, and many have focused on determining the specific design of interventions that were successful (frequency of messaging, types of messages, etc) as well as priorities for patients with regard to mHealth interventions. Conclusions There seems to be a role of mHealth in the management of HIV in lower-income nations; however, the optimal design of an intervention needs to be delineated. In higher-income countries, where the 2 significant risk factors were injection drugs and men who have sex with men, the benefit was less clear, and more research is needed.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Hwayoung et al [ 91 ] combined an electronic pill bottle, fitness tracker, and phone alerts and found that the pill bottle encouraged adherence and self-management of medications. However, they mentioned that the smart pill bottle was too small to fit all the pills, although they liked how it was easy to open and discrete [ 91 ].…”

Section: Resultsmentioning

confidence: 99%

mHealth Interventions to Promote Anti-Retroviral Adherence in HIV: Narrative Review

Lee¹,

Valerius²

2020

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

show abstract

“…We applied the Fit between Individuals, Task, and Technology (FITT) framework developed by Ammenwerth et al [ 17 ], as it helps analyze the factors that influence the success or failure of information technology (IT) implementation in a health care setting. The FITT framework has already been shown to be useful in several case studies [ 18 - 21 ].…”

Section: Introductionmentioning

confidence: 99%

Applying and Extending the FITT Framework to Identify the Challenges and Opportunities of Successful eHealth Services for Patient Self-Management: Qualitative Interview Study

Kujala¹,

Ammenwerth²,

Kolanen³

et al. 2020

J Med Internet Res

View full text Add to dashboard Cite

Background The number of public eHealth services that support patient self-management is rapidly increasing. However, the implementation of these eHealth services for self-management has encountered challenges. Objective The purpose of this paper was to analyze the challenges and opportunities of implementing eHealth services for self-management by focusing on the fit between the technical solution and clinical use. Methods We performed in-depth interviews with 10 clinical project coordinators and managers who were responsible for developing and implementing various eHealth services for self-management interventions in five university hospitals in Finland. The results were analyzed using content analysis and open coding. The Fit between Individuals, Task, and Technology (FITT) framework was used to interpret the findings. Results The implementation of self-management services involved many challenges related to technical problems, health professional acceptance, patient motivation, and health organization and management. The implementers identified practices to manage the identified challenges, including improving the design of the technology, supporting health professionals in the adoption of the eHealth services, changing the work processes and tasks, involving patients, and collectively planning the implementation inside an organization. The findings could be mostly attributed to the dimensions of the FITT framework. Conclusions The FITT framework helped to analyze the challenges related to the implementation, and most of them were related to poor fit. The importance of patients as stakeholders in eHealth services for patient self-management needs to be highlighted. Thus, we propose that patients should be added as a different type of individual dimension to the FITT framework. In addition, the framework could be extended to include organization and management in a new context dimension.

show abstract

“…Women who were able to do so regarded the standalone character of e-Health as an opportunity to manage their own treatment. Self-efficacy as a requirement for the adoption of a digital intervention was also shown by Cho et al, who applied the FITT framework to study an app for medication adherence in HIV patients and found that participants with a strong belief in their ability to improve their general physical health were motivated to use the app [ 31 ]. Self-efficacy is not a total new concept in the field of urogynecology research as studies with regular, non-digital, PFMT have shown that it is a known predictor for adherence to PFMT [ 32 – 34 ].…”

Section: Discussionmentioning

confidence: 98%

“…Secondly, women found the use of reminder e-mails encouraging to adhere to PFMT, but they would prefer to set their own reminders, which would be facilitated more easily by a mobile app than by a website. Other studies also showed that it is important to set reminders yourself, creating the possibility to engage with the intervention [ 19 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Women’s adoption of a web-based intervention for stress urinary incontinence: a qualitative study

Firet¹,

Teunissen²,

Kool³

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

Background Stress urinary incontinence (SUI) is common among women and affects their quality of life. Pelvic floor muscle training is an effective conservative therapy, but only a minority of women seek help. E-health with pelvic floor muscle training is effective and increases access to care. To implement an e-Health intervention in a sustainable way, however, we need to understand what determines adoption. The aim is to investigate the barriers and facilitators to adopting an e-Health intervention among Dutch women with stress urinary incontinence. Methods Semi-structured telephonic interviews were carried out among participants of the Dutch e-Health intervention for women with stress urinary incontinence. Women were purposively sampled. The ‘Fit between Individuals, Task and Technology’ (FITT) framework was used for both the data collection and data analysis, to gain a more in-depth insight into the adoption of the intervention. Results Twenty women were interviewed, mean age 51 years and mostly highly educated. The adoption of e-Health for women with SUI mainly depends on the interaction between users and e-Health, and users and pelvic floor muscle training exercises. Facilitators for the adoption were the preference for an accessible self-management intervention, having a strong sense of self-discipline and having the ability to schedule the exercises routinely. Women needed to possess self-efficacy to do this intervention independently. Barriers to the adoption of e-Health were personal circumstances restricting time for scheduling pelvic floor muscle training and lacking skills to perform the exercises correctly. Despite guidance by technical features several women remained uncertain about their performance of the exercises and, therefore, wanted additional contact with a professional. Conclusions For stress urinary incontinence e-Health is an appropriate option for a target audience. Use of the FITT framework clearly demonstrates the conditions for optimal adoption. For a subgroup it was a suitable alternative for medical care in person. For others it identified the need for further support by a health care professional. This support could be provided by improvements of technical features and incorporating modes for digital communication. The additional value of integration of the e-Health intervention in primary care might be a logical next step. Trial registration The study was prospectively registered in the Netherlands Trial Registry (NTR) NTR6956.

show abstract

Use of the FITT framework to understand patients’ experiences using a real-time medication monitoring pill bottle linked to a mobile-based HIV self-management app: A qualitative study

Cited by 30 publications

References 59 publications

mHealth Interventions to Promote Anti-Retroviral Adherence in HIV: Narrative Review

mHealth Interventions to Promote Anti-Retroviral Adherence in HIV: Narrative Review

Applying and Extending the FITT Framework to Identify the Challenges and Opportunities of Successful eHealth Services for Patient Self-Management: Qualitative Interview Study

Women’s adoption of a web-based intervention for stress urinary incontinence: a qualitative study

Contact Info

Product

Resources

About