Assessing the Efficacy of an Educational Smartphone or Tablet App With Subdivided and Interactive Content to Increase Patients' Medical Knowledge: Randomized Controlled Trial

Thomas Timmers, Loes Janssen, Yvette Pronk, Babette C van der Zwaard, Sander Koëter, Dirk van Oostveen, Stefan de Boer, Keetie Kremers, Sebastiaan Rutten, Dirk Das, Rutger CI van Geenen, Koen LM Koenraadt, Rob Kusters, Walter van der Weegen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Modern health care focuses on shared decision making (SDM) because of its positive effects on patient satisfaction, therapy compliance, and outcomes. Patients' knowledge about their illness and available treatment options, gained through medical education, is one of the key drivers for SDM. Current patient education relies heavily on medical consultation and is known to be ineffective. Objective: This study aimed to determine whether providing patients with information in a subdivided, categorized, and interactive manner via an educational app for smartphone or tablet might increase the knowledge of their illness. Methods: A surgeon-blinded randomized controlled trial was conducted with 213 patients who were referred to 1 of the 6 Dutch hospitals by their general practitioner owing to knee complaints that were indicative of knee osteoarthritis. An interactive app that, in addition to standard care, actively sends informative and pertinent content to patients about their illness on a daily basis by means of push notifications in the week before their consultation. The primary outcome was the level of perceived and actual knowledge that patients had about their knee complaints and the relevant treatment options after the intervention. Results: In total, 122 patients were enrolled in the control group and 91 in the intervention group. After the intervention, the level of actual knowledge (measured on a 0-36 scale) was 52% higher in the app group (26.4 vs 17.4, P)
Conclusions: Actively offering patients information in a subdivided (per day), categorized (per theme), and interactive (video and quiz questions) manner significantly increases the level of perceived knowledge and demonstrates a higher level of actual knowledge, compared with standard care educational practices.
Original languageEnglish
Article number10742
Pages (from-to)e10742
Number of pages14
JournalJMIR mHealth and uHealth
Volume6
Issue number12
DOIs
Publication statusPublished - 21 Dec 2018

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Tablets
Randomized Controlled Trials
Knee
Decision Making
Referral and Consultation
Knee Osteoarthritis
Patient Education
Medical Education
Smartphone
Patient Satisfaction
General Practitioners
Therapeutics
Delivery of Health Care
Control Groups

Keywords

  • patient education
  • shared decision making
  • smartphone
  • decision aid
  • orthopedics
  • PHYSICAL-FUNCTION
  • INFORMED-CONSENT
  • DECISION-MAKING
  • ADULTS MEMORY
  • OLDER-ADULTS
  • INFORMATION
  • SATISFACTION
  • PREFERENCES
  • INVOLVEMENT
  • RETENTION

Cite this

Timmers, Thomas ; Janssen, Loes ; Pronk, Yvette ; van der Zwaard, Babette C ; Koëter, Sander ; van Oostveen, Dirk ; de Boer, Stefan ; Kremers, Keetie ; Rutten, Sebastiaan ; Das, Dirk ; van Geenen, Rutger CI ; Koenraadt, Koen LM ; Kusters, Rob ; van der Weegen, Walter. / Assessing the Efficacy of an Educational Smartphone or Tablet App With Subdivided and Interactive Content to Increase Patients' Medical Knowledge: Randomized Controlled Trial. In: JMIR mHealth and uHealth. 2018 ; Vol. 6, No. 12. pp. e10742.
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abstract = "Background: Modern health care focuses on shared decision making (SDM) because of its positive effects on patient satisfaction, therapy compliance, and outcomes. Patients' knowledge about their illness and available treatment options, gained through medical education, is one of the key drivers for SDM. Current patient education relies heavily on medical consultation and is known to be ineffective. Objective: This study aimed to determine whether providing patients with information in a subdivided, categorized, and interactive manner via an educational app for smartphone or tablet might increase the knowledge of their illness. Methods: A surgeon-blinded randomized controlled trial was conducted with 213 patients who were referred to 1 of the 6 Dutch hospitals by their general practitioner owing to knee complaints that were indicative of knee osteoarthritis. An interactive app that, in addition to standard care, actively sends informative and pertinent content to patients about their illness on a daily basis by means of push notifications in the week before their consultation. The primary outcome was the level of perceived and actual knowledge that patients had about their knee complaints and the relevant treatment options after the intervention. Results: In total, 122 patients were enrolled in the control group and 91 in the intervention group. After the intervention, the level of actual knowledge (measured on a 0-36 scale) was 52{\%} higher in the app group (26.4 vs 17.4, P)Conclusions: Actively offering patients information in a subdivided (per day), categorized (per theme), and interactive (video and quiz questions) manner significantly increases the level of perceived knowledge and demonstrates a higher level of actual knowledge, compared with standard care educational practices.",
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author = "Thomas Timmers and Loes Janssen and Yvette Pronk and {van der Zwaard}, {Babette C} and Sander Ko{\"e}ter and {van Oostveen}, Dirk and {de Boer}, Stefan and Keetie Kremers and Sebastiaan Rutten and Dirk Das and {van Geenen}, {Rutger CI} and Koenraadt, {Koen LM} and Rob Kusters and {van der Weegen}, Walter",
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Timmers, T, Janssen, L, Pronk, Y, van der Zwaard, BC, Koëter, S, van Oostveen, D, de Boer, S, Kremers, K, Rutten, S, Das, D, van Geenen, RCI, Koenraadt, KLM, Kusters, R & van der Weegen, W 2018, 'Assessing the Efficacy of an Educational Smartphone or Tablet App With Subdivided and Interactive Content to Increase Patients' Medical Knowledge: Randomized Controlled Trial', JMIR mHealth and uHealth, vol. 6, no. 12, 10742, pp. e10742. https://doi.org/10.2196/10742

Assessing the Efficacy of an Educational Smartphone or Tablet App With Subdivided and Interactive Content to Increase Patients' Medical Knowledge: Randomized Controlled Trial. / Timmers, Thomas; Janssen, Loes; Pronk, Yvette; van der Zwaard, Babette C; Koëter, Sander; van Oostveen, Dirk; de Boer, Stefan; Kremers, Keetie; Rutten, Sebastiaan; Das, Dirk; van Geenen, Rutger CI; Koenraadt, Koen LM; Kusters, Rob; van der Weegen, Walter.

In: JMIR mHealth and uHealth, Vol. 6, No. 12, 10742, 21.12.2018, p. e10742.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Assessing the Efficacy of an Educational Smartphone or Tablet App With Subdivided and Interactive Content to Increase Patients' Medical Knowledge: Randomized Controlled Trial

AU - Timmers, Thomas

AU - Janssen, Loes

AU - Pronk, Yvette

AU - van der Zwaard, Babette C

AU - Koëter, Sander

AU - van Oostveen, Dirk

AU - de Boer, Stefan

AU - Kremers, Keetie

AU - Rutten, Sebastiaan

AU - Das, Dirk

AU - van Geenen, Rutger CI

AU - Koenraadt, Koen LM

AU - Kusters, Rob

AU - van der Weegen, Walter

PY - 2018/12/21

Y1 - 2018/12/21

N2 - Background: Modern health care focuses on shared decision making (SDM) because of its positive effects on patient satisfaction, therapy compliance, and outcomes. Patients' knowledge about their illness and available treatment options, gained through medical education, is one of the key drivers for SDM. Current patient education relies heavily on medical consultation and is known to be ineffective. Objective: This study aimed to determine whether providing patients with information in a subdivided, categorized, and interactive manner via an educational app for smartphone or tablet might increase the knowledge of their illness. Methods: A surgeon-blinded randomized controlled trial was conducted with 213 patients who were referred to 1 of the 6 Dutch hospitals by their general practitioner owing to knee complaints that were indicative of knee osteoarthritis. An interactive app that, in addition to standard care, actively sends informative and pertinent content to patients about their illness on a daily basis by means of push notifications in the week before their consultation. The primary outcome was the level of perceived and actual knowledge that patients had about their knee complaints and the relevant treatment options after the intervention. Results: In total, 122 patients were enrolled in the control group and 91 in the intervention group. After the intervention, the level of actual knowledge (measured on a 0-36 scale) was 52% higher in the app group (26.4 vs 17.4, P)Conclusions: Actively offering patients information in a subdivided (per day), categorized (per theme), and interactive (video and quiz questions) manner significantly increases the level of perceived knowledge and demonstrates a higher level of actual knowledge, compared with standard care educational practices.

AB - Background: Modern health care focuses on shared decision making (SDM) because of its positive effects on patient satisfaction, therapy compliance, and outcomes. Patients' knowledge about their illness and available treatment options, gained through medical education, is one of the key drivers for SDM. Current patient education relies heavily on medical consultation and is known to be ineffective. Objective: This study aimed to determine whether providing patients with information in a subdivided, categorized, and interactive manner via an educational app for smartphone or tablet might increase the knowledge of their illness. Methods: A surgeon-blinded randomized controlled trial was conducted with 213 patients who were referred to 1 of the 6 Dutch hospitals by their general practitioner owing to knee complaints that were indicative of knee osteoarthritis. An interactive app that, in addition to standard care, actively sends informative and pertinent content to patients about their illness on a daily basis by means of push notifications in the week before their consultation. The primary outcome was the level of perceived and actual knowledge that patients had about their knee complaints and the relevant treatment options after the intervention. Results: In total, 122 patients were enrolled in the control group and 91 in the intervention group. After the intervention, the level of actual knowledge (measured on a 0-36 scale) was 52% higher in the app group (26.4 vs 17.4, P)Conclusions: Actively offering patients information in a subdivided (per day), categorized (per theme), and interactive (video and quiz questions) manner significantly increases the level of perceived knowledge and demonstrates a higher level of actual knowledge, compared with standard care educational practices.

KW - patient education

KW - shared decision making

KW - smartphone

KW - decision aid

KW - orthopedics

KW - PHYSICAL-FUNCTION

KW - INFORMED-CONSENT

KW - DECISION-MAKING

KW - ADULTS MEMORY

KW - OLDER-ADULTS

KW - INFORMATION

KW - SATISFACTION

KW - PREFERENCES

KW - INVOLVEMENT

KW - RETENTION

U2 - 10.2196/10742

DO - 10.2196/10742

M3 - Article

VL - 6

SP - e10742

JO - JMIR mHealth and uHealth

JF - JMIR mHealth and uHealth

SN - 2291-5222

IS - 12

M1 - 10742

ER -