NEW STUDY OUT TODAY There are lots of self-management apps out there for chronic diseases. We wanted to know if people use them, and how often they drop out from these interventions https://www.jmir.org/2020/9/e20283/
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The basic issue is that, anecdotally, a lot of people start using apps for their chronic disease (i.e. diabetes, COPD, etc) but then stop pretty quickly afterwards But no one had really quantified this problem before!
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So, we systematically combed the literature for studies that: a) used a mobile app for chronic disease self-management b) had a measure of dropout/attritionpic.twitter.com/3G9bzgMkga
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After excluding the studies that didn't meet our criteria, we found that the rate of attrition within the period studied (which ranged from weeks to months) was about 43%pic.twitter.com/n2aiCRiZuR
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BUT this masks some really substantial differences between interventions. Some apps had REALLY LOW dropout rates, for example
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But even these low dropout rates had pretty high rates of what I like to call "nonusage attrition" - people who only logged into the apps once or twice a year, and so were technically not dropouts but weren't actually using the app properly
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So, take-homes: - dropout is a big issue for apps - nonusage attrition is also huge - if we don't fix these issues, apps may be a bit worthless for chronic disease - MORE RESEARCH IS NEEDED IN THIS AREA
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Replying to @GidMK
Not just a big issue for apps. "Increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvement in specific medical treatments" - World Health Organization; 2003
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Absolutely true! We just really wanted to quantify the problem in this space, because so many people are using apps
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Replying to @GidMK
I recall an Oz mHealth study from a few years ago found very few had any scientific basis too. Such a lost opportunity.
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