Patient Satisfaction with Mobile Health (mHealth) Application for Exercise Intervention in Breast Cancer Survivors
This study aimed to assess user satisfaction with mobile health (mHealth) application in breast cancer survivors after a 12-week exercise program and provide developers with reference points for mHealth applications from the perspective of patients and physicians. This is a retrospective review of prospectively collected multicenter data of 88 breast cancer survivors who carried out a 12-week exercise program via smartphone application with pedometer. Personalized programs including aerobic and resistance exercise were prescribed by physiatrists. Also, telephone counseling was performed at the 3rd and 9th week. All patients completed the user satisfaction questionnaire at the end of the intervention. The mean achievement rates of aerobic and resistance exercise for 12 weeks were 78.8 and 71.3%, respectively. The mean score of overall satisfaction rated on the 5-point Likert scale was 4.22 ± 0.73. When the patients were grouped according to age, the overall satisfaction score increased significantly with age (P = 0.040). Also, the satisfaction scores of patients with radiotherapy were significantly higher than patients without radiotherapy (P = 0.001). In terms of system characteristics, the most satisfying was data transmission accuracy (4.32 ± 0.74). In addition, patients were very satisfied with telephone counseling (4.55 ± 0.62). The results suggest the direction of mHealth should go to meet the detailed requirements of the specific user group as a more targeted approach. In addition, if a mutual feedback platform can be implanted in mHealth applications, it will increase user loyalty and make mHealth a more available motivational technology in our lives.
KeywordsMobile health Breast cancer Survivorship Rehabilitation Exercise Application
This research was supported by the National Information Society Agency (NIA) funded by the Ministry of Science, ICT and Future Planning (Smart After Care Service for Cancer and Cardiac Disease).
Compliance with Ethical Standards
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Informed consent was obtained from all individual participants included in the study.
- 3.Singh, B., Spence, R. R., Steele, M. L., Sandler, C. X., Peake, J. M., and Hayes, S. C., A systematic review and meta-analysis of the safety, feasibility and effect of exercise in women with stage II+ breast cancer. Arch. Phys. Med. Rehabil., 2018.Google Scholar
- 5.Marmot, M., Atinmo, T., Byers, T., Chen, J., Hirohata, T., Jackson, A., James, W., Kolonel, L., Kumanyika, S., and Leitzmann, C., Food, nutrition, physical activity, and the prevention of cancer: a global perspective, 2007.Google Scholar
- 10.Dieli-Conwright, C. M., and Orozco, B. Z., Exercise after breast cancer treatment: Current perspectives. Breast Cancer: Targets and Therapy. 7:353–362, 2015.Google Scholar
- 14.Fox, S., and Duggan, M., Pew Research Center's Internet & American Life Project. 2013. Mobile Health, 2012.Google Scholar
- 16.Gustafson, D. H., McTavish, F. M., Chih, M. Y., Atwood, A. K., Johnson, R. A., Boyle, M. G., Levy, M. S., Driscoll, H., Chisholm, S. M., Dillenburg, L., Isham, A., and Shah, D., A smartphone application to support recovery from alcoholism: A randomized clinical trial. JAMA Psychiatry 71(5):566–572, 2014.CrossRefGoogle Scholar
- 19.Nussbaum, R., Kelly, C., Quinby, E., Mac, A., Parmanto, B., and Dicianno, B. E., A systematic review of mobile health applications in rehabilitation. Arch. Phys. Med. Rehabil., 2018.Google Scholar
- 21.Istepanian, R. S. H., Sungoor, A., Faisal, A., and Philip, N., Internet of m-health things “m-IoT”. Assisted Living 2011, IET Seminar, pp. 1–3.Google Scholar
- 24.McCarroll, M. L., Armbruster, S., Pohle-Krauza, R. J., Lyzen, A. M., Min, S., Nash, D. W., Roulette, G. D., Andrews, S. J., and von Gruenigen, V. E., Feasibility of a lifestyle intervention for overweight/obese endometrial and breast cancer survivors using an interactive mobile application. Gynecol. Oncol. 137(3):508–515, 2015.CrossRefGoogle Scholar
- 25.Bravo, C., O’Donoghue, C., Kaplan, C. P., Luce, J., and Ozanne, E., Can mHealth improve risk assessment in underserved populations? Acceptability of a breast health questionnaire app in ethnically diverse, older, low-income women. J. Health Dispar. Res. Pract. 7(4):6, 2014.Google Scholar
- 27.Uhm, K. E., Yoo, J. S., Chung, S. H., Lee, J. D., Lee, I., Kim, J. I., Lee, S. K., Nam, S. J., Park, Y. H., Lee, J. Y., and Hwang, J. H., Effects of exercise intervention in breast cancer patients: Is mobile health (mHealth) with pedometer more effective than conventional program using brochure? Breast Cancer Res. Treat. 161(3):443–452, 2017.CrossRefGoogle Scholar
- 28.Riffenburg, K. M., and Spartano, N. L., Physical activity and weight maintenance: The utility of wearable devices and mobile health technology in research and clinical settings. Curr. Opin. Endocrinol. Diabetes Obes. 25(5):310–314, 2018.Google Scholar
- 32.IPAQ Research committee, guidelines for data processing and analysis of the international physical activity questionnaire (IPAQ) – Short and long forms, 2005.Google Scholar
- 33.Misra, S., New report finds more than 165,000 mobile health apps now available, takes close look at characteristics & use. https://www.imedicalapps.com/2015/09/ims-health-apps-report/# (accessed 17 February 2017).
- 34.Glynn, L. G., Hayes, P. S., Casey, M., Glynn, F., Alvarez-Iglesias, A., Newell, J., G, O. L., Heaney, D., O'Donnell, M., and Murphy, A. W., Effectiveness of a smartphone application to promote physical activity in primary care: The SMART MOVE randomised controlled trial. Br. J. Gen. Pract. 64(624):e384–e391, 2014.CrossRefGoogle Scholar
- 38.Comulada, W. S., Swendeman, D., Koussa, M. K., Mindry, D., Medich, M., Estrin, D., Mercer, N., and Ramanathan, N., Adherence to self-monitoring healthy lifestyle behaviours through mobile phone-based ecological momentary assessments and photographic food records over 6 months in mostly ethnic minority mothers. Public Health Nutr. 21(4):679–688, 2018.CrossRefGoogle Scholar