Evidence map›Paper›PMID 28400354›Full record

ArticleJMIR mHealth and uHealth2017

Usability of a Novel Mobile Health iPad App by Vulnerable Populations.

David P Miller, Kathryn E Weaver, L Doug Case, Donald Babcock, Donna Lawler, Nancy Denizard-Thompson, Michael P Pignone, John G Spangler

3 registry-linked trialsAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03843957 nacompletednot on this mapstarted 2019, after this paper: background citation

Effectiveness and Implementation of mPATH-CRC: a Mobile Health System for Colorectal Cancer Screening

TypeinterventionalSponsorWake Forest University Health SciencesRan2019 to 2023Enrolled77,145ConditionsColorectal Cancer, Cancer, Rectum Cancer, Colon CancerArmsmPATH-CRC, mPATH-Checkin, "high touch" Implementation strategy, "low touch" Implementation Strategy
NCT04070456 nacompletednot on this mapstarted 2019, after this paper: background citation

Addressing Social Determinants of Health to Reduce Physician Burnout

TypeinterventionalSponsorWake Forest University Health SciencesRan2019 to 2021Enrolled34ConditionsBurnout, ProfessionalArmsTablet-based SDH tool
NCT04083859 nacompletednot on this mapstarted 2022, after this paper: background citation

A Pragmatic Randomized-Controlled Trial of a Digital Outreach Intervention for Lung Cancer Screening: mPATH-Lung (Mobile Patient Technology for Health-Lung)

TypeinterventionalSponsorWake Forest University Health SciencesRan2022 to 2024Enrolled26,998ConditionsLung CancerArmsmPATH-Lung, Lung health video
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

David P MillerWake Forest School of Medicine, Department of Internal Medicine, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0001-7879-4427
Kathryn E WeaverWake Forest School of Medicine, Department of Social Sciences & Health Policy, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0001-9006-4064
L Doug CaseWake Forest School of Medicine, Department of Biostatistical Sciences, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0002-5706-4377
Donald BabcockWake Forest Health Sciences, Enterprise Information Management, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0003-1899-5731
Donna LawlerWake Forest School of Medicine, Department of Social Sciences & Health Policy, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0001-6737-9818
Nancy Denizard-ThompsonWake Forest School of Medicine, Department of Internal Medicine, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0002-8498-0792
Michael P PignoneUniversity of Texas Dell Medical School, Department of Internal Medicine, Austin, TX, United States.ORCID http://orcid.org/0000-0002-6657-7342
John G SpanglerWake Forest School of Medicine, Department of Family & Community Medicine, Winston-Salem, NC, United States.ORCID http://orcid.org/0000-0002-7949-7050

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
A Primary Care Multilevel mHealth Colorectal Cancer Screening (mCRC) InterventionR01CA178941 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, DAVID P · 2013 to 2016
$1.4M
NCATS NIH HHS UL1 TR001420NCI NIH HHS P30 CA012197NCI NIH HHS R01 CA178941
6 · The paper itself

Abstract

backgroundRecent advances in mobile technologies have created new opportunities to reach broadly into populations that are vulnerable to health disparities. However, mobile health (mHealth) strategies could paradoxically increase health disparities, if low socioeconomic status individuals lack the technical or literacy skills needed to navigate mHealth programs.

objectiveThe aim of this study was to determine whether patients from vulnerable populations could successfully navigate and complete an mHealth patient decision aid.

methodsWe analyzed usability data from a randomized controlled trial of an iPad program designed to promote colorectal cancer (CRC) screening. The trial was conducted in six primary care practices and enrolled 450 patients, aged 50-74 years, who were due for CRC screening. The iPad program included a self-survey and randomly displayed either a screening decision aid or a video about diet and exercise. We measured participant ability to complete the program without assistance and participant-rated program usability.

resultsTwo-thirds of the participants (305/450) were members of a vulnerable population (limited health literacy, annual income < US $20,000, or black race). Over 92% (417/450) of the participants rated the program highly on all three usability items (90.8% for vulnerable participants vs 96.6% for nonvulnerable participants, P=.006). Only 6.9% (31/450) of the participants needed some assistance to complete the program. In multivariable logistic regression, being a member of a vulnerable population was not associated with needing assistance. Only older age, less use of text messaging (short message service, SMS), and lack of Internet use predicted needing assistance.

conclusionsIndividuals who are vulnerable to health disparities can successfully use well-designed mHealth programs. Future research should investigate whether mHealth interventions can reduce health disparities.

Indexed as

decision support techniqueshealth literacyprimary caretechnology assessmentvulnerable populations

Identifiers

PMID28400354
PMCPMC5405290

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.