Access to internet, smartphone usage, and acceptability of mobile health technology among cancer patients
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ORIGINAL ARTICLE
Access to internet, smartphone usage, and acceptability of mobile health technology among cancer patients Rashmika Potdar 1 & Arun Thomas 2 & Matthew DiMeglio 3 & Kamran Mohiuddin 4 & Djeneba Audrey Djibo 5 & Krzysztof Laudanski 6,7 & Claudia M. Dourado 8 & John Charles Leighton 8 & Jean G. Ford 2 Received: 31 October 2019 / Accepted: 27 February 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose The use of mobile health (mHealth) technologies to augment patient care enables providers to communicate remotely with patients enhancing the quality of care and patient engagement. Few studies evaluated predictive factors of its acceptance and subsequent implementation, especially in medically underserved populations. Methods A cross-sectional study of 151 cancer patients was conducted at an academic medical center in the USA. A trained interviewer performed structured interviews regarding the barriers and facilitators of patients’ current and desired use of mHealth technology for healthcare services. Results Of the 151 participants, 35.8% were male and ages ranged from 21 to 104 years. 73.5% of participants currently have daily access to internet, and 68.2% currently own a smartphone capable of displaying mobile applications. Among all participants, acceptability of a daily mHealth application was significantly higher in patients with a college-level degree (OR 2.78, CI95% 1.25–5.88) and lower in patients > 80 years of age (OR 0.05, CI95% 0.01–0.23). Differences in acceptability when adjusted for current smartphone use and daily access to internet were nonsignificant. Among smartphone users, the desire to increase cancer knowledge was associated with a higher likelihood of utilizing a mHealth application (OR 261.53, CI95% 10.13–6748.71). Conclusion The study suggests that factors such as age, educational achievement, and access to internet are significant predictors of acceptability of a mHealth application among cancer patients. Healthcare organizations should consider these factors when launching patient engagement platforms. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00520-020-05393-1) contains supplementary material, which is available to authorized users. * Matthew DiMeglio [email protected]
Jean G. Ford [email protected] 1
Department of Hematology and Oncology, Geisinger Medical Center, Danville, PA, USA
2
Department of Internal Medicine, Einstein Healthcare Network, Philadelphia, PA, USA
3
Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA
4
Department of Emergency Medicine, Einstein Healthcare Network, Philadelphia, PA, USA
5
Department of Research, Einstein Healthcare Network, Philadelphia, PA, USA
6
Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Claudia M. Dourado [email protected]
7
Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, USA
John Charles Leighton LEIG
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