%0 Journal Article
%@ 2561-326X
%I JMIR Publications
%V 8
%N 
%P e43683
%T Mapping the Cardiometabolic Patient Experience and Self-Care Behaviors to Inform Design, Implementation, and Persistent Use of Digital Health Care Solutions: Mixed Methods Study
%A Liska,Jan
%A Mical,Marie
%A Maillard,Christophe
%A Dessapt,Cécile
%A Bendig,Europa
%A Mai,Daniel
%A Piette,John D
%A De Geest,Sabina
%A Fontaine,Guillaume
%+ Sanofi, 46-48 Avenue de la Grande Armée, Paris, 75017, France, 33 141247000, Jan.Liska@sanofi.com
%K self-care
%K adherence
%K digital health
%K design
%K implementation
%K coronary
%K type 2 diabetes
%K care
%K patient engagement
%K behavior
%K interview
%K treatment
%K tool
%K digital tool
%K support
%D 2024
%7 12.1.2024
%9 Original Paper
%J JMIR Form Res
%G English
%X Background: Cardiometabolic conditions including acute coronary syndrome (ACS) and type 2 diabetes (T2D) require comprehensive care and patient engagement in self-care behaviors, and the drivers of those behaviors at the individual and health system level are still poorly understood. Objective: We aim to gain insights into self-care behaviors of individuals with cardiometabolic conditions. Methods: A convenience sample of 98 adult patients with ACS and T2D was recruited in the United States, Germany, and Taiwan to participate in a mixed methods study using ethnographic methods. All participants completed 7-day web-based diaries tracking their level of engagement, and 48 completed 90-minute web-based semistructured interviews between February 4, 2021, and March 27, 2021, focusing on themes including moments of engagement. Qualitative analysis identified factors influencing self-care practices and a Patient Mind States Model prototype. Results: Patient reports indicate that many patients feel social pressure to adhere to treatment. Patients’ experience can be understood within 5 categories defined in terms of their degree of engagement and adherence (“ignoring,” “struggling,” “juggling,” “controlling,” and “reframing”). Conclusions: For people living with ACS and T2D, the self-care journey is defined by patterns of patient experiences, which can identify areas that tailored digital health care interventions may play a meaningful role. 
%M 38214969
%R 10.2196/43683
%U https://formative.jmir.org/2024/1/e43683
%U https://doi.org/10.2196/43683
%U http://www.ncbi.nlm.nih.gov/pubmed/38214969