scholarly journals Web-Based Self-Management for Patients with Multiple Sclerosis: A Practical, Randomized Trial

2011 ◽  
Vol 17 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Deborah M. Miller ◽  
Shirley M. Moore ◽  
Robert J. Fox ◽  
Ashish Atreja ◽  
Alex Z. Fu ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Randomized Trial ◽  
Self Management ◽  
Web Based

scholarly journals Acceptance of Mobile Health Apps for Disease Management Among People With Multiple Sclerosis: Web-Based Survey Study (Preprint)

2018 ◽  
Author(s):  
Jennifer Apolinário-Hagen ◽  
Mireille Menzel ◽  
Severin Hennemann ◽  
Christel Salewski
Keyword(s):  
Multiple Sclerosis ◽  
Disease Management ◽  
Mobile Health ◽  
Behavioral Intentions ◽  
Self Management ◽  
Web Based ◽  
Performance Expectancy ◽  
Effort Expectancy ◽  
The Relationship ◽  
Mhealth Apps

BACKGROUND Mobile health (mHealth) apps might have the potential to promote self-management of people with multiple sclerosis (MS) in everyday life. However, the uptake of MS apps remains poor, and little is known about the facilitators and barriers for their efficient utilization, such as technology acceptance. OBJECTIVE The aim of this study was to examine the acceptance of mHealth apps for disease management in the sense of behavioral intentions to use and explore determinants of utilization among people with MS based on the Unified Theory of Acceptance and Use of Technology (UTAUT). METHODS Participants for this Web-based cross-sectional study were recruited throughout Germany with the support of regional MS associations and self-help groups. To identify determinants of intention to use MS apps, a measure based on the UTAUT was adapted with 4 key determinants (performance expectancy, effort expectancy, social influence, and facilitating conditions) and extended by Intolerance of Uncertainty (IU) and electronic health literacy. Potential influencing effects of both MS and computer self-efficacy (C-SE) as mediators and fatigue as a moderator were analyzed using Hayes’s PROCESS macro (SPSS version 3.0) for IBM SPSS version 24.0. RESULTS A total of 98 participants (mean age 47.03 years, SD 10.17; 66/98, 67% female) with moderate fatigue levels completed the survey. Although most participants (91/98, 92%) were daily smartphone users, almost two-thirds (62/98, 63%) reported no experience with MS apps. Overall, the acceptance was moderate on average (mean 3.11, SD 1.31, minimum=1 and maximum=5), with lower scores among persons with no experience (P=.04) and higher scores among current users (P<.001). In multiple regression analysis (R2=63% variance explained), performance expectancy (beta=.41) and social influence (beta=.33) were identified as significant predictors of acceptance (all P<.001). C-SE was confirmed as a partial mediator in the relationship between IU and acceptance (indirect effect: B=−.095, 95% CI −0.227 to −0.01). Furthermore, a moderated mediation by C-SE was shown in the relationship between IU and behavioral intentions to use MS apps for low (95% CI −0.42 to −0.01) and moderate levels (95% CI −0.27 to −0.01) of fatigue. CONCLUSIONS Overall, this exploratory pilot study indicates for the first time that positive expectations about the helpfulness for self-management purposes and social support might be important factors to be considered for improving the acceptance of MS apps among smartphone users with MS. However, given some inconsistent findings, especially regarding the role of effort expectancy and IU and self-efficacy, the conceptual model needs replication with a larger sample of people with MS, varying more in fatigue levels, and a longitudinal assessment of the actual usage of MS apps predicted by acceptance in the sense of behavioral intentions to use.

scholarly journals A Randomized Trial of a Web-Based Intervention to Improve Migraine Self-Management and Coping

2011 ◽  
Vol 52 (2) ◽  
pp. 244-261 ◽  
Author(s):  
Jonas Bromberg ◽  
Mollie E. Wood ◽  
Ryan A. Black ◽  
Daniel A. Surette ◽  
Kevin L. Zacharoff ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Self Management ◽  
Web Based ◽  
And Coping

scholarly journals The interactive web-based program MSmonitor for self-management and multidisciplinary care in multiple sclerosis: utilization and valuation by patients

2016 ◽  
pp. 243 ◽  
Author(s):  
Peter Joseph Jongen ◽  
Ludovicus Sinnige ◽  
Björn van Geel ◽  
Freek Verheul ◽  
Wim Verhagen ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Multidisciplinary Care ◽  
Self Management ◽  
Web Based

Promoting self-management of multiple sclerosis in primary care

2010 ◽  
Vol 20 (2) ◽  
pp. 32-39 ◽  
Author(s):  
Jenna Litchfield ◽  
Sue Thomas
Keyword(s):  
Multiple Sclerosis ◽  
Primary Care ◽  
Self Management
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