title: Acceptance and Use of Mobile Technology for Health Self-Monitoring in Lung Transplant Recipients during the First Year Post-Transplantation.
abstract: To describe lung transplant recipients (LTRs') acceptance and use of mobile technology for health self-monitoring during the first year post-transplantation, and explore correlates of the use of technology in the 0 to 2, >2 to ≤6, >6 to ≤12, and 0 to 12 months.
  
  
  
  Secondary analysis of data from 96 LTR assigned to use Pocket PATH(®), a smartphone application, for daily health self-monitoring in a randomized controlled trial. Use of Pocket PATH was categorized as low, moderate, and high use. Proportional odds models for ordinal logistic regression were employed to explore correlates of use of technology.
  
  
  
  LTR reported high acceptance of Pocket PATH at baseline. However, acceptance was not associated with actual use over the 12 months (p=0.45~0.96). Actual use decreased across time intervals (p<0.001). Increased self-care agency was associated with the increased odds of higher use in women (p=0.03) and those less satisfied with technology training (p=0.02) in the first 2 months. Higher use from >2 to ≤6 months was associated with greater satisfaction with technology training (OR=3.37, p=0.01) and shorter length of hospital stay (OR=0.98, p=0.02). Higher use from >6 to ≤12 months was associated with older age (OR=1.05, p=0.02), lower psychological distress (OR=0.43, p=0.02), and better physical functioning (OR=1.09, p=0.01). Higher use over 12 months was also associated with older age (OR=1.05, p=0.007), better physical functioning (OR=1.13, p=0.001), and greater satisfaction with technology training (OR=3.05, p=0.02).
  
  
  
  Correlates were different for short- and long-term use of mobile technology for health self-monitoring in the first year post-transplantation. It is important to follow up with LTR with longer hospital stay, poor physical functioning, and psychological distress, providing ongoing education to improve their long-term use of technology for health self-monitoring.
authors.affiliation: University of Michigan School of Nursing , 400 N Ingalls St., Ann Arbor, MI.
authors.forename: Yun
authors.initials: Y
authors.lastname: Jiang
authors.affiliation: University of Pittsburgh School of Nursing , 3500 Victoria St., Pittsburgh, PA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Sereika
authors.affiliation: University of Pittsburgh School of Nursing , 3500 Victoria St., Pittsburgh, PA.
authors.forename: Annette DeVito
authors.initials: AD
authors.lastname: Dabbs
authors.affiliation: University of Pittsburgh School of Medicine , M-172 200 Meyran Ave, Pittsburgh, PA.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Handler
authors.affiliation: University of Pittsburgh School of Nursing , 3500 Victoria St., Pittsburgh, PA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Schlenk
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D012648:Self Care / Q000379:methods* / Q000523:psychology / Q000706:statistics & numerical data*; D017216:Telemedicine / Q000706:statistics & numerical data*; D013997:Time Factors; D055815:Young Adult
keywords: Mobile applications; lung transplantation; patient compliance; self-care; telemedicine