Athilingam Ponrathi, Clochesy John M, Labrador Miguel A
Author Affiliations: College of Nursing (Dr Athilingam and Dr Clochesy) and College of Computer Science and Engineering (Dr Labrador), University of South Florida, Tampa.
Comput Inform Nurs. 2018 Feb;36(2):90-97. doi: 10.1097/CIN.0000000000000383.
Heart failure is a complex syndrome among older adults who may experience and interpret symptoms differently. These differences in symptom interpretation may influence decision-making in symptom management. A well-informed and motivated person may develop the knowledge and skills needed to successfully manage symptoms. Therefore, the patient-centered mobile health application HeartMapp was designed to engage patients with heart failure in self-care management by offering tailored alerts and feedback using mobile phones. The main objective of this article is to describe the six-step intervention mapping approach including (1) the initial needs assessment, (2) proximal program objective, (3) selection of theory-based methods, (4) the translation of objectives into an actual program plan for mobile health intervention, (5) adaptation and implementation plan, and (6) evaluation plan that assisted the team in the development of a conceptual framework and intervention program matrix during the development of HeartMapp. The HeartMapp intervention takes the information, motivation, and behavioral skills model as the theoretical underpinning, with "patient engagement" as the key mediator in achieving targeted and persistent self-care behavioral changes in patients with heart failure. The HeartMapp intervention is proposed to improve self-care management and long-term outcomes.
心力衰竭是一种在老年人中出现的复杂综合征，他们对症状的体验和理解可能有所不同。这些症状理解上的差异可能会影响症状管理中的决策。一个见多识广且有积极性的人可能会培养出成功管理症状所需的知识和技能。因此，以患者为中心的移动健康应用程序HeartMapp旨在通过使用手机提供量身定制的警报和反馈，让心力衰竭患者参与自我护理管理。本文的主要目的是描述六步干预映射方法，包括（1）初始需求评估，（2）近端项目目标，（3）基于理论的方法选择，（4）将目标转化为移动健康干预的实际项目计划，（5）适应与实施计划，以及（6）评估计划，这些在HeartMapp开发过程中协助团队制定了概念框架和干预项目矩阵。HeartMapp干预以信息、动机和行为技能模型为理论基础，将“患者参与”作为实现心力衰竭患者有针对性和持续性自我护理行为改变的关键中介。提出HeartMapp干预以改善自我护理管理和长期结果。
