Needs and Requirements in the Designing of Mobile Interventions for Patients With Peripheral Arterial Disease: Questionnaire Study.

digital intervention mHealth peripheral arterial disease smartphone usage supervised exercise therapy

Journal

JMIR formative research
ISSN: 2561-326X
Titre abrégé: JMIR Form Res
Pays: Canada
ID NLM: 101726394

Informations de publication

Date de publication:
04 Aug 2020
Historique:
received: 27 07 2019
accepted: 29 03 2020
revised: 11 11 2019
pubmed: 15 7 2020
medline: 15 7 2020
entrez: 15 7 2020
Statut: epublish

Résumé

The development of mobile interventions for noncommunicable diseases has increased in recent years. However, there is a dearth of apps for patients with peripheral arterial disease (PAD), who frequently have an impaired ability to walk. Using a patient-centered approach for the development of mobile interventions, we aim to describe the needs and requirements of patients with PAD regarding the overall care situation and the use of mobile interventions to perform supervised exercise therapy (SET). A questionnaire survey was conducted in addition to a clinical examination at the vascular outpatient clinic of the West-German Heart and Vascular Center of the University Clinic Essen in Germany. Patients with diagnosed PAD were asked to answer questions on sociodemographic characteristics, PAD-related need for support, satisfaction with their health care situation, smartphone and app use, and requirements for the design of mobile interventions to support SET. Overall, a need for better support of patients with diagnosed PAD was identified. In total, 59.2% (n=180) expressed their desire for more support for their disease. Patients (n=304) had a mean age of 67 years and half of them (n=157, 51.6%) were smartphone users. We noted an interest in smartphone-supported SET, even for people who did not currently use a smartphone. "Information," "feedback," "choosing goals," and "interaction with physicians and therapists" were rated the most relevant components of a potential app. A need for the support of patients with PAD was determined. This was particularly evident with regard to disease literacy and the performance of SET. Based on a detailed description of patient characteristics, proposals for the design of mobile interventions adapted to the needs and requirements of patients can be derived.

Sections du résumé

BACKGROUND BACKGROUND
The development of mobile interventions for noncommunicable diseases has increased in recent years. However, there is a dearth of apps for patients with peripheral arterial disease (PAD), who frequently have an impaired ability to walk.
OBJECTIVE OBJECTIVE
Using a patient-centered approach for the development of mobile interventions, we aim to describe the needs and requirements of patients with PAD regarding the overall care situation and the use of mobile interventions to perform supervised exercise therapy (SET).
METHODS METHODS
A questionnaire survey was conducted in addition to a clinical examination at the vascular outpatient clinic of the West-German Heart and Vascular Center of the University Clinic Essen in Germany. Patients with diagnosed PAD were asked to answer questions on sociodemographic characteristics, PAD-related need for support, satisfaction with their health care situation, smartphone and app use, and requirements for the design of mobile interventions to support SET.
RESULTS RESULTS
Overall, a need for better support of patients with diagnosed PAD was identified. In total, 59.2% (n=180) expressed their desire for more support for their disease. Patients (n=304) had a mean age of 67 years and half of them (n=157, 51.6%) were smartphone users. We noted an interest in smartphone-supported SET, even for people who did not currently use a smartphone. "Information," "feedback," "choosing goals," and "interaction with physicians and therapists" were rated the most relevant components of a potential app.
CONCLUSIONS CONCLUSIONS
A need for the support of patients with PAD was determined. This was particularly evident with regard to disease literacy and the performance of SET. Based on a detailed description of patient characteristics, proposals for the design of mobile interventions adapted to the needs and requirements of patients can be derived.

Identifiants

pubmed: 32663154
pii: v4i8e15669
doi: 10.2196/15669
pmc: PMC7435621
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e15669

Informations de copyright

©Julia Lortz, Jan Simanovski, Tabea Kuether, Ilonka Kreitschmann-Andermahr, Greta Ullrich, Martin Steinmetz, Christos Rammos, Rolf Alexander Jánosi, Susanne Moebus, Tienush Rassaf, Katrin Paldán. Originally published in JMIR Formative Research (http://formative.jmir.org), 04.08.2020.

Références

Stud Health Technol Inform. 2018;247:311-315
pubmed: 29677973
BMC Med Inform Decis Mak. 2018 Nov 21;18(1):108
pubmed: 30463613
Obes Facts. 2016;9(6):397-409
pubmed: 27951530
PLoS One. 2018 May 3;13(5):e0196868
pubmed: 29723262
Patient Educ Couns. 2009 Apr;75(1):37-52
pubmed: 19036550
J Vasc Surg. 2017 Nov;66(5):1612-1620
pubmed: 28874320
JMIR Res Protoc. 2019 Jun 26;8(6):e13651
pubmed: 31244477
JMIR Mhealth Uhealth. 2018 Mar 01;6(3):e47
pubmed: 29496655
J Exerc Rehabil. 2017 Feb 28;13(1):3-11
pubmed: 28349027
Lancet. 2017 Dec 16;390(10113):2643-2654
pubmed: 28943267
Angiology. 2014 Jul;65(6):501-6
pubmed: 23657177
Eur J Vasc Endovasc Surg. 2007 Feb;33(2):202-7
pubmed: 17142065
J Gastrointest Cancer. 2018 Jun 18;:
pubmed: 29911290
Cochrane Database Syst Rev. 2017 Dec 26;12:CD000990
pubmed: 29278423
Dtsch Arztebl Int. 2018 Nov 5;115(40):659-665
pubmed: 30381130
Int J Med Inform. 2019 Apr;124:68-77
pubmed: 30784429
Eur Heart J. 2018 Mar 1;39(9):763-816
pubmed: 28886620
JMIR Mhealth Uhealth. 2019 Mar 26;7(3):e10044
pubmed: 30912756
Circulation. 2019 Jan 22;139(4):e10-e33
pubmed: 30586765
J Med Internet Res. 2019 Jun 21;21(6):e14265
pubmed: 31228174
Prosthet Orthot Int. 2017 Dec;41(6):537-547
pubmed: 28147898
JMIR Mhealth Uhealth. 2019 Apr 05;7(4):e9832
pubmed: 30950807
Br J Surg. 2013 Aug;100(9):1164-71
pubmed: 23842830
Vasc Med. 2019 Jun;24(3):208-215
pubmed: 30795714
Curr Cardiol Rep. 2016 May;18(5):49
pubmed: 27098670
Work. 2019;62(3):443-457
pubmed: 30909259
Front Public Health. 2015 May 05;3:134
pubmed: 26000272
J Vasc Surg. 2008 May;47(5):988-94
pubmed: 18455642
Eur J Vasc Endovasc Surg. 2012 Feb;43(2):198-207
pubmed: 22001145
Eur Heart J Qual Care Clin Outcomes. 2016 Oct 1;2(4):237-244
pubmed: 29474713
Ann Vasc Surg. 2019 Jan;54:92-102
pubmed: 30267913
J Vasc Surg. 2019 Jun;69(6):1899-1908.e1
pubmed: 30583899
JMIR Mhealth Uhealth. 2019 Jul 08;7(7):e12445
pubmed: 31287064
Lancet. 2013 Oct 19;382(9901):1329-40
pubmed: 23915883
Aust N Z J Public Health. 2018 Apr;42(2):118-119
pubmed: 29384248
Circulation. 2015 Sep 22;132(12):1157-213
pubmed: 26271892
JMIR Serious Games. 2015 Mar 18;3(1):e3
pubmed: 25791276
Circulation. 2011 Jul 5;124(1):17-23
pubmed: 21690489
BJGP Open. 2019 Oct 29;3(3):
pubmed: 31581118
Vasc Med. 2020 Feb;25(1):13-24
pubmed: 31603393
JAMA. 2018 Apr 24;319(16):1665-1676
pubmed: 29710165
Public Health. 2016 Dec;141:270-278
pubmed: 27814893

Auteurs

Julia Lortz (J)

Department of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany.

Jan Simanovski (J)

Centre for Urban Epidemiology, Institute for Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany.

Tabea Kuether (T)

Centre of Competence Personal Analytics at the University of Duisburg-Essen, Department of Engineering Sciences, University of Duisburg-Essen, Duisburg, Germany.

Ilonka Kreitschmann-Andermahr (I)

Department of Neurosurgery, University of Duisburg-Essen, Essen, Germany.

Greta Ullrich (G)

Department of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany.

Martin Steinmetz (M)

Department of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany.

Christos Rammos (C)

Department of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany.

Rolf Alexander Jánosi (RA)

Department of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany.

Susanne Moebus (S)

Centre for Urban Epidemiology, Institute for Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany.

Tienush Rassaf (T)

Department of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany.

Katrin Paldán (K)

Centre for Urban Epidemiology, Institute for Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany.
Centre of Competence Personal Analytics at the University of Duisburg-Essen, Department of Engineering Sciences, University of Duisburg-Essen, Duisburg, Germany.

Classifications MeSH