Athilingam Ponrathi, Osorio Richard E, Kaplan Howard, Oliver Drew, O'neachtain Tara, Rogal Philip J
Author Affiliations: College of Nursing (Dr Athilingam), Curriculum and Instruction, Department of Adult Education (Mr Osorio and Ms O'Neachtain), Advanced Visualization Center (Mr Kaplan), Research Computing (Mr Oliver), and USF Health, University of South Florida (Dr Rogal), Tampa.
Comput Inform Nurs. 2016 Feb;34(2):92-8. doi: 10.1097/CIN.0000000000000216.
Health education is an important component of multidisciplinary disease management of heart failure. The educational information given at the time of discharge after hospitalization or at initial diagnosis is often overwhelming to patients and is often lost or never consulted again. Therefore, the aim of this developmental project was to embed interactive heart failure education in a mobile platform. A patient-centered approach, grounded on several learning theories including Mayer's Cognitive Theory of Multimedia Learning, Sweller's Cognitive Load, Instructional Design Approach, and Problem-Based Learning, was utilized to develop and test the mobile app. Ten heart failure patients, who attended an outpatient heart failure clinic, completed beta testing. A validated self-confidence questionnaire was utilized to assess patients' confidence in using the mobile app. All participants (100%) reported moderate to extreme confidence in using the app, 95% were very likely to use the app, 100% reported the design was easy to navigate, and content on heart failure was appropriate. Having the information accessible on their mobile phone was reported as a positive, like a health coach by all patients. Clinicians and nurses validated the content. Thus, embedding health education in a mobile app is proposed in promoting persistent engagement to improve health outcomes.
健康教育是心力衰竭多学科疾病管理的重要组成部分。在住院后出院时或初次诊断时提供的教育信息往往让患者应接不暇，且常常被遗忘或再也不会查阅。因此，这个开发项目的目的是将交互式心力衰竭教育嵌入移动平台。采用了以患者为中心的方法，该方法基于包括梅耶尔多媒体学习认知理论、斯韦勒认知负荷、教学设计方法和基于问题的学习等多种学习理论，来开发和测试这款移动应用程序。十名前往门诊心力衰竭诊所就诊的心力衰竭患者完成了测试版测试。使用一份经过验证的自信度问卷来评估患者使用该移动应用程序的自信程度。所有参与者（100%）表示在使用该应用程序时有中度到极度的自信，95%的人非常可能使用该应用程序，100%的人报告该设计易于操作，且关于心力衰竭的内容恰当。所有患者都表示，能在手机上获取这些信息是一件好事，就像有一位健康教练一样。临床医生和护士对内容进行了验证。因此，建议将健康教育嵌入移动应用程序，以促进持续参与，改善健康结果。
