Browsing by Author "Reading, Meghan"
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- ItemFactors Influencing Sustained Engagement with ECG Self-Monitoring: Perspectives from Patients and Health Care Providers.(0000-00-00) Reading, Meghan; Baik, Dawon; Beauchemin, Melissa; Hickey, Kathleen T; Merrill, Jacqueline ABACKGROUND Patient generated health data PGHD collected digitally with mobile health mHealth technology has garnered recent excitement for its potential to improve precision management of chronic conditions such as atrial fibrillation AF a common cardiac arrhythmia However sustained engagement is a major barrier to collection of PGHD Little is known about barriers to sustained engagement or strategies to intervene upon engagement through application design OBJECTIVE This article investigates individual patient differences in sustained engagement among individuals with a history of AF who are self monitoring using mHealth technology METHODS This qualitative study involved patients health care providers and research coordinators previously involved in a randomized controlled trial involving electrocardiogram ECG self monitoring of AF Patients were adults with a history of AF randomized to the intervention arm of this trial who self monitored using ECG mHealth technology for 6 months Semistructured interviews and focus groups were conducted separately with health care providers and research coordinators engaged patients and unengaged patients A validated model of sustained engagement an adapted unified theory of acceptance and use of technology UTAUT guided data collection and analysis through directed content analysis RESULTS We interviewed 13 patients 7 engaged 6 unengaged 6 providers and 2 research coordinators In addition to finding differences between engaged and unengaged patients within each predictor in the adapted UTAUT model perceived ease of use perceived usefulness facilitating conditions four additional factors were identified as being related to sustained engagement in this population These are 1 internal motivation to manage health 2 relationship with health care provider 3 supportive environments and 4 feedback and guidance CONCLUSION Although it required some modification the adapted UTAUT model was useful in understanding of the parameters of sustained engagement The findings of this study provide initial requirement specifications for the design of applications that engage patients in this unique population of adults with AF
- ItemMeasuring health status and symptom burden using a web-based mHealth application in patients with heart failure.(0000-00-00) Baik, Dawon; Reading, Meghan; Jia, Haomiao; Grossman, Lisa V; Masterson Creber, RuthBACKGROUND Symptoms of heart failure markedly impair a patient s health status The aim of this study was to identify predictors of health status in a sample of racially and ethnically diverse patients with heart failure using a web based mobile health application mi Symptoms METHODS We conducted a cross sectional study at an urban academic medical center Patients with heart failure self reported symptoms using validated symptom instruments e g patient reported outcome measurement information system by way of the mobile health application mi Symptoms The primary study outcome was health status measured with the Kansas City cardiomyopathy questionnaire clinical summary score Data were analyzed using descriptive statistics and multiple linear regression RESULTS The mean age of the sample n 168 was 58 7 12 5 years 37 were women 36 were Black 36 identified as Hispanic Latino 48 were classified as New York Heart Association class III and 44 reported not having enough income to make ends meet Predictors of better health status in heart failure included higher physical function 0 89 p 0 001 and ability to participate in social roles and activities 0 58 p 0 002 and predictors of poorer health status were New York Heart Association class IV 11 68 p 0 006 and dyspnea 0 77 pUnder0 001 The predictors accounted for 73 of the variance in health status CONCLUSION Patient centered interventions should focus on modifiable risk factors that reduce dyspnea improve functional status and enhance engagement in social roles to improve the health status of patients with heart failure