Feasibility and acceptability of smart phone applications for seizure management in China: questionnaire study among patients with epilepsy and children and adolescents' caregivers_Journal of Epilepsy

Authors：

 LIUXu , WANGRui , ZHOUDong ,  HONGZhen

Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

HONGZhen, Email: hongzhengoog@aliyun.com

Keywords：

Epilepsy; Smart phone; Apps; Seizure management

DOI：

10.7507/2096-0247.20160088

Video：

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Objective To determine the feasibility as well as the attitudes among caregivers of children and adolescents with epilepsy and adult patients with epilepsy in China towards the use of smart phone applications (apps) for the management of seizures. Methods The caregivers of children and adolescents with epilepsy, ages ranging from 0 to 17 years old and adult patients who were more than 18 years old, were enrolled in the study from the Epilepsy Prevention and Cure Center of West China Hospital within the time period from June to December 2015. A questionnaire gauging the attitudes towards using apps for seizure management was administered to the 502 epilepsy patients and 390 caregivers of children and adolescents with epilepsy. Results Among adult patients, they were more likely to use an app in those who were young, lived in cities, had higher education, had a stable employment and had frequent seizures (P=0.002, P<0.001, P=0.001, P<0.001, P=0.01). Among caregivers of children and adolescents with epilepsy, participants were more likely to use an app in those who were male (P=0.03), had a higher education level, a higher annual household income as well as stable job (P<0.001, P<0.001, P=0.02). Conclusion The results of this study imply a favorable attitude towards the use of apps for seizure management among adult patients and caregivers of children and adolescents with epilepsy. The use of such apps in China represents a promising strategy among caregivers for seizure management.

Citation： LIUXu, WANGRui, ZHOUDong, HONGZhen. Feasibility and acceptability of smart phone applications for seizure management in China: questionnaire study among patients with epilepsy and children and adolescents' caregivers. Journal of Epilepsy, 2016, 2(6): 499-503. doi: 10.7507/2096-0247.20160088 Copy

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1. Ngugi AK, Bottomley C, Fegan G, et al. Premature mortality in active convulsive epilepsy in rural Kenya:causes and associated factors. Neurology, 2014, 82(11):582-589.
2. 林庆, 刘晓燕,秦炯. 实用小儿癫痫病学. 北京:北京科学技术出版社,2004:47-51.
3. Hilliard ME, Hahn A, Ridge AK, et al. User preferences and design recommendations for an mHealth app to promote cystic fibrosis self-management. JMIR mHealth and uHealth, 2014,2(3):e44.
4. Goh G, Tan NC, Malhotra R, et al. Short-term trajectories of use of a caloric-monitoring mobile phone app among patients with type 2 diabetes mellitus in a primary care setting. J Med Internet Res, 2015,17(2):e33.
5. Lorig KR, Holman H. Self-management education:history, definition, outcomes and mechanisms. Ann Behav Med, 2003, 26(3):1-7.
6. Arnhold M, Quade M, Kirch W. Mobile applications for diabetics:a systematic review and expert-based usability evaluation considering the special requirements of diabetes patients age 50 years or older. J Med Internet Res, 2014, 16(4):e104.
7. Kumar N, Khunger M, Gupta A, et al. A content analysis of smartphone-based applications for hypertension management. JASH, 2015, 9(1):130-136.
8. Pandher PS, Bhullar KK. Smartphone applications for seizure management. J Health Informatics, 2015, 172(6):1507-1516.
9. Le S, Shafer PO, Bartfeld E, et al. An online diary for tracking epilepsy. Epilepsy Behav, 2011, 22(2):705-709.
10. Kassam-Adams N, Marsac ML, Kohser KL, et al. A new method for assessing content validity in model-based creation and iteration of eHealth interventions. J Med Internet Res, 2015, 17(7):e95.
11. Piette JD, Striplin D, Marinec N, et al. A mobile health intervention supporting heart failure patients and their informal caregivers:a randomized comparative effectiveness trial. J Med Internet Res, 2015, 17(3):142.
12. McGillicuddy JW, Weiland AK, Frenzel RM, et al. Patient attitudes toward mobile phone-based health monitoring:questionnaire study among kidney transplant recipients. J Med Internet Res, 2013, 15(4):6.

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