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The Association of Mobile Health Applications with Self-Management Behaviors among Adults with Chronic Conditions in the United States

Author

Listed:
  • Hao Wang

    (Department of Emergency Medicine, JPS Health Network, Fort Worth, TX 76104, USA)

  • Amy F. Ho

    (Department of Emergency Medicine, JPS Health Network, Fort Worth, TX 76104, USA)

  • R. Constance Wiener

    (Department of Dental Practice and Rural Health, West Virginia University, Morgantown, WV 26506, USA)

  • Usha Sambamoorthi

    (Texas Center for Health Disparities, Department of Pharmacotherapy, College of Pharmacy, University of North Texas Health Science Center, Fort Worth, TX 76107, USA)

Abstract

Background: Mobile applications related to health and wellness (mHealth apps) are widely used to self-manage chronic conditions. However, research on whether mHealth apps facilitate self-management behaviors of individuals with chronic conditions is sparse. We aimed to evaluate the association of mHealth apps with different types of self-management behaviors among patients with chronic diseases in the United States. Methods: This is a cross-sectional observational study. We used data from adult participants (unweighted n = 2340) of the Health Information National Trends Survey in 2018 and 2019. We identified three self-management behaviors: (1) resource utilization using electronic personal health records; (2) treatment discussions with healthcare providers; and (3) making healthcare decisions. We analyzed the association of mHealth apps to self-management behaviors with multivariable logistic and ordinal regressions. Results: Overall, 59.8% of adults (unweighted number = 1327) used mHealth apps. Adults using mHealth apps were more likely to use personal health records (AOR = 3.11, 95% CI 2.26–4.28), contact healthcare providers using technology (AOR = 2.70, 95% CI 1.93–3.78), and make decisions on chronic disease management (AOR = 2.59, 95% CI 1.93–3.49). The mHealth apps were associated with higher levels of self-management involvement (AOR = 3.53, 95% CI 2.63–4.72). Conclusion: Among individuals with chronic conditions, having mHealth apps was associated with positive self-management behaviors.

Suggested Citation

  • Hao Wang & Amy F. Ho & R. Constance Wiener & Usha Sambamoorthi, 2021. "The Association of Mobile Health Applications with Self-Management Behaviors among Adults with Chronic Conditions in the United States," IJERPH, MDPI, vol. 18(19), pages 1-11, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:19:p:10351-:d:648020
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    2. Mingxuan Cui & Xueyan Wu & Jiangfeng Mao & Xi Wang & Min Nie, 2016. "T2DM Self-Management via Smartphone Applications: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-15, November.
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    4. Grady, P.A. & Gough, L.L., 2014. "Self-management: A comprehensive approach to management of chronic conditions," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 25-31.
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    1. Hao Wang & Chan Shen & Michael Barbaro & Amy F. Ho & Mona Pathak & Cita Dunn & Usha Sambamoorthi, 2023. "A Multi-Level Analysis of Individual and Neighborhood Factors Associated with Patient Portal Use among Adult Emergency Department Patients with Multimorbidity," IJERPH, MDPI, vol. 20(2), pages 1-14, January.

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