[vc_row full_width=”stretch_row” css=”.vc_custom_1548353430222{background-color: #8a1465 !important;}”][vc_column][vc_empty_space height=”10px”][/vc_column][/vc_row][vc_row full_width=”stretch_row”][vc_column][vc_empty_space height=”4px”][vc_custom_heading source=”post_title” font_container=”tag:h1|text_align:left|color:%23333333″ google_fonts=”font_family:Raleway%3A100%2C200%2C300%2Cregular%2C500%2C600%2C700%2C800%2C900|font_style:400%20regular%3A400%3Anormal”][/vc_column][/vc_row][vc_row][vc_column width=”2/3″][vc_column_text css=”.vc_custom_1603963834895{margin-top: 5px !important;margin-right: 5px !important;margin-bottom: 5px !important;margin-left: 5px !important;border-top-width: 2px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;background-color: #ededed !important;}”]Research article published on Pubmed. September 17, 2020
AUTHORS: Boon Piang Cher, Gayatri Kembhavi, Kai Yee Toh, Jananie Audimulam, Wei-Yan Aloysius Chia, Hubertus Jm Vrijhoef, Yee Wei Lim, Toon Wei Lim.
ABSTRACT
Background: Atrial fibrillation (AF) is the most common heart rhythm disorder and poses a growing disease burden worldwide because of an aging population. A multidisciplinary approach with an emphasis on patient education and self-management has been demonstrated to improve outcomes for AF through the engagement of patients in their own care. Although electronic tools (e-tools) such as apps have been proposed to provide patient education and facilitate self-management, there have been few studies to guide the development of these tools for patients with AF.
Objective: This study aims to explore the perceptions of patients and health care providers (HCPs) and their attitudes toward the use of e-tools for the self-management of AF. It also seeks to elicit the factors that contribute to these attitudes.
Methods: Semistructured qualitative interviews with HCPs and patients were conducted to understand the interpretations and expectations of an e-tool that would be used for the self-management of AF. Interview data were analyzed using an exploratory thematic analysis approach to uncover emergent themes and infer ideas of preferred features in a device. A modified technology acceptance model was developed as a framework to help interpret these findings. Data from the HCPs and patients were compared and contrasted.
Results: Both patients and HCPs thought that an e-tool would be useful in the self-management of AF. Although both groups favored educational content and monitoring of blood pressure, patients expressed more passivity toward self-care and an ambivalence toward the use of technology to monitor their medical condition. This appears to be related to factors such as a patient’s age, social support, and their attitudes toward technology. Instead, they favored using the app to contact their HCPs.
Conclusions: This study provides insights into significant differences in the attitudes of patients and HCPs toward the use of e-tools for self-care against their priorities. Understanding patients’ motivations and their needs are key to ensuring higher acceptance of such tools.
Keywords: atrial fibrillation; chronic disease; mHealth; mobile phone; qualitative research; self-management.
©Boon Piang Cher, Gayatri Kembhavi, Kai Yee Toh, Jananie Audimulam, Wei-Yan Aloysius Chia, Hubertus JM Vrijhoef, Yee Wei Lim, Toon Wei Lim. Originally published in JMIR Human Factors (http://humanfactors.jmir.org), 17.09.2020.[/vc_column_text][/vc_column][vc_column width=”1/3″][vc_column_text css=”.vc_custom_1603964213753{margin-top: 10px !important;}”]Keywords: Attitudes, Clinicians, Patients, Self-Management, eHealth Tool, Atrial Fibrillation, Qualitative Study, vrijhoef[/vc_column_text][vc_separator css=”.vc_custom_1555607586280{margin-top: -4px !important;}”][vc_btn title=”Full-text article (Pubmed)” style=”custom” custom_background=”#8eb223″ custom_text=”#ffffff” align=”center” i_icon_fontawesome=”fa fa-arrow-right” button_block=”true” add_icon=”true” link=”url:https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F32940611%2F|title:Springer%20link|target:%20_blank|”][vc_separator][vc_posts_slider type=”flexslider_slide” count=”All” interval=”0″ slides_content=”teaser” slides_title=”1″ title=”See also:” posttypes=”post” categories=”publications” css=”.vc_custom_1555606478402{background-position: center !important;background-repeat: no-repeat !important;background-size: contain !important;}”][/vc_column][vc_column][vc_empty_space][/vc_column][/vc_row][vc_row full_width=”stretch_row” css=”.vc_custom_1548353430222{background-color: #8a1465 !important;}”][vc_column][vc_empty_space height=”2px”][/vc_column][/vc_row]