Evidence map›Paper›PMID 38578675›Full record

Observational studyJMIR human factors2024

A Technological Tool Aimed at Self-Care in Patients With Multimorbidity: Cross-Sectional Usability Study.

Rodrigo Medina-García, Juan A López-Rodríguez, Cristina María Lozano-Hernández, Verónica Ruiz Bejerano, Paride Criscio, Isabel Del Cura-González, TeNDER Atención Primaria Group

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in JMIR human factors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05681065 (Affective Based Integrated Care for Better Quality of Life), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
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.

NCT05681065 nacompletednot on this map

Affective Based Integrated Care for Better Quality of Life (TeNDER).Pilot Implementation. Site 1: Primary Care Madrid, Spain.

TypeinterventionalSponsorGerencia de Atención Primaria, MadridRan2021 to 2023Enrolled534ConditionsChronic DiseaseArmsTeNDER tool
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

7 authors at 3 institutions in 2 countries.

Rodrigo Medina-García *Primary Care Research Unit, Madrid Health Service, Madrid, Spain.ORCID 0000-0002-3186-5299
Juan A López-Rodríguez *Primary Care Research Unit, Madrid Health Service, Madrid, Spain.ORCID 0000-0002-4985-2314
Cristina María Lozano-Hernández *Primary Care Research Unit, Madrid Health Service, Madrid, Spain.ORCID 0000-0002-6981-303X
Verónica Ruiz Bejerano *Visual Telecommunications Application Research Group, Universidad Politécnica de Madrid, Madrid, Spain.ORCID 0000-0002-4462-1197
Paride Criscio *DataWizard Srl, Rome, Italy.ORCID 0000-0002-5075-3057
Isabel Del Cura-González *Primary Care Research Unit, Madrid Health Service, Madrid, Spain.ORCID 0000-0002-3931-5304
TeNDER Atención Primaria Group *Primary Care Research Unit, Madrid Health Service, Madrid, Spain.
Universidad Rey Juan Carlos · ESPfizer (Italy) · ITUniversidad Politécnica de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation and communication technologies (ICTs) have been positioned as useful tools to facilitate self-care. The interaction between a patient and technology, known as usability, is particularly important for achieving positive health outcomes. Specific characteristics of patients with chronic diseases, including multimorbidity, can affect their interaction with different technologies. Thus, studying the usability of ICTs in the field of multimorbidity has become a key element to ensure their relevant role in promoting self-care.

objectiveThe aim of this study was to analyze the usability of a technological tool dedicated to health and self-care in patients with multimorbidity in primary care.

methodsA descriptive observational cross-sectional usability study was performed framed in the clinical trial in the primary care health centers of Madrid Health Service of the TeNDER (Affective Based Integrated Care for Better Quality of Life) project. The TeNDER technological tool integrates sensors for monitoring physical and sleep activity along with a mobile app for consulting the data collected and working with self-management tools. This project included patients over 60 years of age who had one or more chronic diseases, at least one of which was mild-moderate cognitive impairment, Parkinson disease, or cardiovascular disease. From the 250 patients included in the project, 38 agreed to participate in the usability study. The usability variables investigated were effectiveness, which was determined by the degree of completion and the total number of errors per task; efficiency, evaluated as the average time to perform each task; and satisfaction, quantified by the System Usability Scale. Five tasks were evaluated based on real case scenarios. Usability variables were analyzed according to the sociodemographic and clinical characteristics of patients. A logistic regression model was constructed to estimate the factors associated with the type of support provided for task completion.

resultsThe median age of the 38 participants was 75 (IQR 72.0-79.0) years. There was a slight majority of women (20/38, 52.6%) and the participants had a median of 8 (IQR 7.0-11.0) chronic diseases. Thirty patients completed the usability study, with a usability effectiveness result of 89.3% (134/150 tasks completed). Among the 30 patients, 66.7% (n=20) completed all tasks and 56.7% (17/30) required personalized help on at least one task. In the multivariate analysis, educational level emerged as a facilitating factor for independent task completion (odds ratio 1.79, 95% CI 0.47-6.83). The median time to complete the total tasks was 296 seconds (IQR 210.0-397.0) and the median satisfaction score was 55 (IQR 45.0-62.5) out of 100.

conclusionsAlthough usability effectiveness was high, the poor efficiency and usability satisfaction scores suggest that there are other factors that may interfere with the results. Multimorbidity was not confirmed to be a key factor affecting the usability of the technological tool.

trial registrationClinicaltrials.gov NCT05681065; https://clinicaltrials.gov/study/NCT05681065.

Indexed as

MultimorbiditySelf CareAgedChronic DiseaseClinical Trials as TopicCross-Sectional StudiesFemaleHumansMaleMiddle AgedQuality of Lifechronic conditionchronic diseasechronic illnesscomorbiddigital healtheHealthhuman-computer interactionICTinformation and communication technologiesmedical informaticsmultimorbidityprimary careprimary health careself-caretelehealthtelemedicneusabilityuser-centered design

Identifiers

PMID38578675
PMCPMC11031692
OpenAlexW4392314733

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.