Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study
Background: Cardiovascular disease, including atherosclerotic cardiovascular disease (ASCVD), is a growing public health threat globally and many individuals remain undiagnosed, untreated, and uncontrolled. Simultaneously, mobile health (mHealth) interventions using short messaging service (SMS) hav...
| Autores: | , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2019 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:10459.1/69937 |
| Acceso en línea: | https://doi.org/10.2196/11108 http://hdl.handle.net/10459.1/69937 |
| Access Level: | acceso abierto |
| Palabra clave: | Atherosclerosis mHealth eHealth Patient-centered care Patient acceptance of health care Medication adherence |
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Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods studyHaldane, VictoriaTan, Yao GuoTeo, Krichelle Wei QiKoh, Joel Jun KaiSrivastava, AasthaCheng, Rui XiangYap, Yi ChengOng, Pei-Shivan Dam, Rob M.Foo, Jie MinMüller-Riemenschneider, FalkKoh, Gerald C. H.Perel, PabloLegido-Quigley, HelenaAtherosclerosismHealtheHealthPatient-centered carePatient acceptance of health careMedication adherenceBackground: Cardiovascular disease, including atherosclerotic cardiovascular disease (ASCVD), is a growing public health threat globally and many individuals remain undiagnosed, untreated, and uncontrolled. Simultaneously, mobile health (mHealth) interventions using short messaging service (SMS) have gained popularity globally. There is an opportunity for innovative approaches such as mHealth to encourage and enable adherence to medications for ASCVD and its risk factors. Objective: This study aimed to understand mobile technology acceptance, use, and facilitating conditions among the study population ahead of the design of an mHealth intervention. Methods: Using data from a mixed-methods study conducted in Singapore, we conducted a cross-sectional survey with 100 participants and in-depth, semistructured interviews with 20 patients. All participants were over the age of 40 years with ASCVD or its risk factors. Interviews were conducted in English and Mandarin and if needed translated to English. Nvivo 11 (QSR International) was used for analyses. Results: Participants reported their perspectives on technology use and preferences, including low or sporadic mobile phone use and usability concerns including small screen and text size, among others; the benefit of previous mHealth use in creating a favorable opinion of SMS for health information; trust in both the source of mHealth SMS, as well as in treatment; the formation of habits; and fear of sequelae or death for facilitating intention to use an mHealth intervention and adhere to medication. We also highlighted a case that underscored the importance of the period after diagnosis in habit forming as an opportunity for an mHealth intervention. Conclusions: We explored both technology- and adherence-related factors that influence a patient's intention to use an mHealth intervention for adherence to ASCVD medication in Singapore. We highlighted the importance of identifying the right opportunity to engage with patients and promote an mHealth intervention for adherence, such as immediately following diagnosis when patients are establishing medication-taking habits.This research was supported by Humanities and Social Sciences Seed Fund, R-608-000-137-646 and the National University Health System (NUHS) Singapore Population Health Improvement Centre (SPHERiC).JMIR Publications2020202020192020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.2196/11108http://hdl.handle.net/10459.1/69937http://hdl.handle.net/10459.1/69937reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a https://doi.org/10.2196/11108Jmir Mhealth And Uhealth, 2019, vol. 7, num. 3, p. 1-13cc-by (c) Haldane et al., 2019info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/4.0/oai:recercat.cat:10459.1/699372026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study |
| title |
Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study |
| spellingShingle |
Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study Haldane, Victoria Atherosclerosis mHealth eHealth Patient-centered care Patient acceptance of health care Medication adherence |
| title_short |
Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study |
| title_full |
Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study |
| title_fullStr |
Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study |
| title_full_unstemmed |
Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study |
| title_sort |
Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study |
| dc.creator.none.fl_str_mv |
Haldane, Victoria Tan, Yao Guo Teo, Krichelle Wei Qi Koh, Joel Jun Kai Srivastava, Aastha Cheng, Rui Xiang Yap, Yi Cheng Ong, Pei-Shi van Dam, Rob M. Foo, Jie Min Müller-Riemenschneider, Falk Koh, Gerald C. H. Perel, Pablo Legido-Quigley, Helena |
| author |
Haldane, Victoria |
| author_facet |
Haldane, Victoria Tan, Yao Guo Teo, Krichelle Wei Qi Koh, Joel Jun Kai Srivastava, Aastha Cheng, Rui Xiang Yap, Yi Cheng Ong, Pei-Shi van Dam, Rob M. Foo, Jie Min Müller-Riemenschneider, Falk Koh, Gerald C. H. Perel, Pablo Legido-Quigley, Helena |
| author_role |
author |
| author2 |
Tan, Yao Guo Teo, Krichelle Wei Qi Koh, Joel Jun Kai Srivastava, Aastha Cheng, Rui Xiang Yap, Yi Cheng Ong, Pei-Shi van Dam, Rob M. Foo, Jie Min Müller-Riemenschneider, Falk Koh, Gerald C. H. Perel, Pablo Legido-Quigley, Helena |
| author2_role |
author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Atherosclerosis mHealth eHealth Patient-centered care Patient acceptance of health care Medication adherence |
| topic |
Atherosclerosis mHealth eHealth Patient-centered care Patient acceptance of health care Medication adherence |
| description |
Background: Cardiovascular disease, including atherosclerotic cardiovascular disease (ASCVD), is a growing public health threat globally and many individuals remain undiagnosed, untreated, and uncontrolled. Simultaneously, mobile health (mHealth) interventions using short messaging service (SMS) have gained popularity globally. There is an opportunity for innovative approaches such as mHealth to encourage and enable adherence to medications for ASCVD and its risk factors. Objective: This study aimed to understand mobile technology acceptance, use, and facilitating conditions among the study population ahead of the design of an mHealth intervention. Methods: Using data from a mixed-methods study conducted in Singapore, we conducted a cross-sectional survey with 100 participants and in-depth, semistructured interviews with 20 patients. All participants were over the age of 40 years with ASCVD or its risk factors. Interviews were conducted in English and Mandarin and if needed translated to English. Nvivo 11 (QSR International) was used for analyses. Results: Participants reported their perspectives on technology use and preferences, including low or sporadic mobile phone use and usability concerns including small screen and text size, among others; the benefit of previous mHealth use in creating a favorable opinion of SMS for health information; trust in both the source of mHealth SMS, as well as in treatment; the formation of habits; and fear of sequelae or death for facilitating intention to use an mHealth intervention and adhere to medication. We also highlighted a case that underscored the importance of the period after diagnosis in habit forming as an opportunity for an mHealth intervention. Conclusions: We explored both technology- and adherence-related factors that influence a patient's intention to use an mHealth intervention for adherence to ASCVD medication in Singapore. We highlighted the importance of identifying the right opportunity to engage with patients and promote an mHealth intervention for adherence, such as immediately following diagnosis when patients are establishing medication-taking habits. |
| publishDate |
2019 |
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2019 2020 2020 2020 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://doi.org/10.2196/11108 http://hdl.handle.net/10459.1/69937 http://hdl.handle.net/10459.1/69937 |
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https://doi.org/10.2196/11108 http://hdl.handle.net/10459.1/69937 |
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Inglés |
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Inglés |
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Reproducció del document publicat a https://doi.org/10.2196/11108 Jmir Mhealth And Uhealth, 2019, vol. 7, num. 3, p. 1-13 |
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cc-by (c) Haldane et al., 2019 info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/4.0/ |
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cc-by (c) Haldane et al., 2019 http://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf |
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JMIR Publications |
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JMIR Publications |
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