Woods Leanna, Cummings Elizabeth, Duff Jed, Walker Kim
School of Health Sciences, University of Tasmania, Australia.
School of Nursing and Midwifery, University of Newcastle, Australia.
Stud Health Technol Inform. 2017;241:97-102.
Heart failure is a prevalent, progressive chronic disease costing in excess of $1billion per year in Australia alone. Disease self-management has positive implications for the patient and decreases healthcare usage. However, adherence to recommended guidelines is challenging and existing literature reports sub-optimal adherence. mHealth applications in chronic disease education have the potential to facilitate patient enablement for disease self-management. To the best of our knowledge no heart failure self-management application is available for safe use by our patients. In this paper, we present the process established to co-design a mHealth application in support of heart-failure self-management. For this development, an interdisciplinary team systematically proceeds through the phases of Stanford University's Design Thinking process; empathise, define, ideate, prototype and test with a user-centred philosophy. Using this clinician-led heart failure app research as a case study, we describe a sequence of procedures to engage with local patients, carers, software developers, eHealth experts and clinical colleagues to foster rigorously developed and locally relevant patient-facing mHealth solutions. Importantly, patients are engaged in each stage with ethnographic interviews, a series of workshops and multiple re-design iterations.
心力衰竭是一种普遍存在的进行性慢性疾病，仅在澳大利亚每年的花费就超过10亿美元。疾病自我管理对患者有积极影响，并可减少医疗保健的使用。然而，遵循推荐指南具有挑战性，现有文献报道依从性欠佳。慢性病教育中的移动健康应用程序有潜力促进患者进行疾病自我管理。据我们所知，尚无心力衰竭自我管理应用程序可供我们的患者安全使用。在本文中，我们介绍了为共同设计一款支持心力衰竭自我管理的移动健康应用程序而建立的流程。对于此开发项目，一个跨学科团队以用户为中心的理念，系统地经历斯坦福大学设计思维过程的各个阶段：共情、定义、构思、原型制作和测试。以这个由临床医生主导的心力衰竭应用程序研究为案例，我们描述了一系列程序，以与当地患者、护理人员、软件开发人员、电子健康专家和临床同事合作，以促进严格开发且与当地相关的面向患者的移动健康解决方案。重要的是，通过人种学访谈、一系列研讨会和多次重新设计迭代，让患者参与到每个阶段。
