"I Like the Idea of It…But Probably Wouldn't Use It" - Health Care Provider Perspectives on Heart Failure mHealth: Qualitative Study.
heart failure
informatics
information technology
mHealth
telemedicine
Journal
JMIR cardio
ISSN: 2561-1011
Titre abrégé: JMIR Cardio
Pays: Canada
ID NLM: 101718325
Informations de publication
Date de publication:
04 Sep 2020
04 Sep 2020
Historique:
received:
03
02
2020
accepted:
13
07
2020
revised:
10
04
2020
entrez:
5
9
2020
pubmed:
5
9
2020
medline:
5
9
2020
Statut:
epublish
Résumé
Many mobile health (mHealth) technologies exist for patients with heart failure (HF). However, HF mhealth lacks evidence of efficacy, caregiver involvement, and clinically useful real-time data. We aim to capture health care providers' perceived value of HF mHealth, particularly for pairing patient-caregiver-generated data with clinical intervention to inform the design of future HF mHealth. This study is a subanalysis of a larger qualitative study based on interviewing patients with HF, their caregivers, and health care providers. This analysis included interviews with health care providers (N=20), focusing on their perceived usefulness of HF mHealth tools and interventions. A total of 5 themes emerged: (1) bio-psychosocial-spiritual monitoring, (2) use of sensors, (3) interoperability, (4) data sharing, and (5) usefulness of patient-reported outcomes in practice. Providers remain interested in mHealth technologies for HF patients and their caregivers. However, providers report being unconvinced of the clinical usefulness of robust real-time patient-reported outcomes. The use of assessments, sensors, and real-time data collection could provide value in patient care. Future research must continually explore how to maximize the utility of mHealth for HF patients, their caregivers, and health care providers.
Sections du résumé
BACKGROUND
BACKGROUND
Many mobile health (mHealth) technologies exist for patients with heart failure (HF). However, HF mhealth lacks evidence of efficacy, caregiver involvement, and clinically useful real-time data.
OBJECTIVE
OBJECTIVE
We aim to capture health care providers' perceived value of HF mHealth, particularly for pairing patient-caregiver-generated data with clinical intervention to inform the design of future HF mHealth.
METHODS
METHODS
This study is a subanalysis of a larger qualitative study based on interviewing patients with HF, their caregivers, and health care providers. This analysis included interviews with health care providers (N=20), focusing on their perceived usefulness of HF mHealth tools and interventions.
RESULTS
RESULTS
A total of 5 themes emerged: (1) bio-psychosocial-spiritual monitoring, (2) use of sensors, (3) interoperability, (4) data sharing, and (5) usefulness of patient-reported outcomes in practice. Providers remain interested in mHealth technologies for HF patients and their caregivers. However, providers report being unconvinced of the clinical usefulness of robust real-time patient-reported outcomes.
CONCLUSIONS
CONCLUSIONS
The use of assessments, sensors, and real-time data collection could provide value in patient care. Future research must continually explore how to maximize the utility of mHealth for HF patients, their caregivers, and health care providers.
Identifiants
pubmed: 32885785
pii: v4i1e18101
doi: 10.2196/18101
pmc: PMC7501581
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e18101Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL153892
Pays : United States
Organisme : NIA NIH HHS
ID : K76 AG059934
Pays : United States
Organisme : NIA NIH HHS
ID : L30 AG068904
Pays : United States
Informations de copyright
©Jennifer Dickman Portz, Kelsey Lynett Ford, Kira Elsbernd, Christopher E Knoepke, Kelsey Flint, David B Bekelman, Rebecca S Boxer, Sheana Bull. Originally published in JMIR Cardio (http://cardio.jmir.org), 04.09.2020.
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