title: Patient-facing Technology for Identification of COPD in Primary Care.
abstract: The proliferation of mobile devices and emergence of interoperable 'mHealth' apps is accelerating development and deployment of patient-facing risk assessments in primary care. The present study describes a user-centered design and an agile development approach to creation of an app for assessing lungfunction as part of a randomized controlled trial for the   dentification of chronic obstructive lung disease in primary care.
  
  
  
  Seventeen patients recruited from a hospital-based, ambulatory family medicine clinic agreed to be videotaped while using the app, Lung Age, on a first-generation iPad prior to their provideR encounter. Subsequently, participants were interviewed using a semi-structured interview guide upon exiting their medical visit.
  
  
  
  Observational data indicated that participants took advantage of the portability and flexibility of the tablet device in the exam room to engage with the Lung Age app with the optionto share and discuss their results with their providers. Results from the semistructured interviews indicated that participants perceived the Lung Age app as intuitive and easy to use.
  
  
  
  These results demonstrate that tablet computers and mHealth apps can be used to deploy acceptable and useable electronic risk assessments in primary care settings. Future research focused on the impact and outcomes of patient-centered, mHealth apps for risk screening in primary care is warranted.
authors.affiliation: Abacus Health Solutions Brigham & Women's Hospital Harvard Medical School. dahern@theabacusgroup.com.
authors.forename: David Kevin
authors.initials: DK
authors.lastname: Ahern
authors.affiliation: Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, and Family Medicine and Epidemiology, Alpert Medical School of Brown University. donna_parker@brown.edu.
authors.forename: Donna
authors.initials: D
authors.lastname: Parker
authors.affiliation: Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, and Family Medicine and Epidemiology, Alpert Medical School of Brown University. Ceaton@CareNE.org.
authors.forename: Charles
authors.initials: C
authors.lastname: Eaton
authors.affiliation: Center for Primary Care and Prevention, Memorial Hospital of Rhode Island. CRafferty@CareNE.org.
authors.forename: Caitlin
authors.initials: C
authors.lastname: Rafferty
authors.affiliation: Abacus Health Solutions. jwroblewski@theabacusgroup.com.
authors.forename: Joseph
authors.initials: J
authors.lastname: Wroblewski
authors.affiliation: Center for Primary Care and Prevention, Memorial Hospital of Rhode Island and Department of Family Medicine, Alpert Medical School of Brown University. Roberta_Goldman@brown.edu.
authors.forename: Roberta
authors.initials: R
authors.lastname: Goldman
mesh_terms: D000328:Adult; D000368:Aged; D034201:Computers, Handheld; D005240:Feasibility Studies; D006801:Humans; D008490:Medical Informatics / Q000295:instrumentation* / Q000379:methods; D008875:Middle Aged; D063731:Mobile Applications; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care / Q000379:methods*; D029424:Pulmonary Disease, Chronic Obstructive / Q000175:diagnosis*; D018570:Risk Assessment; D017216:Telemedicine / Q000379:methods*; D014584:User-Computer Interface
keywords: COPD; Patient-facing Technology; iPad App