{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:59:34Z","timestamp":1790611174462,"version":"4.1.0"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Digit. Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Digital health technologies have transformed chronic disease management by supporting remote monitoring, personalized care, and improved communication between patients and healthcare providers. Applications such as mobile health platforms, telemedicine, and wearable devices can enhance self-management and continuity of care for individuals with chronic illnesses. In Saudi Arabia, digital health platforms, including Sehhaty, have been introduced to improve healthcare accessibility; however, patient utilization remains suboptimal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to assess patients\u2019 awareness, attitudes, and experiences regarding the use of digital health services among individuals living with chronic diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive cross-sectional study was conducted among patients with confirmed chronic illnesses attending outpatient clinics at King Abdulaziz Medical City. Data were collected using a structured questionnaire assessing sociodemographic characteristics, awareness, experience, digital health utilization patterns, and attitudes toward digital health application use. Descriptive and inferential statistical analyses were performed to identify factors associated with awareness and attitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nearly half of the participants (45.5%) demonstrated low digital health awareness, while 50.6% exhibited positive attitudes toward digital health applications. Sehhaty was the most commonly used application (38.9%), and 68.5% used the internet to obtain health-related information. Digital health awareness was strongly positively correlated with attitudes toward digital health applications (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.693,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Higher awareness, use of digital health applications, internet use for health information, and younger age were significant predictors of more positive attitudes (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nearly half of the patients with chronic illnesses demonstrated low digital health awareness, although attitudes toward digital health applications were generally positive. Enhancing digital literacy and integrating digital health education into routine care may improve the adoption and effective use of digital health technologies in chronic disease management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fdgth.2026.1887874","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:47:42Z","timestamp":1790610462000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Awareness, attitudes, and experiences of using digital health services among patients with chronic diseases at King Abdulaziz Medical City"],"prefix":"10.3389","volume":"8","author":[{"given":"Seham A.","family":"Elgamal","sequence":"first","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahmah","family":"Alalawi","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neama Y.","family":"Hantira","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]},{"name":"Community Health Nursing Department, Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rana","family":"Alsulami","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzan","family":"Abdulsubhan","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danah","family":"Abutaleb","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Batool","family":"Althobaiti","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafa","family":"Binzagr","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahad","family":"Almehmadi","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dareen","family":"Alqhtani","sequence":"additional","affiliation":[{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"King Abdullah International Medical Research Center (KAIMRC)","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of the National Guard Health Affairs","place":["Jeddah, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"B1","year":"2026"},{"key":"B2","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.mayocpiqo.2023.08.005","article-title":"The burden of chronic disease","volume":"8","author":"Hacker","year":"2024","journal-title":"Mayo Clin Proc Innov Qual Outcomes"},{"key":"B3","year":"2025"},{"key":"B4","doi-asserted-by":"publisher","first-page":"667654","DOI":"10.3389\/fpubh.2021.667654","article-title":"Optimizing healthcare through digital health and wellness solutions to meet the needs of patients with chronic disease during the COVID-19 era","volume":"9","author":"Seixas","year":"2021","journal-title":"Front Public Health"},{"key":"B5","author":"Abernethy","year":"2022"},{"key":"B6","doi-asserted-by":"publisher","first-page":"4589","DOI":"10.1007\/s00520-020-05539-1","article-title":"Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives","volume":"28","author":"Aapro","year":"2020","journal-title":"Support Care Cancer"},{"key":"B7","year":"2023"},{"key":"B8","doi-asserted-by":"publisher","first-page":"2566","DOI":"10.30574\/ijsra.2024.11.1.0334","article-title":"The role of mobile health applications in improving patient engagement and health outcomes: a critical review","volume":"11","author":"Okolo","year":"2024","journal-title":"Int J Sci Res Arch"},{"key":"B9","doi-asserted-by":"publisher","first-page":"e41541","DOI":"10.7759\/cureus.41541","article-title":"Utilization of telemedicine during COVID-19 in Saudi Arabia: a multicenter study","volume":"15","author":"Al Mutair","year":"2023","journal-title":"Cureus"},{"key":"B10","doi-asserted-by":"publisher","first-page":"14604582221102316","DOI":"10.1177\/14604582221102316","article-title":"An empirical study of factors influencing e-health services adoption among public in Saudi Arabia","volume":"28","author":"Almazroi","year":"2022","journal-title":"Health Informatics J"},{"key":"B11","doi-asserted-by":"publisher","first-page":"105114","DOI":"10.1016\/j.ijmedinf.2023.105114","article-title":"The effect of digital interventions on related health literacy and skills for individuals living with chronic diseases: a systematic review and meta-analysis","volume":"177","author":"Verweel","year":"2023","journal-title":"Int J Med Inf"},{"key":"B12","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1038\/s41746-024-01177-7","article-title":"Recommendations to advance digital health equity: a systematic review of qualitative studies","volume":"7","author":"Wilson","year":"2024","journal-title":"NPJ Digit Med"},{"key":"B13","doi-asserted-by":"publisher","first-page":"e42719","DOI":"10.2196\/42719","article-title":"Barriers to and facilitators of digital health among culturally and linguistically diverse populations: qualitative systematic review","volume":"25","author":"Whitehead","year":"2023","journal-title":"J Med Internet Res"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1413","DOI":"10.3390\/healthcare11101413","article-title":"The usage of digital health mobile-based applications among Saudi population","volume":"11","author":"AlAli","year":"2023","journal-title":"Healthcare (Basel)"},{"key":"B15","year":"2016"},{"key":"B16","doi-asserted-by":"publisher","first-page":"1435","DOI":"10.3390\/healthcare14111435","article-title":"Public\u2013private partnerships as a catalyst for healthcare transformation in Saudi Arabia: evaluating the impact on accessibility, quality, and sustainability under vision 2030","volume":"14","author":"Bauones","year":"2026","journal-title":"Healthcare"},{"key":"B17","doi-asserted-by":"publisher","first-page":"425","DOI":"10.2307\/30036540","article-title":"User acceptance of information technology: toward a unified view1","volume":"27","author":"Venkatesh","year":"2003","journal-title":"MIS Q"},{"key":"B18","doi-asserted-by":"publisher","first-page":"100289","DOI":"10.1016\/j.jjimei.2024.100289","article-title":"The adoption of mobile health applications by physicians during the COVID-19 pandemic in developing countries: the case of Saudi Arabia","volume":"4","author":"Alsahli","year":"2024","journal-title":"Int J Inf Manag Data Insights"},{"key":"B19","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1016\/j.ceh.2025.08.002","article-title":"Acceptance of telehealth in the kingdom of Saudi Arabia: an application of the UTAUT model","volume":"8","author":"Almojaibel","year":"2025","journal-title":"Clin eHealth"},{"key":"B20","doi-asserted-by":"publisher","first-page":"e64524","DOI":"10.2196\/64524","article-title":"Determinants of health care technology adoption using an integrated unified theory of acceptance and use of technology and task technology fit model: systematic review and meta-analysis","volume":"27","author":"Thanthrige","year":"2025","journal-title":"J Med Internet Res"},{"key":"B21","year":"2025"},{"key":"B22","volume-title":"Biostatistics: A Foundation for Analysis in the Health sciences","author":"Daniel","year":"1999"},{"key":"B23","doi-asserted-by":"publisher","first-page":"727","DOI":"10.52609\/jmlph.v5i4.229","article-title":"Digital health in Saudi Arabia: a descriptive study of user perspectives, adoption rates, benefits, and challenges of digital health applications","volume":"5","author":"Almoajel","year":"2025","journal-title":"J Med Law Public Health"},{"key":"B24","doi-asserted-by":"publisher","first-page":"8719","DOI":"10.1038\/s41598-026-40815-w","article-title":"Medication adherence barriers and digital support among Saudi adults with chronic conditions","volume":"16","author":"Aldurdunji","year":"2026","journal-title":"Sci Rep"},{"key":"B25","doi-asserted-by":"publisher","first-page":"20552076251346698","DOI":"10.1177\/20552076251346698","article-title":"Evaluating user satisfaction and engagement in mHealth: insights from the Integrated Digital Health Engagement Model (IDHEM)","volume":"11","author":"Alshammari","year":"2025","journal-title":"Digit Health"},{"key":"B26","doi-asserted-by":"publisher","first-page":"328","DOI":"10.17705\/1jais.00428","article-title":"Unified theory of acceptance and use of technology: a synthesis and the road ahead","volume":"17","author":"Venkatesh","year":"2016","journal-title":"J Assoc Inf Syst"},{"key":"B27","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1038\/s41591-018-0300-7","article-title":"High-performance medicine: the convergence of human and artificial intelligence","volume":"25","author":"Topol","year":"2019","journal-title":"Nat Med"},{"key":"B28","doi-asserted-by":"publisher","first-page":"e63742","DOI":"10.2196\/63742","article-title":"Digital health interventions to support chronic disease management: systematic scoping review","volume":"14","author":"Al Mahmud","year":"2026","journal-title":"JMIR Mhealth Uhealth"},{"key":"B29","article-title":"Factors affecting the usage of Sehhaty telehealth services among young adults in Riyadh","volume":"19","author":"Al Edreesi","year":"2025","journal-title":"J Health Inform Dev Ctries"},{"key":"B30","doi-asserted-by":"publisher","first-page":"2021","DOI":"10.2147\/JMDH.S355093","article-title":"Current knowledge, satisfaction, and use of e-health mobile applications in Saudi Arabia: a cross-sectional study","volume":"14","author":"Alghamdi","year":"2021","journal-title":"J Multidiscip Healthc"},{"key":"B31","doi-asserted-by":"publisher","first-page":"e40738","DOI":"10.7759\/cureus.40738","article-title":"Perceptions, satisfaction, and barriers to telemedicine use: a community-based study from Jeddah, Saudi Arabia","volume":"15","author":"Albaghdadi","year":"2023","journal-title":"Cureus"},{"key":"B32","doi-asserted-by":"publisher","first-page":"4289","DOI":"10.3390\/ijerph19074289","article-title":"Attitudes of patients with chronic diseases toward management eHealth applications systems in post-COVID-19 times","volume":"19","author":"ALsharif","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B33","doi-asserted-by":"publisher","first-page":"20552076261419237","DOI":"10.1177\/20552076261419237","article-title":"Digital health adoption in nutrition care: a national cross-sectional, Arabic-validated survey and cluster analysis of patient experience and willingness to use telenutrition in Saudi Arabia","volume":"12","author":"Eid","year":"2026","journal-title":"Digit Health"},{"key":"B34","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1108\/IJHRH-08-2023-0073","article-title":"Digital technology and intentions to adopt digital e-health practices among healthcare professionals","volume":"18","author":"Abdelwahed","year":"2025","journal-title":"Int J Hum Rights Healthc"},{"key":"B35","doi-asserted-by":"publisher","first-page":"S42","DOI":"10.1097\/HMR.0000000000000486","article-title":"Acceptance of digital health technologies in health and aged care: a systematic review and meta-analysis","volume":"51","author":"Dondapati","year":"2026","journal-title":"Health Care Manage Rev"},{"key":"B36","doi-asserted-by":"publisher","first-page":"167","DOI":"10.32996\/jmhs.2023.4.4.18","article-title":"Use of health app for booking primary health care appointments in Buraidah, Qassim Province","volume":"4","author":"Alharbi","year":"2023","journal-title":"J Med Health Stud"}],"container-title":["Frontiers in Digital Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2026.1887874\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:47:43Z","timestamp":1790610463000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2026.1887874\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":36,"alternative-id":["10.3389\/fdgth.2026.1887874"],"URL":"https:\/\/doi.org\/10.3389\/fdgth.2026.1887874","relation":{},"ISSN":["2673-253X"],"issn-type":[{"value":"2673-253X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"article-number":"1887874"}}