Older adults can successfully monitor symptoms using an inclusively designed mobile application

Journal article


Reading Turchioe, Meghan, Grossman, Lisa V., Baik, Dawon, Lee, Christopher S., Maurer, Mathew S., Goyal, Parag, Safford, Monika M. and Masterson Creber, Ruth M.. (2020). Older adults can successfully monitor symptoms using an inclusively designed mobile application. Journal of the American Geriatrics Society. 68(6), pp. 1313-1318. https://doi.org/10.1111/jgs.16403
AuthorsReading Turchioe, Meghan, Grossman, Lisa V., Baik, Dawon, Lee, Christopher S., Maurer, Mathew S., Goyal, Parag, Safford, Monika M. and Masterson Creber, Ruth M.
Abstract

OBJECTIVES
Patient-Reported Outcomes Measurement Information System (PROMIS) measures can monitor patients with chronic illnesses outside of healthcare settings. Unfortunately, few applications that collect electronic PROMIS measures are designed using inclusive design principles that ensure wide accessibility and usability, thus limiting use by older adults with chronic illnesses. Our aim was to establish the feasibility of using an inclusively designed mobile application tailored to older adults to report PROMIS measures by examining (1) PROMIS scores collected with the application, (2) patient-reported usability of the application, and (3) differences in usability by age.

DESIGN
Cross-sectional feasibility study.

SETTING
Inpatient and outpatient cardiac units at an urban academic medical center.

PARTICIPANTS
A total of 168 English- and Spanish-speaking older adults with heart failure.

INTERVENTION
Participants used an inclusively designed mobile application to self-report PROMIS measures.

MEASUREMENTS
Eleven PROMIS Short-Form questionnaires (Anxiety, Ability to Participate in Social Roles and Activities, Applied Cognition-Abilities, Depression, Emotional Distress-Anger, Fatigue, Global Mental Health, Global Physical Health; Pain Interference, Physical Function, Sleep Disturbance), and a validated health technology usability survey measuring Perceived Ease-of-Use and Usefulness of the application.

RESULTS
Overall, 27% of participants were between 65 and 74 years of age, 10% were 75 years or older, 63% were male, 32% were white, and 96% had two or more medical conditions. There was no missing PROMIS data, and mean PROMIS scores showed the greatest burden of pain, fatigue, and physical function in the sample. Usability scores were high and not associated with age (Perceived Ease-of-Use P = .77; Perceived Usefulness P = .91).

CONCLUSION
It is feasible for older adults to use an inclusively designed application to report complete PROMIS data with high perceived usability. To ensure data completeness and the opportunity to study multiple domains of physical, mental, and social health, future work should use inclusive design principles for applications collecting PROMIS measures among older adults.

Keywordspatient-reported outcome measures; heart failure; symptoms; health status; mobile health
Year2020
JournalJournal of the American Geriatrics Society
Journal citation68 (6), pp. 1313-1318
PublisherBlackwell Publishing Inc.
ISSN0002-8614
Digital Object Identifier (DOI)https://doi.org/10.1111/jgs.16403
Scopus EID2-s2.0-85081653797
Research or scholarlyResearch
Page range1313-1318
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online10 Mar 2020
Publication process dates
Accepted10 Feb 2020
Deposited11 Aug 2021
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Dickson, Victoria, Lee, Christopher, Yehle, Karen S., Mola, Ana, Faulkner, Kenneth M. and Riegel, Barbara. (2017). Psychometric Testing of the Self-Care of Coronary Heart Disease Inventory (SC-CHDI). Research in Nursing and Health. 40(1), pp. 15 - 22. https://doi.org/10.1002/nur.21755
The influence of group versus individual prenatal care on phase of labor at hospital admission
Tilden, Ellen L., Emeis, Cathy L., Caughey, Aaron B., Weinstein, Sarah R., Futernick, Sarah B. and Lee, Christopher S.. (2016). The influence of group versus individual prenatal care on phase of labor at hospital admission. Journal of Midwifery & Womens Health. 61(4), pp. 427-434. https://doi.org/10.1111/jmwh.12437
The effect of childbirth self-efficacy on perinatal outcomes
Tilden, Ellen L., Caughey, Aaron B., Lee, Christopher S. and Emeis, Cathy. (2016). The effect of childbirth self-efficacy on perinatal outcomes. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 45(4), pp. 465-480. https://doi.org/10.1016/j.jogn.2016.06.003
'Real-life' effectiveness studies of omalizumab in adult patients with severe allergic asthma : Systematic review
Abraham, I., Alhossan, A., Lee, C. S., Kutbi, H. and MacDonald, K.. (2016). 'Real-life' effectiveness studies of omalizumab in adult patients with severe allergic asthma : Systematic review. Allergy. 71(5), pp. 593-610. https://doi.org/10.1111/all.12815
Influence of gender and age on the peripheral immune response in stroke
Ross, Amy Miner, Lee, Christopher S. and Lutsep, Helmi. (2016). Influence of gender and age on the peripheral immune response in stroke. The Journal of Cardiovascular Nursing. 31(4), pp. 331-355. https://doi.org/10.1097/JCN.0000000000000252
Incongruent perceptions of the care values of hospitalized persons with dementia : A pilot study of patient-family caregiver dyads
Miller, Lyndsey M., Whitlatch, Carol J., Lee, Christopher S. and Lyons, Karen S.. (2016). Incongruent perceptions of the care values of hospitalized persons with dementia : A pilot study of patient-family caregiver dyads. Aging and Mental Health. 22(4), pp. 489-496. https://doi.org/10.1080/13607863.2017.1280766
Usefulness of cognitive dysfunction in heart failure to predict cardiovascular risk at 180 days
Gelow, Jill M., Mudd, James O., Chien, Christopher V. and Lee, Christopher S.. (2015). Usefulness of cognitive dysfunction in heart failure to predict cardiovascular risk at 180 days. American Journal of Cardiology. 115(6), pp. 778-782. https://doi.org/10.1016/j.amjcard.2014.12.040
Symptom-hemodynamic mismatch and heart failure event risk
Lee, Christopher S., Hiatt, Shirin O., Denfeld, Quin E., Mudd, James O., Chien, Christopher and Gelow, Jill M.. (2015). Symptom-hemodynamic mismatch and heart failure event risk. Journal of Cardiovascular Nursing. 30(5), pp. 394-402. https://doi.org/10.1097/JCN.0000000000000175
Physical and psychological symptom biomechanics in moderate to advanced heart failure
Denfeld, Quin E., Mudd, James O., Gelow, Jill M., Chien, Christopher, Hiatt, Shirin O. and Lee, Christopher S.. (2015). Physical and psychological symptom biomechanics in moderate to advanced heart failure. Journal of Cardiovascular Nursing. 30(4), pp. 346-350. https://doi.org/10.1097/JCN.0000000000000171
Gender-specific physical symptom biology in heart failure
Lee, Christopher S., Hiatt, Shirin O., Denfeld, Quin E., Chien, Christopher V., Mudd, James O. and Gelow, Jill M.. (2015). Gender-specific physical symptom biology in heart failure. Journal of Cardiovascular Nursing. 30(6), pp. 517-521. https://doi.org/10.1097/JCN.0000000000000191
Determinants of frequent internet use in an urban kidney transplant population in the United States : Characterizing the digital divide
Lockwood, Mark, Saunders, Milda, Josephson, Michelle A., Becker, Yolanda T. and Lee, Christopher. (2015). Determinants of frequent internet use in an urban kidney transplant population in the United States : Characterizing the digital divide. Progress in Transplantation. 25(1), pp. 9-17. https://doi.org/10.7182/pit2015957
The problem with Cronbach's alpha: Comment on Sijtsma and van der Ark (2015)
Barbaranelli, Claudio, Lee, Christopher, Vellone, Ercole and Riegel, Barbara. (2015). The problem with Cronbach's alpha: Comment on Sijtsma and van der Ark (2015). Nursing Research. 64(2), pp. 140 - 145. https://doi.org/10.1097/NNR.0000000000000079
Background and design of the profiling biobehavioral responses to mechanical support in advanced heart failure study
Lee, Christopher S., Mudd, James O., Gelow, Jill M., Nguyen, Thuan, Hiatt, Shirin O., Green, Jennifer K., Denfeld, Quin E., Bidwell, Julie T. and Grady, Kathleen L.. (2014). Background and design of the profiling biobehavioral responses to mechanical support in advanced heart failure study. Journal of Cardiovascular Nursing. 29(5), pp. 405-415. https://doi.org/10.1097/JCN.0b013e318299fa09
Symptom incongruence trajectories in lung cancer dyads
Lyons, Karen S., Lee, Christopher S., Bennett, Jill A., Nail, Lillian M., Fromme, Erik, Hiatt, Shirin O. and Sayer, Aline G.. (2014). Symptom incongruence trajectories in lung cancer dyads. Journal of Pain and Symptom Management. 48(6), pp. 1031-1040. https://doi.org/10.1016/j.jpainsymman.2014.02.004
Psychometric testing on the NLN Student Satisfaction and Self-Confidence in Learning, Simulation Design Scale, and Educational Practices Questionnaire using a sample of pre-licensure novice nurses
Franklin, Ashley E., Burns, Paulette and Lee, Christopher S.. (2014). Psychometric testing on the NLN Student Satisfaction and Self-Confidence in Learning, Simulation Design Scale, and Educational Practices Questionnaire using a sample of pre-licensure novice nurses. Nurse Education Today. 34(10), pp. 1298-1304. https://doi.org/10.1016/j.nedt.2014.06.011
Physical and psychological symptom profiling and event-free survival in adults with moderate to advanced heart failure
Lee, Christopher S., Gelow, Jill M., Denfeld, Quin E., Mudd, James O., Burgess, Donna, Green, Jennifer K., Hiatt, Shirin O. and Jurgens, Corrine Y.. (2014). Physical and psychological symptom profiling and event-free survival in adults with moderate to advanced heart failure. Journal of Cardiovascular Nursing. 29(4), pp. 315-323. https://doi.org/10.1097/JCN.0b013e318285968a
Peripheral immune response and infection in first-time and recurrent ischemic stroke or transient ischemic attack
Ross, Amy Miner, Lee, Christopher S. and Brewer, Margaret. (2014). Peripheral immune response and infection in first-time and recurrent ischemic stroke or transient ischemic attack. Journal of Neuroscience Nursing. 46(4), pp. 199-206. https://doi.org/10.1097/JNN.0000000000000061
Effectiveness of simulation for improvement in self-efficacy among novice nurses : A meta-analysis
Franklin Ashley, E. and Lee Christopher, S.. (2014). Effectiveness of simulation for improvement in self-efficacy among novice nurses : A meta-analysis. Journal of Nursing Education. 53(11), pp. 607-614. https://doi.org/10.3928/01484834-20141023-03
Comparison of expert modeling versus voice-over powerpoint lecture and presimulation readings on novice nurses' competence of providing care to multiple patients
Franklin Ashley, E., Sideras, Stephanie, Gubrud-Howe, Paula and Lee Christopher, S.. (2014). Comparison of expert modeling versus voice-over powerpoint lecture and presimulation readings on novice nurses' competence of providing care to multiple patients. Journal of Nursing Education. 53(11), pp. 615-622. https://doi.org/10.3928/01484834-20141023-01
Comorbidity profiles and inpatient outcomes during hospitalization for heart failure : An analysis of the U.S. Nationwide inpatient sample
Lee, Christopher S., Chien, Christopher V., Bidwell, Julie T., Gelow, Jill M., Denfeld, Quin E., Creber, Ruth Masterson, Buck, Harleah G. and Mudd, James O.. (2014). Comorbidity profiles and inpatient outcomes during hospitalization for heart failure : An analysis of the U.S. Nationwide inpatient sample. BMC Cardiovascular Disorders. 14, p. 73. https://doi.org/10.1186/1471-2261-14-73
Validity and reliability of the European Heart Failure Self-care Behavior Scale among adults from the United States with symptomatic heart failure
Lee, Christopher, Lyons, Karen, Gelow, Jill, Mudd, James, Hiatt, Shirin, Nguyen, Thuan and Jaarsma, Tiny. (2013). Validity and reliability of the European Heart Failure Self-care Behavior Scale among adults from the United States with symptomatic heart failure. European Journal of Cardiovascular Nursing. 12(2), pp. 214 - 218. https://doi.org/10.1177/1474515112469316