Optimization of the Care4Today Digital Health Platform to Enhance Self-Reporting of Medication Adherence and Health Experiences in Patients With Coronary or Peripheral Artery Disease: Mixed Methods Study

BackgroundCare4Today is a digital health platform developed by Johnson & Johnson comprising a patient mobile app (Care4Today Connect), a health care provider (HCP) portal, and an educational website. It aims to improve medication adherence; enable self-reporting of health...

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Main Authors: Stephanie Juan, Ante Harxhi, Simrati Kaul, Breeana Woods, Monica Tran, Gabrielle Geonnotti, Archit Gupta, Emily Dean, Cassandra E Saunders, Gloria Payne
Format: Article
Language:English
Published: JMIR Publications 2025-03-01
Series:JMIR Cardio
Online Access:https://cardio.jmir.org/2025/1/e56053
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author Stephanie Juan
Ante Harxhi
Simrati Kaul
Breeana Woods
Monica Tran
Gabrielle Geonnotti
Archit Gupta
Emily Dean
Cassandra E Saunders
Gloria Payne
author_facet Stephanie Juan
Ante Harxhi
Simrati Kaul
Breeana Woods
Monica Tran
Gabrielle Geonnotti
Archit Gupta
Emily Dean
Cassandra E Saunders
Gloria Payne
author_sort Stephanie Juan
collection DOAJ
description BackgroundCare4Today is a digital health platform developed by Johnson & Johnson comprising a patient mobile app (Care4Today Connect), a health care provider (HCP) portal, and an educational website. It aims to improve medication adherence; enable self-reporting of health experiences; provide patient education; enhance connection with HCPs; and facilitate data and analytics learning across disease areas, including cardiovascular disease. ObjectiveThis study aimed to gather patient feedback on Care4Today Connect, specifically the coronary artery disease (CAD) and peripheral artery disease (PAD) module, and to cocreate and validate features with patients to optimize the app experience for those with CAD, PAD, or both. MethodsWe conducted 3 research engagements between November 2022 and May 2023. Participants were US-based adults recruited and consented through the sponsor’s Patient Engagement Research Council program. Participants self-reported a diagnosis of cardiovascular disease, and in some cases, specifically, CAD, PAD, or both. Part 1, internet survey, posed quantitative questions with Likert-scale answer options about existing app features. Part 2, virtual focus group, and part 3, virtual individual interviews, both used semistructured qualitative discussion to cocreate and validate new app enhancements. The quantitative data from part 1 was evaluated descriptively to categorize mobile health app use, confidence in the ability to use the app, and motivations for app use. The qualitative discussions from parts 2 and 3 were synthesized to understand participants’ app needs and preferences to inform an optimal app experience. ResultsThe response rate for part 1, internet survey, was 67% (37/55). Most participants felt at least somewhat confident using the app after seeing the newly added app tutorial (33/37, 89%), and at least somewhat confident in their ability to earn points for completing activities using app instructions (33/37, 89%). In part 2, virtual focus group (n=3), and part 3, virtual individual interviews (n=8), participants collectively preferred to enhance the app with (1) the ability to automatically add medication data for tracking and (2) the ability to receive relevant care team feedback on their self-reported health experiences. Participants would be willing to spend 10-15 minutes a day tracking 4-5 health experiences, especially those requested by their HCP. ConclusionsParticipants prefer apps that can reduce user burden and provide information relevant to them. Care4Today Connect can optimize the user experience for patients with CAD, PAD, or both with the automatic addition of medication data for tracking and in-app care team feedback on patient self-reported health experiences.
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spelling doaj-art-bbe52fbcb3614358926603d5a6fecab82025-08-20T02:55:49ZengJMIR PublicationsJMIR Cardio2561-10112025-03-019e5605310.2196/56053Optimization of the Care4Today Digital Health Platform to Enhance Self-Reporting of Medication Adherence and Health Experiences in Patients With Coronary or Peripheral Artery Disease: Mixed Methods StudyStephanie Juanhttps://orcid.org/0009-0000-9399-8073Ante Harxhihttps://orcid.org/0009-0007-7052-2524Simrati Kaulhttps://orcid.org/0009-0004-0206-9244Breeana Woodshttps://orcid.org/0009-0004-8585-9283Monica Tranhttps://orcid.org/0009-0001-3130-0714Gabrielle Geonnottihttps://orcid.org/0009-0000-8584-5536Archit Guptahttps://orcid.org/0009-0001-1175-3281Emily Deanhttps://orcid.org/0009-0004-2776-7217Cassandra E Saundershttps://orcid.org/0009-0007-1803-6377Gloria Paynehttps://orcid.org/0009-0009-4312-6205 BackgroundCare4Today is a digital health platform developed by Johnson & Johnson comprising a patient mobile app (Care4Today Connect), a health care provider (HCP) portal, and an educational website. It aims to improve medication adherence; enable self-reporting of health experiences; provide patient education; enhance connection with HCPs; and facilitate data and analytics learning across disease areas, including cardiovascular disease. ObjectiveThis study aimed to gather patient feedback on Care4Today Connect, specifically the coronary artery disease (CAD) and peripheral artery disease (PAD) module, and to cocreate and validate features with patients to optimize the app experience for those with CAD, PAD, or both. MethodsWe conducted 3 research engagements between November 2022 and May 2023. Participants were US-based adults recruited and consented through the sponsor’s Patient Engagement Research Council program. Participants self-reported a diagnosis of cardiovascular disease, and in some cases, specifically, CAD, PAD, or both. Part 1, internet survey, posed quantitative questions with Likert-scale answer options about existing app features. Part 2, virtual focus group, and part 3, virtual individual interviews, both used semistructured qualitative discussion to cocreate and validate new app enhancements. The quantitative data from part 1 was evaluated descriptively to categorize mobile health app use, confidence in the ability to use the app, and motivations for app use. The qualitative discussions from parts 2 and 3 were synthesized to understand participants’ app needs and preferences to inform an optimal app experience. ResultsThe response rate for part 1, internet survey, was 67% (37/55). Most participants felt at least somewhat confident using the app after seeing the newly added app tutorial (33/37, 89%), and at least somewhat confident in their ability to earn points for completing activities using app instructions (33/37, 89%). In part 2, virtual focus group (n=3), and part 3, virtual individual interviews (n=8), participants collectively preferred to enhance the app with (1) the ability to automatically add medication data for tracking and (2) the ability to receive relevant care team feedback on their self-reported health experiences. Participants would be willing to spend 10-15 minutes a day tracking 4-5 health experiences, especially those requested by their HCP. ConclusionsParticipants prefer apps that can reduce user burden and provide information relevant to them. Care4Today Connect can optimize the user experience for patients with CAD, PAD, or both with the automatic addition of medication data for tracking and in-app care team feedback on patient self-reported health experiences.https://cardio.jmir.org/2025/1/e56053
spellingShingle Stephanie Juan
Ante Harxhi
Simrati Kaul
Breeana Woods
Monica Tran
Gabrielle Geonnotti
Archit Gupta
Emily Dean
Cassandra E Saunders
Gloria Payne
Optimization of the Care4Today Digital Health Platform to Enhance Self-Reporting of Medication Adherence and Health Experiences in Patients With Coronary or Peripheral Artery Disease: Mixed Methods Study
JMIR Cardio
title Optimization of the Care4Today Digital Health Platform to Enhance Self-Reporting of Medication Adherence and Health Experiences in Patients With Coronary or Peripheral Artery Disease: Mixed Methods Study
title_full Optimization of the Care4Today Digital Health Platform to Enhance Self-Reporting of Medication Adherence and Health Experiences in Patients With Coronary or Peripheral Artery Disease: Mixed Methods Study
title_fullStr Optimization of the Care4Today Digital Health Platform to Enhance Self-Reporting of Medication Adherence and Health Experiences in Patients With Coronary or Peripheral Artery Disease: Mixed Methods Study
title_full_unstemmed Optimization of the Care4Today Digital Health Platform to Enhance Self-Reporting of Medication Adherence and Health Experiences in Patients With Coronary or Peripheral Artery Disease: Mixed Methods Study
title_short Optimization of the Care4Today Digital Health Platform to Enhance Self-Reporting of Medication Adherence and Health Experiences in Patients With Coronary or Peripheral Artery Disease: Mixed Methods Study
title_sort optimization of the care4today digital health platform to enhance self reporting of medication adherence and health experiences in patients with coronary or peripheral artery disease mixed methods study
url https://cardio.jmir.org/2025/1/e56053
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