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Table 8 Smart Phone usage, barriers and app preferences, by institution and role

From: A survey of cancer care institutions in Nepal to inform design of a pain management mobile application

 

Overall

Public General

Public Cancer

Private Cancer

Hospice

100% (92)

29% (27)

33% (30)

30% (28)

8% (7)

Roles

% within row total(n)

Total

Nurse

Physician

Nurse

Physician

Nurse

Physician

Nurse

Physician

Nurse

100%(92)

70%(64)

30% (28)

78% (21)

22% (6)

47% (14)

53% (16)

79% (22)

21% (6)

100% (7)

Access to Smart Phone % within column total (n)

 Yes

98%(90)

97%(62)

100% (28)

100% (21)

100% (6)

86% (12)

100% (16)

100% (22)

100% (6)

100% (7)

 No

2% (2)

3% (2)

0%(0)

0%(0)

0%(0)

14% (2)

0%(0)

0%(0)

0%(0)

0%(0)

Type of Smart Phone Used

(Asked of those with access to a smart phone) % within column total (n)

 Android

82%(74)

87% (54)

71% (20)

81% (17)

83% (5)

92% (11)

63% (10)

96% (21)

83% (5)

71% (5)

 IOS

17% (15)

11% (7)

29% (8)

19% (4)

17% (1)

8% (1)

38% (6)

5% (1)

17% (1)

14% (1)

 Other

1% (1)

2% (1)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

14% (1)

Frequency of Smart Phone Use

(Asked of those with access to a smart phone) % within column total (n)

 Daily

100%(89)

100%(61)

100% (28)

100% (20)

100% (6)

100% (12)

100% (16)

100% (22)

100% (6)

100% (7)

 Few times/week

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

 Few times/month

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

 Few times/year

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

 Other

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

0%(0)

Barriers to Smart Phone use^ % within column total (n)

 Lack of mobile service at home

3% (3)

5% (3)

0%(0)

0%(0)

0%(0)

7% (1)

0%(0)

5% (1)

0%(0)

14% (1)

 Lack of mobile service at work

13% (12)

19% (12)

0%(0)

5% (1)

0%(0)

36% (5)

0%(0)

23% (5)

0%(0)

14% (1)

 Not allowed to use mobile phone at work

43% (40)

61% (39)

4% (1)

81% (17)

0%(0)

43% (6)

0%(0)

68% (15)

17% (1)

14% (1)

 Cost of data access

61% (56)

70% (45)

39% (11)

52% (11)

17% (1)

79% (11)

44% (7)

91% (20)

50% (3)

43% (3)

 Cost of Smart Phone

15% (14)

22% (14)

0%(0)

5% (1)

0%(0)

29% (4)

0%(0)

32% (7)

0%(0)

29% (2)

 Concern about using in presence of patients

42% (39)

53% (34)

18% (5)

48% (10)

0%(0)

14% (2)

25% (4)

82% (18)

17% (1)

57% (4)

 I am not interested in using a Smart Phone

1% (1)

2% (1)

0%(0)

0%(0)

0%(0)

7% (1)

0%(0)

0%(0)

0%(0)

0%(0)

 I encounter no barriers in using a Smart Phone

16% (15)

3% (2)

46% (13)

0%(0)

67% (4)

14% (2)

44% (7)

0%(0)

33% (2)

0%(0)

 Other

2% (2)

2% (1)

4% (1)

0%(0)

17% (1)

0%(0)

0%(0)

0%(0)

0%(0)

14% (1)

How could an app help better manage cancer pain^ % within column total (n)

 Assess cancer pain

73%(67)

73% (47)

71% (20)

81% (17)

83% (5)

50% (7)

69% (11)

82% (18)

67% (4)

71% (5)

 Understand cancer pain physiology

75%(69)

84% (54)

54% (15)

95% (20)

33% (2)

57% (8)

44% (7)

86% (19)

100% (6)

100% (7)

 Prescribe/give opioid medications

78%(72)

73% (47)

89% (25)

86% (18)

100% (6)

43% (6)

81% (13)

91% (20)

100% (6)

43% (3)

 Prescribe/give non-opioid medications

73%(67)

69% (44)

82% (23)

76% (16)

67% (4)

36% (5)

81% (13)

91% (20)

100% (6)

43% (3)

 Prescribe/give non-pharmacological treatments

63%(58)

67% (43)

54% (15)

67% (14)

50% (3)

57% (8)

44% (7)

86% (19)

83% (5)

29% (2)

 Educate patients/family members

86%(79)

92%(59)

71% (20)

100% (21)

83% (5)

71% (10)

63% (10)

100% (22)

83% (5)

86% (6)

 Review reports of patient symptoms

66%(61)

69% (44)

61% (17)

81% (17)

67% (4)

43% (6)

50% (8)

82% (18)

83% (5)

43% (3)

 Share information with/learn from other Healthcare-Providers (HCPs)

82%(75)

84% (54)

75% (21)

91% (19)

83% (5)

64% (9)

69% (11)

91% (20)

83% (5)

86% (6)

 Other

4% (4)

6% (4)

0%(0)

5% (1)

0%(0)

7% (1)

0%(0)

0%(0)

0%(0)

29% (2)

How to know if app to manage cancer pain is making a positive difference^ % within column total (n)

 Patients will be in less pain

76%(70)

78% (50)

71% (20)

76% (16)

100% (6)

64% (9)

56% (9)

91% (20)

83% (5)

71% (5)

 Families will be less stressed

79%(73)

84% (54)

68% (19)

81% (17)

83% (5)

79% (11)

50% (8)

91% (20)

100% (6)

86% (6)

 HCPs will use the app often

79%(73)

78% (50)

82% (23)

86% (18)

67% (4)

57% (8)

88% (14)

91% (20)

83% (5)

57% (4)

 HCPs will feel more confident prescribing/giving pain therapies

88%(81)

88% (56)

89% (25)

95% (20)

67% (4)

50% (7)

94% (15)

100% (22)

100% (6)

100% (7)

 Cancer pain management guidelines will be followed more consistently

90%(83)

89%(57)

93% (26)

100% (21)

83% (5)

50% (7)

94% (15)

100% (22)

100% (6)

100% (7)

 Morphine will be more available to patients in need

57% (52)

58% (37)

54% (15)

71% (15)

33% (2)

29% (4)

63% (10)

73% (16)

50% (3)

29% (2)

 Other

4% (4)

5% (3)

4% (1)

5% (1)

0%(0)

7% (1)

6% (1)

0%(0)

0%(0)

14% (1)

Frequency of app use, clinical care^^

 Mean(n)

6.38(92)

6.33(64)

6.50(28)

6.14(21)

6.50(6)

5.86(14)

5.94(16)

7.18(22)

8.00(6)

5.14(7)

Frequency of app use, personal reasons^^

 Mean(n)

7.65(92)

7.44(64)

8.14(28)

8.81(21)

7.83(6)

5.50(14)

8.6(16)

7.55(22)

8.67(6)

6.86(7)

  1. ^ Respondents could select more than 1 response category. The column percentage is calculated based on the number of people who responded to the question; therefore, total percent can exceed 100. (n) = frequency of response for that item. Statistical significance was not tested on multiple response items
  2. ^^ Average mean score reported, based on scale of 0 (never) to 10 (very often)
  3. Bold numbers indicate the difference among roles/categories of provider on the question is statistically significant (α = 0.05) within the institution or between overall provider role
  4. HCPs, Healthcare-Providers