Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jun 1;7(2):430-45.
doi: 10.4338/ACI-2015-12-RA-0170. eCollection 2016.

Acceptance and Use of Mobile Technology for Health Self-Monitoring in Lung Transplant Recipients during the First Year Post-Transplantation

Yun Jiang  1 , Susan M Sereika  2 , Annette DeVito Dabbs  2 , Steven M Handler  3 , Elizabeth A Schlenk  2
Affiliations

Acceptance and Use of Mobile Technology for Health Self-Monitoring in Lung Transplant Recipients during the First Year Post-Transplantation

Yun Jiang et al. Appl Clin Inform. .

Abstract

Objectives: To describe lung transplant recipients (LTRs') acceptance and use of mobile technology for health self-monitoring during the first year post-transplantation, and explore correlates of the use of technology in the 0 to 2, >2 to ≤6, >6 to ≤12, and 0 to 12 months.

Methods: Secondary analysis of data from 96 LTR assigned to use Pocket PATH(®), a smartphone application, for daily health self-monitoring in a randomized controlled trial. Use of Pocket PATH was categorized as low, moderate, and high use. Proportional odds models for ordinal logistic regression were employed to explore correlates of use of technology.

Results: LTR reported high acceptance of Pocket PATH at baseline. However, acceptance was not associated with actual use over the 12 months (p=0.45~0.96). Actual use decreased across time intervals (p<0.001). Increased self-care agency was associated with the increased odds of higher use in women (p=0.03) and those less satisfied with technology training (p=0.02) in the first 2 months. Higher use from >2 to ≤6 months was associated with greater satisfaction with technology training (OR=3.37, p=0.01) and shorter length of hospital stay (OR=0.98, p=0.02). Higher use from >6 to ≤12 months was associated with older age (OR=1.05, p=0.02), lower psychological distress (OR=0.43, p=0.02), and better physical functioning (OR=1.09, p=0.01). Higher use over 12 months was also associated with older age (OR=1.05, p=0.007), better physical functioning (OR=1.13, p=0.001), and greater satisfaction with technology training (OR=3.05, p=0.02).

Conclusions: Correlates were different for short- and long-term use of mobile technology for health self-monitoring in the first year post-transplantation. It is important to follow up with LTR with longer hospital stay, poor physical functioning, and psychological distress, providing ongoing education to improve their long-term use of technology for health self-monitoring.

Keywords: Mobile applications; lung transplantation; patient compliance; self-care; telemedicine.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest

All authors declare that they have no conflicts of interest in the research.

Figures

Fig. 1
Fig. 1
Conceptual Model for Acceptance and Use of Pocket PATH for Health Self-Monitoring in Lung Transplant Recipients (adapted from the Unified Theory of Acceptance and Use of Technology)
Fig. 2
Fig. 2
Use of Pocket PATH for Health Self-Monitoring during the First Year Post-Transplantation
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Hartert M, Senbaklavacin O, Gohrbandt B, Fischer BM, Buhl R, Vahld CF. Lung transplantation: a treatment option in end-stage lung disease. Dtsch Arztebl Int 2014; 111(7): 107-116. - PMC - PubMed
    1. Singer JP, Singer LG. Quality of life in lung transplantation. Semin Respir Crit Care Med 2013; 34(3): 421-430. - PMC - PubMed
    1. Yusen RD. Survival and quality of life of patients undergoing lung transplant. Clin Chest Med 2011; 32(2): 253-264. - PubMed
    1. National Health Service. Survival rates following transplantation. 2013. [updated August; cited 2014 May 15]. Available from: http://nhsbtmediaservices.blob.core.windows.net/organ-donation-assets/pd...
    1. Yusen RD, Edwards LB, Kucheryavaya AY, Benden C, Dipchand AI, Goldfarb SB, Levvey BJ., Lund LH, Meiser B, Rossano JW, Stehlik J. The Registry of the International Society for Heart and Lung Transplantation: Thirty-second Official Adult Lung and Heart-Lung Transplantation Report-2015; Focus Theme: Early Graft Failure. J Heart Lung Transplant 2015; 34(10): 1264-1277. doi: 10.1016/j.healun.2015.08.014. - PubMed