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As VA works on solutions that will allow Veterans to use their
mobile devices to interact with their health care team, learn
about their medical needs, and access tools to help improve
their health, it is important to consider the role of research in
this fast-changing field.
Research assessing the individual effectiveness of the thousands
of health apps already in circulation isn't possible, or even useful. Although one
can simply assume the market will sort it out—that patients and clinicians will
gravitate to those products they feel work best for them—this view sells short the
value of research and research-derived knowledge.
One role for research is to steer app developers to effective strategies for supporting
behavior change. Apps should incorporate functions that increase self-efficacy,
assist problem-solving, and provide context-sensitive prompts—all strategies
shown to be effective. Similarly, research has proven the effectiveness of peer support,
nurse-led care management, and caregiver support, approaches that can be
facilitated by well-designed apps. To be fully effective, VA apps will need to communicate
appropriately with the team members who can adjust treatments and
determine need for follow up.
So, what are key research questions for the development of mobile health applications?
Here are two:
- How can we use mobile apps to collect patient-reported outcomes to better inform
treatment decisions, performance measurements, and real-world effectiveness
- How can mobile apps and Internet tools enhance approaches using peer support
and community-based care?
I will expand on these ideas in my blog, where I invite you to suggest additional
questions worthy of research. VA readers can send comments to my blog and non-
VA readers can send suggestions to firstname.lastname@example.org.
David Atkins, M.D., M.P.H., Director, HSR&D