J. Med. Internet Res. - Patient attitudes toward mobile phone-based health monitoring: questionnaire study among kidney transplant recipients.

Tópicos

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Resumo

CKGROUND: Mobile phone based remote monitoring of medication adherence and physiological parameters has the potential of improving long-term graft outcomes in the recipients of kidney transplants. This technology is promising as it is relatively inexpensive, can include intuitive software and may offer the ability to conduct close patient monitoring in a non-intrusive manner. This includes the optimal management of comorbidities such as hypertension and diabetes. There is, however, a lack of data assessing the attitudes of renal transplant recipients toward this technology, especially among ethnic minorities.OBJECTIVE: To assess the attitudes of renal transplant recipients toward mobile phone based remote monitoring and management of their medical regimen; and to identify demographic or clinical characteristics that impact on this attitude.METHODS: After a 10 minute demonstration of a prototype mobile phone based monitoring system, a 10 item questionnaire regarding attitude toward remote monitoring and the technology was administered to the participants, along with the 10 item Perceived Stress Scale and the 7 item Morisky Medication Adherence Scale.RESULTS: Between February and April 2012, a total of 99 renal transplant recipients were identified and agreed to participate in the survey. The results of the survey indicate that while 90% (87/97) of respondents own a mobile phone, only 7% (7/98) had any prior knowledge of mobile phone based remote monitoring. Despite this, the majority of respondents, 79% (78/99), reported a positive attitude toward the use of a prototype system if it came at no cost to themselves. Blacks were more likely than whites to own smartphones (43.1%, 28/65 vs 20.6%, 7/34; P=.03) and held a more positive attitude toward free use of the prototype system than whites (4.25?0.88 vs 3.76?1.07; P=.02).CONCLUSIONS: The data demonstrates that kidney transplant recipients have a positive overall attitude toward mobile phone based health technology (mHealth). Additionally, the data demonstrates that most kidney transplant recipients own and are comfortable using mobile phones and that many of these patients already own and use smart mobile phones. The respondents felt that mHealth offers an opportunity for improved self-efficacy and improved provider driven medical management. Respondents were comfortable with the idea of being monitored using mobile technology and are confident that their privacy can be protected. The small subset of kidney transplant recipients who are less interested in mHealth may be less technologically adept as reflected by their lower mobile phone ownership rates. As a whole, kidney transplant recipients are receptive to the technology and believe in its utility.

Resumo Limpo

ckground mobil phone base remot monitor medic adher physiolog paramet potenti improv longterm graft outcom recipi kidney transplant technolog promis relat inexpens can includ intuit softwar may offer abil conduct close patient monitor nonintrus manner includ optim manag comorbid hypertens diabet howev lack data assess attitud renal transplant recipi toward technolog especi among ethnic minoritiesobject assess attitud renal transplant recipi toward mobil phone base remot monitor manag medic regimen identifi demograph clinic characterist impact attitudemethod minut demonstr prototyp mobil phone base monitor system item questionnair regard attitud toward remot monitor technolog administ particip along item perceiv stress scale item moriski medic adher scaleresult februari april total renal transplant recipi identifi agre particip survey result survey indic respond mobil phone prior knowledg mobil phone base remot monitor despit major respond report posit attitud toward use prototyp system came cost black like white smartphon vs p held posit attitud toward free use prototyp system white vs pconclus data demonstr kidney transplant recipi posit overal attitud toward mobil phone base health technolog mhealth addit data demonstr kidney transplant recipi comfort use mobil phone mani patient alreadi use smart mobil phone respond felt mhealth offer opportun improv selfefficaci improv provid driven medic manag respond comfort idea monitor use mobil technolog confid privaci can protect small subset kidney transplant recipi less interest mhealth may less technolog adept reflect lower mobil phone ownership rate whole kidney transplant recipi recept technolog believ util

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