Division of Pharmacy, Faculty of Medicine, University of Prishtina, Pristina, Kosovo.
Department of Pharmacy, University of Mississippi, Oxford, MS, United States.
JMIR Mhealth Uhealth. 2021 Aug 11;9(8):e26300. doi: 10.2196/26300.
Patient activation has an impact on the management of patients' health, clinical outcomes, and treatment costs. Mobile electronic devices (MEDs) have shown the potential to engage patients in wellness behavior. Furthermore, the potentially positive role of MEDs is evident in supporting health professionals in their practice.
This study aims to explore the impact of MEDs on patient activation to search for information on chronic conditions and medications and the impact of MEDs on the empowerment of health professionals or future health professionals.
We conducted 6 focus groups-2 with health sciences students, 2 with health professionals, and 2 with hospitalized patients with chronic conditions. A protocol comprising eight questions was used to guide discussions. Audio-recorded data were transcribed verbatim and analyzed thematically; a ranking system was used to analyze the relevance of identified themes and subthemes, using a coding system depicted by the + symbol, to indicate different relevance levels.
Our results suggest that MEDs can positively affect patient activation to search for chronic conditions and medication information by facilitating patients' information-seeking behavior. Key drivers leading to patients' activation to seek information related to chronic conditions and medications through MEDs were the accessibility and abundance of available and detailed information, reduced search time, information updates, and convenience in finding information at any time and place. The lack of accurate information in one's native language, access to incorrect information, and limited access to the internet were key obstacles to seeking information related to chronic conditions and medications via MEDs. In addition, findings of this study suggest that MEDs in general and mobile apps, in particular, may have a positive impact on the work routine of health care professionals as they enable them to make quicker decisions by accessing the required information faster, thus improving practice efficiency. Furthermore, the appropriate usage of MEDs by patients for seeking information about their chronic conditions and medications may positively impact the physician-patient relationship. All focus groups recognized the questionable reliability of health information on the internet and its potential negative effects on patients. Therefore, our findings suggest the need for an additional role of health professionals in assisting patients in using MEDs to search for health and medication information, such as providing reliable websites and mobile apps where patients can safely search for health-related information on the web.
The use of MEDs may help activate patients to seek chronic conditions and medication-related information, potentially leading to better management of their chronic conditions and medications. Our findings also highlight the positive impact MEDs may have on empowering health professionals in their practice and the need for health professionals to help patients through specific education that addresses MEDs utilization for chronic conditions and medication information seeking.
患者的积极性会影响其健康管理、临床结果和治疗费用。移动电子设备(MEDs)已经显示出能够促使患者参与健康行为的潜力。此外,MEDs 在支持卫生专业人员实践方面的潜在积极作用也很明显。
本研究旨在探讨 MEDs 对患者积极性的影响,以寻找有关慢性病和药物的信息,并探讨 MEDs 对增强卫生专业人员或未来卫生专业人员能力的影响。
我们进行了 6 个焦点小组讨论,其中 2 个小组由卫生科学专业的学生组成,2 个小组由卫生专业人员组成,2 个小组由患有慢性病的住院患者组成。使用包含 8 个问题的方案来指导讨论。对录制的音频数据进行逐字转录,并进行主题分析;使用一个排名系统来分析确定主题和子主题的相关性,使用符号+表示编码系统,以表示不同的相关性水平。
我们的研究结果表明,MEDs 可以通过促进患者的信息搜索行为,对患者搜索慢性病和药物信息的积极性产生积极影响。促使患者通过 MEDs 搜索与慢性病和药物相关信息的关键驱动因素是获取和详细信息的便利性、减少搜索时间、信息更新以及随时随地查找信息的便利性。母语中缺乏准确的信息、获取不正确的信息以及有限的互联网访问权限是通过 MEDs 搜索与慢性病和药物相关信息的主要障碍。此外,本研究的结果表明,一般来说,MEDs,特别是移动应用程序,可能会对医疗保健专业人员的工作常规产生积极影响,因为它们可以使他们更快地访问所需信息,从而更快地做出决策,从而提高工作效率。此外,患者适当使用 MEDs 搜索有关其慢性病和药物的信息,可能会对医患关系产生积极影响。所有焦点小组都认识到互联网上健康信息的可靠性值得怀疑,以及其对患者可能产生的潜在负面影响。因此,我们的研究结果表明,需要卫生专业人员在协助患者使用 MEDs 搜索健康和药物信息方面发挥额外作用,例如提供可靠的网站和移动应用程序,患者可以在这些网站和移动应用程序上安全地在网上搜索与健康相关的信息。
使用 MEDs 可能有助于促使患者积极搜索慢性病和药物相关信息,从而可能改善他们对慢性病和药物的管理。我们的研究结果还强调了 MEDs 可能对增强卫生专业人员在实践中的能力产生的积极影响,以及卫生专业人员需要通过针对 MEDs 用于慢性病和药物信息搜索的具体教育来帮助患者。