The efficacy of a mobile phone application to improve adherence to treatment and self-management in people with chronic respiratory disease in Romanian population – a pilot study

Munteanu, Laura Adela; Frandeș, Mirela; Timar, Bogdan; Tudorache, Emanuela; Fildan, Ariadna Petronela; Oancea, Cristian; Tofolean, Doina Ecaterina

doi:10.1186/s12913-020-05340-0

Cited by 10 publications

(4 citation statements)

References 28 publications

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“…The lack of physicians’ participation may limit the valuable use and success of mHealth apps. Therefore, Exploring factors on physicians’ acceptance of mHealth apps is meaningful and greatly improves the effective engagement with mHealth apps [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Factors affecting physicians using mobile health applications: an empirical study

Zhang

Luan

et al. 2022

BMC Health Serv Res

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Background Mobile health applications (mHealth apps) have created innovative service channels for patients with chronic diseases. These innovative service channels require physicians to actively use mHealth apps. However, few studies investigate physicians’ participation in mHealth apps. Objective This study aims to empirically explore factors affecting physicians’ usage behaviors of mHealth apps. Based on the extended Unified Theory of Acceptance and Use of Technology (UTAUT2) and mHealth apps features, we propose a research model including altruism, cognitive trust, and online ratings. Methods We collected data from physicians who have used mHealth apps and conducted a factor analysis to verify the convergence and discriminative effects. We used a hierarchical regression method to test the path coefficients and statistical significance of our research model. In addition, we adopted bootstrapping approach and further analyzed the mediating effects of behavioral intention between all antecedent variables and physicians’ usage behavior. Finally, we conducted three robustness analyses to test the validity of results and tested the constructs to verify the common method bias. Results Our results support the effects of performance expectancy, effort expectancy, social influence, and altruism on the behavioral intentions of physicians using mHealth apps. Moreover, facilitating conditions and habits positively affect physicians using mHealth apps through the mediating effort of behavioral intention. Physicians’ cognitive trust and online rating have significant effects on their usage behaviors through the mediating efforts of behavioral intention. Conclusions This study contributes to the existing literature on UTAUT2 extension of physicians’ acceptance of mHealth apps by adding altruism, cognitive trust, and online ratings. The results of this study provide a novel perspective in understanding the factors affecting physicians’ usage behaviors on mHealth apps in China and provide such apps’ managers with an insight into the promotion of physicians’ active acceptance and usage behaviors.

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Section: Introductionmentioning

confidence: 99%

Factors affecting physicians using mobile health applications: an empirical study

Zhang

Luan

et al. 2022

BMC Health Serv Res

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“…In the study of Fookolaee [ 17 ], individuals with thalassemia had better exercise, diet, and stress management as a result of electronic instruction as opposed to typical routine teaching. Furthermore, a study by Munteanu et al revealed that smartphone app was an effective way to improve asthma control and self-management [ 40 ]. Similar to the present study, in the study by Crosby et al [ 41 ], using a self-management smartphone application in the patients with sickle cell anemia increased the involvement of the patients in the self-management strategies of disease.…”

Section: Discussionmentioning

confidence: 99%

Comparing the effects of self- care education by lecture and smartphone application on self-efficacy of patients with thalassemia

Kharaman-nia

Rezaei

Roustaei

et al. 2023

BMC Med Inform Decis Mak

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Background Patients with the thalassemia have a basic requirement for self-efficacy regarding their treatment procedure. The present study aimed to compare the effect of self-care education via a smartphone application and lectures on the self-efficacy of patients with thalassemia. Methods In the present quasi-experimental study, 99 patients with thalassemia at Shahid Beheshti Hospital in Yasuj, Iran, in 2019 who were eligible to enter the study, were selected. The block randomization was done with the block sizes of 3, 6, and 9, and participants were randomly assigned to 3 groups: smartphone application (A), lecture intervention (B), and control (c). Smartphone application and lecture interventions were performed for intervention groups A and B, respectively, during 8 weeks. Scherer's self-efficacy measure was used to collect the data at baseline and eight weeks after the intervention. Data were analyzed by SPSS-version 25 software using Paired t-test, Wilcoxon and Kruskal–Wallis tests. Results Ninety-nine patients with thalassemia with a mean (SD) age of 25 (6) and 58 females (58.59%) participated in the present study. The results indicated a significant difference in self-efficacy among 3 groups after intervention (P = 0.001). However, self-care education with smartphone application revealed a significant increase in the mean (SD) of self-efficacy of the patients with thalassemia 68.36(8.45) compared to the lecture method 62.55 (7.3) (P = 0.003) and control 62.09 (6.7) (P = 0.001). There were no significant differences among the self-efficacy scores of the patients in lecture intervention and control groups. Conclusions The results revealed that smartphone application was a suitable educational software to promote self-efficacy in patients with thalassemia. It is recommended to use smartphone application methods to improve the self-efficacy levels of patients with thalassemia.

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“…Digital technology enables features to be tailored for those with limited health literacy by using creative illustrations and innovative video-based education as an alternative to wordy instructions, thereby potentially reducing health inequalities. Previous trials have shown that mobile apps can have a positive impact on asthma control and medication adherence [ 12 , 13 ], for example supporting self-management and behaviour change in young people with asthma [ 14 ]. Nevertheless, none had looked at the acceptability and impact on populations with limited health literacy [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

A self-management app to improve asthma control in adults with limited health literacy: a mixed-method feasibility study

Salim,

Cheong,

Sharif-Ghazali

et al. 2023

BMC Med Inform Decis Mak

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Background Digital technology tailored for those with limited health literacy has the potential to reduce health inequalities. Although mobile apps can support self-management in chronic diseases, there is little evidence that this approach applies to people with limited health literacy. We aimed to determine the acceptability of a self-management app in adults living with asthma and have limited health literacy and the feasibility of delivering the intervention and assessing outcomes. Methods We recruited eligible adults from the Klang Asthma Cohort registry in primary care for a 3-month mixed-method study plus a 2-month extended observation. We collected baseline data on socio-demography, health literacy and asthma control level. The outcomes of the intervention were assessed at 1- and 3-month: i) adoption (app download and usage), ii) adherence (app usage), iii) retention (app usage in the observation period), iv) health outcomes (e.g., severe asthma attacks) and v) process outcomes (e.g., ownership and use of action plans). At 1-month, participants were purposively sampled for in-depth interviews, which were audio-recorded, transcribed verbatim, and analysed deductively. Results We recruited 48 participants; 35 participants (23 Female; median age = 43 years; median HLS score = 28) completed the 3 months study. Of these, 14 participants (10 Female; median age = 48 years; median HLS score = 28) provided interviews. Thirty-seven (77%) participants adopted the app (downloaded and used it in the first month of the study). The main factor reported as influencing adoption was the ease of using the app. A total of 950 app usage were captured during the 3-month feasibility study. App usage increased gradually, peaking at month 2 (355 total log-ins) accounting for 78% of users. In month 5, 51.4% of the participants used the app at least once. The main factors influencing continued use included adherence features (e.g., prompts and reminders), familiarity with app function and support from family members. Conclusions An asthma self-management app intervention was acceptable for adults with limited health literacy and it was feasible to collect the desired outcomes at different time points during the study. A future trial is warranted to estimate the clinical and cost-effectiveness of the intervention and to explore implementation strategies.

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The efficacy of a mobile phone application to improve adherence to treatment and self-management in people with chronic respiratory disease in Romanian population – a pilot study

Cited by 10 publications

References 28 publications

Factors affecting physicians using mobile health applications: an empirical study

Factors affecting physicians using mobile health applications: an empirical study

Comparing the effects of self- care education by lecture and smartphone application on self-efficacy of patients with thalassemia

A self-management app to improve asthma control in adults with limited health literacy: a mixed-method feasibility study

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