Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Previously submitted to: JMIR mHealth and uHealth (no longer under consideration since May 05, 2025)

Date Submitted: Feb 25, 2025

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Digital health for chronic disease management: health workers speak out

  • Costanza Tortù; 
  • Chiara Seghieri; 
  • Ditila Doracaj; 
  • Natalya Usheva; 
  • Yannis Manios

ABSTRACT

Background:

The integration of mobile health (mHealth) tools—technological devices that support healthcare services—into the routines of healthcare workers (HWs) holds potential to enhance healthcare delivery. In particular, mHealth tools for patient data monitoring allow HWs to quickly access patient health information and detect early warning signs of potential issues. However, while interest in telemedicine and mHealth has rapidly grown in recent years, limited research has explored HWs' attitudes toward these tools or their feature preferences.

Objective:

This study aims to: (i) assess HWs' attitudes toward mHealth tools, (ii) identify socio-economic factors influencing these attitudes, (iii) determine HWs' preferences for features of a novel mHealth platform for patient data monitoring, and (iv) examine whether HWs' baseline attitudes impact their feature preferences.

Methods:

The study employ an integrated approach combining Item Response Theory (IRT) and Discrete Choice Experiment (DCE) to evaluate HW attitudes and preferences. Data come from a web conjoint survey distributed to an international cohort of HWs across Europe.

Results:

Findings indicate that HWs generally hold a positive attitude toward technological devices. Socio-economic characteristics, including factors such as age, experience, and educational background, significantly influence these attitudes. Additionally, the specific features of an mHealth platform for patient data monitoring highly impact HWs' willingness to incorporate such tool into their daily practice.

Conclusions:

This study shows that health workers generally support the use of mHealth tools, which have the potential to improve healthcare efficiency and patient outcomes through enhanced monitoring and timely interventions. To facilitate adoption, policymakers should strengthen infrastructure, enact supportive legislation, and tailor interventions for groups less inclined to use these tools. Aligning mHealth platform features with HW preferences is crucial, as it directly impacts HWs' willingness to integrate these tools into daily routines, ultimately benefiting patients. Future research should examine additional factors influencing HW adoption and address organizational and infrastructural barriers to optimize mHealth implementation and improve patient care.


 Citation

Please cite as:

Tortù C, Seghieri C, Doracaj D, Usheva N, Manios Y

Digital health for chronic disease management: health workers speak out

JMIR Preprints. 25/02/2025:73056

DOI: 10.2196/preprints.73056

URL: https://preprints.jmir.org/preprint/73056

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.