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Barriers to and Facilitators of Engagement With Remote Measurement Technology for Managing Health: Systematic Review and Content Analysis of Findings

Journal of medical Internet research, 2018-07, Vol.20 (7), p.e10480-e10480 [Peer Reviewed Journal]

Sara Simblett, Ben Greer, Faith Matcham, Hannah Curtis, Ashley Polhemus, José Ferrão, Peter Gamble, Til Wykes. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 12.07.2018. ;COPYRIGHT 2018 Journal of Medical Internet Research ;2018. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Sara Simblett, Ben Greer, Faith Matcham, Hannah Curtis, Ashley Polhemus, José Ferrão, Peter Gamble, Til Wykes. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 12.07.2018. 2018 ;ISSN: 1438-8871 ;ISSN: 1439-4456 ;EISSN: 1438-8871 ;DOI: 10.2196/10480 ;PMID: 30001997

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  • Title:
    Barriers to and Facilitators of Engagement With Remote Measurement Technology for Managing Health: Systematic Review and Content Analysis of Findings
  • Author: Simblett, Sara ; Greer, Ben ; Matcham, Faith ; Curtis, Hannah ; Polhemus, Ashley ; Ferrão, José ; Gamble, Peter ; Wykes, Til
  • Subjects: Access ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Averages ; Barriers ; Bias ; Child ; Clinical outcomes ; Clinical trials ; Content analysis ; Dating ; Diabetes ; Dropping out ; Everyday life ; Facilitators ; Feasibility ; Feedback ; Female ; Focus groups ; Health behavior ; Health status ; Humans ; Individualized ; Intervention ; Literature reviews ; Male ; Measurement ; Medical technology ; Mental disorders ; Mental health ; Middle Aged ; Motivation ; Multimedia ; Observational research ; Patient Participation - methods ; Product development ; Prospective Studies ; Qualitative research ; Questionnaires ; Remote Sensing Technology - methods ; Review ; Selfmanagement ; Smartphones ; Systematic review ; Technology Acceptance Model ; Telemedicine ; Telemedicine - methods ; Usability ; Use statistics ; Young Adult
  • Is Part Of: Journal of medical Internet research, 2018-07, Vol.20 (7), p.e10480-e10480
  • Description: Remote measurement technology refers to the use of mobile health technology to track and measure change in health status in real time as part of a person's everyday life. With accurate measurement, remote measurement technology offers the opportunity to augment health care by providing personalized, precise, and preemptive interventions that support insight into patterns of health-related behavior and self-management. However, for successful implementation, users need to be engaged in its use. Our objective was to systematically review the literature to update and extend the understanding of the key barriers to and facilitators of engagement with and use of remote measurement technology, to guide the development of future remote measurement technology resources. We conducted a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines involving original studies dating back to the last systematic review published in 2014. We included studies if they met the following entry criteria: population (people using remote measurement technology approaches to aid management of health), intervention (remote measurement technology system), comparison group (no comparison group specified), outcomes (qualitative or quantitative evaluation of the barriers to and facilitators of engagement with this system), and study design (randomized controlled trials, feasibility studies, and observational studies). We searched 5 databases (MEDLINE, IEEE Xplore, EMBASE, Web of Science, and the Cochrane Library) for articles published from January 2014 to May 2017. Articles were independently screened by 2 researchers. We extracted study characteristics and conducted a content analysis to define emerging themes to synthesize findings. Formal quality assessments were performed to address risk of bias. A total of 33 studies met inclusion criteria, employing quantitative, qualitative, or mixed-methods designs. Studies were conducted in 10 countries, included male and female participants, with ages ranging from 8 to 95 years, and included both active and passive remote monitoring systems for a diverse range of physical and mental health conditions. However, they were relatively short and had small sample sizes, and reporting of usage statistics was inconsistent. Acceptability of remote measurement technology according to the average percentage of time used (64%-86.5%) and dropout rates (0%-44%) was variable. The barriers and facilitators from the content analysis related to health status, perceived utility and value, motivation, convenience and accessibility, and usability. The results of this review highlight gaps in the design of studies trialing remote measurement technology, including the use of quantitative assessment of usage and acceptability. Several processes that could facilitate engagement with this technology have been identified and may drive the development of more person-focused remote measurement technology. However, these factors need further testing through carefully designed experimental studies. International Prospective Register of Systematic Reviews (PROSPERO) CRD42017060644; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=60644 (Archived by WebCite at http://www.webcitation.org/70K4mThTr).
  • Publisher: Canada: Journal of Medical Internet Research
  • Language: English
  • Identifier: ISSN: 1438-8871
    ISSN: 1439-4456
    EISSN: 1438-8871
    DOI: 10.2196/10480
    PMID: 30001997
  • Source: GFMER Free Medical Journals
    MEDLINE
    PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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