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Digital health applications in the self‐management of epilepsy : A survey on patients' perspective

Title data

Houta, Salima ; Bader, Alisa ; Effert, Jana-Sophie ; Esser, Birgitta ; Henze, Jasmin ; Spaic, Alexandra ; Zocher, Feline ; Lauerer, Michael ; Surges, Rainer:
Digital health applications in the self‐management of epilepsy : A survey on patients' perspective.
In: Epilepsia Open. Vol. 8 (2023) Issue 4 . - pp. 1288-1299.
ISSN 2470-9239

Project information

Project title:
Project's official title
Project's id

Project financing: Andere
Federal Ministry of Health

Abstract in another language

Digital health applications can be prescribed since 2019 in Germany, which is likely to facilitate a broad use of epilepsy self-management applications, possibly directly connected to clinical systems via telematics infrastructures. This article reports on patients' interest in digital support for epilepsy self-management, influencing factors and patients' knowledge about digitization of health care in Germany.

This work is based on self-reported data from 115 people with epilepsy participating in an anonymous online survey with a total of 54 questions covering several topics, including sociodemographics and epilepsy manifestation, use of technology in general and for treatment support, training programs, affinity for technology, knowledge on the digital infrastructure in Germany, and self-efficacy in dealing with chronic illness. The self-constructed questionnaire uses existing instruments like TA-EG, SES6G, and Hoffmeyer-Zlotnik sociodemographic questionnaire. To analyze the knowledge about digitalization in health care, a combination of self-assessment and knowledge quiz was used. The analysis was performed using descriptive methods and inferential statistics (t-test, reliability analysis, and correlations).

Participants were most interested in seizure alerting and documentation with the possibility to share documentation with physicians. The analysis of technology affinity showed medium enthusiasm, with positively perceived consequences being rated higher than the negatively perceived consequences of technology use. Knowledge on national health infrastructures was mediocre and training on this was judged to be essential and desired. Furthermore, a significant correlation was found between interest in use and affinity for technology (enthusiasm for technology [r = 0.29; P = 0.00]) and positively perceived consequences of technology (r = 0.33; P = 0.00).

Our results underline the high relevance of digital solutions for patients and the importance of individual training opportunities in digital health literacy, thereby enabling patients to decide competently for or against offered digital solutions.

Further data

Item Type: Article in a journal
Refereed: Yes
Keywords: digital health literacy; health information exchange; knowledge about digital health infrastructures; mobile applications; self-management
Institutions of the University: Faculties > Faculty of Law, Business and Economics > Chair Healthcare Management and Health Sciences > Chair Healthcare Management and Health Sciences - Univ.-Prof. Dr. Dr. Dr. h.c. Eckhard Nagel
Faculties > Faculty of Law, Business and Economics
Faculties > Faculty of Law, Business and Economics > Chair Healthcare Management and Health Sciences
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences
300 Social sciences > 300 Social sciences, sociology and anthropology
600 Technology, medicine, applied sciences > 610 Medicine and health
Date Deposited: 20 Jul 2023 06:47
Last Modified: 08 Feb 2024 10:00