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Determinants of the Use of Health and Fitness Mobile Apps by Patients With Asthma : Secondary Analysis of Observational Studies

Neves, Ana Luisa (författare)
Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.;Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Imperial Coll London, Imperial NIHR Patient Safety Translat Res Ctr, Inst Global Hlth Innovat, London, England.
Jacome, Cristina (författare)
Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.;Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
Taveira-Gomes, Tiago (författare)
Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.;Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Univ Inst Hlth Sci, Inst Invest & Formacao Avancada Ciencias & Tecno, Inst Res & Adv Training Hlth Sci & Technol, Cooperat Ensino Super Politecn & Univ,CRL, Gandra, Portugal.;Univ Fernando Pessoa, Fac Ciencias Saude, Porto, Portugal.
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Pereira, Ana Margarida (författare)
Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.;Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
Almeida, Rute (författare)
Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.;Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
Amaral, Rita (författare)
Uppsala universitet,Pediatrisk inflammations- och metabolismforskning samt barnhälsa,Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.;Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Polytech Inst Porto, Porto Hlth Sch, Dept Cardiovasc & Resp Sci, Porto, Portugal.
Alves-Correia, Magna (författare)
Inst & Hosp CUF, Allergy Unit, Porto, Portugal.
Mendes, Sandra (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.
Chaves-Loureiro, Claudia (författare)
Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
Valerio, Margarida (författare)
Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.
Lopes, Cristina (författare)
Hosp Pedro Hispano, Unidade Local Saude Matosinhos, Unidade Imunoalergol, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Basica & Clin, Porto, Portugal.
Carvalho, Joana (författare)
Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.
Mendes, Ana (författare)
Hosp Santa Maria, Ctr Hosp Lisboa Norte, Serv Imunoalergol, Lisbon, Portugal.
Ribeiro, Carmelita (författare)
Ctr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.
Prates, Sara (författare)
Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefenia, Serv Imunoalergol, Lisbon, Portugal.
Ferreira, Jose Alberto (författare)
Ctr Hosp Vila Nova de Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.
Teixeira, Maria Fernanda (författare)
Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
Branco, Joana (författare)
Hosp Beatriz Angelo, Serv Pneumol, Loures, Portugal.
Santalha, Marta (författare)
Hosp Senhora da Oliveira, Serv Pediat, Guimaraes, Portugal.
Vasconcelos, Maria Joao (författare)
Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.
Lozoya, Carlos (författare)
Hosp Amato Lusitano, Serv Imunoalergol, Unidade Local Saude Castelo Branco, Castelo Branco, Portugal.
Santos, Natacha (författare)
Ctr Hosp Univ Algarve, Serv Imunoalergol, Portimao, Portugal.
Cardia, Francisca (författare)
Agrupamento Ctr Saude Dao Lafoes, Unidade Saude Familiar Terras Azurara, Mangualde, Portugal.
Moreira, Ana Sofia (författare)
Hosp Divino Espirito Santo, Unidade Imunoalergol, Ponta Delgada, Portugal.
Taborda-Barata, Luis (författare)
Cova da Beira Univ Hosp Ctr, Dept Allergy & Clin Immunol, Covilha, Portugal.;Univ Beira Interior, Fac Hlth Sci, Ctr Invest Ciencias Saude, Covilha, Portugal.;Univ Beira Interior, Fac Hlth Sci, NuESA Environm & Hlth Study Grp, Covilha, Portugal.
Pinto, Claudia Sofia (författare)
Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Pneumol, Vila Real, Portugal.
Ferreira, Rosario (författare)
Hosp Santa Maria, Ctr Hosp Lisboa Norte, Dept Pediat, Lisbon, Portugal.
Silva, Pedro Morais (författare)
Grp HPA Saude, Imunoalergol, Portimao, Portugal.
Ferreira, Tania Monteiro (författare)
Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Progresso & Saude, Tocha, Portugal.
Camara, Raquel (författare)
Hosp Nossa Senhora do Rosario, Ctr Hosp Barreiro Montijo, Serv Pneumol, Barreiro, Portugal.
Lobo, Rui (författare)
Agrupamento Ctr Saude Baixo Vouga, Unidade Saude Familiar Joao Semana, Ovar, Portugal.
Bordalo, Diana (författare)
Ctr Hosp Medio Ave, Serv Pediat, Unidade Hosp Famalicao, Vila Nova De Famalicao, Portugal.
Guimaraes, Cristina (författare)
Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Caminhos Certoma, Pampilhosa, Portugal.
Santo, Maria Espirito (författare)
Agrupamento Ctr Saude Baixo Vouga, Unidade Saude Familiar Arte Nova, Oliveirinha, Portugal.
de Oliveira, Jose Ferraz (författare)
Hosp Privado Alfena, Trofa Saude, Imunoalergol, Alfena, Portugal.
Calix Augusto, Maria Jose (författare)
Hosp Sao Teotonio, Ctr Hosp Tondela Viseu, Serv Pediat, Viseu, Portugal.
Gomes, Ricardo (författare)
Hosp Garcia de Orta, Serv Pneumol, Almada, Portugal.
Vieira, Ines (författare)
Agrupamento Ctr Saude Pinhal Litoral, Unidade Cuidados Saude Personalizados Arnaldo Sam, Leiria, Portugal.
da Silva, Sofia (författare)
Unidade Local Saude Alto Minho, Unidade Saude Familiar Cuidarte, Portuzelo, Portugal.
Marques, Maria (författare)
Ctr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.
Cardoso, Joao (författare)
Hosp Santa Marta, Ctr Hosp Univ Lisboa Cent, Serv Pneumol, Lisbon, Portugal.
Morete, Ana (författare)
Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;Hosp Infante D Pedro, Ctr Hosp Baixo Vouga, Serv Imunoalergol, Aveiro, Portugal.
Aroso, Margarida (författare)
Agrupamento Ctr SaUde Grande Porto III Maia Valon, Unidade Saude Familiar Pedras Rubras, Maia, Portugal.
Cruz, Ana Margarida (författare)
Agrupamento Ctr Saude Grande Porto V Porto Ociden, Unidade Saude Familiar Bom Porto, Porto, Portugal.
Nunes, Carlos (författare)
Ctr Imunoalergol Algarve, Imunoalergol, Portimao, Portugal.
Camara, Rita (författare)
Serv Saude Regiao Autonoma Madeira, Serv Imunoalergol, Funchal, Portugal.
Rodrigues, Natalina (författare)
Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Mondego, Coimbra, Portugal.
Abreu, Carmo (författare)
Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.
Albuquerque, Ana Luisa (författare)
Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Coimbra Ctr, Coimbra, Portugal.
Vieira, Claudia (författare)
Agrupamentos Ctr Saude Douro I Marao & Douro Nort, Unidade Saude Familiar Corgo, Vila Real, Portugal.
Santos, Carlos (författare)
Agrupamento Ctr Saude Cavado III Barcelos Esposen, Unidade Saude Familiar Santo Antonio, Barcelos, Portugal.
Pascoa, Rosalia (författare)
Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.;Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Agrupamento Ctr Saude Gaia, Unidade Saude Familiar Abel Salazar, Vila Nova De Gaia, Portugal.
Chaves-Loureiro, Carla (författare)
Ctr Hosp & Univ Coimbra, Serv Pediat Ambulatoria, Coimbra, Portugal.
Alves, Adelaide (författare)
Ctr Hosp Vila Nova de Gaia Espinho, Serv Pneumol, Unidade 1, Vila Nova De Gaia, Portugal.
Neves, Angela (författare)
Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Araceti, Arazede, Portugal.
Marques, Jose Varanda (författare)
Agrupamento Ctr Saude Dao Lafoes, Unidade Saude Familiar Viseu Cidade, Viseu, Portugal.
Reis, Bruno (författare)
Agrupamento Ctr Saude Pinhal Litoral, Unidade Cuidados Saude Personalizados Sico, Leiria, Portugal.
Ferreira-Magalhaes, Manuel (författare)
Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.
Fonseca, Joao Almeida (författare)
Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.
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Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal;Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Imperial Coll London, Imperial NIHR Patient Safety Translat Res Ctr, Inst Global Hlth Innovat, London, England. Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.;Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal. (creator_code:org_t)
2021-09-22
2021
Engelska.
Ingår i: Journal of Medical Internet Research. - : JMIR Publications. - 1438-8871. ; 23:9
Relaterad länk:
https://doi.org/10.2...
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https://uu.diva-port... (primary) (Raw object)
https://doi.org/10.2...
https://urn.kb.se/re...
https://doi.org/10.2...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Health and fitness apps have potential benefits to improve self-management and disease control among patients with asthma. However, inconsistent use rates have been reported across studies, regions, and health systems. A better understanding of the characteristics of users and nonusers is critical to design solutions that are effectively integrated in patients' daily lives, and to ensure that these equitably reach out to different groups of patients, thus improving rather than entrenching health inequities. Objective: This study aimed to evaluate the use of general health and fitness apps by patients with asthma and to identify determinants of usage. Methods: A secondary analysis of the INSPIRERS observational studies was conducted using data from face-to-face visits. Patients with a diagnosis of asthma were included between November 2017 and August 2020. Individual-level data were collected, including age, gender, marital status, educational level, health status, presence of anxiety and depression, postcode, socioeconomic level, digital literacy, use of health services, and use of health and fitness apps. Multivariate logistic regression was used to model the probability of being a health and fitness app user. Statistical analysis was performed in R. Results: A total of 526 patients attended a face-to-face visit in the 49 recruiting centers and 514 had complete data. Most participants were <= 40 years old (66.4%), had at least 10 years of education (57.4%), and were in the 3 higher quintiles of the socioeconomic deprivation index (70.1%). The majority reported an overall good health status (visual analogue scale [VAS] score>70 in 93.1%) and the prevalence of anxiety and depression was 34.3% and 11.9%, respectively. The proportion of participants who reported using health and fitness mobile apps was 41.1% (n=211). Multivariate models revealed that single individuals and those with more than 10 years of education are more likely to use health and fitness mobile apps (adjusted odds ratio [aOR] 2.22, 95%CI 1.05-4.75 and aOR 1.95, 95%CI 1.12-3.45, respectively). Higher digital literacy scores were also associated with higher odds of being a user of health and fitness apps, with participants in the second, third, and fourth quartiles reporting aORs of 6.74 (95%CI 2.90-17.40), 10.30 (95%CI 4.28-27.56), and 11.52 (95%CI 4.78-30.87), respectively. Participants with depression symptoms had lower odds of using health and fitness apps (aOR 0.32, 95%CI 0.12-0.83). Conclusions: A better understanding of the barriers and enhancers of app use among patients with lower education, lower digital literacy, or depressive symptoms is key to design tailored interventions to ensure a sustained and equitable use of these technologies. Future studies should also assess users' general health-seeking behavior and their interest and concerns specifically about digital tools. These factors may impact both initial engagement and sustained use.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

mobile apps
smartphone
patient participation
self-management
asthma

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ref (ämneskategori)
art (ämneskategori)

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