Patient Engagement With and Perspectives on a Mobile Health Home Spirometry Intervention: Mixed Methods Study
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View abstract on PubMed
Summary
This summary is machine-generated.Remote patient monitoring (RPM) in mobile health (mHealth) shows lower engagement in lung transplant patients transplanted over a year ago or who are non-English speakers. Improving personalization and transparency can reduce attrition.
Area Of Science
- Digital Health
- Transplant Medicine
- Patient Engagement
Background
- Patient attrition in mobile health (mHealth) remote patient monitoring (RPM) programs diminishes benefits and highlights systemic disparities in adoption and use.
- Understanding real-world patient experiences, particularly among those who discontinue use, is crucial for enhancing mHealth value and reducing attrition.
Purpose Of The Study
- To investigate patient engagement and experiences within an mHealth RPM intervention specifically designed for lung transplant recipients.
- To identify factors influencing patient engagement and barriers to sustained use in this population.
Main Methods
- A cohort of 601 lung transplant recipients was enrolled in an mHealth RPM program for lung function monitoring.
- Multivariable logistic and linear regression analyses were used to identify predictors of patient engagement.
- Semistructured interviews were conducted with patients who disengaged after initial use to explore their experiences and identify common themes.
Main Results
- Patients transplanted over a year prior had significantly lower odds of engagement, data submission, and checklist completion.
- Non-English speakers exhibited substantially lower odds of engagement compared to English speakers.
- Interview themes included device challenges, communication issues, a need for personalized feedback, and a lack of clarity regarding data usage and chat functions.
Conclusions
- Improving care delivery and equity in RPM for lung transplant patients requires tailored outreach for non-English speakers and those further from transplant.
- Enhancing program design with personalized provider contact, clear education, and transparent data usage policies can decrease patient attrition rates.
Keywords:
attrition complication complications device devices dropout eHealth engagement experience experiences interview interviews lung lung transplant lungs mHealth methods mobile health monitor monitoring numerical data organ organs patient-centered care pulmonary remote patient monitoring respiratory spirometry statistics telemedicine transplant transplantation transplants
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