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Patients' experiences of using a consumer mHealth app for self-management of heart failure: mixed-methods study


Woods, L and Duff, J and Roehrer, E and Walker, K and Cummings, E, Patients' experiences of using a consumer mHealth app for self-management of heart failure: mixed-methods study, JMIR Human Factors, 6, (2) Article e13009. ISSN 2292-9495 (2019) [Refereed Article]


Copyright Statement

Copyright 2019 Leanna Sarah Woods, Jed Duff, Erin Roehrer, Kim Walker, Elizabeth Cummings. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.2196/13009


Background: To support the self-management of heart failure, a team of hospital clinicians, patients, and family caregivers have co-designed the consumer mobile health app, Care4myHeart.

Objective: This research aimed to determine patient experiences of using the app to self-manage heart failure.

Methods: Patients with heart failure used the app for 14 days on their own smart device in a home setting, following which a mixed-methods evaluation was performed. Eight patients were recruited, of whom six completed the Mobile Application Rating Scale and attended an interview.

Results: The overall app quality score was "acceptable" with 3.53 of 5 points, with the aesthetics (3.83/5) and information (3.78/5) subscales scoring the highest. The lowest mean score was in the app-specific subscale representing the perceived impact on health behavior change (2.53/5). Frequently used features were weight and fluid restriction tracking, with graphical representation of data particularly beneficial for improved self-awareness and ongoing learning. The use of technology for self-management will fundamentally differ from current practices and require a change in daily routines. However, app use was correlated with potential utility for daily management of illness with benefits of accurate recording and review of personal health data and as a communication tool for doctors to assist with care planning, as all medical information is available in one place. Technical considerations included participantsí attitudes toward technology, functionality and data entry issues, and relatively minor suggested changes.

Conclusions: The findings from this usability study suggest that a significant barrier to adoption is the lack of integration of technology into everyday life in the context of already established disease self-management routines. Future studies should explore the barriers to adoption and sustainability of consumer mobile health interventions for chronic conditions, particularly whether introducing such apps is more beneficial at the commencement of a self-management regimen.

Item Details

Item Type:Refereed Article
Keywords:heart failure, mobile health (mHealth), mobile apps, usability study, Mobile Application Rating Scale, patient experience, self-management, mobile phone
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health informatics and information systems
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Woods, L (Mrs Leanna Woods)
UTAS Author:Roehrer, E (Dr Erin Roehrer)
UTAS Author:Walker, K (Professor Kim Walker)
UTAS Author:Cummings, E (Associate Professor Liz Cummings)
ID Code:132474
Year Published:2019
Deposited By:Office of the School of Health Sciences
Deposited On:2019-05-08
Last Modified:2020-08-18
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