The role of digital devices in chronic disease management during the Covid-19 pandemic—a study of senior citizens in Wuhan

BACKGROUND Mobile health apps are becoming increasingly popular, and they provide opportunities for effective health management. The existing chronic disease management (CDM) apps cannot meet users’ practical and urgent needs, and user adhesion is poor. Few, however, have investigated the factors that influence the continuance intention (CI) of CDM app users. OBJECTIVE Starting from the affordances of CDM apps, this study aimed to analyze how such apps can influence CI through the role of health empowerment (HE). METHODS Adopting a stimulus-organism-response framework, an antecedent model was established for CI from the perspective of perceived affordances, uses and gratifications theory, and HE. Perceived affordances were used as the “stimulus,” users’ gratifications and HE were used as the “organism,” and CI was used as the “response.” Data were collected online through a well-known questionnaire survey platform in China. 323 valid questionnaires were obtained. The theoretical model was tested using structural equation modeling. RESULTS Perceived connection affordances (PCA) were found to have significant positive effects on social interactivity gratification (SIG) (t=6.201, P<.001) and informativeness gratification (IG) (t=5.068, P<.001). Perceived utilitarian affordances (PUA) had significant positive effects on IG (t=7.029, P<.001), technology gratification (TG) (t=8.404, P<.001), and functions gratification (FG) (t=9.812, P<.001). Perceived hedonic affordances (PHA) had significant positive effects on FG (t=5.305, P<.001) and enjoyment gratification (EG) (t=13.768, P<.001). Five gratifications (t=2.767, P<.01; t=4.632, P<.001; t=7.608, P<.001; t=2.496, P<.05; t=5.088, P<.001) had significant positive effect on HE. SIG, IG, and FG had significant positive effects on CI. TG and EG had no significant effect on CI. HE had a significant positive effect on CI. HE and gratifications play mediating roles in the influence of affordances on CI. CONCLUSIONS HE and gratifications of users' needs are effective ways to promote CI. The gratifications of users' needs can realize HE and then inspire CI. Affordances are key antecedents that affects gratifications of users' needs, HE and CI.

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Optimizing Self-Management of Diabetes and the Role of the Physiotherapist on an Interdisciplinary Chronic Disease Management Team

Canadian Journal of Diabetes ◽

10.1016/j.jcjd.2018.08.081 ◽

2018 ◽

Vol 42 (5) ◽

pp. S29

Author(s):

Bonnie Doyle ◽

Tara Jones ◽

Laura Burchell ◽

Jennifer Moore ◽

Cindy Keith ◽

...

Keyword(s):

Chronic Disease ◽

Disease Management ◽

Chronic Disease Management ◽

Management Team ◽

Self Management

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The role of patient care teams in chronic disease management

BMJ ◽

10.1136/bmj.320.7234.569 ◽

2000 ◽

Vol 320 (7234) ◽

pp. 569-572 ◽

Cited By ~ 555

Author(s):

E. H Wagner

Keyword(s):

Chronic Disease ◽

Disease Management ◽

Patient Care ◽

Chronic Disease Management ◽

Patient Care Teams

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Social Support: a Key Variable for Health Promotion and Chronic Disease Management in Hispanic Patients with Rheumatic Diseases

Clinical Medicine Insights Arthritis and Musculoskeletal Disorders ◽

10.4137/cmamd.s13849 ◽

2014 ◽

Vol 7 ◽

pp. CMAMD.S13849 ◽

Cited By ~ 9

Author(s):

Alyssa T. Brooks ◽

Regina E. Andrade ◽

Kimberly R. Middleton ◽

Gwenyth R. Wallen

Keyword(s):

Social Support ◽

Health Promotion ◽

Chronic Disease ◽

Disease Management ◽

Rheumatic Diseases ◽

Chronic Disease Management ◽

Family Members ◽

Psychosocial Burden ◽

Cross Sectional

Chronic diseases, including rheumatic diseases, can cause immense physical and psychosocial burden for patients. Many Hispanics suffering with arthritis face activity limitations. Social support, or the functional content of relationships, may be important to consider when examining treatment and outcomes for Hispanic individuals. Participants were recruited from an urban community health center (CHC) as part of a larger health behavior study. A cross-sectional, descriptive, mixed methods analysis was conducted to explore the role of social support in the sample. Only Hispanic/Latino patients (n = 46) were included in this analysis. Interviews were conducted in both English and Spanish. The majority of the sample (87%) perceived some presence of social support in their lives. The two most commonly cited types of social support were emotional and instrumental. The two most common sources of social support were family members other than spouses (52.2%) and spouses (32.6%). Body mass index (BMI) was significantly correlated with the number of perceived sources of support. The presence or absence and the role of social support in supporting optimal health outcomes should be considered for Hispanics with chronic rheumatic diseases. Involving family members and spouses in the plan of care for this population could facilitate health promotion and chronic disease management.

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