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

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Fältnamn	Indikatorer	Metadata
000		14091naa a2201081 4500
001		oai:DiVA.org:uu-457486
003		SwePub
008		211101s2021 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-4574862 URI
024	7	a https://doi.org/10.2196/254722 DOI
040		a (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Neves, Ana Luisau 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.4 aut
245	1 0	a Determinants of the Use of Health and Fitness Mobile Apps by Patients With Asthma :b Secondary Analysis of Observational Studies
264		c 2021-09-22
264	1	b JMIR Publications,c 2021
338		a electronic2 rdacarrier
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653		a mobile apps
653		a smartphone
653		a patient participation
653		a self-management
653		a asthma
700	1	a Jacome, Cristinau 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.4 aut
700	1	a Taveira-Gomes, Tiagou 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.4 aut
700	1	a Pereira, Ana Margaridau 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.4 aut
700	1	a Almeida, Ruteu 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.4 aut
700	1	a Amaral, Ritau 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.4 aut0 (Swepub:uu)ritam997
700	1	a Alves-Correia, Magnau Inst & Hosp CUF, Allergy Unit, Porto, Portugal.4 aut
700	1	a Mendes, Sandrau Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.4 aut
700	1	a Chaves-Loureiro, Claudiau Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.4 aut
700	1	a Valerio, Margaridau Hosp Univ Coimbra, Serv Pneumol, Coimbra, Portugal.4 aut
700	1	a Lopes, Cristinau Hosp Pedro Hispano, Unidade Local Saude Matosinhos, Unidade Imunoalergol, Matosinhos, Portugal.;Univ Porto, Fac Med, Imunol Basica & Clin, Porto, Portugal.4 aut
700	1	a Carvalho, Joanau Hosp Pedro Hispano, Serv Pediat, Unidade Local Saude Matosinhos, Matosinhos, Portugal.4 aut
700	1	a Mendes, Anau Hosp Santa Maria, Ctr Hosp Lisboa Norte, Serv Imunoalergol, Lisbon, Portugal.4 aut
700	1	a Ribeiro, Carmelitau Ctr Hosp & Univ Coimbra, Serv Imunoalergol, Coimbra, Portugal.4 aut
700	1	a Prates, Sarau Ctr Hosp Univ Lisboa Cent, Hosp Dona Estefenia, Serv Imunoalergol, Lisbon, Portugal.4 aut
700	1	a Ferreira, Jose Albertou Ctr Hosp Vila Nova de Gaia Espinho, Serv Imunoalergol, Unidade 1, Vila Nova De Gaia, Portugal.4 aut
700	1	a Teixeira, Maria Fernandau Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.4 aut
700	1	a Branco, Joanau Hosp Beatriz Angelo, Serv Pneumol, Loures, Portugal.4 aut
700	1	a Santalha, Martau Hosp Senhora da Oliveira, Serv Pediat, Guimaraes, Portugal.4 aut
700	1	a Vasconcelos, Maria Joaou Ctr Hosp Univ Sao Joao, Serv Imunoalergol, Porto, Portugal.4 aut
700	1	a Lozoya, Carlosu Hosp Amato Lusitano, Serv Imunoalergol, Unidade Local Saude Castelo Branco, Castelo Branco, Portugal.4 aut
700	1	a Santos, Natachau Ctr Hosp Univ Algarve, Serv Imunoalergol, Portimao, Portugal.4 aut
700	1	a Cardia, Franciscau Agrupamento Ctr Saude Dao Lafoes, Unidade Saude Familiar Terras Azurara, Mangualde, Portugal.4 aut
700	1	a Moreira, Ana Sofiau Hosp Divino Espirito Santo, Unidade Imunoalergol, Ponta Delgada, Portugal.4 aut
700	1	a Taborda-Barata, Luisu 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.4 aut
700	1	a Pinto, Claudia Sofiau Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Pneumol, Vila Real, Portugal.4 aut
700	1	a Ferreira, Rosariou Hosp Santa Maria, Ctr Hosp Lisboa Norte, Dept Pediat, Lisbon, Portugal.4 aut
700	1	a Silva, Pedro Moraisu Grp HPA Saude, Imunoalergol, Portimao, Portugal.4 aut
700	1	a Ferreira, Tania Monteirou Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Progresso & Saude, Tocha, Portugal.4 aut
700	1	a Camara, Raquelu Hosp Nossa Senhora do Rosario, Ctr Hosp Barreiro Montijo, Serv Pneumol, Barreiro, Portugal.4 aut
700	1	a Lobo, Ruiu Agrupamento Ctr Saude Baixo Vouga, Unidade Saude Familiar Joao Semana, Ovar, Portugal.4 aut
700	1	a Bordalo, Dianau Ctr Hosp Medio Ave, Serv Pediat, Unidade Hosp Famalicao, Vila Nova De Famalicao, Portugal.4 aut
700	1	a Guimaraes, Cristinau Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Caminhos Certoma, Pampilhosa, Portugal.4 aut
700	1	a Santo, Maria Espiritou Agrupamento Ctr Saude Baixo Vouga, Unidade Saude Familiar Arte Nova, Oliveirinha, Portugal.4 aut
700	1	a de Oliveira, Jose Ferrazu Hosp Privado Alfena, Trofa Saude, Imunoalergol, Alfena, Portugal.4 aut
700	1	a Calix Augusto, Maria Joseu Hosp Sao Teotonio, Ctr Hosp Tondela Viseu, Serv Pediat, Viseu, Portugal.4 aut
700	1	a Gomes, Ricardou Hosp Garcia de Orta, Serv Pneumol, Almada, Portugal.4 aut
700	1	a Vieira, Inesu Agrupamento Ctr Saude Pinhal Litoral, Unidade Cuidados Saude Personalizados Arnaldo Sam, Leiria, Portugal.4 aut
700	1	a da Silva, Sofiau Unidade Local Saude Alto Minho, Unidade Saude Familiar Cuidarte, Portuzelo, Portugal.4 aut
700	1	a Marques, Mariau Ctr Hosp Univ Porto, Serv Imunoalergol, Porto, Portugal.4 aut
700	1	a Cardoso, Joaou Hosp Santa Marta, Ctr Hosp Univ Lisboa Cent, Serv Pneumol, Lisbon, Portugal.4 aut
700	1	a Morete, Anau Inst & Hosp CUF, Allergy Unit, Porto, Portugal.;Hosp Infante D Pedro, Ctr Hosp Baixo Vouga, Serv Imunoalergol, Aveiro, Portugal.4 aut
700	1	a Aroso, Margaridau Agrupamento Ctr SaUde Grande Porto III Maia Valon, Unidade Saude Familiar Pedras Rubras, Maia, Portugal.4 aut
700	1	a Cruz, Ana Margaridau Agrupamento Ctr Saude Grande Porto V Porto Ociden, Unidade Saude Familiar Bom Porto, Porto, Portugal.4 aut
700	1	a Nunes, Carlosu Ctr Imunoalergol Algarve, Imunoalergol, Portimao, Portugal.4 aut
700	1	a Camara, Ritau Serv Saude Regiao Autonoma Madeira, Serv Imunoalergol, Funchal, Portugal.4 aut
700	1	a Rodrigues, Natalinau Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Mondego, Coimbra, Portugal.4 aut
700	1	a Abreu, Carmou Hosp Sao Pedro Vila Real, Ctr Hosp Tras Os Montes & Alto Douro, Serv Imunoalergol, Vila Real, Portugal.4 aut
700	1	a Albuquerque, Ana Luisau Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Coimbra Ctr, Coimbra, Portugal.4 aut
700	1	a Vieira, Claudiau Agrupamentos Ctr Saude Douro I Marao & Douro Nort, Unidade Saude Familiar Corgo, Vila Real, Portugal.4 aut
700	1	a Santos, Carlosu Agrupamento Ctr Saude Cavado III Barcelos Esposen, Unidade Saude Familiar Santo Antonio, Barcelos, Portugal.4 aut
700	1	a Pascoa, Rosaliau 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.4 aut
700	1	a Chaves-Loureiro, Carlau Ctr Hosp & Univ Coimbra, Serv Pediat Ambulatoria, Coimbra, Portugal.4 aut
700	1	a Alves, Adelaideu Ctr Hosp Vila Nova de Gaia Espinho, Serv Pneumol, Unidade 1, Vila Nova De Gaia, Portugal.4 aut
700	1	a Neves, Angelau Agrupamento Ctr Saude Baixo Mondego, Unidade Saude Familiar Araceti, Arazede, Portugal.4 aut
700	1	a Marques, Jose Varandau Agrupamento Ctr Saude Dao Lafoes, Unidade Saude Familiar Viseu Cidade, Viseu, Portugal.4 aut
700	1	a Reis, Brunou Agrupamento Ctr Saude Pinhal Litoral, Unidade Cuidados Saude Personalizados Sico, Leiria, Portugal.4 aut
700	1	a Ferreira-Magalhaes, Manuelu Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Porto, Portugal.;Ctr Hosp Univ Porto, Ctr Materno Infantil Norte, Serv Pediat, Porto, Portugal.4 aut
700	1	a Fonseca, Joao Almeidau Univ Porto, Fac Med, Dept Community Med Informat & Hlth Decis Sci MEDC, Praca Gomes Teixeira, P-4099002 Porto, Portugal.4 aut
710	2	a 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.b 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.4 org
773	0	t Journal of Medical Internet Researchd : JMIR Publicationsg 23:9q 23:9x 1438-8871
856	4	u https://doi.org/10.2196/25472y Fulltext
856	4	u https://uu.diva-portal.org/smash/get/diva2:1607615/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4	u https://doi.org/10.2196/25472
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-457486
856	4 8	u https://doi.org/10.2196/25472

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Av författaren/redakt...: Neves, Ana Luisa; Jacome, Cristina; Taveira-Gomes, T ...; Pereira, Ana Mar ...; Almeida, Rute; Amaral, Rita; visa fler...; Alves-Correia, M ...; Mendes, Sandra; Chaves-Loureiro, ...; Valerio, Margari ...; Lopes, Cristina; Carvalho, Joana; Mendes, Ana; Ribeiro, Carmeli ...; Prates, Sara; Ferreira, Jose A ...; Teixeira, Maria ...; Branco, Joana; Santalha, Marta; Vasconcelos, Mar ...; Lozoya, Carlos; Santos, Natacha; Cardia, Francisc ...; Moreira, Ana Sof ...; Taborda-Barata, ...; Pinto, Claudia S ...; Ferreira, Rosari ...; Silva, Pedro Mor ...; Ferreira, Tania ...; Camara, Raquel; Lobo, Rui; Bordalo, Diana; Guimaraes, Crist ...; Santo, Maria Esp ...; de Oliveira, Jos ...; Calix Augusto, M ...; Gomes, Ricardo; Vieira, Ines; da Silva, Sofia; Marques, Maria; Cardoso, Joao; Morete, Ana; Aroso, Margarida; Cruz, Ana Margar ...; Nunes, Carlos; Camara, Rita; Rodrigues, Natal ...; Abreu, Carmo; Albuquerque, Ana ...; Vieira, Claudia; Santos, Carlos; Pascoa, Rosalia; Chaves-Loureiro, ...; Alves, Adelaide; Neves, Angela; Marques, Jose Va ...; Reis, Bruno; Ferreira-Magalha ...; Fonseca, Joao Al ...; visa färre...

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