Amy M Bauer1, Matthew Iles-Shih2, Reza Hosseini Ghomi2, Tessa Rue3, Tess Grover2, Naomi Kincler4, Monica Miller5, Wayne J Katon2. 1. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, United States. Electronic address: abauer1@uw.edu. 2. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, United States. 3. Department of Biostatistics and Institute of Translational Health Sciences, University of Washington, Seattle, United States. 4. Ginger.io, United States. 5. University of Washington Neighborhood Clinics, United States.
Abstract
OBJECTIVE: To assess the feasibility and acceptability of a mobile health platform supporting Collaborative Care. METHOD: Collaborative Care patients (n=17) used a smartphone app to transmit PHQ-9 and GAD-7 scores and sensor data to a dashboard used by one care manager. Patients completed usability and satisfaction surveys and qualitative interviews at 4weeks and the care manager completed a qualitative interview. Mobile metadata on app usage was obtained. RESULTS: All patients used the app for 4weeks, but only 35% (n=6) sustained use at 8weeks. Prior to discontinuing use, 88% (n=15) completed all PHQ-9 and GAD-7 measures, with lower response rates for daily measures. Four themes emerged from interviews: understanding the purpose; care manager's role in supporting use; benefits of daily monitoring; and privacy / security concerns. Two themes were user-specific: patients' desire for personalization; and care manager burden. CONCLUSIONS: The feasibility and acceptability of the mobile platform is supported by the high early response rate, however attrition was steep. Our qualitative findings revealed nuanced participant experiences and uncovered some concerns about mobile health. To encourage retention, attention may need to be directed toward promoting patient understanding and provider engagement, and offering personalized patient experiences.
OBJECTIVE: To assess the feasibility and acceptability of a mobile health platform supporting Collaborative Care. METHOD: Collaborative Care patients (n=17) used a smartphone app to transmit PHQ-9 and GAD-7 scores and sensor data to a dashboard used by one care manager. Patients completed usability and satisfaction surveys and qualitative interviews at 4weeks and the care manager completed a qualitative interview. Mobile metadata on app usage was obtained. RESULTS: All patients used the app for 4weeks, but only 35% (n=6) sustained use at 8weeks. Prior to discontinuing use, 88% (n=15) completed all PHQ-9 and GAD-7 measures, with lower response rates for daily measures. Four themes emerged from interviews: understanding the purpose; care manager's role in supporting use; benefits of daily monitoring; and privacy / security concerns. Two themes were user-specific: patients' desire for personalization; and care manager burden. CONCLUSIONS: The feasibility and acceptability of the mobile platform is supported by the high early response rate, however attrition was steep. Our qualitative findings revealed nuanced participant experiences and uncovered some concerns about mobile health. To encourage retention, attention may need to be directed toward promoting patient understanding and provider engagement, and offering personalized patient experiences.
Authors: Mita Sanghavi Goel; Tiffany L Brown; Adam Williams; Andrew J Cooper; Romana Hasnain-Wynia; David W Baker Journal: J Am Med Inform Assoc Date: 2011-11-09 Impact factor: 4.497
Authors: Katie M White; Charlotte Williamson; Nicol Bergou; Carolin Oetzmann; Valeria de Angel; Faith Matcham; Claire Henderson; Matthew Hotopf Journal: NPJ Digit Med Date: 2022-06-29
Authors: Martin Hensher; Paul Cooper; Sithara Wanni Arachchige Dona; Mary Rose Angeles; Dieu Nguyen; Natalie Heynsbergh; Mary Lou Chatterton; Anna Peeters Journal: J Am Med Inform Assoc Date: 2021-06-12 Impact factor: 4.497
Authors: Laleh G Melstrom; Andrei S Rodin; Lorenzo A Rossi; Paul Fu; Yuman Fong; Virginia Sun Journal: J Surg Oncol Date: 2020-09-24 Impact factor: 3.454