Perspectives of patients and healthcare professionals on mHealth for asthma self-management

Simpson, Andrew J.; Honkoop, Persijn J.; Kennington, Erika; Snoeck-Stroband, Jiska B.; Smith, Ian; East, Jessica; Coleman, Courtney; Caress, Ann; Chung, Kian Fan; Sont, Jacob K.; Usmani, Omar; Fowler, Stephen J.

Abstract

Copyright ©ERS 2017. Mobile healthcare (mHealth) has the potential to revolutionise the self-management of long-term medical conditions such as asthma. A user-centred design is integral if mHealth is to be embraced by patients and healthcare professionals. The aim of this study was to determine the perspectives of individuals with asthma and healthcare professionals on the use of mHealth for asthma self-management. We used a sequential exploratory mixed methods design; focus groups informed the development of questionnaires, which were disseminated to individuals with asthma and healthcare professionals. Focus group participants (18 asthma patients and five healthcare professionals) identified 12 potential uses of mHealth. Questionnaire results showed that individuals with asthma (n=186) most frequently requested an mHealth system to monitor asthma over time (72%) and to collect data to present to healthcare teams (70%). In contrast, healthcare professionals (n=63) most frequently selected a system alerting patients to deteriorating asthma control (86%) and advising them when to seek medical attention (87%). Individuals with asthma were less likely than healthcare professionals (p < 0.001) to believe that assessing medication adherence and inhaler technique could improve asthma control. Our data provide strong support for mHealth for asthma self-management, but highlight fundamental differences between the perspectives of patients and healthcare professionals.

Citation

Simpson, A. J., Honkoop, P. J., Kennington, E., Snoeck-Stroband, J., Smith, I., East, J., …Fowler, S. (2017). Perspectives of patients and healthcare professionals on mHealth for asthma self-management. European respiratory journal, 49(5), Article ARTN 1601966. https://doi.org/10.1183/13993003.01966-2016

• Journal Article Type: Article
• Acceptance Date: Feb 7, 2017
• Online Publication Date: May 1, 2017
• Publication Date: May 1, 2017
• Deposit Date: Nov 23, 2017
• Publicly Available Date: Nov 2, 2018
• Journal: European Respiratory Journal
• Print ISSN: 0903-1936
• Electronic ISSN: 1399-3003
• Publisher: European Respiratory Society
• Peer Reviewed: Peer Reviewed
• Volume: 49
• Issue: 5
• Article Number: ARTN 1601966
• DOI: https://doi.org/10.1183/13993003.01966-2016
• Keywords: Pulmonary medicine; Respiratory medicine
• Public URL: https://hull-repository.worktribe.com/output/368297
• Publisher URL: http://erj.ersjournals.com/content/49/5/1601966.article-info
• Related Public URLs: https://www.research.manchester.ac.uk/portal/en/publications/perspectives-of-patients-and-healthcare-professionals-on-mhealth-for-asthma-selfmanagement(6148d531-0b10-4ffc-9d29-9bfe5f89d53f).html