Patient and physician perspectives on the use and outcome measures of mHealth apps: Exploratory survey and focus group study

Objective Factors that physicians and patients consider when making decisions about using or recommending health apps are not well understood. We explored these factors to better assess how to support such decision making. Methods We conducted an exploratory cross-sectional study in Ontario using qu...

Full description

Bibliographic Details
Main Authors: Rita Jezrawi, Sarmini Balakumar, Rafia Masud, Itzhak Gabizon, Vinai Bhagirath, Jobin Varughese, Michael Brown, Dan Trottier, JD Schwalm, Michael McGillion, Elizabeth Alvarez, Cynthia Lokker
Format: Article
Language:English
Published: SAGE Publishing 2022-05-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076221102773
_version_ 1818552224334217216
author Rita Jezrawi
Sarmini Balakumar
Rafia Masud
Itzhak Gabizon
Vinai Bhagirath
Jobin Varughese
Michael Brown
Dan Trottier
JD Schwalm
Michael McGillion
Elizabeth Alvarez
Cynthia Lokker
author_facet Rita Jezrawi
Sarmini Balakumar
Rafia Masud
Itzhak Gabizon
Vinai Bhagirath
Jobin Varughese
Michael Brown
Dan Trottier
JD Schwalm
Michael McGillion
Elizabeth Alvarez
Cynthia Lokker
author_sort Rita Jezrawi
collection DOAJ
description Objective Factors that physicians and patients consider when making decisions about using or recommending health apps are not well understood. We explored these factors to better assess how to support such decision making. Methods We conducted an exploratory cross-sectional study in Ontario using qualitative focus groups and quantitative surveys. 133 physicians and 94 community dwelling adults completed online surveys and we held two focus groups of nine community dwelling participants who had cardiovascular risk factors and an interest in using mHealth apps. Quantitative survey data was analyzed descriptively. Focus groups were audio-recorded and transcribed verbatim prior to inductive thematic content analysis. We integrated the results from the surveys and focus groups to understand factors that influence physicians' and patients' selection and use of such apps. Results Physicians recommend apps to patients but the level of evidence they prefer to use to guide selection did not align with what they were currently using. Patients trusted recommendations and reviews from medical organizations and healthcare professionals when selecting apps and were motivated to continue using apps when they supported goal setting and tracking, data sharing, decision making, and empowerment. Conclusions The findings highlight the significance of evaluating mHealth apps based on metrics that patients and physicians value beyond usage and clinical outcome data. Patients engage with apps that support them in confidently managing their health. Increased training and awareness of apps and creating a more rigorous evidence base showing the value of apps to supporting health goals will support greater adoption and acceptance of mHealth apps.
first_indexed 2024-12-12T09:10:24Z
format Article
id doaj.art-18ad817569914d0db8744d88c587e580
institution Directory Open Access Journal
issn 2055-2076
language English
last_indexed 2024-12-12T09:10:24Z
publishDate 2022-05-01
publisher SAGE Publishing
record_format Article
series Digital Health
spelling doaj.art-18ad817569914d0db8744d88c587e5802022-12-22T00:29:32ZengSAGE PublishingDigital Health2055-20762022-05-01810.1177/20552076221102773Patient and physician perspectives on the use and outcome measures of mHealth apps: Exploratory survey and focus group studyRita Jezrawi0Sarmini Balakumar1Rafia Masud2Itzhak Gabizon3Vinai Bhagirath4Jobin Varughese5Michael Brown6Dan Trottier7JD Schwalm8Michael McGillion9Elizabeth Alvarez10Cynthia Lokker11 Department of Health Research Methods, Evidence, and Impact, , Hamilton, Canada Institute of Health Policy, Management, and Evaluation, , Toronto, Canada Department of Health Research Methods, Evidence, and Impact, , Hamilton, Canada Department of Cardiology, Soroka University Medical Center, University of the Negev, Beer-Sheva, Israel Department of Medicine, , Hamilton, Canada Queen Square Family Health Team, Brampton, Canada Department of Health Research Methods, Evidence, and Impact, , Hamilton, Canada Population Health Research Institute, Hamilton Health Sciences, , Hamilton, Canada Population Health Research Institute, Hamilton Health Sciences, , Hamilton, Canada School of Nursing, , Hamilton, Canada Department of Health Research Methods, Evidence, and Impact, , Hamilton, Canada Department of Health Research Methods, Evidence, and Impact, , Hamilton, CanadaObjective Factors that physicians and patients consider when making decisions about using or recommending health apps are not well understood. We explored these factors to better assess how to support such decision making. Methods We conducted an exploratory cross-sectional study in Ontario using qualitative focus groups and quantitative surveys. 133 physicians and 94 community dwelling adults completed online surveys and we held two focus groups of nine community dwelling participants who had cardiovascular risk factors and an interest in using mHealth apps. Quantitative survey data was analyzed descriptively. Focus groups were audio-recorded and transcribed verbatim prior to inductive thematic content analysis. We integrated the results from the surveys and focus groups to understand factors that influence physicians' and patients' selection and use of such apps. Results Physicians recommend apps to patients but the level of evidence they prefer to use to guide selection did not align with what they were currently using. Patients trusted recommendations and reviews from medical organizations and healthcare professionals when selecting apps and were motivated to continue using apps when they supported goal setting and tracking, data sharing, decision making, and empowerment. Conclusions The findings highlight the significance of evaluating mHealth apps based on metrics that patients and physicians value beyond usage and clinical outcome data. Patients engage with apps that support them in confidently managing their health. Increased training and awareness of apps and creating a more rigorous evidence base showing the value of apps to supporting health goals will support greater adoption and acceptance of mHealth apps.https://doi.org/10.1177/20552076221102773
spellingShingle Rita Jezrawi
Sarmini Balakumar
Rafia Masud
Itzhak Gabizon
Vinai Bhagirath
Jobin Varughese
Michael Brown
Dan Trottier
JD Schwalm
Michael McGillion
Elizabeth Alvarez
Cynthia Lokker
Patient and physician perspectives on the use and outcome measures of mHealth apps: Exploratory survey and focus group study
Digital Health
title Patient and physician perspectives on the use and outcome measures of mHealth apps: Exploratory survey and focus group study
title_full Patient and physician perspectives on the use and outcome measures of mHealth apps: Exploratory survey and focus group study
title_fullStr Patient and physician perspectives on the use and outcome measures of mHealth apps: Exploratory survey and focus group study
title_full_unstemmed Patient and physician perspectives on the use and outcome measures of mHealth apps: Exploratory survey and focus group study
title_short Patient and physician perspectives on the use and outcome measures of mHealth apps: Exploratory survey and focus group study
title_sort patient and physician perspectives on the use and outcome measures of mhealth apps exploratory survey and focus group study
url https://doi.org/10.1177/20552076221102773
work_keys_str_mv AT ritajezrawi patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT sarminibalakumar patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT rafiamasud patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT itzhakgabizon patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT vinaibhagirath patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT jobinvarughese patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT michaelbrown patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT dantrottier patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT jdschwalm patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT michaelmcgillion patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT elizabethalvarez patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy
AT cynthialokker patientandphysicianperspectivesontheuseandoutcomemeasuresofmhealthappsexploratorysurveyandfocusgroupstudy