Contact email
adalal1@partners.org
Overview
The team assessed feasibility of implementing a clinically integrated mHealth app and practice model to facilitate between-visit asthma symptom monitoring as per guidelines. They implemented an mHealth app at two pulmonary clinics and conducted mixed-methods analysis of app data and semi-structured interviews. They demonstrate that implementation of a clinically integrated mHealth app and practice model can achieve high patient retention and adherence to guideline-recommended asthma symptom monitoring.
Department
Medicine
Division
General Medicine
Collaborators
Robert S. Rudin
Christopher H. Fanta
Nabeel Qureshi
Erin Duffy
Maria O. Edelen
Anuj K. Dalal
David W. Bates
Status/Stage of Development
Completed
Measurement
They measured participation at the end of the 25 week study period, completion rates, and themes from patient interviews.
Results
-Out of 26 participants, 24 were still participating at the end of 25 weeks (92%) -On average participants completed 21/25 questions (84%)
-Completion rates were higher for female patients and patients who had obtained bachelor's degree level education or higher
-25% of questionnaires had results severe enough to qualify for a callback from a nurse -50% of patients called back by a nurse declined this option
-Themes from patient interviews included more awareness of asthma, more connection
with provider, and app simplicity
-Themes from clinician interviews included minimal work added, facilitating triage, and informing conversations during visits
Sources
1. Rudin RS, Fanta CH, Qureshi N, et al. A Clinically Integrated mHealth App and Practice Model for Collecting Patient-Reported Outcomes between Visits for Asthma Patients: Implementation and Feasibility. Appl Clin Inform. 2019;10(5):783-793. doi:10.1055/s-0039- 1697597
