Accepted Manuscript User Preferences for Mobile Health Interventions: A Survey Among Intermittent Claudication Patients and Their Physical Therapists Marijn ML. van den Houten, MD, Steffie Spruijt, MSc, PhD, Hugo JP. Fokkenrood, MD, PhD, Marc RM. Scheltinga, MD, PhD, Joep AW. Teijink, MD, PhD PII:
S0890-5096(17)30968-8
DOI:
10.1016/j.avsg.2017.08.020
Reference:
AVSG 3556
To appear in:
Annals of Vascular Surgery
Received Date: 31 May 2017 Revised Date:
27 July 2017
Accepted Date: 1 August 2017
Please cite this article as: van den Houten MM, Spruijt S, Fokkenrood HJ, Scheltinga MR, Teijink JA, User Preferences for Mobile Health Interventions: A Survey Among Intermittent Claudication Patients and Their Physical Therapists, Annals of Vascular Surgery (2017), doi: 10.1016/j.avsg.2017.08.020. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Clinical Research
2
User Preferences for Mobile Health Interventions: A
3
Survey Among Intermittent Claudication Patients and
4
Their Physical Therapists
5
Marijn ML van den Houten, MDa, b; Steffie Spruijt, MSc, PhDc; Hugo JP Fokkenrood, MD, PhDd; Marc
6
RM Scheltinga, MD, PhDe; Joep AW Teijink, MD, PhDa, b.
7
aDepartement
8
Netherlands, [email protected], [email protected]
9
b
SC
of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The
M AN U
Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Centre,
10
Maastricht, The Netherlands
11
cClaudicatioNet,
12
dDepartement
13
eDepartment
14
Corresponding Author:
15
Prof. JAW Teijink, MD, PhD
16
Department of Vascular Surgery, Catharina Hospital
17
Michelangelolaan 2
18
5623 EJ Eindhoven, The Netherlands
19
P.O. box 1350
20
[email protected]
21
Tel: +3140 239 7155
22
Fax: +3140 244 3370
23
Word Count: 3467
24
Running head: User Preferences for mHealth
25
RI PT
1
Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands [email protected]
of Surgery, Rijnstate Hospital, Wagnerlaan 55, 6815 AD Arnhem, The Netherlands
AC C
EP
TE D
of Surgery, Maxima Medical Center, De Run 4600, 5500 MB Veldhoven, The Netherlands
ACCEPTED MANUSCRIPT
Abstract
27
Objectives: Smartphone apps provide novel ways of triggering lifestyle-change by coupling
28
objective measurements of health behavior with tailored feedback. Little is known about end-user
29
preferences regarding the content of mobile health (mHealth) interventions. The aim of this study
30
was to assess smartphone use and preferences regarding app-content among intermittent
31
claudication patients and their treating physical therapists.
32
Methods: A cross-sectional survey was sent via an internal email system to 1514 physical
33
therapists specialized in treating patients with intermittent claudication. They were asked to
34
complete one questionnaire themselves and administer a second to their intermittent claudication
35
patients currently under treatment. Data on participant characteristics and smartphone use were
36
collected from all respondents. The preferred app-components were obtained from participants
37
owning a smartphone. Binary logistic regression analysis was used to explore the adjusted
38
association between age and attained educational level, and smartphone use.
39
Results: The response rate of therapists was 40.8% (617/1514) and a total of488 patients
40
completed the survey. After excluding incomplete forms, a total of 615 physical therapist forms and
41
483 patient forms were analyzed. Overall, 40.6% of patients and 95% of therapists owned a
42
smartphone. Higher educational level was associated with smartphone ownership (adjusted odds
43
ratio 2.46, 95% confidence interval (CI) 1.41 – 4.27, p=0.001). Compared to patients aged ≥75
44
years, lower age was associated with higher odds of owning a smartphone (adjusted odds ratios for
45
patients: aged ≤54 years, 21.27, 95% CI 6.82 – 66.30, p
S0890-5096(17)30968-8
DOI:
10.1016/j.avsg.2017.08.020
Reference:
AVSG 3556
To appear in:
Annals of Vascular Surgery
Received Date: 31 May 2017 Revised Date:
27 July 2017
Accepted Date: 1 August 2017
Please cite this article as: van den Houten MM, Spruijt S, Fokkenrood HJ, Scheltinga MR, Teijink JA, User Preferences for Mobile Health Interventions: A Survey Among Intermittent Claudication Patients and Their Physical Therapists, Annals of Vascular Surgery (2017), doi: 10.1016/j.avsg.2017.08.020. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Clinical Research
2
User Preferences for Mobile Health Interventions: A
3
Survey Among Intermittent Claudication Patients and
4
Their Physical Therapists
5
Marijn ML van den Houten, MDa, b; Steffie Spruijt, MSc, PhDc; Hugo JP Fokkenrood, MD, PhDd; Marc
6
RM Scheltinga, MD, PhDe; Joep AW Teijink, MD, PhDa, b.
7
aDepartement
8
Netherlands, [email protected], [email protected]
9
b
SC
of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The
M AN U
Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Centre,
10
Maastricht, The Netherlands
11
cClaudicatioNet,
12
dDepartement
13
eDepartment
14
Corresponding Author:
15
Prof. JAW Teijink, MD, PhD
16
Department of Vascular Surgery, Catharina Hospital
17
Michelangelolaan 2
18
5623 EJ Eindhoven, The Netherlands
19
P.O. box 1350
20
[email protected]
21
Tel: +3140 239 7155
22
Fax: +3140 244 3370
23
Word Count: 3467
24
Running head: User Preferences for mHealth
25
RI PT
1
Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands [email protected]
of Surgery, Rijnstate Hospital, Wagnerlaan 55, 6815 AD Arnhem, The Netherlands
AC C
EP
TE D
of Surgery, Maxima Medical Center, De Run 4600, 5500 MB Veldhoven, The Netherlands
ACCEPTED MANUSCRIPT
Abstract
27
Objectives: Smartphone apps provide novel ways of triggering lifestyle-change by coupling
28
objective measurements of health behavior with tailored feedback. Little is known about end-user
29
preferences regarding the content of mobile health (mHealth) interventions. The aim of this study
30
was to assess smartphone use and preferences regarding app-content among intermittent
31
claudication patients and their treating physical therapists.
32
Methods: A cross-sectional survey was sent via an internal email system to 1514 physical
33
therapists specialized in treating patients with intermittent claudication. They were asked to
34
complete one questionnaire themselves and administer a second to their intermittent claudication
35
patients currently under treatment. Data on participant characteristics and smartphone use were
36
collected from all respondents. The preferred app-components were obtained from participants
37
owning a smartphone. Binary logistic regression analysis was used to explore the adjusted
38
association between age and attained educational level, and smartphone use.
39
Results: The response rate of therapists was 40.8% (617/1514) and a total of488 patients
40
completed the survey. After excluding incomplete forms, a total of 615 physical therapist forms and
41
483 patient forms were analyzed. Overall, 40.6% of patients and 95% of therapists owned a
42
smartphone. Higher educational level was associated with smartphone ownership (adjusted odds
43
ratio 2.46, 95% confidence interval (CI) 1.41 – 4.27, p=0.001). Compared to patients aged ≥75
44
years, lower age was associated with higher odds of owning a smartphone (adjusted odds ratios for
45
patients: aged ≤54 years, 21.27, 95% CI 6.82 – 66.30, p
