Accepted for/Published in: JMIR Human Factors
Date Submitted: Nov 9, 2019
Date Accepted: Apr 17, 2020
A mobile application for monitoring functional outcome of hip fracture patients three months after surgery; usability study
ABSTRACT
Background:
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Objective:
the Dutch Hip Fracture audit uses quality indicators to monitor the quality of care for hip fracture patients. However, only 30.7% of the registrations are completed in the three months follow-up. Mobile applications might offer an opportunity. The aim of this study is to investigate the usability and acceptance of a mobile application.
Methods:
From July until December 2017, all surgically treated hip fracture patients were included. Patients and caregivers, called participants, were approached to download the application and answer a questionnaire. Participants were divided into two groups: downloaded the application and did not download the application. A telephone interview based on the UTAUT theory was conducted with 24 participants from each group.
Results:
110 participants were included: 29 participants downloaded the application, whereas 81 participants did not. A telephone interview revealed that 54.0% of the no-download group could not remember the study. In the download group, 95.8% had an intention to complete the questionnaire, but only 1 succeeded. Reasons for not completing the questionnaire were technical problems, cognitive disorders and patients’ dependency on caregivers. In both groups, a high self-registered expert level in using a smartphone (91.7%) and sufficient facilitating conditions for using smartphones (93.8%) leading to the observation that these aspects were not considered as barriers.
Conclusions:
Despite a high behavioral intention, high self-registered expert level and sufficient facilitating conditions for using smartphones, reasons for low level of use were technical problems, cognitive disorders and dependency on caregivers for mobile technology.
Citation
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Copyright
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