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http://hdl.handle.net/11375/26562
Title: | Using mHealth to Increase the Reach of Local Guidance to Health Professionals as Part of an Institutional Response Plan to the COVID-19 Outbreak: Usage Analysis Study |
Authors: | Windisch O Zamberg I Zanella M-C Gayet-Ageron A Blondon K Schiffer E Agoritsas T |
Keywords: | COVID-19;health administration;health apps;health professionals;information dissemination;mHealth;smartphone;COVID-19;Coronavirus Infections;Disease Outbreaks;Health Personnel;Humans;Information Dissemination;Pandemics;Pneumonia, Viral;Telemedicine |
Publication Date: | 19-Aug-2020 |
Publisher: | JMIR Publications Inc. |
Abstract: | <jats:sec> <jats:title>Background</jats:title> <jats:p>The ongoing coronavirus disease (COVID-19) pandemic forced health jurisdictions worldwide to significantly restructure and reorganize their medical activities. In response to the rapidly evolving body of evidence, a solid communication strategy is needed to increase the reach of and adherence to locally drafted and validated guidance to aide medical staff with COVID-19–related clinical decisions.</jats:p> </jats:sec> <jats:sec> <jats:title>Objective</jats:title> <jats:p>We present a usage analysis of a dedicated mobile health (mHealth) platform as part of an institutional knowledge dissemination strategy of COVID-19–related guidance to all health care workers (HCWs) in a large academic hospital.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>A multidisciplinary team of experts drafted local guidance related to COVID-19. In total, 60 documents and 17 external links were made available through the platform. Documents were disseminated using a recently deployed mHealth platform for HCWs. Targeted dissemination of COVID-19–related content began on March 22, 2020. Using a third-party statistics tool, data concerning user activity and content use was anonymously collected. A quantitative analysis of user activity was performed over a 4-month period, separated into 3 periods: 2 months before (Period A), 2 weeks after (Period B), and 6 weeks following (Period C) targeted dissemination. Regional epidemiological data (daily new COVID-19 cases and total COVID-19–related hospitalizations) was extracted from an official registry.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>During the study period, the platform was downloaded by 1233 new users. Consequently, the total number of users increased from 1766 users before Period A to a total of 2999 users at the end of Period C. We observed 27,046 document views, of which 12,728 (47.1%) were COVID-19–related. The highest increase in activity occurred in Period B, rapidly following targeted dissemination, with 7740 COVID-19–related content views, representing 71.2% of total content views within the abovementioned period and 550 daily views of COVID-19–related documents. Total documents consulted per day increased from 117 (IQR 74-160) to 657 (IQR 481-1051), P<.001. This increase in activity followed the epidemiological curbing of newly diagnosed COVID-19 cases, which peaked during Period B. Total active devices doubled from 684 to 1400, daily user activity increased fourfold, and the number of active devices rose from 53 (IQR 40-70) to 210 (IQR 167-297), P<.001. In addition, the number of sessions per day rose from 166 (IQR 110-246) to 704 (IQR 517-1028), P<.001. A persistent but reduced increase in total documents consulted per day (172 [IQR 131-251] versus 117 [IQR 74-160], P<.001) and active devices (71 [IQR 64-89] versus 53 [IQR 40-70]) was observed in Period C compared to Period A, while only 29.8% of the content accessed was COVID-19–related. After targeted dissemination, an immediate increase in activity was observed after push notifications were sent to users.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>The use of an mHealth solution to disseminate time-sensitive medical knowledge seemed to be an effective solution to increase the reach of validated content to a targeted audience.</jats:p> </jats:sec> |
metadata.dc.rights.license: | Attribution - CC BY |
URI: | http://hdl.handle.net/11375/26562 |
metadata.dc.identifier.doi: | https://doi.org/10.2196/20025 |
ISSN: | 2291-5222 2291-5222 |
Appears in Collections: | Faculty Publications (via McMaster Experts) |
Files in This Item:
File | Description | Size | Format | |
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Using mHealth to Increase the Reach of Local Guidance to Health Professionals as Part of an Institutional Response Plan to the COVID-19 Outbreak- Usage Analysis Study.pdf | Published version | 374.37 kB | Adobe PDF | View/Open |
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