Assessment of Patient Engagement with a Mobile Application Among Service Members in Transition

Overview

Journal J Am Med Inform Assoc

Publisher Oxford University Press

Specialty Medical Informatics

Date 2015 Sep 13

PMID 26363048

Citations 14

Authors

Holly Pavliscsak

Jeanette R Little

Ronald K Poropatich

Francis L McVeigh

James Tong

Johnie S Tillman

Challis H Smith

Stephanie Jo Fonda

Affiliations

Soon will be listed here.

Abstract

Objective: This article examines engagement with a mobile application ("mCare") for wounded Service Members rehabilitating in their communities. Many had behavioral health problems, Traumatic Brain Injury (TBI), and/or post-traumatic stress disorder (PTS). The article also examines associations between Service Members' background characteristics and their engagement with mCare.

Materials And Methods: This analysis included participants who received mCare (n = 95) in a randomized controlled trial. mCare participants received status questionnaires daily for up to 36 weeks. Participant engagement encompasses exposure to mCare, percentage of questionnaires responded to, and response time. Participants were grouped by health status-that is, presence/absence of behavioral health problems, PTS, and/or TBI. Histograms and regression analyses examined engagement by participants' health status and background characteristics.

Results: Exposure to mCare did not differ by health status. Participants usually responded to ≥60% of the questionnaires weekly, generally in ≤10 h; however, participants with behavioral health problems had several weeks with <50% response and the longest response times. Total questionnaires responded to and response time did not differ statistically by health status. Older age and higher General Well-Being Schedule scores were associated with greater and faster response.

Discussion: The sustained response to the questionnaires suggests engagement. Overall level of response surpassed trends reported for American's usage of mobile applications. With a few exceptions, Service Members engaged with mCare irrespective of health status.

Conclusion: Mobile health has the potential to increase the quantity and quality of patient-provider communications in a community-based, rehabilitation care setting, above that of standard care.

Citing Articles

Remote Follow-Up Technologies in Traumatic Brain Injury: A Scoping Review.

Smith B, Tumpa S, Mantle O, Whiffin C, Mee H, Solla D J Neurotrauma. 2022; 39(19-20):1289-1317.

PMID: 35730115 PMC: 9529313. DOI: 10.1089/neu.2022.0138.

Synthesis of evidence on the use of ecological momentary assessments to monitor health outcomes after traumatic injury: rapid systematic review.

Mitchell R, Goggins R, Lystad R BMC Med Res Methodol. 2022; 22(1):119.

PMID: 35459086 PMC: 9027879. DOI: 10.1186/s12874-022-01586-w.

What Works Best to Engage Participants in Mobile App Interventions and e-Health: A Scoping Review.

Oakley-Girvan I, Yunis R, Longmire M, Ouillon J Telemed J E Health. 2021; 28(6):768-780.

PMID: 34637651 PMC: 9231655. DOI: 10.1089/tmj.2021.0176.

Returning Cardiac Rhythm Data to Patients: Opportunities and Challenges.

Masterson Creber R, Reading Turchioe M Card Electrophysiol Clin. 2021; 13(3):555-567.

PMID: 34330381 PMC: 8328196. DOI: 10.1016/j.ccep.2021.05.002.

Phenotypes of engagement with mobile health technology for heart rhythm monitoring.

Lee J, Reading Turchioe M, Masterson Creber R, Biviano A, Hickey K, Bakken S JAMIA Open. 2021; 4(2):ooab043.

PMID: 34131638 PMC: 8200132. DOI: 10.1093/jamiaopen/ooab043.

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