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Cited by 38Mobile Health and mHealth ApplicationsDigital Mental Health InterventionsHealth, Technology, Consumer Behavior

Assessment of patient engagement with a mobile application among service members in transition

Open access
Pavliscsak, Holly, Little, Jeanette R, Poropatich, Ronald K, McVeigh, Francis L, Tong, James, Tillman, Johnie S, Smith, Challis H, Fonda, Stephanie Jo·2016·Journal of the American Medical Informatics Association
DOI 10.1093/jamia/ocv121PMC PMC7814921
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Abstract

Objective: This article examines engagement with a mobile application (“mCare”) for wounded Service Members rehabilitating in their communities. Many had behavioral health problems, Traumatic Brain Injury (TBI), and/or post-traumatic stress disorder (PTS). The article also examines associations between Service Members’ background characteristics and their engagement with mCare. Materials and Methods: This analysis included participants who received mCare ( n = 95) in a randomized controlled trial. mCare participants received status questionnaires daily for up to 36 weeks. Participant engagement encompasses exposure to mCare, percentage of questionnaires responded to, and response time. Participants were grouped by health status—that is, presence/absence of behavioral health problems, PTS, and/or TBI. Histograms and regression analyses examined engagement by participants’ health status and background characteristics. Results: Exposure to mCare did not differ by health status. Participants usually responded to ≥60% of the questionnaires weekly, generally in ≤10 h; however, participants with behavioral health problems had several weeks with <50% response and the longest response times. Total questionnaires responded to and response time did not differ statistically by health status. Older age and higher General Well-Being Schedule scores were associated with greater and faster response. Discussion: The sustained response to the questionnaires suggests engagement. Overall level of response surpassed trends reported for American’s usage of mobile applications. With a few exceptions, Service Members engaged with mCare irrespective of health status. Conclusion: Mobile health has the potential to increase the quantity and quality of patient-provider communications in a community-based, rehabilitation care setting, above that of standard care.

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Authors
Pavliscsak, H., Little, J. R., Poropatich, R. K., McVeigh, F. L., Tong, J., Tillman, J. S., Smith, C. H., & Fonda, S. J.
Affiliations
  • Telemedicine & Advanced Technology Research Center (US)
  • University of Pittsburgh (US)
  • IQVIA (United States) (US)
  • United States Department of the Army (US)
  • Virginia Department of Behavioral Health and Developmental Services (US)
  • Walter Reed National Military Medical Center (US)
ORCID
Venue
Journal of the American Medical Informatics Association
Publisher
Oxford University Press (OUP)
Published
2015-09-11
Volume
23
Issue
1
Pages
110-118
ISSN
  • 1067-5027 (ISSN-L)
  • 1527-974X
DOI
10.1093/jamia/ocv121
PMC
PMC7814921
OpenAlex
W2113480288
Cited by
38
References
30
Citations by year
2024: 3 · 2023: 1 · 2022: 3 · 2021: 6 · 2020: 8 · 2019: 3 · 2018: 4 · 2017: 7 · 2016: 3
FWCI
8.53
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • Journal of the American Medical Informatics Association (publishedVersion, public-domain)
  • Europe PMC (PubMed Central) (publishedVersion, public-domain)
  • PubMed Central (publishedVersion, public-domain)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Health Sciences › Health Professions › Health Information Management › Health, Technology, Consumer Behavior
Keywords
mobile health, patient engagement, military personnel, traumatic brain injury, post-traumatic stress disorder, behavioral health problems, community-based rehabilitation, patient-provider communication, old age, well-being
MeSH terms
Adult, Brain Injuries, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, United States, Veterans, Telemedicine, Mobile Applications

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