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Understanding How a Digital Platform for Chronic Disease Management Can Enable and Limit Patient Self-Care:
Lysanne Lessard1,2, Mark de Reuver3, Kerri-Anne Mullen4,5
1Telfer School of Management, University of Ottawa, Ottawa, ON, Canada.
Journal of Medical Internet Research
|May 14, 2026
Summary
Digital platforms aid chronic disease self-management by supporting core abilities and behaviors. However, limitations in platform features, particularly for self-care management, present challenges for patients.
Area of Science:
- Digital Health
- Health Informatics
- Patient Self-Management
Background:
- Growing chronic disease population necessitates digital self-management solutions.
- Patient experiences with digital health platforms vary due to platform complexity and feature flexibility.
- Unexpected impacts arise from the diverse features within digital self-management platforms.
Purpose of the Study:
- To explore how digital platforms enable and limit chronic disease self-management.
- To understand patient experiences with digital self-management tools.
- To identify specific platform features that impact patient self-care.
Main Methods:
- Semistructured qualitative interviews with 24 patients using a digital platform for chronic disease self-management.
- Analysis using template analysis, combining inductive theme identification and deductive theory application.
- Leveraged Self-Care Theory to analyze patient motivation, feature use, perceived value, and challenges.
Main Results:
- The digital platform supported cognitive, psychosocial, and sociocultural self-care abilities and maintenance, monitoring, and management behaviors.
- No support was provided for the development of physiological self-care abilities.
- Significant limitations were identified in platform support for self-care management, despite overall perceived value.
Conclusions:
- Digital platforms can enhance self-care for chronic diseases by reinforcing behaviors and providing resources.
- Gaps in digital platform features can hinder comprehensive patient self-care.
- Relating platform features to self-care dimensions aids in identifying improvements for enhanced patient support.
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