A Mobile App for Chronic Disease Self-Management: Protocol for a Randomized Controlled Trial
| Autor: | Joshua Caballero, Robin J. Jacobs, Rosemary Davenport, Drenna Waldrop-Valverde, Amarilis Acevedo, Michael Simonson, Kofi Kondwani, Raymond L. Ownby |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Chronic condition
media_common.quotation_subject chronic disease self-management Health literacy Literacy law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Nursing law patient activation Health care Protocol health related quality of life Medicine 030212 general & internal medicine media_common health disparities Self-management business.industry 030503 health policy & services General Medicine Health equity 3. Good health mobile health technology Health education 0305 other medical science business health literacy |
| Zdroj: | JMIR Research Protocols |
| ISSN: | 1929-0748 |
| Popis: | Background: Health literacy is a critically important skill that helps people become active participants in their health care. Multiple studies in the United States and across the world have documented the association of health literacy with multiple health outcomes. In particular, the elderly and many members of minority groups have been shown to have low levels of health literacy; the same groups are disproportionately affected by chronic illnesses. These twin burdens affect the people most in need of the skills and knowledge required for coping with chronic illnesses. Chronic disease self-management (CDSM) is a logical target for a general health literacy intervention. In an approach that spans across specific diseases, CDSM targets problems and skills needed to cope with issues such as fatigue, pain, stress, depression, sleep disturbance, and treatment adherence. In a previous study, we showed that a computer-delivered tailored information intervention targeting health literacy could improve treatment and adherence and be cost effective, but it is not clear that this same strategy will be effective in persons with low health literacy and multiple chronic conditions. Objective: The purpose of this study is to develop a computer-delivered mobile intervention that will provide individuals with chronic conditions the necessary information to cope with their conditions. Methods: In this project, we will complete a qualitative study on the status and needs of individuals with more than one chronic condition. Results of this study will be used to develop a mobile tailored information app that will address self-management challenges in the areas of pain, sleep, fatigue, depression, anger, stress, memory problems, and treatment adherence. The impact of the intervention on patient quality of life, patient-provider relationships, health literacy, and patient activation will be assessed. We will also explore the extent to which health literacy mediates important outcomes, such as health-related quality of life and health service utilization. Results: We are currently completing the preliminary qualitative and usability studies that will inform the content and design of the intervention. We anticipate that the intervention will be complete in 2017, and the clinical trial of its efficacy will also commence in 2017. Conclusions: Results will provide evidence on the usefulness of a mobile tailored information app for improving health literacy, patient activation, health-related quality of life, and self-reported health in patients with multiple chronic conditions. Trial Registration: Clinicaltrials.gov NCT02922439; https://clinicaltrials.gov/ct2/show/NCT02922439 (Archived by WebCite at http://www.webcitation.org/6pTiqDAyN) [JMIR Res Protoc 2017;6(4):e53] |
| Databáze: | OpenAIRE |
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