C Jacomet1, R Ologeanu-Taddei2, J Prouteau3, C Lambert4, F Linard5, P Bastiani6, P Dellamonica7. 1. Service des maladies infectieuses et tropicales, CHU de Clermont-Ferrand, Clermont ferrand, France. Electronic address: cjacomet@chu-clermontferrand.fr. 2. Systèmes d'information-Montpellier recherche en management & polytech Montpellier, Université de Montpellier, Montpellier, France. 3. Service des maladies infectieuses et tropicales, CHU de Clermont-Ferrand, Clermont ferrand, France. 4. Délégation recherche clinique & innovation, CHU de Clermont-Ferrand, Clermont ferrand, France. 5. Services des maladies infectieuses et tropicales, CHU de Tenon, CHU de Hôtel-Dieu, Sorbonne Université, AP-HP, Paris, France. 6. AC SIDA, Nice, France. 7. Service des maladies infectieuses et tropicales, Université de la Côte d'Azur, Nice, France.
Abstract
OBJECTIVES: To evaluate patterns of use and perceived benefits and barriers to health/wellness applications (apps) and smart devices among people living with HIV (PLHIV) and their physicians. METHODS: Online multicenter observational survey (October 15-19, 2018). RESULTS: Study participation was accepted by 229 physicians and 838/1377 PLHIV followed in 46 centers, of which 325 (39%) responded online. Overall, 83/288 (29%) PLHIV had already downloaded at least one app: these 'downloaders' were younger (OR0.96±0.01, P=0.004), educated to at least university entry level (OR2.27±0.86, P=0.03), and more frequently used geolocation-based dating websites (OR3.00±1.09, P=0.002). However, 227/314 (72%) PLHIV claimed they were ready to use an app recommended by a physician. For the 60/83 PLHIV who answered, the ideal app would be a vaccination tracker (76%) to better communicate with their physician (68%). However, 96/277 (42%) physicians were unable to answer this question and for 94/227 (41%) of them, the ideal patient app would be for schedule management. Although PLHIV used smart devices, 231/306 (75%) would want to report the data to their physicians and 137/225 (61%) of physicians would welcome this exchange. The main physician-side barrier to this exchange was concerns over data security. CONCLUSION: mHealth apps and smart devices have failed to garner adoption by PLHIV. There is a case for good-quality health data sharing and exchange if PLHIV are provided with appropriately secure tools and physicians are backed up by adapted legislation.
OBJECTIVES: To evaluate patterns of use and perceived benefits and barriers to health/wellness applications (apps) and smart devices among people living with HIV (PLHIV) and their physicians. METHODS: Online multicenter observational survey (October 15-19, 2018). RESULTS: Study participation was accepted by 229 physicians and 838/1377 PLHIV followed in 46 centers, of which 325 (39%) responded online. Overall, 83/288 (29%) PLHIV had already downloaded at least one app: these 'downloaders' were younger (OR0.96±0.01, P=0.004), educated to at least university entry level (OR2.27±0.86, P=0.03), and more frequently used geolocation-based dating websites (OR3.00±1.09, P=0.002). However, 227/314 (72%) PLHIV claimed they were ready to use an app recommended by a physician. For the 60/83 PLHIV who answered, the ideal app would be a vaccination tracker (76%) to better communicate with their physician (68%). However, 96/277 (42%) physicians were unable to answer this question and for 94/227 (41%) of them, the ideal patient app would be for schedule management. Although PLHIV used smart devices, 231/306 (75%) would want to report the data to their physicians and 137/225 (61%) of physicians would welcome this exchange. The main physician-side barrier to this exchange was concerns over data security. CONCLUSION: mHealth apps and smart devices have failed to garner adoption by PLHIV. There is a case for good-quality health data sharing and exchange if PLHIV are provided with appropriately secure tools and physicians are backed up by adapted legislation.
Authors: Timothy P Hogan; Bella Etingen; Nicholas McMahon; Felicia R Bixler; Linda Am; Rachel E Wacks; Stephanie L Shimada; Erin D Reilly; Kathleen L Frisbee; Bridget M Smith Journal: JMIR Form Res Date: 2022-01-20