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

2021-09-22Journal article Open access
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dc.contributor.authorNeves, Ana Luisa
dc.contributor.authorJácome, Cristina
dc.contributor.authorTaveira-Gomes, Tiago
dc.contributor.authorPereira, Ana Margarida
dc.contributor.authorAlmeida, Rute
dc.contributor.authorAmaral, Rita
dc.contributor.authorAlves-Correia, Magna
dc.contributor.authorMendes, Sandra
dc.contributor.authorChaves-Loureiro, Cláudia
dc.contributor.authorValério, Margarida
dc.contributor.authorLopes, Cristina
dc.contributor.authorCarvalho, Joana
dc.contributor.authorMendes, Ana
dc.contributor.authorRibeiro, Carmelita
dc.contributor.authorPrates, Sara
dc.contributor.authorFerreira, José Alberto
dc.contributor.authorTeixeira, Maria Fernanda
dc.contributor.authorBranco, Joana
dc.contributor.authorSantalha, Marta
dc.contributor.authorVasconcelos, Maria João
dc.contributor.authorLozoya, Carlos
dc.contributor.authorSantos, Natacha
dc.contributor.authorCardia, Francisca
dc.contributor.authorMoreira, Ana Sofia
dc.contributor.authorTaborda-Barata, Luís
dc.contributor.authorPinto, Cláudia Sofia
dc.contributor.authorFerreira, Rosário
dc.contributor.authorMorais Silva, Pedro
dc.contributor.authorMonteiro Ferreira, Tania
dc.contributor.authorCâmara, Raquel
dc.contributor.authorLobo, Rui
dc.contributor.authorBordalo, Diana
dc.contributor.authorGuimarães, Cristina
dc.contributor.authorEspírito Santo, Maria
dc.contributor.authorFerraz de Oliveira, José
dc.contributor.authorCálix Augusto, Maria José
dc.contributor.authorGomes, Ricardo
dc.contributor.authorVieira, Inês
dc.contributor.authorda Silva, Sofia
dc.contributor.authorMarques, Maria
dc.contributor.authorCardoso, João
dc.contributor.authorMorete, Ana
dc.contributor.authorAroso, Margarida
dc.contributor.authorCruz, Ana Margarida
dc.contributor.authorNunes, Carlos
dc.contributor.authorCâmara, Rita
dc.contributor.authorRodrigues, Natalina
dc.contributor.authorAbreu, Carmo
dc.contributor.authorAlbuquerque, Ana Luísa
dc.contributor.authorVieira, Claúdia
dc.contributor.authorSantos, Carlos
dc.contributor.authorPáscoa, Rosália
dc.contributor.authorChaves-Loureiro, Carla
dc.contributor.authorAlves, Adelaide
dc.contributor.authorNeves, Ângela
dc.contributor.authorVaranda Marques, José
dc.contributor.authorReis, Bruno
dc.contributor.authorFerreira-Magalhães, Manuel
dc.contributor.authorAlmeida Fonseca, João
dc.date.accessioned2021-10-07T08:01:11Z
dc.date.available2021-10-07T08:01:11Z
dc.date.issued2021-09-22
dc.description.abstractBackground: 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.pt_PT
dc.description.sponsorshipPOCI-01-0145-36-FEDER-029130
dc.description.sponsorshipCOMPETE2020
dc.description.sponsorshipUIDB/4255/2020
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNeves AL, Jácome C, Taveira-Gomes T, Pereira AM, Almeida R, Amaral R, Alves-Correia M, Mendes S, Chaves-Loureiro C, Valério M, Lopes C, Carvalho J, Mendes A, Ribeiro C, Prates S, Ferreira JA, Teixeira MF, Branco J, Santalha M, Vasconcelos MJ, Lozoya C, Santos N, Cardia F, Moreira AS, Taborda-Barata L, Pinto CS, Ferreira R, Morais Silva P, Monteiro Ferreira T, Câmara R, Lobo R, Bordalo D, Guimarães C, Espírito Santo M, Ferraz de Oliveira J, Cálix Augusto MJ, Gomes R, Vieira I, da Silva S, Marques M, Cardoso J, Morete A, Aroso M, Cruz AM, Nunes C, Câmara R, Rodrigues N, Abreu C, Albuquerque AL, Vieira C, Santos C, Páscoa R, Chaves-Loureiro C, Alves A, Neves Â, Varanda Marques J, Reis B, Ferreira-Magalhães M, Almeida Fonseca J Determinants of the Use of Health and Fitness Mobile Apps by Patients With Asthma: Secondary Analysis of Observational Studies J Med Internet Res 2021;23(9):e25472 doi: 10.2196/25472 PMID: 34550077pt_PT
dc.identifier.doi10.2196/25472pt_PT
dc.identifier.issn1438-8871
dc.identifier.urihttp://hdl.handle.net/10400.26/37640
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherJMIR Publicationspt_PT
dc.relation.publisherversionhttps://www.jmir.org/2021/9/e25472pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectmobile appspt_PT
dc.subjectsmartphonept_PT
dc.subjectpatient participationpt_PT
dc.subjectself-managementpt_PT
dc.subjectasthmapt_PT
dc.titleDeterminants of the Use of Health and Fitness Mobile Apps by Patients With Asthma: Secondary Analysis of Observational Studiespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue9pt_PT
oaire.citation.startPagee25472pt_PT
oaire.citation.titleJournal of Medical Internet Researchpt_PT
oaire.citation.volume23pt_PT
person.familyNameNeves
person.familyNameCardia
person.givenNameAna Luisa
person.givenNameFrancisca
person.identifier.orcid0000-0002-7107-7211
person.identifier.orcid0000-0002-0749-589X
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication97d76ddf-f488-486a-9232-344e742e61e1
relation.isAuthorOfPublicatione7b00521-6722-41f1-b2fa-aa6cd32cd4c7
relation.isAuthorOfPublication.latestForDiscoverye7b00521-6722-41f1-b2fa-aa6cd32cd4c7

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