Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Monday, March 11, 2019 at 4:00 PM to 4:30 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Advertisement

Currently submitted to: JMIR Human Factors

Date Submitted: Jul 14, 2019
Open Peer Review Period: Jul 17, 2019 - Jul 31, 2019
(closed for review but you can still tweet)

NOTE: This is an unreviewed Preprint

Warning: This is a unreviewed preprint (What is a preprint?). Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn (a note “no longer under consideration” will appear above).

Peer-review me: Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period (in this case, a “Peer-Review Me” button to sign up as reviewer is displayed above). All preprints currently open for review are listed here. Outside of the formal open peer-review period we encourage you to tweet about the preprint.

Citation: Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author).

Final version: If our system detects a final peer-reviewed “version of record” (VoR) published in any journal, a link to that VoR will appear below. Readers are then encourage to cite the VoR instead of this preprint.

Settings: If you are the author, you can login and change the preprint display settings, but the preprint URL/DOI is supposed to be stable and citable, so it should not be removed once posted.

Submit: To post your own preprint, simply submit to any JMIR journal, and choose the appropriate settings to expose your submitted version as preprint.

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

  • Boon Piang Cher; 
  • Gayatri Kembhavi; 
  • Jananie Audimulam; 
  • Kai Yee Toh; 
  • 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, Audimulam J, Toh KY, Chia WA, Vrijhoef HJM, Lim YW, Lim TW

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

JMIR Preprints. 14/07/2019:15492

DOI: 10.2196/preprints.15492

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


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.