A qualitative study of type 2 diabetes mellitus outpatients' perspectives on readiness, acceptance and barriers of mobile apps for medication adherence

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2024-11-12 DOI:10.1016/j.pec.2024.108547

Cheng Jun Chong , Mohd Makmor-Bakry , Ernieda Hatah , Nor Asyikin Mohd Tahir , Norlaila Mustafa , Francis R. Capule , Andi Hermansyah

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引用次数: 0

Abstract

Objectives

This qualitative phenomenological study explored the perspectives of type 2 diabetes mellitus (T2DM) outpatients in adopting mobile apps for medication adherence management.

Methods

Through 25 semi-structured in-depth interviews, themes were identified using thematic analysis, guided by the Technology Readiness and Acceptance Model (TRAM).

Results

Anticipated convenience and benefits, openness to new technologies acted as drivers, while limited digital literacy and concerns about data privacy and security served as inhibitors of readiness to adopt health apps. Acceptance was influenced by elements related to medication, patient, healthcare professional, family and app aspects. The identified barriers were related to patient, smartphone and monetary factors. Patients perceived the need to adopt digital apps were for those with poor adherence, complex medication regimen and forgetfulness issues. However, concerns about effectively implementing this approach were noted as T2DM patients were predominantly late middle-aged adults who faced technical challenges, leading to combination approach between digital technology and conventional patient education and counselling.

Conclusion

The findings highlighted the factors influencing patient's readiness, acceptance, and barriers on effective utilisation of digital health solutions in managing adherence issues.

Practical implications

The elements of TRAM provide guidance for strategic actions to enhance digital health technology adoption among T2DM patients.

查看原文本刊更多论文

关于 2 型糖尿病门诊患者对移动应用程序在坚持用药方面的准备程度、接受程度和障碍的定性研究。

目的：本项定性现象学研究探讨了 2 型糖尿病（T2DM）门诊患者在采用移动应用程序进行服药依从性管理时的观点：本定性现象学研究探讨了 2 型糖尿病（T2DM）门诊患者在采用移动应用程序进行服药依从性管理时的观点：方法：通过 25 个半结构式深度访谈，在技术准备和接受模型（TRAM）的指导下，采用主题分析法确定主题：结果：预期的便利性和益处、对新技术的开放性是采用健康应用程序的驱动因素，而有限的数字素养以及对数据隐私和安全的担忧则是采用健康应用程序的阻碍因素。接受度受药物、患者、医疗保健专业人员、家庭和应用程序等相关因素的影响。已确定的障碍与患者、智能手机和金钱因素有关。患者认为需要采用数字应用程序的是那些依从性差、用药方案复杂和健忘的患者。然而，由于 T2DM 患者主要是中年后期的成年人，他们面临着技术上的挑战，因此人们对有效实施这种方法表示担忧，这导致了数字技术与传统的患者教育和咨询相结合的方法：研究结果强调了影响患者在有效利用数字医疗解决方案管理依从性问题方面的准备程度、接受程度和障碍因素：实践意义：TRAM 的要素为提高 T2DM 患者对数字医疗技术的采用率提供了战略行动指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.