Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, The University of Manchester and University Hospital of South Manchester NHS Foundation Trust, Manchester, UK
Dept of Medical Decision Making, Leiden University Medical Center, Leiden, the Netherlands.
Eur Respir J. 2017 May 1;49(5). doi: 10.1183/13993003.01966-2016. Print 2017 May.
Mobile healthcare (mHealth) has the potential to revolutionise the self-management of long-term medical conditions such as asthma. A user-centred design is integral if mHealth is to be embraced by patients and healthcare professionals.The aim of this study was to determine the perspectives of individuals with asthma and healthcare professionals on the use of mHealth for asthma self-management.We used a sequential exploratory mixed methods design; focus groups informed the development of questionnaires, which were disseminated to individuals with asthma and healthcare professionals.Focus group participants (18 asthma patients and five healthcare professionals) identified 12 potential uses of mHealth. Questionnaire results showed that individuals with asthma (n=186) most frequently requested an mHealth system to monitor asthma over time (72%) and to collect data to present to healthcare teams (70%). In contrast, healthcare professionals (n=63) most frequently selected a system alerting patients to deteriorating asthma control (86%) and advising them when to seek medical attention (87%). Individuals with asthma were less likely than healthcare professionals (p<0.001) to believe that assessing medication adherence and inhaler technique could improve asthma control.Our data provide strong support for mHealth for asthma self-management, but highlight fundamental differences between the perspectives of patients and healthcare professionals.
移动医疗（mHealth）有可能彻底改变哮喘等长期疾病的自我管理方式。如果 mHealth 要被患者和医疗保健专业人员接受，以患者为中心的设计是必不可少的。本研究旨在确定哮喘患者和医疗保健专业人员对 mHealth 用于哮喘自我管理的看法。我们使用了顺序探索性混合方法设计；焦点小组为问卷的制定提供了信息，这些问卷分发给了哮喘患者和医疗保健专业人员。焦点小组参与者（18 名哮喘患者和 5 名医疗保健专业人员）确定了 mHealth 的 12 种潜在用途。问卷调查结果显示，哮喘患者（n=186）最常要求 mHealth 系统来监测哮喘的长期变化（72%）并收集数据提交给医疗团队（70%）。相比之下，医疗保健专业人员（n=63）最常选择一种系统来提醒患者哮喘控制恶化（86%）并在需要时建议他们就医（87%）。哮喘患者比医疗保健专业人员（p<0.001）更不愿意相信评估药物依从性和吸入器技术可以改善哮喘控制。我们的数据强烈支持 mHealth 用于哮喘自我管理，但突出了患者和医疗保健专业人员观点之间的根本差异。
