Mostra el registre parcial de l'element
| dc.contributor | CONNECARE-Lleida Group | |
| dc.creator | Batlle Garcia, Jordi de | |
| dc.creator | Massip, Mireia | |
| dc.creator | Vargiu, Eloisa | |
| dc.creator | Nadal Braque, Núria | |
| dc.creator | Fuentes Botargues, Araceli | |
| dc.creator | Ortega Bravo, Marta | |
| dc.creator | Colomina Morales, Jordi | |
| dc.creator | Drudis Morell, Reis | |
| dc.creator | Torra, Montserrat | |
| dc.creator | Pallisó i Folch, Francesc | |
| dc.creator | Miralles, Felip | |
| dc.creator | Barbé Illa, Ferran | |
| dc.creator | Torres, Gerard | |
| dc.date | 2020 | |
| dc.date.accessioned | 2025-11-03T12:14:56Z | |
| dc.date.available | 2025-11-03T12:14:56Z | |
| dc.identifier | https://doi.org/10.2196/22136 | |
| dc.identifier | 2291-5222 | |
| dc.identifier | https://hdl.handle.net/10459.1/464959 | |
| dc.identifier.uri | http://fima-docencia.ub.edu:8080/xmlui/handle/123456789/23885 | |
| dc.description | Background: Integrated care (IC) can promote health and social care efficiency through prioritization of preventive patient-centered models and defragmentation of care and collaboration across health tiers, and mobile health (mHealth) can be the cornerstone allowing for the adoption of IC. Objective: This study aims to assess the acceptability, usability, and satisfaction of an mHealth-enabled IC model for complex chronic patients in both patients and health professionals. Methods: As part of the CONNECARE Horizon 2020 project, a prospective, pragmatic, 2-arm, parallel, hybrid effectiveness-implementation trial was conducted from July 2018 to August 2019 in a rural region of Catalonia, Spain. Home-dwelling patients 55 years and older with chronic conditions and a history of hospitalizations for chronic obstructive pulmonary disease or heart failure (use case [UC] 1), or a scheduled major elective hip or knee arthroplasty (UC2) were recruited. During the 3 months, patients experienced an mHealth-enabled IC model, including a self-management app for patients, a set of integrated sensors, and a web-based platform connecting professionals from different settings or usual care. The Person-Centered Coordinated Care Experience Questionnaire (P3CEQ) and the Nijmegen Continuity Questionnaire (NCQ) assessed person-centeredness and continuity of care. Acceptability was assessed for IC arm patients and staff with the Net Promoter Score (NPS) and the System Usability Scale (SUS). Results: The analyses included 77 IC patients, 58 controls who completed the follow-up, and 30 health care professionals. The mean age was 78 (SD 9) years in both study arms. Perception of patient-centeredness was similarly high in both arms (usual care: mean P3CEQ score 16.1, SD 3.3; IC: mean P3CEQ score 16.3, SD 2.4). IC patients reported better continuity of care than controls (usual care: mean NCQ score 3.7, SD 0.9; IC: mean NCQ score 4.0, SD 1; P=.04). The scores for patient acceptability (UC1: NPS +67%; UC2: NPS +45%) and usability (UC1: mean SUS score 79, SD 14; UC2: mean SUS score 68, SD 24) were outstanding. Professionals' acceptability was low (UC1: NPS -25%; UC2: NPS -35%), whereas usability was average (UC1: mean SUS score 63, SD 20; UC2: mean SUS score 62, SD 19). The actual use of technology was high; 77% (58/75) of patients reported physical activity for at least 60 days, and the ratio of times reported over times prescribed for other sensors ranged from 37% for oxygen saturation to 67% for weight. Conclusions: The mHealth-enabled IC model showed outstanding results from the patients' perspective in 2 different UCs but lacked maturity and integration with legacy systems to be fully accepted by professionals. This paper provides useful lessons learned through the development and assessment process and may be of use to organizations willing to develop or implement mHealth-enabled IC for older adults. | |
| dc.description | This work was supported by the European Union’s Horizon 2020 Research and Innovation Programme (under grant agreement no. GA-689802). JB acknowledges receiving financial support from the Catalan Health Departament (Pla Estratègic de Recerca i Innovació en Salut 2016: SLT002/16/00364) and Instituto de Salud Carlos III (ISCIII; Miguel Servet 2019: CP19/00108), cofunded by the European Social Fund (ESF), Investing in your future, and the European Regional Development Fund, “A way to make Europe.” The funding organizations had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. | |
| dc.language | eng | |
| dc.relation | Reproducció del document publicat a: https://doi.org/10.2196/22136 | |
| dc.relation | JMIR mHealth and uHealth, 2020, vol. 8, núm. 11 | |
| dc.relation | info:eu-repo/grantAgreement/EC/H2020/689802/EU/CONNECARE | |
| dc.rights | cc-by (c) autors, 2020 | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.subject | Chronic diseases | |
| dc.subject | eHealth | |
| dc.subject | Health plan implementation | |
| dc.subject | mHealth | |
| dc.subject | patient acceptance of health care | |
| dc.subject | Patient satisfaction | |
| dc.title | Implementing Mobile Health-Enabled Integrated Care for Complex Chronic Patients: Patients and Professionals' Acceptability Study | |
| dc.type | info:eu-repo/semantics/article | |
| dc.type | info:eu-repo/semantics/publishedVersion |
| Fitxers | Grandària | Format | Visualització |
|---|---|---|---|
|
No hi ha fitxers associats a aquest element. |
|||