Innovative use of a mobile web application to remotely monitor non-hospitalized patients with COVID-19

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Telemed JE Health. 2022 Jan 11. doi: 10.1089/tmj.2021.0429. Online ahead of print.


Introduction: Most patients with COVID-19 do not require hospitalization but may require close monitoring, which can strain primary care practices. Our objective was to describe the implementation of a mobile web application to monitor signs and symptoms of COVID-19 in non-hospitalized primary care patients and to assess the feasibility and acceptability of the application. Study the design: Retrospective analysis of (1) mobile web application data from March to December 2020 and (2) cross-sectional surveys administered in June 2020. Materials and methods: We recruited outpatients and staff from nine New England primary care practices at 29 sites. Outcomes included the feasibility and acceptability of the app, measured by the proportion of texts that resulted in a response, the proportion of patients who agreed that using the app was easy, and the proportion of staff doctors who agreed that the app reduced awareness burden and would recommend its use. . Results: Five thousand five hundred thirty-two patients used the mobile web application, with 26,466 responses in total. Overall, 78% of daily text messages resulted in a response from patients. Most patients agreed that texting was easy to respond to (95%) and that they would be willing to participate in other texting programs (78%). Most staff agreed that the program reduced the burden of awareness (94%) and that they would recommend use to other practices (100%). Conclusion: Use of a COVID-19 symptom tracker app was feasible and acceptable to patients and primary care staff. Ambulatory practices should consider the use of mobile web applications to monitor outpatients with other acute illnesses.

PMID:35020491 | DOI:10.1089/tmj.2021.0429

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