The core readiness of Sleman Region community on mobile health implementation: a qualitative study

Adinda Septianingtyas(1), Ariani Arista Putri Pertiwi(2*), Kurnia Putri Yuliandari(3)
(1) Universitas Gadjah Mada
(2) Universitas Gadjah Mada
(3) Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Introduction: The innovation of healthcare technology has developed rapidly, including mobile health (mHealth). The success of mHealth implementation in community settings obtain influenced by core readiness factors, distinctly community needs towards mHealth. This study aims to explore the core readiness of the Sleman Region community on the use of mHealth, specifically the features needed and the determining aspects of acceptance.
Methods: This study used a qualitative design and conducted in-depth interviews with 13 community members. Participants were chosen purposively by Public Health Centre with various characteristics from January-March 2020. The verbatim transcripts were analysed using the direct content analysis technique with peer debriefing.
Results: There are five themes of core readiness that are identification of needs obtained feature needed, satisfaction and dissatisfaction when using existing applications, knowledge of mHealth potency including advantages and disadvantages, acceptance of aspects that determine the use of mHealth, and enthusiasm for future mHealth that including reasons whether using the application or not. Specifically, the following features needed in the community are health information, self-medication, online consultation, mapping of healthcare services, peer support group, health promotion, personal training, emergency, personal health record, and feature for specific groups. The eight determining aspects of mHealth influencing community acceptance are interface design, easiness, content delivery, cost, promotion, performance, safety, privacy, and sustainability.
Conclusions: The findings indicate that the Sleman Region community stands ready to accept the implementation of mHealth based on core readiness exploration. These findings can become a consideration in the development of future mHealth applications.
Keywords
Full Text:
PDFReferences
1. Brinkhoff T. Literacy rates of the countries of the world [Internet]. 2016 [cited 2019 Feb 13]. Available from: http://world.bymap.org/LiteracyRates.html
2. Badan Pusat Statistik. Statistik Telekomunikasi Indonesia 2017. Jakarta; 2018.
3. Scully C. Health promotion [Internet]. Scully’s Medical Problems in Dentistry. 2014. 787–789 p. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780702054013000369
4. World Health Organization. mHealth: new horizons for health through mobile technologies: second global survey on eHealth. Glob Obs eHealth Ser. 2011;3(June):103.
5. Khatun F, Heywood AE, Ray PK, Hanifi SMA, Bhuiya A, Liaw ST. Determinants of readiness to adopt mHealth in a rural community of Bangladesh. Int J Med Inform [Internet]. 2015;84(10):847–56. Available from: http://dx.doi.org/10.1016/j.ijmedinf.2015.06.008
6. Minnesota Departement of Human Service. Assessing Community Needs and Strengths : A toolkit for working with communities on ATOD prevention. 2007;
7. Khatun F, Heywood AE, Ray PK, Bhuiya A, Liaw ST. Community readiness for adopting mHealth in rural Bangladesh: A qualitative exploration. Int J Med Inform [Internet]. 2016 Sep;93:49–56. Available from: https://doi.org/10.1016/j.ijmedinf.2016.05.010
8. Cerrato P, Halamka J. Designing Mobile Health Apps. Transform Power Mob Med. 2019;195–203.
9. Gandy M, Westeyn T, Brashear H, Starner T. Wearable System Design Issues for Aging or Disabled Users. In: The Engineering Handbook of Smart Technology for Aging, Disability, and Independence. A John Willey & Sons Inc. Publisher; 2008.
10. Badan Pusat Statistik. Perkembangan Indeks Pembangunan Teknologi Informasi dan Komunikasi (IP-TIK) [Internet]. Jakarta; 2018. Available from: https://www.bps.go.id/
11. Kementrian Komunikasi dan Informatika RI. Langkah Menuju “100 Smart City” [Internet]. 2017 [cited 2019 Mar 25]. Available from: https://kominfo.go.id/content/detail/11656/langkah-menuju-100-smart-city/0/sorotan_media
12. Badan Pusat Statistik. Klasifikasi perkotaan dan perdesaan di Indonesia Buku 2: Jawa. 2010.
13. Adab G, Rahma A, Yuwono S. Bahagiakah Kalau Manut? Studi Kepatuhan Pada Masyarakat Jawa. In: Prosiding Seminar Nasional Parenting 2013. 2013. p. 407–14.
14. Baxter C, Carroll J-A, Keogh B, Vandelanotte C. Assessment of Mobile Health Apps Using Built-In Smartphone Sensors for Diagnosis and Treatment: Systematic Survey of Apps Listed in International Curated Health App Libraries. JMIR Mhealth Uhealth [Internet]. 2020;8(2):e16741. Available from: https://mhealth.jmir.org/2020/2/e16741
15. Yee TS, Seong LC, Chin WS. Patient’s Intention to Use Mobile Health App. J Manag Res [Internet]. 2019;11(3):18. Available from: https://doi.org/10.5296/jmr.v11i3.14776
16. Sun X, Shi Y, Zeng Q, Wang Y, Du W, Wei N, et al. Determinants of health literacy and health behavior regarding infectious respiratory diseases: A pathway model. BMC Public Health [Internet]. 2013;13(1):1. Available from: https://doi.org/10.1186/1471-2458-13-261
17. Zhao Y, Ni Q, Zhou R. What factors influence the mobile health service adoption? A meta-analysis and the moderating role of age. Int J Inf Manage [Internet]. 2018;43(December 2016):342–50. Available from: https://doi.org/10.1016/j.ijinfomgt.2017.08.006
18. Guo X, Han X, Zhang X, Dang Y, Chen C. Investigating m-health acceptance from a protection motivation theory perspective: Gender and age differences. Telemed e-Health [Internet]. 2015;21(8):661–9. Available from: https://doi.org/10.1089/tmj.2014.0166
19. Handayani PW, Meigasari DA, Pinem AA, Hidayanto AN, Ayuningtyas D. Critical success factors for mobile health implementation in Indonesia. Heliyon [Internet]. 2018;4(11):e00981. Available from: https://doi.org/10.1016/j.heliyon.2018.e00981
20. Bhuyan SS, Lu N, Chandak A, Kim H, Wyant D, Bhatt J, et al. Use of Mobile Health Applications for Health-Seeking Behavior Among US Adults. J Med Syst [Internet]. 2016;40(6). Available from: https://doi.org/10.1007/s10916-016-0492-7
21. Widayati A. Swamedikasi di Kalangan Masyarakat Perkotaan di Kota Yogyakarta. J Farm Klin Indones [Internet]. 2013;2(4):145–52. Available from: https://repository.usd.ac.id/8909/1/Naskah_Swamedikasi Di Kalangan Masyarakat Perkotaan_2013.pdf
22. Baxter C, Carroll JA, Keogh B, Vandelanotte C. Assessment of mobile health apps using built-in smartphone sensors for diagnosis and treatment: Systematic survey of apps listed in international curated health app libraries. JMIR mHealth uHealth [Internet]. 2020;8(2). Available from: doi: 10.2196/16741
23. Agarwal N, Biswas B. Doctor consultation through mobile applications in India: An overview, challenges and the way forward. Healthc Inform Res [Internet]. 2020;26(2):153–8. Available from: https://doi.org/10.4258/hir.2020.26.2.153
24. Lee M, Lee H, Kim Y, Kim J, Cho M, Jang J, et al. Mobile app-based health promotion programs: A systematic review of the literature. Int J Environ Res Public Health [Internet]. 2018;15(12). Available from: doi: 10.3390/ijerph15122838
25. Vo V, Auroy L, Sarradon-Eck A. Patients’ perceptions of mhealth apps: Meta-ethnographic review of qualitative studies. J Med Internet Res [Internet]. 2019;21(7):1–20. Available from: doi:10.2196/13817
26. Juliantini LPE, Mulyawan K hari. Penggunaan Aplikasi Sistem Informasi Geografis dalam Pemetaan Persebaran Pemberi Pelayanan Kesehatan Tingkat Pertama dalam Rangka Persiapan Penyelenggaraan Sistem Jaminan Sosial Nasional di Kota Denpasar. Arch Community Heal. 2013;2(1):12–9.
27. Gonzalez E, Peña R, Avila A, Vargas-Rosales C, Munoz-Rodriguez D. A Systematic Review on Recent Advances in mHealth Systems: Deployment Architecture for Emergency Response. J Healthc Eng [Internet]. 2017;2017. Available from: https://doi.org/10.1155/2017/9186270
28. Higgins JP. Smartphone Applications for Patients’ Health and Fitness. Am J Med [Internet]. 2016;129(1):11–9. Available from: https://doi.org/10.1016/j.amjmed.2015.05.038
29. Bouri N, Ravi S. Going mobile: How mobile personal health records can improve health care during emergencies. J Med Internet Res [Internet]. 2014;16(3). Available from: doi: 10.2196/mhealth.3017
30. Siregar IA, Ode L, Rahman A, Siregar IA, Ode L, Rahman A, et al. Peran Aplikasi M-Health Dalam Promosi Kesehatan Aktivitas Fisik. 2020;9(1):1–12.
31. Peek ME. Can mHealth Interventions Reduce Health Disparities among Vulnerable Populations? Divers Equal Heal Care [Internet]. 2017;14(2):44–5. Available from: doi:10.21767/2049-5471.100091
32. Ross J, Gao J. Overcoming the language barrier in mobile user interface design – A case study on a mobile health app. ACIS 2015 Proc - 26th Australas Conf Inf Syst. 2015;
33. Nurhadryani Y, Sianturi SK, Hermadi I, Khotimah H. Pengujian Usability untuk Meningkatkan Antarmuka Aplikasi Mobile. J Ilmu Komput dan Agri-Informatika [Internet]. 2013;2(2):83. Available from: http://journal.ipb.ac.id/index.php/jika%0AVolume
34. Puspitasari I. Pengaruh pemanfaatan aplikasi m-health terhadap pengurangan keluhan mual muntah pada ibu hamil. J Ilmu Keperawatan dan Kebdanan. 2019;10(February).
35. Kreps GL. The relevance of health literacy to mHealth. Inf Serv Use. 2017;37(2):123–30.
36. Akter S, Ray P. mHealth - an Ultimate Platform to Serve the Unserved. Yearb Med Inform [Internet]. 2010;(August 2010):94–100. Available from: doi: 10.1055/s-0038-1638697
37. Oppong E, Hinson RE, Adeola O, Muritala O, Kosiba JP. The effect of mobile health service quality on user satisfaction and continual usage. Total Qual Manag Bus Excell [Internet]. 2018;0(0):1–22. Available from: https://doi.org/10.1080/14783363.2018.1541734
38. Muhambe T. Proposing Parameters for Evaluating Sustainability of mHealth Systems in Developing Countries. Int J Comput Technol [Internet]. 2018;17(1):7153–62. Available from: https://doi.org/10.24297/ijct.v17i1.7140

Article Metrics


Refbacks
- There are currently no refbacks.
Copyright (c) 2025 Journal of Community Empowerment for Health

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.