Andrews Annie Lintzenich, Nitchie Haley L, Harvey Jillian B
Department of Pediatrics, College of Medicine and
Department of Healthcare Leadership and Management, College of Health Professions, Medical University of South Carolina, Charleston, South Carolina.
Hosp Pediatr. 2019 Mar;9(3):209-215. doi: 10.1542/hpeds.2018-0122. Epub 2019 Feb 8.
Mobile technology-based asthma medication adherence interventions can be targeted to children during periods of high risk, including the transition from hospital to home or when refill behavior suggests declining adherence. Our objective was to develop insight into parent use of mobile technology and their preferences for a mobile technology-based asthma intervention.
By using qualitative methods, 20 interviews of parents of children with asthma were conducted. The open-ended, semistructured interview guides included questions about current mobile technology use, barriers to controller medication adherence, and preferences for methods and content of a mobile technology-based asthma intervention. Using grounded theory methodology, investigators coded the transcripts and identified emerging themes.
Twenty parents completed interviews. Half of the children were 7 to 12 years old. Eighty percent had public insurance. Sixty-five percent had a previous hospitalization. Three major themes were identified: chronic disease management assistance, distinct preferences for risk communication, and electronic reachability. Chronic disease management assistance included parents recognizing that busy lifestyles contribute to adherence challenges and welcoming a program to assist them. Distinct preferences for risk communication included a preference for 2-way communication via text message or phone call at least monthly. Under the theme of electronic reachability, all enrolled parents had smartphones and used them daily.
Parents of children with asthma are open to communicating with asthma providers through mobile technology. This information can be used to inform the development of mobile technology-based interventions to improve care for children with asthma during periods of high risk, including the transition from hospital to home.
基于移动技术的哮喘药物依从性干预措施可在高危时期针对儿童，包括从医院过渡到家庭期间，或当续药行为表明依从性下降时。我们的目标是深入了解家长对移动技术的使用情况以及他们对基于移动技术的哮喘干预措施的偏好。
采用定性方法，对20名哮喘儿童的家长进行了访谈。开放式、半结构化访谈指南包括有关当前移动技术使用情况、控制药物依从性的障碍以及对基于移动技术的哮喘干预措施的方法和内容的偏好等问题。研究人员使用扎根理论方法对访谈记录进行编码，并确定新出现的主题。
20名家长完成了访谈。一半的儿童年龄在7至12岁之间。80%的儿童有公共保险。65%的儿童曾住院治疗。确定了三个主要主题：慢性病管理协助、对风险沟通的独特偏好以及电子可达性。慢性病管理协助包括家长认识到忙碌的生活方式会给依从性带来挑战，并欢迎有一个项目来帮助他们。对风险沟通的独特偏好包括至少每月通过短信或电话进行双向沟通的偏好。在电子可达性主题下，所有参与的家长都有智能手机并每天使用。
哮喘儿童的家长愿意通过移动技术与哮喘护理提供者进行沟通。这些信息可用于为基于移动技术的干预措施的开发提供参考，以改善哮喘儿童在高危时期（包括从医院过渡到家庭期间）的护理。
