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Launching and evaluating a mobile phone app to provide contemporary, evidence-based advice about self-treatable conditions

Lezley-Anne Hanna, Maurice Hall

Abstract


Rationale, aims and objectives: As government-funded healthcare provisions are stretched to their limits, it is important that healthcare professionals provide evidence-based advice about minor ailments to facilitate people’s abilities to self-treat these conditions effectively and appropriately, given that self-care is one of the many components of person-centered healthcare. Unfortunately, despite the expanding over-the-counter (OTC) medicines market, there have been doubts cast about advice given by UK community pharmacists. Indeed, research conducted with pharmacists revealed that evidence of effectiveness was a secondary consideration when making decisions about OTC recommendations. We aimed to address these concerns and support decision-making by providing high quality, evidence-based, information about self-treatable conditions and over-the-counter consultations through a mobile phone app.

Method: There were 4 main stages, namely: (1) app development (content and design); (2) piloting (use-testing); (3) publication on Apple and Android stores and marketing of the app and, finally, (4) an evaluation (using analytical data obtained through the app content management system, feedback obtained via email, the star-rating and reviews posted on Google Play and Apple stores and comments obtained at events. Additionally, following ethical approval and piloting, we invited 100 people, representing different groups within the pharmacy profession in Northern Ireland, to complete an evaluation questionnaire.

Results: Since launching the project in February 2017, there have been over 5000 downloads, 68,453 sessions of use and the app has received a 5-star rating on both Apple and Google Play stores. Positive feedback has centred on the material being relevant and up-to-date, that it facilitates quick access to information in the workplace and is easy to navigate and that it is a good training tool. Future suggestions for improvement include expanding the number of conditions and providing self-assessment questions to help students prepare for professional examinations.

Conclusions: The app appears to have had a positive impact on OTC consultations, but it is still evolving to ensure its usefulness in practice is maximised.

Keywords


Community pharmacy, decision-making, evaluation evidence-based medicine, healthcare costs, medical education, mobile apps, patient-centered care, person-centered healthcare, self-care

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References


Proprietary Association of Great Britain. (2017). Report: self care nation: self care attitudes and behaviours in the UK. Available at: https://www.pagb.co.uk/latest-news/report-self-care-nation-self-care-attitudes-behaviours-uk/ Accessed December 2, 2017.

GOV.UK. (2017). Reclassification of Otrivine Extra Dual Relief, Nasonex Allergy Control and Maloff Protect. Available at: https://www.gov.uk/search?q=reclassification Accessed December 2, 2017.

Medicines and Healthcare products Regulatory Agency (MHRA). (2017). MHRA reclassifies Viagra Connect tablets to a Pharmacy medicine. Available at:

https://www.gov.uk/government/news/mhra-reclassifies-viagra-connect-tablets-to-a-pharmacy-medicine Accessed December 8, 2017.

Hanna, L-A. & Hughes, C.M. (2010). 'First, do no harm': factors that influence pharmacists making decisions about over-the-counter medication: a qualitative study in Northern Ireland. Drug Safety 33 (3) 245-255.

Hanna, L-A. & Hughes, C.M. (2012). Pharmacists' attitudes towards an evidence-based approach for over-the-counter medication. International Journal of Clinical Pharmacy 34 (1) 63-71.

McKee, P., Hughes, C.M. & Hanna, L-A. (2015). Views of pharmacy graduates and pharmacist tutors on evidence-based practice in relation to over-the-counter consultations: a qualitative study. Journal of Evaluation in Clinical Practice 21 (6) 1040-1046.

Rutter, P. & Wadesango, E. (2014). Does evidence drive pharmacist over-the-counter product recommendations? Journal of Evaluation in Clinical Practice 20 (4) 425-428.

Watson, M.C. & Bond, C.M. (2004). The evidence-based supply of non-prescription medicines: barriers and beliefs. International Journal of Pharmacy Practice 12 (2) 65-72.

Which? (2013). Can you trust your local pharmacy's advice? Available at:

http://www.which.co.uk/news/2013/05/can-you-trust-your-local-pharmacys-advice-319886/ Accessed December 8, 2017.

Divall, P., Camosso-Stefinovic, J. & Baker, R. (2013). The use of personal digital assistants in clinical decision making by health care professionals: a systematic review. Health Informatics Journal 19 (1) 16-28.

Mickan, S., Tilson, J.K., Atherton, H., Roberts, N.W. & Heneghan, C. (2013). Evidence of effectiveness of health care professionals using handheld computers; a scoping review of systematic reviews. Journal of Medical Internet Research 15 (10) e212.

Mosa, A.S., Yoo, I. & Sheets, L. (2012). A systematic review of health care apps for smartphones. BMC Medical Informatics and Decision Making 12 (1) 67.

Wiechmann, W., Kwan, D., Bokarius, A. & Toohey, S.L. (2016). There’s an App for That? Highlighting the Difficulty in Finding Clinically Relevant Smartphone Applications. Western Journal of Emergency Medicine 17 (2) 191-194.

Edwards, P.J., Roberts, I., Clarke, M.J., Diquiseppi, C., Wentz, R., Kwan, I., Cooper, R., Felix, L.M. & Pratap, S. (2009). Methods to increase response to postal and electronic questionnaires. Cochrane Database of Systematic Reviews 3, MR000008.

Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology 3 (2) 77-101.

Rodis, J., Aungst, T.D., Brown, N.V., Cui, Y. & Tam, L. (2016). Enhancing Pharmacy Student Learning and Perceptions of Medical Apps. JMIR mHealth and uHealth 4 (2) e55.

Briz-Ponce, L., Juanes-Méndez, J.A., García-Peñalvo, F.J. & Pereira, A. (2016). Effects of Mobile Learning in Medical Education: A Counterfactual Evaluation. Journal of Medical Systems 40 (6) 136.

Zhang, M.W., Cheok, C.C. & Ho, R.C. (2015). Global Outreach of a Locally-Developed Mobile Phone App for Undergraduate Psychiatry Education. JMIR Medical Education 1 (1) e3.

Liu, Y., Ren, W., Qiu, Y., Liu, J., Yin, P. & Ren, J. (2016). The Use of Mobile Phone and Medical Apps among General Practitioners in Hangzhou City, Eastern China. JMIR mHealth and uHealth 4 (2) e64.

Davies, M.J., Kotadia, A., Mughal, H., Hannan, A. & Alqarni, H. (2015). The attitudes of pharmacists, students and the general public on mHealth applications for medication adherence. Pharmacy Practice (Granada) 13 (4) 644.

Patel, R., Green, W., Shahzad, M.W. & Larkin, C. (2015). Use of Mobile Clinical Decision Support Software by Junior Doctors at a UK Teaching Hospital: Identification and Evaluation of Barriers to Engagement. JMIR mHealth and uHealth 3 (3) e80.

Pauwels, K., Aerts, S., Muijzers, E., De Jaegere, E., van Heeringen, K. & Portzky, G. (2017). BackUp: Development and evaluation of a smart-phone application for coping with suicidal crises. PLoS One 12 (6) e0178144.

Pereira-Azevedo, N., Osório, L., Fraga, A. & Roobol, M.J. (2017). Rotterdam Prostate Cancer Risk Calculator: Development and Usability Testing of the Mobile Phone App. JMIR Cancer 3 (1) e1.




DOI: http://dx.doi.org/10.5750/ejpch.v6i3.1490

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