A Mobile App for Chronic Disease Self-management for Individuals with Low Health Literacy: A Multisite Randomized Controlled Clinical Trial

Overview

Journal medRxiv

Date 2023 Apr 17

PMID 37066256

Authors

Raymond L Ownby

Drenna Waldrop

Rosemary Davenport

Michael Simonson

Joshua Caballero

Kamila Thomas-Purcell

Donrie Purcell

Victoria Ayala

Juan Gonzalez

Neil Patel

Kofi Kondwani

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in older adult patients with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty.

Methods: A randomized controlled trial was completed at two sites. Individuals 40 years of age and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence.

Results: All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed.

Conclusions: The mobile app was effective in increasing participants' levels of several psychosocial variables, but reading difficulty level was not significantly related to outcomes.Registered at clinicaltrials.gov NCT02922439.

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