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Currently accepted at: JMIR Human Factors

Date Submitted: Jul 14, 2019
Open Peer Review Period: Jul 17, 2019 - Aug 1, 2019
Date Accepted: Jun 20, 2020
(closed for review but you can still tweet)

This paper has been accepted and is currently in production.

It will appear shortly on 10.2196/15492

The final accepted version (not copyedited yet) is in this tab.

Understanding attitudes of clinicians and patients towards a self-management e-health tool for atrial fibrillation (AF): a qualitative study

  • Boon Piang Cher; 
  • Gayatri Kembhavi; 
  • Kai Yee Toh; 
  • Jananie Audimulam; 
  • Wei-Yan Aloysius Chia; 
  • Hubertus J M Vrijhoef; 
  • Yee Wei Lim; 
  • Toon Wei Lim; 

ABSTRACT

Background:

Atrial fibrillation (AF) is the most common clinically significant heart rhythm disorder and poses a growing disease burden around the world due to a rapidly aging population. A multidisciplinary approach with an emphasis on patient education and self-management has been shown to improve outcomes for AF through engagement of patients in their own care. While electronic tools (e-tools) such as applications (‘apps’) have been proposed to provide patient education and facilitate self-management, there have been few studies to guide the development of these tools in this patient population.

Objective:

The aim of the study is to explore patients’ and healthcare providers’ perceptions of and attitudes towards the use of e-tools for AF self-management.

Methods:

Semi-structured qualitative interviews with healthcare providers and patients were conducted to understand the interpretations and expectations of an e-tool that would be used for self-management of AF. Interview data were analysed using an exploratory thematic analysis approach to uncover emergent themes and infer ideas of preferred features in a device. Data from healthcare providers and patients was compared and contrasted.

Results:

Both patients and healthcare providers thought that an e-tool would be useful in AF self-management. While both groups favoured educational content and monitoring of blood pressure, patients expressed more passivity towards self-care and an ambivalence towards the use of technology to monitor their medical condition. Instead, they favoured using the app as a means to contact their healthcare providers.

Conclusions:

The study provides insights into differing attitudes of patients and healthcare providers towards the use of e-tools for self-care and their starkly different priorities. Understanding patients’ motivations and their needs are key to ensure higher acceptance of such tools.


 Citation

Please cite as:

Cher BP, Kembhavi G, Toh KY, Audimulam J, Chia WA, Vrijhoef HJM, Lim YW, Lim TW

Understanding attitudes of clinicians and patients towards a self-management e-health tool for atrial fibrillation (AF): a qualitative study

JMIR Human Factors. 20/06/2020:15492 (forthcoming/in press)

DOI: 10.2196/15492

URL: https://preprints.jmir.org/preprint/15492

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