Rashmika Potdar1, Arun Thomas2, Matthew DiMeglio3, Kamran Mohiuddin4, Djeneba Audrey Djibo5, Krzysztof Laudanski6,7, Claudia M Dourado8, John Charles Leighton8, Jean G Ford2. 1. Department of Hematology and Oncology, Geisinger Medical Center, Danville, PA, USA. 2. Department of Internal Medicine, Einstein Healthcare Network, Philadelphia, PA, USA. 3. Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA. matthewdi@pcom.edu. 4. Department of Emergency Medicine, Einstein Healthcare Network, Philadelphia, PA, USA. 5. Department of Research, Einstein Healthcare Network, Philadelphia, PA, USA. 6. Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA, USA. 7. Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA. 8. Department of Hematology and Oncology, Einstein Healthcare Network, Philadelphia, PA, USA.
Abstract
PURPOSE: The use of mobile health (mHealth) technologies to augment patient care enables providers to communicate remotely with patients enhancing the quality of care and patient engagement. Few studies evaluated predictive factors of its acceptance and subsequent implementation, especially in medically underserved populations. METHODS: A cross-sectional study of 151 cancer patients was conducted at an academic medical center in the USA. A trained interviewer performed structured interviews regarding the barriers and facilitators of patients' current and desired use of mHealth technology for healthcare services. RESULTS: Of the 151 participants, 35.8% were male and ages ranged from 21 to 104 years. 73.5% of participants currently have daily access to internet, and 68.2% currently own a smartphone capable of displaying mobile applications. Among all participants, acceptability of a daily mHealth application was significantly higher in patients with a college-level degree (OR 2.78, CI95% 1.25-5.88) and lower in patients > 80 years of age (OR 0.05, CI95% 0.01-0.23). Differences in acceptability when adjusted for current smartphone use and daily access to internet were nonsignificant. Among smartphone users, the desire to increase cancer knowledge was associated with a higher likelihood of utilizing a mHealth application (OR 261.53, CI95% 10.13-6748.71). CONCLUSION: The study suggests that factors such as age, educational achievement, and access to internet are significant predictors of acceptability of a mHealth application among cancer patients. Healthcare organizations should consider these factors when launching patient engagement platforms.
PURPOSE: The use of mobile health (mHealth) technologies to augment patient care enables providers to communicate remotely with patients enhancing the quality of care and patient engagement. Few studies evaluated predictive factors of its acceptance and subsequent implementation, especially in medically underserved populations. METHODS: A cross-sectional study of 151 cancerpatients was conducted at an academic medical center in the USA. A trained interviewer performed structured interviews regarding the barriers and facilitators of patients' current and desired use of mHealth technology for healthcare services. RESULTS: Of the 151 participants, 35.8% were male and ages ranged from 21 to 104 years. 73.5% of participants currently have daily access to internet, and 68.2% currently own a smartphone capable of displaying mobile applications. Among all participants, acceptability of a daily mHealth application was significantly higher in patients with a college-level degree (OR 2.78, CI95% 1.25-5.88) and lower in patients > 80 years of age (OR 0.05, CI95% 0.01-0.23). Differences in acceptability when adjusted for current smartphone use and daily access to internet were nonsignificant. Among smartphone users, the desire to increase cancer knowledge was associated with a higher likelihood of utilizing a mHealth application (OR 261.53, CI95% 10.13-6748.71). CONCLUSION: The study suggests that factors such as age, educational achievement, and access to internet are significant predictors of acceptability of a mHealth application among cancerpatients. Healthcare organizations should consider these factors when launching patient engagement platforms.
Entities:
Keywords:
Cancer; Health disparities; Mobile applications; Mobile health; mHealth
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