A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized controlled clinical trial

Raymond L Ownby; Drenna Waldrop; Rosemary Davenport; Michael Simonson; Joshua Caballero; Kamila Thomas-Purcell; Donrie Purcell; Victoria Ayala; Juan Gonzalez; Neil Patel; Kofi Kondwani

doi:10.1101/2023.04.01.23288020

A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized controlled clinical trial

Raymond L Ownby
, Drenna Waldrop
, Rosemary Davenport
, Michael Simonson
, Joshua Caballero
, Kamila Thomas-Purcell
, Donrie Purcell
, Victoria Ayala
, Juan Gonzalez
, Neil Patel
, Kofi Kondwani

Research output: Working paper › Preprint

Abstract

Objective The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in older adult patients with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty.

Methods A randomized controlled trial was completed at two sites. Individuals 40 years of age and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence.

Results All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed.

Conclusions The mobile app was effective in increasing participants’ levels of several psychosocial variables, but reading difficulty level was not significantly related to outcomes.

Original language	English
Publisher	medRxiv
DOIs	https://doi.org/10.1101/2023.04.01.23288020
State	Published - Apr 3 2023

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by the U.S. National Institutes of Health, National Heart, Lung, and Blood Institute (grant numbers R01HL096578 and R56HL096578) and the National Institute on Minority Health and Health Disparities (grant number R01MD010368).

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Cite this

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title = "A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized controlled clinical trial",

abstract = "Objective The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in older adult patients with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty. Methods A randomized controlled trial was completed at two sites. Individuals 40 years of age and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence. Results All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed. Conclusions The mobile app was effective in increasing participants{\textquoteright} levels of several psychosocial variables, but reading difficulty level was not significantly related to outcomes.",

author = "Ownby, \{Raymond L\} and Drenna Waldrop and Rosemary Davenport and Michael Simonson and Joshua Caballero and Kamila Thomas-Purcell and Donrie Purcell and Victoria Ayala and Juan Gonzalez and Neil Patel and Kofi Kondwani",

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doi = "10.1101/2023.04.01.23288020",

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T1 - A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized controlled clinical trial

AU - Ownby, Raymond L

AU - Waldrop, Drenna

AU - Davenport, Rosemary

AU - Simonson, Michael

AU - Caballero, Joshua

AU - Thomas-Purcell, Kamila

AU - Purcell, Donrie

AU - Ayala, Victoria

AU - Gonzalez, Juan

AU - Patel, Neil

AU - Kondwani, Kofi

PY - 2023/4/3

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N2 - Objective The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in older adult patients with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty. Methods A randomized controlled trial was completed at two sites. Individuals 40 years of age and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence. Results All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed. Conclusions The mobile app was effective in increasing participants’ levels of several psychosocial variables, but reading difficulty level was not significantly related to outcomes.

AB - Objective The purpose of this study was to evaluate the effects of a mobile app designed to improve chronic disease self-management in older adult patients with low health literacy and who had at least one chronic health condition, and to assess the impact of delivering information at different levels of reading difficulty. Methods A randomized controlled trial was completed at two sites. Individuals 40 years of age and older screened for low health literacy who had at least one chronic health condition were randomly assigned to a tailored information multimedia app with text at one of three grade levels. Four primary outcomes were assessed: patient activation, chronic disease self-efficacy, health-related quality of life, and medication adherence. Results All groups showed overall increases in activation, self-efficacy, and health-related quality of life, but no change in medication adherence. No between-group differences were observed. Conclusions The mobile app was effective in increasing participants’ levels of several psychosocial variables, but reading difficulty level was not significantly related to outcomes.

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DO - 10.1101/2023.04.01.23288020

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BT - A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized controlled clinical trial

PB - medRxiv

ER -

A mobile app for chronic disease self-management for individuals with low health literacy: A multisite randomized controlled clinical trial

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