JMIR Publications

ABSTRACT

Background:

The enactment of the 'Act for the Improvement of Care through Digitization and Innovation' in Germany has introduced a paradigm shift in medical practice, allowing physicians to prescribe mobile health apps alongside traditional medications. This transformation imposes a dual responsibility on physicians to acquaint themselves with qualifying applications and align them with patient diagnoses, while requiring patients to adhere to the prescribed app use, similar to pharmaceutical adherence. This transition, particularly challenging for older generations less skilled with technology, underscores a significant evolution in Germany's medical landscape.

Objective:

This study aims to investigate physicians' responses to this novel treatment option, their strategies for adapting to this form of prescription, and the willingness of patients to adhere to prescribed mobile health apps

Methods:

Employing an explorative qualitative study design, we conducted semi-structured interviews with 28 physicians and 30 potential patients aged 50 years and older from August 2020 to June 2021.

Results:

The findings reveal several factors influencing the adoption of mobile health apps, prompting a nuanced understanding of adoption research. Notably, both physicians and patients demonstrated a lack of information regarding mobile health apps and their positive health impacts, contributing to a deficiency in trust. Physicians' self-perceived digital competence and their evaluation of patients' digital proficiency emerge as pivotal factors influencing the prescription of mobile health apps.

Conclusions:

Our study provides comprehensive insights into the prescription process and the fundamental factors shaping the adoption of mobile health apps in Germany. The identified information gaps on both the physicians' and patients' sides contribute to a trust deficit and hindered digital competence. This research advances the understanding of adoption dynamics regarding digital health technologies and highlights on crucial considerations for the successful integration of Digital Health Applications (DiGAs) into medical practice.