Bernhard Breil|Christel Salewski|Jennifer Apolinário-Hagen
Comparing the Acceptance of Mobile Hypertension Apps for Disease Management Among Patients Versus Clinical Use Among Physicians: Cross-sectional Survey
Hochschule Niederrhein|University of Hagen|Heinrich Heine University Düsseldorf
high blood pressure hypertension vastly prevalent chronic condition among adults appropriately treated contribute several lifethreatening secondary diseases events stroke addition firstline medication selfmanagement daily life crucial tertiary prevention supported mobile health apps including medication reminders however prescription medical apps relatively novel approach limited information regarding determinants acceptance mobile health mhealth apps among patients potential users physicians impending prescribers direct comparisonthe present study aims investigate determinants acceptance health apps terms intention use among patients personal use physicians clinical use germanspeaking countries moreover assessed patients preferences regarding different delivery modes selfcare service facetoface services apps etcbased extended model unified theory acceptance use technology utaut2 performed webbased crosssectional survey explore acceptance mhealth apps selfmanagement hypertension among patients physicians germany addition utaut2 variables measured selfreported selfefficacy ehealth literacy previous experiences health apps perceived threat privacy protection motivation additional determinants mhealth acceptance data 163 patients 46 physicians analyzed using hierarchical regression mediation analysesas expected significant influence unified theory acceptance use technology utaut predictors intentions use hypertension apps confirmed especially performance expectancy intention use moderate patients mean 35 sd 11 range 15 physicians mean 34 sd 09 differ groups among patients higher degree selfreported selfefficacy protection motivation contributed increased explained variance acceptance r2009 whereas ehealth literacy identified exerting positive influence physicians increased r2010 furthermore findings indicated mediating effects performance expectancy acceptance among patients among physiciansin summary study identified performance expectancy important determinant acceptance mhealth apps selfmanagement hypertension among patients physicians concerning patients also identified mediating effects performance expectancy relationships effort expectancy social influence acceptance apps selfefficacy protection motivation also contributed increase explained variance app acceptance among patients whereas ehealth literacy predictor physicians findings additional determinants acceptance health apps may help tailor educational material selfmanagement interventions needs preferences prospective users hypertension apps future research