Related Experiment Video
Updated: Aug 2, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized
Raymond L Ownby1, Drenna Waldrop2, Rosemary Davenport1
1Department of Psychiatry and Behavioral Medicine, Nova Southeastern University, Fort Lauderdale FL.
Objective:
The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in older adult patients with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty.
Methods:
A randomized controlled trial was completed at two sites. Individuals 40 years of age and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence.
Results:
All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed.
Conclusions:
The mobile app was effective in increasing participants' levels of several psychosocial variables, but reading difficulty level was not significantly related to outcomes.Registered at clinicaltrials.gov NCT02922439.
Related Concept Videos
Health Literacy
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Chronic Pancreatitis II: Collaborative Care
Assessment:
Clinical Trials
There are four phases in a clinical trial. A phase one...
Clinical Trials: Overview

