Perspectives of Patients and Healthcare Professionals on mHealth for Asthma Self-Management

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

Research output: Contribution to journalReview article

13 Citations (Scopus)

Abstract

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.

LanguageEnglish
Article number1601966
Number of pages10
JournalEuropean Respiratory Journal
Volume49
Issue number5
DOIs
Publication statusPublished - 1 May 2017
Externally publishedYes

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Self Care
Asthma
Delivery of Health Care
Focus Groups
Patient Care Team
Medication Adherence
Nebulizers and Vaporizers

Cite this

Simpson, A. J., Honkoop, P. J., Kennington, E., Snoeck-Stroband, J. B., Smith, I., East, J., ... Fowler, S. J. (2017). Perspectives of Patients and Healthcare Professionals on mHealth for Asthma Self-Management. European Respiratory Journal, 49(5), [1601966]. https://doi.org/10.1183/13993003.01966-2016
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. / Perspectives of Patients and Healthcare Professionals on mHealth for Asthma Self-Management. In: European Respiratory Journal. 2017 ; Vol. 49, No. 5.
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Simpson, AJ, Honkoop, PJ, Kennington, E, Snoeck-Stroband, JB, Smith, I, East, J, Coleman, C, Caress, A, Chung, KF, Sont, JK, Usmani, O & Fowler, SJ 2017, 'Perspectives of Patients and Healthcare Professionals on mHealth for Asthma Self-Management', European Respiratory Journal, vol. 49, no. 5, 1601966. https://doi.org/10.1183/13993003.01966-2016

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.

In: European Respiratory Journal, Vol. 49, No. 5, 1601966, 01.05.2017.

Research output: Contribution to journalReview article

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AU - Smith, Ian

AU - East, Jessica

AU - Coleman, Courtney

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AU - Fowler, Stephen J.

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N2 - 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.

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Simpson AJ, Honkoop PJ, Kennington E, Snoeck-Stroband JB, Smith I, East J et al. Perspectives of Patients and Healthcare Professionals on mHealth for Asthma Self-Management. European Respiratory Journal. 2017 May 1;49(5). 1601966. https://doi.org/10.1183/13993003.01966-2016