Potential for the use of mHealth in the management of cardiovascular disease in Kerala: a qualitative study
ObjectivesTo assess the potential for using mHealth in cardiovascular disease (CVD) management in Kerala by exploring: (1) experiences and challenges of current CVD management; (2) current mobile phone use; (3) expectations of and barriers to mobile phone use in CVD management.DesignQualitative, sem...
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description | ObjectivesTo assess the potential for using mHealth in cardiovascular disease (CVD) management in Kerala by exploring: (1) experiences and challenges of current CVD management; (2) current mobile phone use; (3) expectations of and barriers to mobile phone use in CVD management.DesignQualitative, semistructured, individual interviews.Setting5 primary health centres in Ernakulam district, Kerala, India.Participants15 participants in total from 3 stakeholder groups: 5 patients with CVD and/or its risk factors, 5 physicians treating CVD and 5 Accredited Social Health Activists (ASHAs). Patients were sampled for maximum variation on the basis of age, sex, CVD diagnoses and risk factors. All participants had access to a mobile phone.ResultsThe main themes identified relating to the current challenges of CVD were poor patient disease knowledge, difficulties in implementing primary prevention and poor patient lifestyles. Participants noted phone calls as the main function of current mobile phone use. The expectations of mHealth use are to: improve accessibility to healthcare knowledge; provide reminders of appointments, medication and lifestyle changes; save time, money and travel; and improve ASHA job efficacy. All perceived barriers to mHealth were noted within physician interviews. These included fears of mobile phones negatively affecting physicians’ roles, the usability of mobile phones, radiation and the need for physical consultations.ConclusionsThere are three main potential uses of mHealth in this population: (1) as an educational tool, to improve health education and lifestyle behaviours; (2) to optimise the use of limited resources, by overcoming geographical barriers and financial constraints; (3) to improve use of healthcare, by providing appointment and treatment reminders in order to improve disease prevention and management. Successful mHealth design, which takes barriers into account, may complement current practice and optimise use of limited resources. |
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Patients were sampled for maximum variation on the basis of age, sex, CVD diagnoses and risk factors. All participants had access to a mobile phone.ResultsThe main themes identified relating to the current challenges of CVD were poor patient disease knowledge, difficulties in implementing primary prevention and poor patient lifestyles. Participants noted phone calls as the main function of current mobile phone use. The expectations of mHealth use are to: improve accessibility to healthcare knowledge; provide reminders of appointments, medication and lifestyle changes; save time, money and travel; and improve ASHA job efficacy. All perceived barriers to mHealth were noted within physician interviews. These included fears of mobile phones negatively affecting physicians’ roles, the usability of mobile phones, radiation and the need for physical consultations.ConclusionsThere are three main potential uses of mHealth in this population: (1) as an educational tool, to improve health education and lifestyle behaviours; (2) to optimise the use of limited resources, by overcoming geographical barriers and financial constraints; (3) to improve use of healthcare, by providing appointment and treatment reminders in order to improve disease prevention and management. Successful mHealth design, which takes barriers into account, may complement current practice and optimise use of limited resources.</description><identifier>ISSN: 2044-6055</identifier><identifier>EISSN: 2044-6055</identifier><identifier>DOI: 10.1136/bmjopen-2015-009367</identifier><identifier>PMID: 26576813</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Access to information ; Aged ; Aged, 80 and over ; Attitude of Health Personnel ; Cardiovascular disease ; Cardiovascular Diseases - prevention & control ; Cardiovascular Diseases - therapy ; Cell Phone ; Cellular telephones ; Community Health Services ; Delivery of Health Care - methods ; Diabetes ; Disease Management ; Disease prevention ; Family physicians ; Female ; Health promotion ; Health Services Accessibility ; Humans ; India ; Lifestyles ; Literacy ; Male ; Middle Aged ; Mortality ; Patient education ; Patient Education as Topic ; Population ; Public health ; Qualitative Research ; Reminder Systems ; Rural areas ; Sample size ; Studies ; Telemedicine ; Text Messaging</subject><ispartof>BMJ open, 2015-11, Vol.5 (11), p.e009367-e009367</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2015 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b472t-5ea19d93876f75fffd398b9c57af23c886e8cfc7f36cf0f19657d7816f2786d93</citedby><cites>FETCH-LOGICAL-b472t-5ea19d93876f75fffd398b9c57af23c886e8cfc7f36cf0f19657d7816f2786d93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmjopen.bmj.com/content/5/11/e009367.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://bmjopen.bmj.com/content/5/11/e009367.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27526,27527,27901,27902,53766,53768,77570,77601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26576813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smith, Rebecca</creatorcontrib><creatorcontrib>Menon, Jaideep</creatorcontrib><creatorcontrib>Rajeev, Jaya G</creatorcontrib><creatorcontrib>Feinberg, Leo</creatorcontrib><creatorcontrib>Kumar, Raman Krishan</creatorcontrib><creatorcontrib>Banerjee, Amitava</creatorcontrib><title>Potential for the use of mHealth in the management of cardiovascular disease in Kerala: a qualitative study</title><title>BMJ open</title><addtitle>BMJ Open</addtitle><description>ObjectivesTo assess the potential for using mHealth in cardiovascular disease (CVD) management in Kerala by exploring: (1) experiences and challenges of current CVD management; (2) current mobile phone use; (3) expectations of and barriers to mobile phone use in CVD management.DesignQualitative, semistructured, individual interviews.Setting5 primary health centres in Ernakulam district, Kerala, India.Participants15 participants in total from 3 stakeholder groups: 5 patients with CVD and/or its risk factors, 5 physicians treating CVD and 5 Accredited Social Health Activists (ASHAs). Patients were sampled for maximum variation on the basis of age, sex, CVD diagnoses and risk factors. All participants had access to a mobile phone.ResultsThe main themes identified relating to the current challenges of CVD were poor patient disease knowledge, difficulties in implementing primary prevention and poor patient lifestyles. Participants noted phone calls as the main function of current mobile phone use. The expectations of mHealth use are to: improve accessibility to healthcare knowledge; provide reminders of appointments, medication and lifestyle changes; save time, money and travel; and improve ASHA job efficacy. All perceived barriers to mHealth were noted within physician interviews. These included fears of mobile phones negatively affecting physicians’ roles, the usability of mobile phones, radiation and the need for physical consultations.ConclusionsThere are three main potential uses of mHealth in this population: (1) as an educational tool, to improve health education and lifestyle behaviours; (2) to optimise the use of limited resources, by overcoming geographical barriers and financial constraints; (3) to improve use of healthcare, by providing appointment and treatment reminders in order to improve disease prevention and management. Successful mHealth design, which takes barriers into account, may complement current practice and optimise use of limited resources.</description><subject>Access to information</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attitude of Health Personnel</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - prevention & control</subject><subject>Cardiovascular Diseases - therapy</subject><subject>Cell Phone</subject><subject>Cellular telephones</subject><subject>Community Health Services</subject><subject>Delivery of Health Care - methods</subject><subject>Diabetes</subject><subject>Disease Management</subject><subject>Disease prevention</subject><subject>Family physicians</subject><subject>Female</subject><subject>Health promotion</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>India</subject><subject>Lifestyles</subject><subject>Literacy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Patient education</subject><subject>Patient Education as Topic</subject><subject>Population</subject><subject>Public health</subject><subject>Qualitative Research</subject><subject>Reminder Systems</subject><subject>Rural areas</subject><subject>Sample size</subject><subject>Studies</subject><subject>Telemedicine</subject><subject>Text Messaging</subject><issn>2044-6055</issn><issn>2044-6055</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU1rVDEYhYMottT-AkECbtzcmo-bLxeClGrFgi50Hd7JTToZ772ZJrkD_fdmnLFUV2aTkPc5h_NyEHpJyQWlXL5dTZu09XPHCBUdIYZL9QSdMtL3nSRCPH30PkHnpWxIO70wQrDn6IRJoaSm_BT9_Jaqn2uEEYeUcV17vBSPU8DTtYexrnGcf_9OMMOtnxq7HzrIQ0w7KG4ZIeMhFg9N1tgvPsMI7zDguwXGWKHGncelLsP9C_QswFj8-fE-Qz8-Xn2_vO5uvn76fPnhplv1itVOeKBmMFwrGZQIIQzc6JVxQkFg3GktvXbBqcClCyRQ05YZlKYyMKVlE56h9wff7bKa_OBa5pbJbnOcIN_bBNH-PZnj2t6mne2l6Hm_N3hzNMjpbvGl2ikW58cRZp-WYqniwhBpOGvo63_QTVry3NazVEuiGTGMNoofKJdTKdmHhzCU2H2f9tin3fdpD3021avHezxo_rTXgIsD0NT_5fgLvG6thQ</recordid><startdate>20151117</startdate><enddate>20151117</enddate><creator>Smith, Rebecca</creator><creator>Menon, Jaideep</creator><creator>Rajeev, Jaya G</creator><creator>Feinberg, Leo</creator><creator>Kumar, Raman Krishan</creator><creator>Banerjee, Amitava</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20151117</creationdate><title>Potential for the use of mHealth in the management of cardiovascular disease in Kerala: a qualitative study</title><author>Smith, Rebecca ; Menon, Jaideep ; Rajeev, Jaya G ; Feinberg, Leo ; Kumar, Raman Krishan ; Banerjee, Amitava</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b472t-5ea19d93876f75fffd398b9c57af23c886e8cfc7f36cf0f19657d7816f2786d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Access to information</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Attitude of Health Personnel</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - prevention & control</topic><topic>Cardiovascular Diseases - therapy</topic><topic>Cell Phone</topic><topic>Cellular telephones</topic><topic>Community Health Services</topic><topic>Delivery of Health Care - methods</topic><topic>Diabetes</topic><topic>Disease Management</topic><topic>Disease prevention</topic><topic>Family physicians</topic><topic>Female</topic><topic>Health promotion</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>India</topic><topic>Lifestyles</topic><topic>Literacy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Patient education</topic><topic>Patient Education as Topic</topic><topic>Population</topic><topic>Public health</topic><topic>Qualitative Research</topic><topic>Reminder Systems</topic><topic>Rural areas</topic><topic>Sample size</topic><topic>Studies</topic><topic>Telemedicine</topic><topic>Text Messaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smith, Rebecca</creatorcontrib><creatorcontrib>Menon, Jaideep</creatorcontrib><creatorcontrib>Rajeev, Jaya G</creatorcontrib><creatorcontrib>Feinberg, Leo</creatorcontrib><creatorcontrib>Kumar, Raman Krishan</creatorcontrib><creatorcontrib>Banerjee, Amitava</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Rebecca</au><au>Menon, Jaideep</au><au>Rajeev, Jaya G</au><au>Feinberg, Leo</au><au>Kumar, Raman Krishan</au><au>Banerjee, Amitava</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Potential for the use of mHealth in the management of cardiovascular disease in Kerala: a qualitative study</atitle><jtitle>BMJ open</jtitle><addtitle>BMJ Open</addtitle><date>2015-11-17</date><risdate>2015</risdate><volume>5</volume><issue>11</issue><spage>e009367</spage><epage>e009367</epage><pages>e009367-e009367</pages><issn>2044-6055</issn><eissn>2044-6055</eissn><abstract>ObjectivesTo assess the potential for using mHealth in cardiovascular disease (CVD) management in Kerala by exploring: (1) experiences and challenges of current CVD management; (2) current mobile phone use; (3) expectations of and barriers to mobile phone use in CVD management.DesignQualitative, semistructured, individual interviews.Setting5 primary health centres in Ernakulam district, Kerala, India.Participants15 participants in total from 3 stakeholder groups: 5 patients with CVD and/or its risk factors, 5 physicians treating CVD and 5 Accredited Social Health Activists (ASHAs). Patients were sampled for maximum variation on the basis of age, sex, CVD diagnoses and risk factors. All participants had access to a mobile phone.ResultsThe main themes identified relating to the current challenges of CVD were poor patient disease knowledge, difficulties in implementing primary prevention and poor patient lifestyles. Participants noted phone calls as the main function of current mobile phone use. The expectations of mHealth use are to: improve accessibility to healthcare knowledge; provide reminders of appointments, medication and lifestyle changes; save time, money and travel; and improve ASHA job efficacy. All perceived barriers to mHealth were noted within physician interviews. These included fears of mobile phones negatively affecting physicians’ roles, the usability of mobile phones, radiation and the need for physical consultations.ConclusionsThere are three main potential uses of mHealth in this population: (1) as an educational tool, to improve health education and lifestyle behaviours; (2) to optimise the use of limited resources, by overcoming geographical barriers and financial constraints; (3) to improve use of healthcare, by providing appointment and treatment reminders in order to improve disease prevention and management. Successful mHealth design, which takes barriers into account, may complement current practice and optimise use of limited resources.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>26576813</pmid><doi>10.1136/bmjopen-2015-009367</doi><oa>free_for_read</oa></addata></record> |
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subjects | Access to information Aged Aged, 80 and over Attitude of Health Personnel Cardiovascular disease Cardiovascular Diseases - prevention & control Cardiovascular Diseases - therapy Cell Phone Cellular telephones Community Health Services Delivery of Health Care - methods Diabetes Disease Management Disease prevention Family physicians Female Health promotion Health Services Accessibility Humans India Lifestyles Literacy Male Middle Aged Mortality Patient education Patient Education as Topic Population Public health Qualitative Research Reminder Systems Rural areas Sample size Studies Telemedicine Text Messaging |
title | Potential for the use of mHealth in the management of cardiovascular disease in Kerala: a qualitative study |
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