scholarly journals The Association of Mobile Health Applications with Self-Management Behaviors among Adults with Chronic Conditions in the United States

Author(s):  
Hao Wang ◽  
Amy F. Ho ◽  
R. Constance Wiener ◽  
Usha Sambamoorthi

Background: Mobile applications related to health and wellness (mHealth apps) are widely used to self-manage chronic conditions. However, research on whether mHealth apps facilitate self-management behaviors of individuals with chronic conditions is sparse. We aimed to evaluate the association of mHealth apps with different types of self-management behaviors among patients with chronic diseases in the United States. Methods: This is a cross-sectional observational study. We used data from adult participants (unweighted n = 2340) of the Health Information National Trends Survey in 2018 and 2019. We identified three self-management behaviors: (1) resource utilization using electronic personal health records; (2) treatment discussions with healthcare providers; and (3) making healthcare decisions. We analyzed the association of mHealth apps to self-management behaviors with multivariable logistic and ordinal regressions. Results: Overall, 59.8% of adults (unweighted number = 1327) used mHealth apps. Adults using mHealth apps were more likely to use personal health records (AOR = 3.11, 95% CI 2.26–4.28), contact healthcare providers using technology (AOR = 2.70, 95% CI 1.93–3.78), and make decisions on chronic disease management (AOR = 2.59, 95% CI 1.93–3.49). The mHealth apps were associated with higher levels of self-management involvement (AOR = 3.53, 95% CI 2.63–4.72). Conclusion: Among individuals with chronic conditions, having mHealth apps was associated with positive self-management behaviors.

2012 ◽  
Vol 2 (3) ◽  
pp. 207-207
Author(s):  
Kevin T. Fuji ◽  
Amy A. Abbott ◽  
Kimberly A. Galt ◽  
Andjela Drincic ◽  
Mark Kraft ◽  
...  

2012 ◽  
Vol 2 (3) ◽  
pp. 197-205 ◽  
Author(s):  
Kevin T. Fuji ◽  
Amy A. Abbott ◽  
Kimberly A. Galt ◽  
Andjela Drincic ◽  
Mark Kraft ◽  
...  

2010 ◽  
Vol 16 (4) ◽  
pp. 480-489 ◽  
Author(s):  
Stephanie J. Fonda ◽  
Richard J. Kedziora ◽  
Robert A. Vigersky ◽  
Sven-Erik Bursell

2015 ◽  
Vol 33 (6) ◽  
pp. 229-237 ◽  
Author(s):  
PERRY M. GEE ◽  
DEBORA A. PATERNITI ◽  
DEBORAH WARD ◽  
LISA M. SOEDERBERG MILLER

2012 ◽  
pp. 57-76
Author(s):  
Brian Gugerty ◽  
Michael J. Maranda

This chapter explores the application of Information Technology to healthcare in the United States. Recent developments and trends in healthcare information technology (HIT) are presented and discussed. Widespread adoption of HIT promises to save lives, save money, and improve health. Definitions, descriptions, and examples of electronic health records (EHRs) and personal health records (PHRs) are provided. The significant efforts to broadly and meaningfully adopt HIT over the next several years are discussed. The significant challenges in implementing EHRs are discussed, including transformation of clinical processes. Finally, the impact of HIT on the concept of ownership of the healthcare record and how it may change the relationship between the patient and healthcare provider are explored. Implementing effective HIT on a nationwide scale will require considerable effort.


2014 ◽  
Vol 41 (1) ◽  
pp. 86-94 ◽  
Author(s):  
Emily Ann Hallgren ◽  
Pearl Anna McElfish ◽  
Jellesen Rubon-Chutaro

PurposeThis study investigates the beliefs and perceptions related to type 2 diabetes that influence diabetes self-management behaviors for Marshallese in the United States. Using the health belief model as a theoretical framework, the researchers seek to better understand the underlying beliefs that motivate or impede diabetes self-management behaviors.MethodsThe community-based participatory research (CBPR) collaborative engaged in 14 months of preliminary fieldwork and conducted 2 tiers of focus groups for this project as part of the long-term commitment to reducing health inequalities in the Marshallese community. The CBPR team conducted an initial round of 2 exploratory focus groups (n = 15). Based on the knowledge gained, researchers held a second round of focus groups (n = 13) on health beliefs regarding diabetes. All participants were Marshallese, aged 18 years and older, and included men and women. Participants either had a diagnosis of diabetes or were a caretaker of someone with diabetes.ResultsThe findings elucidate the structural and nonstructural barriers to successful diabetes self-management for Marshallese in the United States. Barriers include eating differently from the rest of the family, social stigma of diabetes, transportation, cost, lack of access to health care, and cultural and language barriers.ConclusionsWhile there are significant barriers to improving diabetes self-management, there are also areas of opportunity, including family and peer reinforcement to encourage proper diabetes management behaviors and a growing community desire to lift the stigma of diabetes. The CBPR team offers recommendations to make diabetes management interventions more culturally appropriate and effective for the Marshallese population.


Author(s):  
Aurelie Najm ◽  
Heidi Lempp ◽  
Laure Gossec ◽  
Francis Berenbaum ◽  
Elena Nikiphorou

BACKGROUND Despite the growing interest and exponential popularity of mobile health (mHealth) apps for long-term conditions such as rheumatic and musculoskeletal diseases (RMDs) and their self-management, patients are rarely directly consulted and involved in the app development process. OBJECTIVE This study aims to explore the needs, experiences, and views of people diagnosed with RMDs on mHealth apps. METHODS The study used a mixed methods approach: (1) an initial qualitative phase via a patient focus group in the UK and (2) a survey disseminated through national organizations for patients with RMDs across European countries, the United States, Canada, and Australia. RESULTS The focus group included six patients with life-long musculoskeletal conditions. Half had used a self-management app at least once. The use of existing apps was reported as time-consuming due to a lack of functionality. The need for bespoke apps was voiced by all participants. Among 424 patients across European countries, the United States, Canada, and Australia, the main age group was 45 to 54 years (122/424, 28.7%), and 86.8% (368/424) were women. Half of the respondents were aware of the existence of apps to support self-management of their RMDs (188/355, 53%), with 42% (79/188) of them currently using such devices. Patients were mostly interested in an app to self-monitor their health parameters (259/346, 74.9%) and disease activity (221/346, 63.9%) or communicate directly with their health care provider (200/346, 57.8%). CONCLUSIONS Patients considered that using an app could help them to self-manage their RMD condition if it was tailored to their needs and co-developed with health professionals. The development of such apps will require standardization and regular quality control.


2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Khaliah Fisher-Grace ◽  
Melanie T. Turk ◽  
Mary K. Anthony ◽  
Lichun (Rebecca) Chia

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