Patient Experiences with an mHealth App for Complex Chronic Disease Care: Connections Despite Lack of Traditional Clinical Interactions

Chronic diseases are costly to treat and burdensome for patients. Mobile health (mHealth) technologies might reduce costs of care and increase patient self-efficacy in chronic disease management, but the patient experience of mHealth is poorly understood. Our objective, therefore, was to evaluate pa...

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Main Authors: Jenney Lee, Melissa Cheyney, Michael May, Marit Bovbjerg
Format: Article
Language:English
Published: The Beryl Institute 2024-08-01
Series:Patient Experience Journal
Subjects:
Online Access:https://pxjournal.org/journal/vol11/iss2/12
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author Jenney Lee
Melissa Cheyney
Michael May
Marit Bovbjerg
author_facet Jenney Lee
Melissa Cheyney
Michael May
Marit Bovbjerg
author_sort Jenney Lee
collection DOAJ
description Chronic diseases are costly to treat and burdensome for patients. Mobile health (mHealth) technologies might reduce costs of care and increase patient self-efficacy in chronic disease management, but the patient experience of mHealth is poorly understood. Our objective, therefore, was to evaluate patient experiences with using an mHealth app for complex chronic disease management, within a U.S. population of low-income patients. We used nurse/patient text messages from an mHealth complex chronic disease management tool, and exit interviews from patients, to assess qualitatively Medicaid patients' experiences with a remote monitoring mHealth app. Salient themes about the patient experience included: (1) Visibility and Invisibility in the Medical System (patients felt both seen and heard when using the app), (2) Deconstructing the Clinical Encounter (patients were reassured by being able to access care from any place at any time), (3) Familiarity in the Nurse/Patient Relationship (patients felt connected to the nurses running the app), and (4) Technology as a Conduit of Caring (the technology enhanced nursing care, rather than detracting from it). M-Health apps might be a way to improve provision of care for high-utilizing patients, particularly those from historically marginalized groups.
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spelling doaj-art-0aeb31a696154de4bb9ce42cb859e9932025-01-08T20:18:38ZengThe Beryl InstitutePatient Experience Journal2372-02472024-08-0111210.35680/2372-0247.1886Patient Experiences with an mHealth App for Complex Chronic Disease Care: Connections Despite Lack of Traditional Clinical InteractionsJenney LeeMelissa CheyneyMichael MayMarit BovbjergChronic diseases are costly to treat and burdensome for patients. Mobile health (mHealth) technologies might reduce costs of care and increase patient self-efficacy in chronic disease management, but the patient experience of mHealth is poorly understood. Our objective, therefore, was to evaluate patient experiences with using an mHealth app for complex chronic disease management, within a U.S. population of low-income patients. We used nurse/patient text messages from an mHealth complex chronic disease management tool, and exit interviews from patients, to assess qualitatively Medicaid patients' experiences with a remote monitoring mHealth app. Salient themes about the patient experience included: (1) Visibility and Invisibility in the Medical System (patients felt both seen and heard when using the app), (2) Deconstructing the Clinical Encounter (patients were reassured by being able to access care from any place at any time), (3) Familiarity in the Nurse/Patient Relationship (patients felt connected to the nurses running the app), and (4) Technology as a Conduit of Caring (the technology enhanced nursing care, rather than detracting from it). M-Health apps might be a way to improve provision of care for high-utilizing patients, particularly those from historically marginalized groups.https://pxjournal.org/journal/vol11/iss2/12patient experiencepatient-centered carehealthcareequityquality of carechronic diseaseoffice visitspatient-generated health dataremote consultationtelemedicinetext messagingformal social controlhealth communicationafter-hours carehealth services accessibilitytelenursingdelivery of health carepatient care managementnurse-patient relations
spellingShingle Jenney Lee
Melissa Cheyney
Michael May
Marit Bovbjerg
Patient Experiences with an mHealth App for Complex Chronic Disease Care: Connections Despite Lack of Traditional Clinical Interactions
Patient Experience Journal
patient experience
patient-centered care
healthcare
equity
quality of care
chronic disease
office visits
patient-generated health data
remote consultation
telemedicine
text messaging
formal social control
health communication
after-hours care
health services accessibility
telenursing
delivery of health care
patient care management
nurse-patient relations
title Patient Experiences with an mHealth App for Complex Chronic Disease Care: Connections Despite Lack of Traditional Clinical Interactions
title_full Patient Experiences with an mHealth App for Complex Chronic Disease Care: Connections Despite Lack of Traditional Clinical Interactions
title_fullStr Patient Experiences with an mHealth App for Complex Chronic Disease Care: Connections Despite Lack of Traditional Clinical Interactions
title_full_unstemmed Patient Experiences with an mHealth App for Complex Chronic Disease Care: Connections Despite Lack of Traditional Clinical Interactions
title_short Patient Experiences with an mHealth App for Complex Chronic Disease Care: Connections Despite Lack of Traditional Clinical Interactions
title_sort patient experiences with an mhealth app for complex chronic disease care connections despite lack of traditional clinical interactions
topic patient experience
patient-centered care
healthcare
equity
quality of care
chronic disease
office visits
patient-generated health data
remote consultation
telemedicine
text messaging
formal social control
health communication
after-hours care
health services accessibility
telenursing
delivery of health care
patient care management
nurse-patient relations
url https://pxjournal.org/journal/vol11/iss2/12
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AT michaelmay patientexperienceswithanmhealthappforcomplexchronicdiseasecareconnectionsdespitelackoftraditionalclinicalinteractions
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