Perceptions of healthcare professionals and patients with cardiovascular diseases on mHealth lifestyle apps: A qualitative study

IF 3.7 2区医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS International Journal of Medical Informatics Pub Date : 2024-11-19 DOI:10.1016/j.ijmedinf.2024.105706

Sheikh Mohammed Sharifu Islam, Ashal Singh, Sebastiat V. Moreno, Sadika Akhter, Jeban Chandir Moses

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Abstract

Background

Cardiovascular disease (CVD) is the leading cause of death globally and is predominantly associated with a cluster of lifestyle risk factors. Mobile health (mHealth) apps offer the potential to overcome traditional barriers by supporting healthy lifestyle behaviours. However, knowledge about perceptions of mHealth lifestyle apps among healthcare professionals and people with CVD is sparse. This study examined barriers and facilitators of using the mHealth apps for healthy lifestyle support among healthcare professionals and CVD patients.

Methods

We conducted an in-depth qualitative study employing individual semi-structured interviews with 8 CVD healthcare professionals and 4 patients with CVD in Australia. Participants were asked open-ended questions about their perceptions and experiences with mHealth lifestyle apps. A thematic analysis approach was used to establish perceived barriers and facilitators for mHealth lifestyle apps.

Results

Most participants perceived mHealth lifestyle apps as useful. The key perceptions of facilitators included features for tailoring to personal needs, low costs and wide availability of the apps and addressing barriers to use like reminders. Both healthcare professionals and patients identified the strengths and weaknesses regarding the usefulness of mHealth lifestyle apps. Healthcare professionals and patients perceived several barriers to mHealth app use including trustworthiness, scientific validity, language barriers, the capability of using an app or digital literacy, costs for some commercial apps, and accessibility of an app for low-income groups.

Conclusion

Lifestyle apps provide an opportunity for better patient and healthcare professional communications, however, several barriers including improving digital health literacy and scientific validations of the apps are required before being recommended in clinical practice. Findings from this study can inform potential mHealth lifestyle app design to meet the demands of users. Addressing these barriers effectively can enhance the adoption and efficacy of mHealth apps, ultimately contributing to improved CVD management and healthier lifestyle behaviours.

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医护人员和心血管疾病患者对移动医疗生活方式应用程序的看法：定性研究

背景心血管疾病（CVD）是全球死亡的主要原因，主要与一系列生活方式风险因素有关。移动医疗（mHealth）应用程序通过支持健康的生活方式行为，为克服传统障碍提供了可能。然而，医疗保健专业人员和心血管疾病患者对移动医疗生活方式应用程序的看法却知之甚少。本研究调查了医疗保健专业人员和心血管疾病患者在使用移动医疗应用程序支持健康生活方式时遇到的障碍和促进因素。方法我们对澳大利亚的 8 名心血管疾病医疗保健专业人员和 4 名心血管疾病患者进行了深入的定性研究，采用了个人半结构式访谈。研究人员就他们对移动医疗生活方式应用程序的看法和体验向参与者提出了开放式问题。结果大多数参与者认为移动医疗生活方式应用程序很有用。对促进因素的主要看法包括根据个人需求量身定制的功能、应用程序的低成本和广泛可用性以及解决使用障碍（如提醒）。医护人员和患者都指出了移动医疗生活方式应用程序在实用性方面的优势和劣势。医疗保健专业人员和患者认为移动医疗应用程序的使用存在一些障碍，包括可信度、科学有效性、语言障碍、使用应用程序的能力或数字素养、某些商业应用程序的成本以及低收入群体对应用程序的可及性。本研究的结果可为潜在的移动医疗生活方式应用程序的设计提供参考，以满足用户的需求。有效解决这些障碍可以提高移动医疗应用程序的采用率和功效，最终有助于改善心血管疾病管理和健康的生活方式行为。

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来源期刊

International Journal of Medical Informatics 医学-计算机：信息系统

CiteScore

8.90

自引率

4.10%

发文量

217

审稿时长

42 days

期刊介绍： International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.