Stuti Dang1,2,3, Chandana Karanam1,2, Carlos Gómez-Orozco4, Orlando Gómez-Marín2,5. 1. 1 Bruce W. Carter Department of Veterans Affairs Medical Center, Miami Veterans Affairs Healthcare System, Miami, Florida. 2. 2 Geriatric Research Education and Clinical Center, Miami Veterans Affairs Healthcare System; Miami, Florida. 3. 3 Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida. 4. 4 South Florida Veterans Affairs Foundation for Research and Education, Inc., Miami, Florida. 5. 5 Division of Biostatistics, Departments of Public Health Sciences, Medicine, and Pediatrics, University of Miami Miller School of Medicine, Miami, Florida.
Abstract
BACKGROUND: Chronic heart failure (HF) is a complex and costly disease. Daily weight and symptom monitoring is the cornerstone of HF management. Little information exists about feasibility of a mobile monitoring intervention among minority patients with HF. METHODS: We developed and tested usability of a mobile-monitoring system in minority patients with HF in a 2:1 randomized controlled trial. We tracked usage and obtained feedback on usability and the system overall at 1, 2, and 3 months. RESULTS:Forty-two participants aged 53.0 ± 9.4 years (mean ± standard deviation) were randomized to the mobile-monitoring intervention group. They included the following: 67% males, 76% White Hispanics, 21% African Americans, and 52% with high school education or less. Over the 3-month intervention period, 26 (62%) participants used the system over 50% of the time. Overall, on a 1.0-7.0 scale for both, program satisfaction scores were excellent (mean 6.84 ± 0.46), and the usability ratings were all above 6.0. Comparing 1- to 3-month responses, there was a substantial increase in the percentage of participants who felt the system was easy to use after they had gotten used to it (84% vs. 94%) and that navigating the system was not complicated (78% vs. 84%). Almost all participants said that the program made them feel more secure about their health and that they would stay enrolled in a program like this. None of them had used a similar system before. CONCLUSIONS: A mobile phone-based disease management program is feasible in a minority county hospital population and offers a modality to help reduce ethnic disparity.
RCT Entities:
BACKGROUND:Chronic heart failure (HF) is a complex and costly disease. Daily weight and symptom monitoring is the cornerstone of HF management. Little information exists about feasibility of a mobile monitoring intervention among minority patients with HF. METHODS: We developed and tested usability of a mobile-monitoring system in minority patients with HF in a 2:1 randomized controlled trial. We tracked usage and obtained feedback on usability and the system overall at 1, 2, and 3 months. RESULTS: Forty-two participants aged 53.0 ± 9.4 years (mean ± standard deviation) were randomized to the mobile-monitoring intervention group. They included the following: 67% males, 76% White Hispanics, 21% African Americans, and 52% with high school education or less. Over the 3-month intervention period, 26 (62%) participants used the system over 50% of the time. Overall, on a 1.0-7.0 scale for both, program satisfaction scores were excellent (mean 6.84 ± 0.46), and the usability ratings were all above 6.0. Comparing 1- to 3-month responses, there was a substantial increase in the percentage of participants who felt the system was easy to use after they had gotten used to it (84% vs. 94%) and that navigating the system was not complicated (78% vs. 84%). Almost all participants said that the program made them feel more secure about their health and that they would stay enrolled in a program like this. None of them had used a similar system before. CONCLUSIONS: A mobile phone-based disease management program is feasible in a minority county hospital population and offers a modality to help reduce ethnic disparity.
Authors: Renee Pekmezaris; Christian N Nouryan; Rebecca Schwartz; Stacy Castillo; Amgad N Makaryus; Deborah Ahern; Meredith B Akerman; Martin L Lesser; Lorinda Bauer; Lawrence Murray; Kathleen Pecinka; Roman Zeltser; Meng Zhang; Paola DiMarzio Journal: Telemed J E Health Date: 2018-11-10 Impact factor: 3.536
Authors: Kelly J Thomas Craig; Nicole Fusco; Kristina Lindsley; Jane L Snowdon; Van C Willis; Yull E Arriaga; Irene Dankwa-Mullan Journal: Cardiovasc Digit Health J Date: 2020-11-06
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