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Health Consumer Engagement, Enablement, and Empowerment in Smartphone-Enabled Home-Based Diagnostic Testing for Viral
Cynthia LeRouge1,2, Polina Durneva1, Victoria Lyon2,3
1Department of Information Systems and Business Analytics, College of Business, Florida International University, Miami, FL, United States.
JMIR Mhealth and Uhealth
|June 30, 2022
Summary
This study models factors influencing engagement with smartphone-supported home testing (smart HT) and subsequent health decisions. Findings guide optimal support for digitally engaged health consumers using smart HT.
Area of Science:
- Digital Health
- Consumer Health Informatics
- Health Psychology
Background:
- Consumers increasingly manage their health using digital tools.
- Smartphone-supported home testing (smart HT) is an emerging technology for self-care.
- Limited research exists on consumer decision-making from smart HT engagement to action.
Purpose of the Study:
- To model key factors driving consumer engagement and enablement with smart HT.
- To explore health care choices arising from smart HT-driven empowerment and activation.
- To inform research and practice for optimal smart HT utilization.
Main Methods:
- Mixed-methods pilot study involving semistructured interviews (n=31) and surveys (n=282).
- Participants engaged in smart HT for viral infections (influenza, SARS-CoV-2).
- Explored decision-making processes for smart HT engagement, performance, and action.
Main Results:
- A model was developed identifying intrinsic/extrinsic engagement factors and enablement factors (smart HT quality, personal capacity).
- The model outlines choices stemming from empowerment/activation across public/private and personal/distant dimensions.
- Identified complexities in consumer decision-making and reactions to smart HT results.
Conclusions:
- Consumer engagement with smart HT involves complex, multi-faceted decision-making.
- Findings highlight the need for tailored support from providers and smart HT platforms.
- Understanding these factors is crucial for maximizing the benefits of smart HT in healthcare.
