Mobile health devices: will patients actually use them?

Author:

Shaw Ryan J1,Steinberg Dori M2,Bonnet Jonathan3,Modarai Farhad3,George Aaron3,Cunningham Traven1,Mason Markedia,Shahsahebi Mohammad3,Grambow Steven C4,Bennett Gary G2,Bosworth Hayden B156

Affiliation:

1. Duke University School of Nursing, Durham, NC, USA;

2. Duke Global Health Institute, Duke University, Durham, NC, USA;

3. Department of Community and Family Medicine, Duke University Health System, Durham, NC, USA;

4. Department of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA

5. Division of General Internal Medicine, Department of Medicine, Duke University, Durham, NC, USA

6. Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham NC, USA

Abstract

Although mobile health (mHealth) devices offer a unique opportunity to capture patient health data remotely, it is unclear whether patients will consistently use multiple devices simultaneously and/or if chronic disease affects adherence. Three healthy and three chronically ill participants were recruited to provide data on 11 health indicators via four devices and a diet app. The healthy participants averaged overall weekly use of 76%, compared to 16% for those with chronic illnesses. Device adherence declined across all participants during the study. Patients with chronic illnesses, with arguably the most to benefit from advanced (or increased) monitoring, may be less likely to adopt and use these devices compared to healthy individuals. Results suggest device fatigue may be a significant problem. Use of mobile technologies may have the potential to transform care delivery across populations and within individuals over time. However, devices may need to be tailored to meet the specific patient needs.

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

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