Category: Technology (e.g. robotics, assistive technology, mHealth); Stroke
To describe current uses and perceptions of mobile health (mHealth) services among post-stroke community-dwelling smartphone users and non-users.
Design : Telephone survey; cross-sectional study.
Setting : General community.
Participants (or Animals, Specimens, Cadavers) : Post-stroke community-dwelling individuals (N=73; mean age, 64.1±13.0 years; 52.1% male) recruited from an academic medical center's stroke registry and divided into smartphone user (n=41) and smartphone non-user (n=32) groups.
Interventions : Not applicable.
Main Outcome Measure(s) : Telephone survey; descriptive statistics; chi-square tests of differences between groups.
Results : While smartphone users were more likely to report broad uses of mobile services within the past year (e.g., apps, health management, information access, and community mobility) [X2(2, N=73)=4.462-29.702, p<.05], smartphone users and non-users were equally likely to report positive perceptions of mobile devices as facilitators of connectedness and freedom to perform valued activities. In addition, both groups were interested in using mHealth services to facilitate chronic disease management, medication management, stroke prevention, cognitive and mood enhancement, and community stroke care service utilization. However, smartphone users indicated stronger preferences for mHealth services to manage medical appointments, socialization, supported living and transportation, and health promotion services [X2(2, N=73)=4.349-6.060, p<.05]. Finally, although smartphone users were more interested in using mHealth services, both groups were equally likely to indicate interest in being participants in mHealth research.
Post-stroke community-dwelling smartphone users and non-users indicated different preferences for and frequencies of engagement in mHealth activities. However, both groups indicated some common interests in mHealth service utilization, a positive outlook about the role of mHealth in everyday life, and an interest in contributing to mHealth research. While additional study is required, these results offer information to guide the development of more user-centered mHealth services for post-stroke community-dwelling individuals.
Carolyn M. Baum– Professor of Occupational Therapy, Neurology and Social Work, Washington University School of Medicine, St.Louis, Missouri
Alex Wong– Assistant Professor, Washington University School of Medicine, St.Louis, Missouri
Ryan Walsh– PhD Student, Washington University School of Medicine, Wheeling, Illinois