Evidence map›Paper›PMID 34190397›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2021

Barriers and facilitators to mobile health and active surveillance use among older adults with skin disease.

Austin Johnson, Neha Shukla, Meghan Halley, Vanessa Nava, Janya Budaraju, Lucy Zhang, Eleni Linos

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 11% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Understanding Barriers to the Collection of Mobile and Wearable Device Data to Monitor Health and Cognition in Older Adults: A Scoping Review.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2023
    Article
  11. Article
  12. Barriers and facilitators to mobile health and active surveillance use among older adults with skin disease.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
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

7 authors at 2 institutions in 1 country.

Austin JohnsonDepartment of Dermatology, School of Medicine, Program for Clinical Research and Technology, Stanford University, Stanford, CA, USA.
Neha ShuklaDepartment of Dermatology, School of Medicine, Program for Clinical Research and Technology, Stanford University, Stanford, CA, USA.
Meghan HalleyDepartment of Dermatology, School of Medicine, Program for Clinical Research and Technology, Stanford University, Stanford, CA, USA.
Vanessa NavaDepartment of Dermatology, School of Medicine, Program for Clinical Research and Technology, Stanford University, Stanford, CA, USA.
Janya BudarajuDepartment of Dermatology, School of Medicine, Program for Clinical Research and Technology, Stanford University, Stanford, CA, USA.
Lucy ZhangDepartment of Dermatology, School of Medicine, Program for Clinical Research and Technology, Stanford University, Stanford, CA, USA.
Eleni LinosDepartment of Dermatology, School of Medicine, Program for Clinical Research and Technology, Stanford University, Stanford, CA, USA.ORCID 0000-0002-5856-6301
Stanford Medicine · USEthics and Public Policy Center · US

Funding

Patient Oriented Research in Vulnerable Populations with Skin DiseaseK24AR075060 · NIAMS · STANFORD UNIVERSITY · PI Eleni Linos · 2019 to 2026
$1.6M
Innovative technologies for active surveillance of older adults with low-risk skin cancerR21AG066980 · NIA · STANFORD UNIVERSITY · PI LINOS, ELENI · 2020 to 2021
$434k
NIAMS NIH HHS K24 AR075060NIA NIH HHS R21 AG066980NIH HHS K24AR075060NIH HHS R21AG066980
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has accelerated the adoption of telemedicine, including teledermatology. Monitoring skin lesions using teledermatology may become increasingly important for several skin diseases, including low-risk skin cancers. The purpose of this study was to describe the key factors that could serve as barriers or facilitators to skin disease monitoring using mobile health technology (mHealth) in older adults.

methodsOlder adult dermatology patients 65 years or older and their caregivers who have seen a dermatologist in the last 18 months were interviewed and surveyed between December 2019 and July 2020. The purpose of these interviews was to better understand attitudes, beliefs and behaviours that could serve as barriers and facilitators to the use of mHealth and active surveillance to monitor low-risk skin cancers.

resultsA total of 33 interviews leading to 6022 unique excerpts yielded 8 factors, or themes, that could serve as barriers, facilitators or both to mHealth and active surveillance. We propose an integrated conceptual framework that highlights the interaction of these themes at both the patient and provider level, including care environment, support systems and personal values. DISCUSSION AND

conclusionsThese preliminary findings reveal factors influencing patient acceptance of active surveillance in dermatology, such as changes to the patient-provider interaction and alignment with personal values. These factors were also found to influence adoption of mHealth interventions. Given such overlap, it is essential to address barriers and facilitators from both domains when designing a new dermatology active surveillance approach with novel mHealth technology. PATIENT OR PUBLIC CONTRIBUTION: The patients included in this study were participants during the data collection process. Members of the Stanford Healthcare and Denver Tech Dermatology health-care teams aided in the recruitment phase of the data collection process.

Indexed as

COVID-19Skin DiseasesTelemedicineAgedDelivery of Health CareHumansPandemicsSARS-CoV-2Watchful Waitingactive surveillanceageingdermatologymobile healtholder adultstelemedicine

Identifiers

PMID34190397
PMCPMC8483196
OpenAlexW3174962023

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.