Evidence map›Paper›PMID 34868614›Full record

ArticleDigital health

Exploring the relationship between the usability of a goal-oriented mobile health application and non-usage attrition in patients with multimorbidity: A blended data analysis approach.

Farah Tahsin, Shawn Tracy, Edward Chau, Sarah Harvey, Mayura Loganathan, Brian McKinstry, Stewart W Mercer, Jason Nie, Tim Ramsay, Kednapa Thavorn and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02917954 (Full Evaluation, Scale and Spread), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02917954 nacompletednot on this map

Full Evaluation, Scale and Spread: Pragmatic Trial of the HSPRN-Bridgepoint Electronic Patient Reported Outcome (ePRO) Mobile Application to Support the Needs of Persons With Complex Chronic Disease and Disability

TypeinterventionalSponsorMount Sinai Hospital, CanadaRan2017 to 2019Enrolled45ConditionsChronic Disease, Quality of LifeArmsePRO Tool Intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Farah TahsinInstitute of Health Policy, Management, and Evaluation, University of Toronto, Canada.ORCID https://orcid.org/0000-0001-9077-7670
Shawn TracyBridgepoint Collaboratory for Research and Innovation, Canada.
Edward ChauBridgepoint Collaboratory for Research and Innovation, Canada.
Sarah HarveyLogibec Inc., Canada.
Mayura LoganathanMount Sinai Academic Family Health Team, Canada.
Brian McKinstryCentre for Populations Health Sciences, Usher Institute, University of Edinburgh, UK.
Stewart W MercerCentre for Populations Health Sciences, Usher Institute, University of Edinburgh, UK.
Jason NieInstitute for Better Health, Trillium Health Partners, Mississauga, Canada.
Tim RamsayOttawa Hospital Research Institute, School of Epidemiology and Public Health, University of Ottawa, Canada.
Kednapa ThavornOttawa Hospital Research Institute, School of Epidemiology and Public Health, University of Ottawa, Canada.
Ted PalenColorado Permanente Medical Group.
Jasvinei SritharanBridgepoint Collaboratory for Research and Innovation, Canada.
Carolyn Steele GrayInstitute of Health Policy, Management, and Evaluation, University of Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile health applications are increasingly used to support the delivery of health care services to a variety of patients. Based on data obtained from a pragmatic trial of the electronic Patient Reported Outcome (ePRO) app designed to support goal-oriented care primary care, this study aims to (1) examine how patient-reported usability changed over the one-year intervention period, and (2) explore participant attrition rate of the electronic Patient Reported Outcome app over one year study period.

methodsWe performed a secondary analysis of 44 older adults with complex chronic needs enrolled in the electronic Patient Reported Outcome-digital health intervention. App usage and attrition were measured using device-generated usage logs; usability was measured using the patient-reported post-study system usability questionnaire collected at 3, 6, 9, and 12 months. Research memos were used to interpret potential contextual contributing factors to patients' overall usage and usability score pattern. A data triangulation method of both quantitative and qualitative data was used to analyze and interpret study findings.

resultsWhile there was gradual attrition in the use of the ePRO app, patients' usability scores remained consistent throughout the study period. Qualitative memos suggested patients' encounters with technical difficulties and relationship dynamics with primary providers influenced patients' adherence to the ePRO app.

conclusionThis study highlights that the patient-provider relationship is a key determining factor that influences complex patients' continued engagement with a Mobile health app. The finding calls attention to the measurement of usability of a Mobile health app, its impact on attrition, and contributing factors that influence patients' attrition. Trial registration: Clinicaltrials.gov Identified NCT02917954.

Indexed as

attritionMobile applicationsmobile healthpatients with complex chronic conditionsusability

Identifiers

PMID34868614
PMCPMC8642112

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.