Haynes Sarah C, Kim Katherine K
University of California Davis, Sacramento, California.
AMIA Annu Symp Proc. 2018 Apr 16;2017:839-848. eCollection 2017.
Management of heart failure is complex, often involving interaction with multiple providers, monitoring of symptoms, and numerous medications. Employing principles of user-centered design, we developed a high- fidelity prototype of a mobile system for heart failure self-management and care coordination. Participants, including both heart failure patients and health care providers, tested the mobile system during a one-hour one-on-one session with a facilitator. The facilitator interviewed participants about the strengths and weaknesses of the prototype, necessary features, and willingness to use the technology. We performed a qualitative content analysis using the transcripts of these interviews. Fourteen distinct themes were identified in the analysis. Of these themes, integration, technology literacy, memory, and organization were the most common. Privacy was the least common theme. Our study suggests that this integration is essential for adoption of a mobile system for chronic disease management and care coordination.
心力衰竭的管理很复杂，通常涉及与多个医疗服务提供者的互动、症状监测以及多种药物治疗。我们运用以用户为中心的设计原则，开发了一个用于心力衰竭自我管理和护理协调的移动系统的高保真原型。包括心力衰竭患者和医疗服务提供者在内的参与者，在一名协调员的指导下，于一小时的一对一环节中测试了该移动系统。协调员就原型的优缺点、必要功能以及使用该技术的意愿对参与者进行了访谈。我们使用这些访谈的文字记录进行了定性内容分析。分析中确定了14个不同的主题。在这些主题中，整合、技术素养、记忆和组织是最常见的。隐私是最不常见的主题。我们的研究表明，这种整合对于采用用于慢性病管理和护理协调的移动系统至关重要。
