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Feasibility, Usability and Acceptability of a mHealth Intervention to Reduce Cardiovascular Risk in Rural Hispanic

Sheri Rowland1, Athena K Ramos2, Natalia Trinidad2

  • 1College of Nursing, University of Nebraska Medical Center, Lincoln, NE, United States.

JMIR Formative Research
|December 23, 2022
PubMed
Summary

Mobile health (mHealth) interventions are feasible for rural Hispanic/Latino adults, but require technology support for usability and adherence. Future studies should address baseline tech skills and attrition to improve self-management of cardiovascular risk.

Keywords:
Hispanic/Latinoacceptabilityappsengagementfeasibilityhealth behaviormHealthparticipationruralself-managementsmartphonetrackingwearable device

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Area of Science:

  • Digital Health
  • Health Disparities
  • Cardiovascular Disease Prevention

Background:

  • Mobile health (mHealth) technology effectively manages lifestyle-related health issues like hypertension and diabetes.
  • Few studies have explored mHealth interventions for Hispanic/Latino adults, especially in rural settings.

Purpose of the Study:

  • To evaluate the feasibility, usability, and acceptability of an mHealth intervention for cardiovascular risk self-management among rural Hispanic/Latino adults.

Main Methods:

  • A 12-week descriptive study using quantitative and qualitative methods.
  • Participants used MyFitnessPal and a smart scale for self-monitoring; the intervention group received technology support.
  • Usability, adherence, and acceptability were measured via surveys, app data, and interviews.

Main Results:

  • Recruitment was feasible; however, attrition was high (28% at 12 weeks, 54% at 24 weeks).
  • mHealth usability increased over time, but adherence to self-monitoring varied and decreased by study end.
  • Technology challenges included syncing issues, highlighting the need for ongoing support.

Conclusions:

  • mHealth interventions are feasible and acceptable for rural Hispanic/Latino adults with adequate technology support.
  • Addressing participants' baseline technology skills and providing consistent follow-up (e.g., SMS) can mitigate attrition.
  • Future research should consider wearable devices for improved activity tracking.