Challenges of Implementing an mHealth Application for Personalized Physical Activity Counselling in Primary Health Care: A Qualitative Study

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Abstract

Introduction

A mobile health (mHealth) technology has the potential to facilitate personalized physical activity (PA) counselling. We aimed to explore the feasibility and challenges of implementing a newly developed mHealth application (PAC app) for personalized PA counselling.

Material and Methods

A qualitative design employed a descriptive phenomenology approach. Data were collected through focus group discussions (FGDs) with primary health care (PHC) providers and were analyzed using a deductive thematic approach.

Results

A total of 16 participants participated in four FGDs. Four major themes were found: application for personalized PA counselling, barriers to the use of the application by providers, patient involvement, and impact on PHC services.

Discussion

The results showed that the new mHealth application can potentially facilitate PA counselling. However, its use in PHC settings requires an understanding of the context of service delivery; the challenges faced by providers and patients and effects on services must be considered.

Conclusion

Future research should focus on the long-term use of PAC app and its impact on behavioral and health outcomes.

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Most cited references 37

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Using thematic analysis in psychology

Virginia Braun, Victoria Clarke (2014)

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Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

A Tong, P SAINSBURY, J. Craig (2007)

Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.

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Standards for reporting qualitative research: a synthesis of recommendations.

Bridget O’Brien, Ilene Harris, Thomas Beckman … (2014)

Standards for reporting exist for many types of quantitative research, but currently none exist for the broad spectrum of qualitative research. The purpose of the present study was to formulate and define standards for reporting qualitative research while preserving the requisite flexibility to accommodate various paradigms, approaches, and methods.

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Author and article information

Journal

Journal ID (nlm-ta): Int J Gen Med

Journal ID (iso-abbrev): Int J Gen Med

Journal ID (publisher-id): ijgm

Journal ID (pmc): ijgm

Title: International Journal of General Medicine

Publisher: Dove

ISSN (Electronic): 1178-7074

Publication date (Electronic): 24 July 2021

Publication date Collection: 2021

Volume: 14

Pages: 3821-3831

Affiliations

[1 ]School of Medicine, Walailak University , Nakhon Si Thammarat, Thailand

[2 ]Walailak University Hospital , Nakhon Si Thammarat, Thailand

[3 ]College of Graduate Studies, Walailak University , Nakhon Si Thammarat, Thailand

[4 ]Thasala Hospital , Nakhon Si Thammarat, Thailand

[5 ]International Health Policy Program, Ministry of Public Health , Nonthaburi, Thailand

[6 ]Faculty of Medicine, Prince of Songkla University , Songkhla, Thailand

[7 ]School of Informatics, Walailak University , Nakhon Si Thammarat, Thailand

Author notes

Correspondence: Apichai Wattanapisit School of Medicine, Walailak University , 222, Thaiburi, Thasala, Nakhon Si Thammarat, 80161, ThailandTel +66 7567 2801Fax +66 7567 2807 Email apichai.wa@wu.ac.th

Author information

Apichai Wattanapisit http://orcid.org/0000-0002-9537-8510

Waluka Amaek http://orcid.org/0000-0001-6318-7720

Article

Publisher ID: 317241

DOI: 10.2147/IJGM.S317241

PMC ID: 8318008

PubMed ID: 34335048

SO-VID: eef4d4e5-9fe3-40d7-859d-ef40a023b2c5

License:

This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

History

Date received : 23 April 2021

Date accepted : 09 July 2021

Page count

Figures: 2, Tables: 6, References: 38, Pages: 11

Funding

Funded by: The Medical Association of Thailand;

Funded by: Walailak University under the new strategic research;

This research was funded by The Medical Association of Thailand. The APC was partially funded by Walailak University under the new strategic research (P2P) project.

Challenges of Implementing an mHealth Application for Personalized Physical Activity Counselling in Primary Health Care: A Qualitative Study

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Abstract

Introduction

Material and Methods

Results

Discussion

Conclusion

Related collections

The International Journal of Person Centered Medicine

Most cited references 37

Using thematic analysis in psychology

Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

Standards for reporting qualitative research: a synthesis of recommendations.

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Author notes

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