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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Veröffentlicht in:BMJ open 2015-11, Vol.5 (11), p.e009367-e009367
Hauptverfasser: Smith, Rebecca, Menon, Jaideep, Rajeev, Jaya G, Feinberg, Leo, Kumar, Raman Krishan, Banerjee, Amitava
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container_issue 11
container_start_page e009367
container_title BMJ open
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creator Smith, Rebecca
Menon, Jaideep
Rajeev, Jaya G
Feinberg, Leo
Kumar, Raman Krishan
Banerjee, Amitava
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 &amp; 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. 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing &amp; 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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