Cloud-based multi-media systems for patient education and adherence: a pilot study to explore patient compliance with colonoscopy procedure preparation

Publication Date

1-1-2021

Document Type

Article

Publication Title

Health Systems

Volume

10

Issue

2

DOI

10.1080/20476965.2019.1663974

First Page

89

Last Page

103

Abstract

Technology based patient education and adherence approaches are increasingly utilized to instruct and remind patients to prepare correctly for medical procedures. This study examines the interaction between two primary factors: patterns of patient adherence to challenging medical preparation procedures; and the demonstrated, measurable potential for cloud-based multi-media information technology (IT) interventions to improve patient adherence. An IT artifact was developed through prior design science research to serve information, reminders, and online video instruction modules to patients. The application was tested with 297 patients who were assessed clinically by physicians. Results indicate modest potential (43.4% relative improvement) for the IT-based approach for improving patient adherence to endoscopy preparations. Purposively designed cloud-based applications hold promise for aiding patients with complex medical procedure preparation. Health care provider involvement in the design and evaluation of a patient application may be an effective strategy to produce medical evidence and encourage the adoption of adherence apps.

Funding Number

PIRB34

Keywords

colonoscopy, Consumer health informatics, ehealth, endoscopy, instruction, internal medicine, medical procedure preparation, mobile applications, Mobile computing, oncology, patient adherence, quality and patient safety, surgery

Department

Information; Information Systems and Technology

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