ArticleJournal of ageing and longevity2024
A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized controlled clinical trial.
Article in Journal of ageing and longevity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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Who cites it
12 citing papers in PubMed.
- Mechanisms of Engagement With Mobile Health Apps for Adults With Long-Term Conditions: Overview of Systematic Reviews.JMIR mHealth and uHealth · 2026Review
- User perceptions of individually-tailored health information in digital apps: development of a scale.Frontiers in digital health · 2026Article
- User Perceptions of Individually-Tailored Health Information in Digital Apps: Development of a Scale.medRxiv : the preprint server for health sciences · 2025Article
- Change in Stress Among Individuals with Chronic Health Conditions and Low Health Literacy Using a Tailored Communication App Promoting Self-Management.Behavioral sciences (Basel, Switzerland) · 2025Article
- Expert Consensus on Developing Information and Communication Technology-Based Patient Education Guidelines for Rheumatic Diseases in the Korea.Journal of Korean medical science · 2025Article
- Exploring mHealth interventions for medication management: a scoping review of digital tools, implementation barriers, and patient outcomes.PeerJ. Computer science · 2025Article
- Multimodal Psychobehavioral Interventions for Lung Cancer-Related Pain: A Protocol Development and Validation Study Examining the Mediating Role of Self-Efficacy in the Relationship Between Pain Perception and Adaptive Coping Strategies.Cancer management and research · 2025Article
- Digital Health Platform for Improving the Effect of the Active Health Management of Chronic Diseases in the Community: Mixed Methods Exploratory Study.Journal of medical Internet research · 2024Article
- Can a Study That's Not Statistically Significant Be Meaningful?American journal of aging science and research · 2024Article
- A mobile app providing individually-tailored psychoeducation about sleep for older adults with chronic health conditions and low health literacy.Journal of psychiatry research reviews & reports · 2024Article
- Patient-Engaged AI: The Nursing Path to Health Equity.SAGE open nursingArticle
- Patient activation and medication adherence in adults.Journal of the American Pharmacists Association : JAPhAArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in patients 40 years and older with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty. A randomized controlled trial was completed at two sites. Individuals aged 40 years and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence. All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed. The mobile app may have been effective in increasing participants' levels of several psychosocial variables, but this interpretation can only be advanced tentatively in light of lack of control-experimental group differences. Reading difficulty level was not significantly related to outcomes.
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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.