Perspectives on implementing mobile health technology for living kidney donor follow‐up: In‐depth interviews with transplant providers

Eno, Ann K.; Ruck, Jessica M.; Rasmussen, Sarah E. Van Pilsum; Waldram, Madeleine M.; Thomas, Alvin G.; Purnell, Tanjala S.; Massie, Allan B.; Almmary, Fawaz Al; Cooper, Lisa M.; Segev, Dorry L.; LeVan, Michael; Henderson, Macey L.

doi:10.1111/ctr.13637

Cited by 6 publications

(2 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 Helsinki University Hospital Helsinki FI 2 Helsinki University Helsinki FI 3 Helsinki University Hospital Nephrology Helsinki FI 4 Helsinki University Department of Medicine Helsinki FI 5 Helsinki University Hospital Transplantation and Liver Surgery Helsinki FI 6 University of Oulu Oulu FI 7 Trinity College School of Medicine Dublin IE Please make my preprint PDF available only to logged-in users; I understand that my title and abstract will remain visible to all users. Only make the preprint title and abstract visible.…”

Section: Usability Of Interactive Health Technology For Kidney Living...mentioning

confidence: 99%

“…A 2019 US survey on digital services for living donor candidates revealed the potential for mobile health to enhance donor follow-up and aid centers in meeting reporting thresholds. Concerns about cybersecurity, usability, and cost-effectiveness were raised [ 7 ]. A 2022 survey in the United States supported telemedicine’s convenience for improving access to and coordination of living donor evaluation.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Interactive Health Technology Tool for Kidney Living Donor Assessment to Standardize the Informed Consent Process: Usability and Qualitative Content Analysis

Ortiz,

Grasberger,

Ekstrand

et al. 2024

JMIR Form Res

View full text Add to dashboard Cite

Background: Kidney living donation is not a risk-free procedure. Information about the process, risks of nephrectomy, and psychological impact should be given to every candidate, but this practice is not standardized. Objective:We aimed to evaluate the utility of new interactive health technology as a new tool to improving the informed consent process in kidney living donation. Methods:This cross-sectional survey study involves all living kidney donor candidates (LD) from Helsinki University Hospital (N=127) from Jan 2019 to Jan 2022. All candidates were invited to use the open institutional portal Health Village-Kidney hub, and the patient-tailored digital care path (LD-dcp), which includes information about the donation process and facilitates communication between clinicians, transplant coordinators, and patients. Participants' eHealth literacy was evaluated with the eHEALS query, usability with the system usability score (SUS), and system utility was assessed with three 5-point Likert scale surveys. Demographics and socioeconomic data were included. An open-ended question was examined with qualitative content analysis. Results:The Kidney hub was accessed on average by 8000 visitors monthly mostly from a smartphone (60%), 71 % were females, and 25% were aged over 65. Seven out of 127 LD candidates did not use the LD-dcp. Users´ age ranged from 20 to 79 years. Over 3500 messages were exchanged. Fifty-eight percent of all kidney donor candidates consented to participate in the survey. The mean e-HEALS was 3,77. Search on the internet about kidney donation was significantly more common in females than males (84 % vs 55 %, p= 0.038), and was unrelated to education level (0.475), working status (p= 0.325), or income (p= 0.720). The participants' experience with the LD-dcp technical aspect was good (mean SUS 4.4) and they found it useful, but not critical to decide to donate. The main concerns were about both donor and recipient coping after surgery. Conclusions:LD candidate education about the living donation process was successfully achieved with telemedicine. The LDdcp is a valuable complementary eHealth tool for clinicians, allowing standardization of steps towards the informed consent process. Clinical Trial: NCT04791670

show abstract

Section: Usability Of Interactive Health Technology For Kidney Living...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Interactive Health Technology Tool for Kidney Living Donor Assessment to Standardize the Informed Consent Process: Usability and Qualitative Content Analysis

Ortiz,

Grasberger,

Ekstrand

et al. 2024

JMIR Form Res

View full text Add to dashboard Cite

show abstract

Using Technology to Facilitate Monitoring of Transplant Patients

2021

View full text Add to dashboard Cite

Sociotechnical Factors Affecting Patients’ Adoption of Mobile Health Tools: Systematic Literature Review and Narrative Synthesis

Jacob¹,

Sezgın²,

Sánchez-Vázquez³

et al. 2022

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

Background Mobile health (mHealth) tools have emerged as a promising health care technology that may contribute to cost savings, better access to care, and enhanced clinical outcomes; however, it is important to ensure their acceptance and adoption to harness this potential. Patient adoption has been recognized as a key challenge that requires further exploration. Objective The aim of this review was to systematically investigate the literature to understand the factors affecting patients’ adoption of mHealth tools by considering sociotechnical factors (from technical, social, and health perspectives). Methods A structured search was completed following the participants, intervention, comparators, and outcomes framework. We searched the MEDLINE, PubMed, Cochrane Library, and SAGE databases for studies published between January 2011 and July 2021 in the English language, yielding 5873 results, of which 147 studies met the inclusion criteria. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and the Cochrane Handbook were followed to ensure a systematic process. Extracted data were analyzed using NVivo (QSR International), with thematic analysis and narrative synthesis of emergent themes. Results The technical factors affecting patients’ adoption of mHealth tools were categorized into six key themes, which in turn were divided into 20 subthemes: usefulness, ease of use, data-related, monetary factors, technical issues, and user experience. Health-related factors were categorized into six key themes: the disease or health condition, the care team’s role, health consciousness and literacy, health behavior, relation to other therapies, integration into patient journey, and the patients’ insurance status. Social and personal factors were divided into three key clusters: demographic factors, personal characteristics, and social and cultural aspects; these were divided into 19 subthemes, highlighting the importance of considering these factors when addressing potential barriers to mHealth adoption and how to overcome them. Conclusions This review builds on the growing body of research that investigates patients’ adoption of mHealth services and highlights the complexity of the factors affecting adoption, including personal, social, technical, organizational, and health care aspects. We recommend a more patient-centered approach by ensuring the tools’ fit into the overall patient journey and treatment plan, emphasizing inclusive design, and warranting comprehensive patient education and support. Moreover, empowering and mobilizing clinicians and care teams, addressing ethical data management issues, and focusing on health care policies may facilitate adoption.

show abstract

Perspectives on implementing mobile health technology for living kidney donor follow‐up: In‐depth interviews with transplant providers

Cited by 6 publications

References 36 publications

Interactive Health Technology Tool for Kidney Living Donor Assessment to Standardize the Informed Consent Process: Usability and Qualitative Content Analysis

Interactive Health Technology Tool for Kidney Living Donor Assessment to Standardize the Informed Consent Process: Usability and Qualitative Content Analysis

Using Technology to Facilitate Monitoring of Transplant Patients

Sociotechnical Factors Affecting Patients’ Adoption of Mobile Health Tools: Systematic Literature Review and Narrative Synthesis

Contact Info

Product

Resources

About