Owens Otis L, Beer Jenay M, Reyes Ligia I, Gallerani David G, Myhren-Bennett Amanda R, McDonnell Karen K
College of Social Work, University of South Carolina, Columbia, SC, United States.
College of Public Health, University of Georgia, Athens, GA, United States.
JMIR Mhealth Uhealth. 2018 May 15;6(5):e124. doi: 10.2196/mhealth.9831.
Up to 70% of lung cancer survivors are affected by chronic obstructive pulmonary disease (COPD), a common, debilitating, comorbid disease. Lung cancer and COPD are both characterized by symptoms such as breathlessness, fatigue, and psychological distress. These distressing chronic symptoms are exacerbated by stress and detract from an individual's quality of life.
The aim of this study was to identify and evaluate evidence-based, commercially available apps for promoting mindfulness-based strategies among adults with a COPD or lung cancer history (ie, chronic lung disease).
For this review, an interdisciplinary research team used 19 keyword combinations in the search engines of Google and iOS app stores in May 2017. Evaluations were conducted on the apps' (1) content, (2) usability heuristics, (3) grade-level readability, and (4) cultural sensitivity.
The search resulted in 768 apps (508 in iOS and 260 in Google stores). A total of 9 apps met the inclusion criteria and received further evaluation. Only 1 app had below an eighth-grade reading level; the ninth one did not have enough text to calculate a readability score. None of the 9 apps met the cultural sensitivity evaluation criteria.
This systematic review identified critical design flaws that may affect the ease of using the apps in this study. Few mobile apps promote mindfulness-based strategies among adults with chronic lung disease (ie, COPD or lung cancer or both), but those that exist, overall, do not meet the latest scientific evidence. Recommendations include more stringent regulation of health-related apps, use of evidence-based frameworks and participatory design processes, following evidence-based usability practices, use of culturally sensitive language and images, and ensuring that content is written in plain language.
高达70%的肺癌幸存者受慢性阻塞性肺疾病（COPD）影响，这是一种常见、使人衰弱的合并症。肺癌和慢性阻塞性肺疾病都具有诸如呼吸急促、疲劳和心理困扰等症状。这些令人痛苦的慢性症状会因压力而加剧，并降低个人生活质量。
本研究的目的是识别和评估基于证据且可商购的应用程序，以在有慢性阻塞性肺疾病或肺癌病史（即慢性肺病）的成年人中推广基于正念的策略。
在本综述中，一个跨学科研究团队于2017年5月在谷歌和iOS应用商店的搜索引擎中使用了19个关键词组合。对这些应用程序进行了以下方面的评估：（1）内容，（2）可用性启发式评估，（3）年级阅读水平，以及（4）文化敏感性。
搜索结果为768个应用程序（iOS中有508个，谷歌商店中有260个）。共有9个应用程序符合纳入标准并接受了进一步评估。只有1个应用程序的阅读水平低于八年级；第9个应用程序没有足够的文本以计算可读性分数。这9个应用程序均未达到文化敏感性评估标准。
本系统综述确定了可能影响本研究中应用程序易用性的关键设计缺陷。很少有移动应用程序在患有慢性肺病（即慢性阻塞性肺疾病或肺癌或两者皆有）的成年人中推广基于正念的策略，但总体而言，现有的那些应用程序不符合最新的科学证据。建议包括对健康相关应用程序进行更严格的监管，使用基于证据的框架和参与式设计流程，遵循基于证据的可用性实践，使用具有文化敏感性的语言和图像，并确保内容用通俗易懂的语言编写。
