Perspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study

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dc.contributor.authorHaldane, Victoria
dc.contributor.authorTan, Yao Guo
dc.contributor.authorTeo, Krichelle Wei Qi
dc.contributor.authorKoh, Joel Jun Kai
dc.contributor.authorSrivastava, Aastha
dc.contributor.authorCheng, Rui Xiang
dc.contributor.authorYap, Yi Cheng
dc.contributor.authorOng, Pei-Shi
dc.contributor.authorvan Dam, Rob M.
dc.contributor.authorFoo, Jie Min
dc.contributor.authorMüller-Riemenschneider, Falk
dc.contributor.authorKoh, Gerald C. H.
dc.contributor.authorPerel, Pablo
dc.contributor.authorLegido-Quigley, Helena
dc.date.accessioned2020-11-24T09:21:17Z
dc.date.available2020-11-24T09:21:17Z
dc.date.issued2019
dc.date.updated2020-11-24T09:21:17Z
dc.description.abstractBackground: Cardiovascular disease, including atherosclerotic cardiovascular disease (ASCVD), is a growing public health threat globally and many individuals remain undiagnosed, untreated, and uncontrolled. Simultaneously, mobile health (mHealth) interventions using short messaging service (SMS) have gained popularity globally. There is an opportunity for innovative approaches such as mHealth to encourage and enable adherence to medications for ASCVD and its risk factors. Objective: This study aimed to understand mobile technology acceptance, use, and facilitating conditions among the study population ahead of the design of an mHealth intervention. Methods: Using data from a mixed-methods study conducted in Singapore, we conducted a cross-sectional survey with 100 participants and in-depth, semistructured interviews with 20 patients. All participants were over the age of 40 years with ASCVD or its risk factors. Interviews were conducted in English and Mandarin and if needed translated to English. Nvivo 11 (QSR International) was used for analyses. Results: Participants reported their perspectives on technology use and preferences, including low or sporadic mobile phone use and usability concerns including small screen and text size, among others; the benefit of previous mHealth use in creating a favorable opinion of SMS for health information; trust in both the source of mHealth SMS, as well as in treatment; the formation of habits; and fear of sequelae or death for facilitating intention to use an mHealth intervention and adhere to medication. We also highlighted a case that underscored the importance of the period after diagnosis in habit forming as an opportunity for an mHealth intervention. Conclusions: We explored both technology- and adherence-related factors that influence a patient's intention to use an mHealth intervention for adherence to ASCVD medication in Singapore. We highlighted the importance of identifying the right opportunity to engage with patients and promote an mHealth intervention for adherence, such as immediately following diagnosis when patients are establishing medication-taking habits.
dc.description.sponsorshipThis research was supported by Humanities and Social Sciences Seed Fund, R-608-000-137-646 and the National University Health System (NUHS) Singapore Population Health Improvement Centre (SPHERiC).
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.2196/11108
dc.identifier.idgrec029537
dc.identifier.issn2291-5222
dc.identifier.urihttp://hdl.handle.net/10459.1/69937
dc.language.isoeng
dc.publisherJMIR Publications
dc.relation.isformatofReproducció del document publicat a https://doi.org/10.2196/11108
dc.relation.ispartofJmir Mhealth And Uhealth, 2019, vol. 7, num. 3, p. 1-13
dc.rightscc-by (c) Haldane et al., 2019
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAtherosclerosis
dc.subjectmHealth
dc.subjecteHealth
dc.subjectPatient-centered care
dc.subjectPatient acceptance of health care
dc.subjectMedication adherence
dc.titlePerspectives on acceptance and use of a mobile health intervention for the prevention of atherosclerotic cardiovascular disease in Singapore: Mixed-methods study
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
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