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对哮喘青少年健康技术使用的用途、需求和偏好的调查。

Examination of the uses, needs, and preferences for health technology use in adolescents with asthma.

作者信息

Ramsey Rachelle R, Carmody Julia K, Holbein Christina E, Guilbert Theresa W, Hommel Kevin A

机构信息

a Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center , Cincinnati , OH , USA.

b Department of Pediatrics, University of Cincinnati College of Medicine , Cincinnati , OH , USA.

出版信息

J Asthma. 2019 Sep;56(9):964-972. doi: 10.1080/02770903.2018.1514048. Epub 2018 Sep 12.

Abstract

: To examine the health technology uses and preferences of adolescents with asthma using a qualitative descriptive individual interview approach. : Twenty adolescents were recruited from regularly scheduled asthma clinic appointments from February to July 2016. Patients were interviewed about their technology use and ways in which health technology could improve their asthma management using an open-ended semi-structured interview format. Interviews were audio recorded, transcribed, and coded into themes. : Social media (e.g. Snapchat, Instagram) and general communication (e.g. messaging) were the most common uses of technology while medical reminders (e.g. appointment, refill, medication) were the most common use of health technology. Adolescents identified ways in which health technology could improve their asthma management including (1) tracking symptoms and medication, (2) medical reminders, and (3) asthma and self-management knowledge specifically related to medications and individual action plans. Other themes that emerged included a desire to customize health technology to fit with individual schedules and medical routines and use of health technology data with medical providers. : Adolescents and parents experience a number of challenges related to managing asthma, and health technology interventions should focus on ways to improve adherence and self-management. Future research considerations and potential interventions including ways to integrate adolescent preferences with evidence-based interventions are discussed.

摘要

采用定性描述性个人访谈方法,研究哮喘青少年对健康技术的使用情况和偏好。2016年2月至7月,从定期安排的哮喘门诊预约中招募了20名青少年。采用开放式半结构化访谈形式,就他们的技术使用情况以及健康技术可以改善哮喘管理的方式对患者进行访谈。访谈进行录音、转录并编码成主题。社交媒体(如Snapchat、Instagram)和一般通信(如消息传递)是最常见的技术用途,而医疗提醒(如预约、续药、用药)是最常见的健康技术用途。青少年指出了健康技术可以改善哮喘管理的方式,包括:(1)跟踪症状和用药情况;(2)医疗提醒;(3)与药物和个人行动计划具体相关的哮喘及自我管理知识。出现的其他主题包括希望定制健康技术以适应个人日程安排和医疗常规,以及与医疗服务提供者共享健康技术数据。青少年和家长在哮喘管理方面面临诸多挑战,健康技术干预应侧重于提高依从性和自我管理的方法。文中讨论了未来的研究考量以及潜在干预措施,包括将青少年偏好与循证干预相结合的方法。

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