Catherine Nasrallah, Cherish Wilson, Alicia Hamblin, Cammie Young, Lindsay Jacobsohn, Mary C Nakamura, Andrew Gross, Mehrdad Matloubian, Judith Ashouri, Jinoos Yazdany, Gabriela Schmajuk
Using the technology acceptance model to assess clinician perceptions and experiences with a rheumatoid arthritis outcomes dashboard: qualitative study
BMC medical informatics and decision making
health eliteracy prevention general practice trial primary health carebased behavior change intervention weight loss australians overweight obesity lower socioeconomic areas individuals areas known low levels health literacy particularly risk chronic conditions including diabetes cardiovascular disease intervention comprised health check visits practice nurse purposebuilt patientfacing mobile app mysnapp referral telephone coaching study aimed assess mysnapp app use user profiles duration frequency use within health eliteracy prevention general practice trial association intervention components association study outcomes health literacy diet determine whether significantly improved 6 months 2018 total 22 general practices 2 australian states recruited randomized cluster intervention usual care patients met main eligibility criteria ie bmi28 previous 12 months aged 4074 years identified clinical software practice staff provided patients details study intervention consisted health check practice nurse lifestyle app telephone coaching program depending participants choice data collected directly app combined data 6week health check practice nurses telephone coaching participants questionnaires baseline 6month followup analyses comprised descriptive inferential statistics 120 participants received intervention 62 52 chose use app app nonapp user groups differ significantly demographics prior recent hospital admissions median time first last app use 52 iqr 495 days median 5 iqr 210 active days app users significantly likely attend 6week health check 2sided fisher exact test p001 participate telephone coaching 2sided fisher exact test p007 nonapp users association app use study outcomes shown significantly improved health literacy diet 6 months recruitment engagement difficult study disadvantaged populations low health literacy however app users likely attend 6week health check participate telephone coaching suggesting participants opted several intervention components felt committed study australian new zealand clinical trials registry actrn12617001508369 httpswwwanzctrorgautrialregistrationtrialreviewaspxid373505 rr2101136bmjopen2018023239