Distribution of Mobile Health Applications amongst Patients with Symptomatic Peripheral Arterial Disease in Germany: A Cross-Sectional Survey Study.

Autor: Alushi K; Research Group GermanVasc, Department of Vascular Medicine, University Heart and Vascular Centre UKE Hamburg, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany., Hinterseher I; Berlin Institute of Health, Vascular Surgery Clinic, Charité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.; Brandenburg Medical School Theodor Fontane, 16816 Neuruppin, Germany., Peters F; Research Group GermanVasc, Department of Vascular Medicine, University Heart and Vascular Centre UKE Hamburg, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany., Rother U; Department of Vascular Surgery, University Medical Center Erlangen, 91054 Erlangen, Germany., Bischoff MS; Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany., Mylonas S; Department of Vascular and Endovascular Surgery, Medical Faculty, University of Cologne, 50937 Cologne, Germany., Grambow E; Department of General, Visceral, Thoracic, Vascular and Transplantation Surgery, Rostock University Medical Center, 18057 Rostock, Germany., Gombert A; European Vascular Center Aachen Maastricht, Department of Vascular Surgery University Hospital RWTH Aachen, 52074 Aachen, Germany., Busch A; Division of Vascular and Endovascular Surgery, Department of Visceral, Thoracic and Vascular Surgery, Medical Faculty Carl Gustav Carus, University Hospital Carl Gustav Carus Dresden, Technische Universität Dresden, 01307 Dresden, Germany., Gray D; Department of Vascular and Endovascular Surgery, Goethe University Hospital, 60590 Frankfurt, Germany., Konstantinou N; Department of Vascular Surgery, Ludwig Maximilians University Hospital, 80539 Munich, Germany., Stavroulakis K; Department of Vascular Surgery, Ludwig Maximilians University Hospital, 80539 Munich, Germany., Horn M; Division of Vascular and Endovascular Surgery, Department of Surgery, University Medical Center Schleswig-Holstein, 24105 Kiel, Germany., Görtz H; Department of Vascular and Endovascular Surgery, Bonifatius Hospital Lingen, 49808 Lingen, Germany., Uhl C; Department of Vascular and Endovascular Surgery, University Hospital Heidelberg, 69120 Heidelberg, Germany., Federrath H; Working Group Security in Distributed Systems at University of Hamburg, Department of Computer Science, University of Hamburg, 22527 Hamburg, Germany., Trute HH; Faculty of Law, University of Hamburg, 20148 Hamburg, Germany., Kreutzburg T; Research Group GermanVasc, Department of Vascular Medicine, University Heart and Vascular Centre UKE Hamburg, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany., Behrendt CA; Research Group GermanVasc, Department of Vascular Medicine, University Heart and Vascular Centre UKE Hamburg, University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 Jan 19; Vol. 11 (3). Date of Electronic Publication: 2022 Jan 19.
DOI: 10.3390/jcm11030498
Abstrakt: Background: Broadly available digital and mobile health applications (also known as mHealth) have recently gained increasing attention by the vascular community, but very little is known about the dissemination and acceptance of such technologies in certain target populations. The current study aimed to determine the user behaviour and acceptance of such digital technologies amongst patients with peripheral arterial disease (PAD).
Methods: A cross-sectional survey of consecutively treated inpatients at 12 university institutions, as well as one non-university institution, was conducted. All admitted patients with symptomatic PAD were surveyed for 30 consecutive days within a flexible timeframe between 1 July and 30 September 2021. The factors associated with smartphone use were estimated via backward selection within a logistic regression model with clustered standard errors.
Results: A total of 326 patients participated (response rate 96.3%), thereof 102 (34.0%) were treated for intermittent claudication (IC, 29.2% women, 70 years in median) and 198 were treated for chronic limb-threatening ischaemia (CLTI, 29.5% women, 70 years in median). Amongst all of the patients, 46.6% stated that they had not changed their lifestyle and health behaviour since the index diagnosis (four years in median), and 33.1% responded that they were not aware of the reasons for all of their medication orders. Amongst all those surveyed, 66.8% owned a smartphone (IC: 70.6%, CLTI: 64.1%), thereof 27.9% needed regular user support. While 42.5% used smartphone apps, only 15.0% used mobile health applications, and 19.0% owned wearables. One out of five patients agreed that such technologies could help to improve their healthy lifestyle. Only higher age was inversely associated with smartphone possession.
Conclusions: The current survey showed that smartphones are prevalent amongst patients with peripheral arterial disease, but only a small proportion used mobile health applications and a considerable number of patients needed regular user support. Almost half of the patients did not change their lifestyle and one third were not aware of the reasons for their medication orders, emphasising room for improvement. These findings can further help to guide future projects using such applications to identify those target populations that are reachable with digital interventions.
Databáze: MEDLINE
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