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A Clinically Integrated mHealth App and Practice Model for Collecting Patient-Reported Outcomes between Visits for
Robert S Rudin1, Christopher H Fanta2, Nabeel Qureshi3
1RAND Corporation, Boston, Massachusetts, United States.
Applied Clinical Informatics
|October 17, 2019
Summary
A mobile health (mHealth) app effectively supports asthma management by enabling guideline-recommended symptom monitoring. This intervention shows high patient adherence and minimal clinician burden, with potential for broader primary care use.
Area of Science:
- Digital Health
- Pulmonology
- Chronic Disease Management
Background:
- Mobile health (mHealth) applications offer potential for chronic disease management.
- Effective asthma symptom monitoring between clinical visits is crucial for guideline adherence.
Purpose of the Study:
- To assess the feasibility of an integrated mHealth app and practice model for asthma symptom monitoring.
- To evaluate patient-reported outcomes (PROs) and clinical integration of the mHealth intervention.
Main Methods:
- A 25-week mixed-methods study was conducted in two pulmonary clinics.
- Intervention involved an mHealth app for symptom monitoring and patient-reported outcomes.
- Data collected included app usage, patient/clinician interviews, and questionnaire completion rates.
Main Results:
- High patient retention (92%) and adherence (84% questionnaire completion) were observed.
- Female participants and those with higher education showed better adherence.
- Clinicians reported minimal additional workload, facilitated triage, and improved patient-provider conversations.
Conclusions:
- A clinically integrated mHealth app model is feasible for guideline-recommended asthma monitoring.
- The intervention demonstrates high patient engagement and low clinician burden.
- Potential exists for scaling to primary care to reduce urgent and emergency healthcare utilization.
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