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Mobile Health (mHealth) Applications and Self Healthcare Management: Willingness of Female Patients Living in Rural Areas to Static Mobile Apps

  • Tahereh SahebEmail author
  • Elham Abooei Mehrizi
Conference paper
Part of the Lecture Notes in Management and Industrial Engineering book series (LNMIE)

Abstract

The objective of this research is to assess the attitudes and preferences of female patients living in rural areas regarding various functionalities a mobile app can play. I classified mobile app functionalities into two major categories of static and dynamic. Static functionalities are those with whom a patient develops one-way, top-down interactions, such as receiving drug information from hospital staffs. Interactive functionalities develop mutual and engaging interactions among patients, physicians, and health staffs. This is a descriptive, cross-sectional study collected data from 460 female patients visited rural “Health Houses” in provinces of Ardabil and Isfahan. The respondents were selected randomly. The data collection tool is a questionnaire designed by the author. Validity (content and form) and reliability (Spearman–Brown with r = 0.83) includes two categories of questions: background and questions regarding the role of mobile information-communication apps. Data were analyzed by SPSS software. This research shows that the patients prefer a mobile health app that develops a static interaction between themselves and their physician or other health staffs. In general, patients have medium trust to mobile apps, and they prefer to use mobile apps developed and run by a clinic or a hospital so that they can receive health information, medical bills and the results of their medical tests. They showed little tendency to interact with other patients, physicians, and health staffs through a mobile app. They prefer face to face interactions.

Keywords

mHealth applications Self-healthcare management Telemedicine in rural areas Static mobile apps Dynamic mobile apps 

References

  1. Anhøj, J., & Møldrup, C. (2004). Feasibility of collecting diary data from asthma patients through mobile phones and SMS (short message service): Response rate analysis and focus group evaluation from a pilot study. Journal of Medical Internet Research, 6(4), e42.CrossRefGoogle Scholar
  2. Castaño, P. M., Bynum, J. Y., Andrés, R., Lara, M., & Westhoff, C. (2012). Effect of daily text messages on oral contraceptive continuation: A randomized controlled trial. Obstetrics and Gynecology, 119(1), 14–20.CrossRefGoogle Scholar
  3. Collins, R. L., Kashdan, T. B., & Gollnisch, G. (2003). The feasibility of using cellular phones to collect ecological momentary assessment data: Application to alcohol consumption. Experimental and Clinical Psychopharmacology, 11(1), 73.CrossRefGoogle Scholar
  4. Costello, K., Kennedy, P., & Scanzillo, J. (2008). Recognizing nonadherence in patients with multiple sclerosis and maintaining treatment adherence in the long term. The Medscape Journal of Medicine, 10(9), 225.Google Scholar
  5. Dayer, L., Heldenbrand, S., Anderson, P., Gubbins, P. O., & Martin, B. C. (2013). Smartphone medication adherence apps: Potential benefits to patients and providers. Journal of the American Pharmacists Association: JAPhA, 53(2), 172–181.CrossRefGoogle Scholar
  6. Dhar, J., Leggat, C., & Bonas, S. (2006). Texting—A revolution in sexual health communication. International Journal of STD and AIDS, 17(6), 375–377.CrossRefGoogle Scholar
  7. Downer, S. R., Meara, J. G., Da Costa, A. C., & Sethuraman, K. (2006). SMS text messaging improves outpatient attendance. Australian Health Review, 30(3), 389–396.CrossRefGoogle Scholar
  8. eHealth for Health-care Delivery: Strategy 2004–2007. Geneva: World Health Organization.Google Scholar
  9. Freedman, M. J., Lester, K. M., McNamara, C., Milby, J. B., & Schumacher, J. E. (2006). Cell phones for ecological momentary assessment with cocaine-addicted homeless patients in treatment. Journal of Substance Abuse Treatment, 30(2), 105–111.CrossRefGoogle Scholar
  10. Hurling, R., Catt, M., Boni, M. D., Fairley, B. W., Hurst, T., Murray, P., et al. (2007). Using internet and mobile phone technology to deliver an automated physical activity program: Randomized controlled trial. Journal of Medical Internet Research, 9(2), e7.CrossRefGoogle Scholar
  11. Hwabamungu, B., & Williams, Q. (2010). m-Health adoption and sustainability prognosis from a care givers’ and patients’ perspective. In Proceedings of the 2010 Annual Research Conference of the South African Institute of Computer Scientists and Information Technologists (pp. 123–131). New York, NY, USA: ACM.Google Scholar
  12. Israni, A., Dean, C., Kasel, B., Berndt, L., Wildebush, W., & Wang, C. J. (2016). Why do patients forget to take immunosuppression medications and miss appointments: can a mobile phone app help? JMIR Public Health and Surveillance, 2(1).CrossRefGoogle Scholar
  13. Jindel, R. M., Joseph, J. T., Morris, M. C., Santella, R. N., & Baines, L. S. (2003). Noncompliance after kidney transplantation: A systematic review. In Transplantation Proceedings (Vol. 35, pp. 2868–2872).CrossRefGoogle Scholar
  14. Joo, N.-S., & Kim, B.-T. (2007). Mobile phone short message service messaging for behaviour modification in a community-based weight control programme in Korea. Journal of Telemedicine and Telecare, 13(8), 416–420.CrossRefGoogle Scholar
  15. Julius, R. J., Novitsky Jr, M. A., & Dubin, W. R. (2009). Medication adherence: A review of the literature and implications for clinical practice. Journal of Psychiatric Practice®, 15(1), 34–44.CrossRefGoogle Scholar
  16. Karamanidou, C., Clatworthy, J., Weinman, J., & Horne, R. (2008). A systematic review of the prevalence and determinants of nonadherence to phosphate binding medication in patients with end-stage renal disease. BMC Nephrology, 9(1), 2.CrossRefGoogle Scholar
  17. Kay, M., Santos, J., & Takane, M. (2011). mHealth: New horizons for health through mobile technologies. World Health Organization, 3, 66–71.Google Scholar
  18. Kridel, T. (N/A). Why Mobile Is Such a Big Deal for Big Data. archived URL: http://www.digitalinnovationgazette.com/mobile/mobile_big_data/.
  19. Lanouette, N. M., Folsom, D. P., Sciolla, A., & Jeste, D. V. (2009). Psychotropic medication nonadherence among United States Latinos: A comprehensive literature review. Psychiatric Services, 60(2), 157–174.CrossRefGoogle Scholar
  20. Lehmann, A., Aslani, P., Ahmed, R., Celio, J., Gauchet, A., Bedouch, P., et al. (2014). Assessing medication adherence: options to consider. International Journal of Clinical Pharmacy, 36(1), 55–69.CrossRefGoogle Scholar
  21. Leong, K. C., Chen, W. S., Leong, K. W., Mastura, I., Mimi, O., Sheikh, M. A., et al. (2006). The use of text messaging to improve attendance in primary care: A randomized controlled trial. Family Practice, 23(6), 699–705.CrossRefGoogle Scholar
  22. Lester, R. T., Ritvo, P., Mills, E. J., Kariri, A., Karanja, S., Chung, M. H., et al. (2010). Effects of a mobile phone short message service on antiretroviral treatment adherence in Kenya (WelTel Kenya1): a randomised trial. The Lancet, 376(9755), 1838–1845.CrossRefGoogle Scholar
  23. Liu, X., Wang, R., Zhou, D., & Hong, Z. (2016). Feasibility and acceptability of smartphone applications for seizure self-management in China: Questionnaire study among people with epilepsy. Epilepsy & Behavior: E&B, 55, 57–61.CrossRefGoogle Scholar
  24. Lopez, M. H., Gonzalez-Barrera, A., & Patten, E. (2013). Closing the digital divide: Latinos and technology adoption, March 7, 2013. Archived URL: http://www.pewhispanic.org/2013/03/07/closing-the-digital-divide-latinos-and-technology-adoption/.
  25. McGillicuddy, J. W., Weiland, A. K., Frenzel, R. M., Mueller, M., Brunner-Jackson, B. M., Taber, D. J., et al. (2013). Patient attitudes toward mobile phone-based health monitoring: Questionnaire study among kidney transplant recipients. Journal of Medical Internet Research, 15(1).CrossRefGoogle Scholar
  26. Menon-Johansson, A. S., McNaught, F., Mandalia, S., & Sullivan, A. K. (2006). Texting decreases the time to treatment for genital Chlamydia trachomatis infection. Sexually Transmitted Infections, 82(1), 49–51.CrossRefGoogle Scholar
  27. Murray, C. J., & Frenk, J. (2000). A framework for assessing the performance of health systems. Bulletin of the World Health Organization, 78(6), 717–731.Google Scholar
  28. Over 20 million Iranians use smart phones. (June 10, 2015). Archived URL: from http://en.trend.az/iran/society/2404528.html.
  29. Perry, R. C., Kayekjian, K. C., Braun, R. A., Cantu, M., Sheoran, B., & Chung, P. J. (2012). Adolescents’ perspectives on the use of a text messaging service for preventive sexual health promotion. Journal of Adolescent Health, 51(3), 220–225.CrossRefGoogle Scholar
  30. Pfeifer Vardoulakis, L., Karlson, A., Morris, D., Smith, G., Gatewood, J., & Tan, D. (2012). Using mobile phones to present medical information to hospital patients. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (pp. 1411–1420). New York, NY, USA: ACM.Google Scholar
  31. Pop-Eleches, C., Thirumurthy, H., Habyarimana, J. P., Zivin, J. G., Goldstein, M. P., De Walque, D., et al. (2011). Mobile phone technologies improve adherence to antiretroviral treatment in a resource-limited setting: A randomized controlled trial of text message reminders. AIDS (London, England), 25(6), 825.CrossRefGoogle Scholar
  32. Price, M., Williamson, D., McCandless, R., Mueller, M., Gregoski, M., Brunner-Jackson, B., et al. (2013). Hispanic migrant farm workers’ attitudes toward mobile phone-based telehealth for management of chronic health conditions. Journal of Medical Internet Research, 15(4), e76.CrossRefGoogle Scholar
  33. Ramirez, V., Johnson, E., Gonzalez, C., Ramirez, V., Rubino, B., & Rossetti, G. (2016). Assessing the use of mobile health technology by patients: An observational study in primary care clinics. JMIR mHealth and uHealth, 4(2), e41.CrossRefGoogle Scholar
  34. Rodgers, A., Corbett, T., Bramley, D., Riddell, T., Wills, M., Lin, R.-B., et al. (2005). Do u smoke after txt? Results of a randomised trial of smoking cessation using mobile phone text messaging. Tobacco Control, 14(4), 255–261.CrossRefGoogle Scholar
  35. Sankaranarayanan, J., & Sallach, R. E. (2014). Rural patients’ access to mobile phones and willingness to receive mobile phone-based pharmacy and other health technology services: A pilot study. Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 20(2), 182–185.CrossRefGoogle Scholar
  36. Seto, E., Leonard, K. J., Masino, C., Cafazzo, J. A., Barnsley, J., & Ross, H. J. (2010). Attitudes of heart failure patients and health care providers towards mobile phone-based remote monitoring. Journal of Medical Internet Research, 12(4).CrossRefGoogle Scholar
  37. Shiferaw, F., & Zolfo, M. (2012). The role of information communication technology (ICT) towards universal health coverage: the first steps of a telemedicine project in Ethiopia. Global Health Action, 5, 1–8.CrossRefGoogle Scholar
  38. Study: What do patients and carers need in health apps—but are not getting? (n.d.). Archived URL: https://ec.europa.eu/digital-single-market/en/news/study-what-do-patients-and-carers-need-health-apps-are-not-getting.
  39. UNICEF. (2015). How mobile phones are changing the developing world, August 5, 2015. Archived URL: https://blogs.unicef.org/innovation/how-mobile-phones-are-changing-the-developing-world/.
  40. Vreeman, R. C., Wiehe, S. E., Pearce, E. C., & Nyandiko, W. M. (2008). A systematic review of pediatric adherence to antiretroviral therapy in low-and middle-income countries. The Pediatric Infectious Disease Journal, 27(8), 686–691.CrossRefGoogle Scholar
  41. Wangberg, S. C., Årsand, E., & Andersson, N. (2006). Diabetes education via mobile text messaging. Journal of Telemedicine and Telecare, 12(1_suppl), 55–56.CrossRefGoogle Scholar
  42. Whittaker, R., McRobbie, H., Bullen, C., Rodgers, A., & Gu, Y. (2016). Mobile phone-based interventions for smoking cessation. The Cochrane Database of Systematic Reviews, 4, CD006611.Google Scholar
  43. World Health Assembly Resolution on E-health. (2005). Geneva: World Health Organization.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Management Studies CenterTarbiat Modares UniversityTehranIran
  2. 2.Islamic Azad UniversityQazvinIran

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