Investigating Patient Perspectives on Using eHealth Technologies for the Self-Management of Inflammatory Bowel Disease: Mixed Methods Study

Background: Inflammatory bowel disease (IBD) poses significant challenges for patients, requiring continuous monitoringand self-management to improve quality of life. Objective: This study aims to investigate the viewpoints of individuals living with IBD on the use of information andcommunication technology (ICT) for the self-management of their condition, with a particular focus on the concept of a "smart"toilet seat as an example of ICT for IBD self-management. Methods: We conducted an analysis of questionnaire responses obtained from 724 participants. They were encouraged to sharetheir use cases and identify any perceived barriers associated with ICT adoption for managing their condition. To assess theirresponses, we used descriptive quantitative analysis, summative content analysis, and thematic qualitative analysis. We combinedthese results in an epistemic network analysis to look for meaningful patterns in the responses. Results: Of the 724 participants, more than half (n=405, 55.9%) were already using various forms of ICT for IBDself-management. The primary factor influencing their use of ICT was their affinity for interacting with technology. Distinctdifferences emerged between individuals who were using ICT and those who were not, particularly regarding their perceived usecases and concerns. Conclusions: This study provides valuable insights into the perspectives of individuals with IBD on the use of ICT forself-management. To facilitate wider adoption, addressing privacy concerns, ensuring data security, and establishing reliable ICTintegration will be critical.