Need Assessment for Smartphone-Based Cardiac Telerehabilitation.
10.4258/hir.2018.24.4.283
- Author:
Ji Su KIM
1
;
Doeun YUN
;
Hyun Joo KIM
;
Ho Youl RYU
;
Jaewon OH
;
Seok Min KANG
Author Information
1. Cardiac Wellness Center, Severance Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Telerehabilitation;
Cardiac Rehabilitation;
Needs Assessment;
Smartphone;
Mobile Applications
- MeSH:
Blood Pressure;
Body Temperature;
Body Weight;
Diagnosis;
Education;
Heart Failure;
Heart Transplantation;
Humans;
Internet;
Male;
Mobile Applications;
Needs Assessment;
Rehabilitation;
Smartphone;
Telemedicine;
Telerehabilitation*;
Text Messaging
- From:Healthcare Informatics Research
2018;24(4):283-291
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: To identify the current status of smartphone usage and to describe the needs for smartphone-based cardiac telerehabilitation of cardiac patients. METHODS: In 2016, a questionnaire survey was conducted in a supervised ambulatory cardiac rehabilitation (CR) program in a university affiliated hospital with the participation of heart failure or heart transplantation patients who were smartphone users. The questionnaire included questions regarding smartphone usage, demands for smartphone-based disease education, and home health monitoring systems. Results were described and analyzed according to principal diagnosis. RESULTS: Ninety-six patients (66% male; mean age, 53 ± 11 years), including 56 heart failure and 40 heart transplantation patients, completed the survey (completion rate, 95%). The median daily smartphone usage time was 120 minutes (interquartile range, 60–300), and the most frequently used smartphone function was text messaging (61.5%). Of the patients, 26% stated that they searched for health-related information using their smartphones more than 1 time per week. The major source of health-related information was Internet browsing (50.0%), and the least sought source was the hospital's website (3.1%). Patients with heart failure expressed significantly higher needs for disease education on treatment plan, home health monitoring of blood pressure, and body weight (χ2 = 5.79, 6.27, 4.50, p < 0.05). Heart transplantation patients expressed a significant need for home health monitoring of body temperature (χ2 = 5.25, p < 0.05). CONCLUSIONS: Heart failure and heart transplantation patients show high usage of and interest in mobile health technology. A smartphone-based cardiac telerehabilitation program should be developed based on high demand areas and modified to suit to each principal diagnosis.