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Mallow JA, Theeke LA, Long DM, et al. Study protocol: mobile improvement of self-management ability through rural technology (mI SMART). Springerplus. 2015;4:423doi: 10.1186/s40064-015-1209-y.
Mallow, J. A., Theeke, L. A., Long, D. M., Whetsel, T., Theeke, E., & Mallow, B. K. (2015). Study protocol: mobile improvement of self-management ability through rural technology (mI SMART). SpringerPlus, 4423. https://doi.org/10.1186/s40064-015-1209-y
Mallow, Jennifer A, et al. "Study protocol: mobile improvement of self-management ability through rural technology (mI SMART)." SpringerPlus vol. 4 (2015): 423. doi: https://doi.org/10.1186/s40064-015-1209-y
Mallow JA, Theeke LA, Long DM, Whetsel T, Theeke E, Mallow BK. Study protocol: mobile improvement of self-management ability through rural technology (mI SMART). Springerplus. 2015 Aug 16;4:423. doi: 10.1186/s40064-015-1209-y. eCollection 2015. PMID: 26301170; PMCID: PMC4537468.
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Springerplus. 2015 Aug 16;4:423. doi: 10.1186/s40064-015-1209-y. eCollection 2015.

Study protocol: mobile improvement of self-management ability through rural technology (mI SMART).

SpringerPlus

Jennifer A Mallow, Laurie A Theeke, Dustin M Long, Tara Whetsel, Elliott Theeke, Brian K Mallow

Affiliations

  1. West Virginia University Health Sciences Center, Mortantown, WV USA.
  2. Sovern Run LLC, Albright, WV USA.

PMID: 26301170 PMCID: PMC4537468 DOI: 10.1186/s40064-015-1209-y

Abstract

BACKGROUND: There are 62 million Americans currently residing in rural areas who are more likely to have multiple chronic conditions and be economically disadvantaged, and in poor health, receive less recommended preventive services and attend fewer visits to health care providers. Recent advances in mobile healthcare (mHealth) offer a promising new approach to solving health disparities and improving chronic illness care. It is now possible and affordable to transmit health information, including values from glucometers, automated blood pressure monitors, and scales, through Bluetooth-enabled devices. Additionally, audio and video communications technologies can allow healthcare providers to conduct many parts of a physical exam remotely from varied settings. These technologies could remove geographical distance as a barrier to care and diminish the access to care issues faced by patients who live rurally. However, currently there is lack of studies that provide evidence of feasibility, acceptability, and effectiveness of mHealth initiatives on improved outcomes of care, a needed step to make the translation to implementation studies in healthcare systems. The purpose of this paper is to present the protocol for the first study of mI SMART (mobile Improvement of Self-Management Ability through Rural Technology), a new integrated mHealth intervention.

METHODS: Our objective is to provide evidence of feasibility and acceptability for the use of mI SMART in an underserved population and establish evidence for the refinement of mI SMART. The proposed study will take place at Milan Puskar Health Right, a free primary care clinic in the state of West Virginia. The clinic provides health care at no cost to uninsured, low income; adults aged 18-64 living in West Virginia. We will enroll 30 participants into this feasibility study with plans of implementing a longitudinal randomized, comparative effectiveness design in the future. Data collection will include tracking of barriers and facilitators to using mI SMART on patient and provider feedback surveys, tracking of patient-provider communications, self-reports from patients on quality of life, adherence, and self-management ability, and capture of health record data on chronic illness measures.

DISCUSSION: We expect that the mI SMART intervention, refined from participant and provider feedback, will be acceptable and feasible. We anticipate high patient-provider satisfaction, enhanced patient-provider communication, and improved health related quality of life, adherence to treatment, and self-management ability. In addition, we hypothesize that patients who use mI SMART will demonstrate improved physical outcomes such as blood glucose, blood pressure, and weight.

Keywords: Chronic illness; Health disparities; Rural; Self-management; Study protocol; Underserved; eVisits; mHealth

References

  1. J Gen Intern Med. 2001 Sep;16(9):606-13 - PubMed
  2. Telemed J E Health. 2011 Dec;17(10):801-3 - PubMed
  3. Open J Nurs. 2014 Dec 1;4(13):912-919 - PubMed
  4. J Clin Nurs. 2013 Sep;22(17-18):2366-86 - PubMed
  5. Diabetes Technol Ther. 2011 May;13(5):563-9 - PubMed
  6. Health Serv Res. 2005 Feb;40(1):135-55 - PubMed
  7. West J Nurs Res. 2015 Aug;37(8):1033-61 - PubMed
  8. Inform Prim Care. 2009;17(1):47-53 - PubMed
  9. J Telemed Telecare. 2009;15(3):125-8 - PubMed
  10. Diabet Med. 2009 Jun;26(6):628-35 - PubMed
  11. J Telemed Telecare. 2008;14(7):329-32 - PubMed
  12. J Stroke Cerebrovasc Dis. 2013 Jul;22(5):620-6 - PubMed
  13. Ann Neurol. 2011 Apr;69(4):619-27 - PubMed
  14. Am J Prev Med. 2011 Apr;40(4):434-9 - PubMed
  15. Am J Hypertens. 2007 Sep;20(9):942-8 - PubMed
  16. J Rural Health. 2005 Winter;21(1):31-8 - PubMed
  17. J Med Syst. 2012 Jun;36(3):1389-401 - PubMed
  18. Am J Prev Med. 2011 May;40(5 Suppl 2):S162-72 - PubMed
  19. Med Care. 1993 Mar;31(3):247-63 - PubMed
  20. Diabetes Care. 2015 Apr;38(4):561-7 - PubMed
  21. J Pers Soc Psychol. 1980 Sep;39(3):472-80 - PubMed
  22. J Eval Clin Pract. 2008 Jun;14(3):465-9 - PubMed
  23. N Engl J Med. 2012 Sep 13;367(11):1025-34 - PubMed
  24. Ann Intern Med. 2014 Jan 7;160(1):48-54 - PubMed
  25. J Am Geriatr Soc. 1997 May;45(5):543-9 - PubMed
  26. Contemp Clin Trials. 2009 Jul;30(4):334-46 - PubMed
  27. Open J Nurs. 2013 Jul;3(3):314-322 - PubMed
  28. J Am Med Inform Assoc. 2009 Jul-Aug;16(4):439-45 - PubMed
  29. Diabetes Care. 2001 Jun;24(6):995-1000 - PubMed
  30. Diabetes Technol Ther. 2010 Jul;12 (7):575-9 - PubMed
  31. Diabetologia. 2002 Sep;45(9):1231-9 - PubMed
  32. J Telemed Telecare. 2009;15(2):77-82 - PubMed
  33. Diabetes Care. 2013 Jan;36 Suppl 1:S100-8 - PubMed

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