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确定一种有效的移动医疗应用程序,用于澳大利亚的变应性鼻炎和哮喘的自我管理。

Identifying an effective mobile health application for the self-management of allergic rhinitis and asthma in Australia.

机构信息

Quality Use of Respiratory Medicine Group, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW, Australia.

Royal Prince Alfred Hospital, Sydney, NSW, Australia.

出版信息

J Asthma. 2020 Oct;57(10):1128-1139. doi: 10.1080/02770903.2019.1640728. Epub 2019 Jul 24.

Abstract

People with allergic rhinitis (AR) often self-manage in the community pharmacy setting without consulting health care professionals and trivialize their comorbidities such as asthma. A mobile health application (mHealth app) with a self-monitoring and medication adherence system can assist with the appropriate self-management of AR and asthma. This study aimed to identify an app effective for the self-management of AR and/or asthma. MHealth apps retrieved from the Australian Apple App Store and Android Google Play Store were included in this study if they were developed for self-management of AR and/or asthma; in English language; free of charge for the full version; and accessible to users of the mHealth app. The mHealth app quality was evaluated on three domains using a two-stage process. In Stage 1, the apps were ranked along Domain 1 (Accessibility in both app stores). In Stage 2, the apps with Stage 1, maximum score were ranked along Domain 2 (alignment with theoretical principles of the self-management of AR and/or asthma) and Domain 3 (usability of the mHealth app using Mobile App Rating Scale instrument). Of the 418 apps retrieved, 31 were evaluated in Stage 1 and 16 in Stage 2. The achieved the highest mean rank and covered all self-management principles except the doctor's appointment reminder and scored a total MARS mean score of 0.91/1. is ranked most highly across the assessment domains for the self-management of both AR and coexisting asthma. This mHealth app covers the majority of the self-management principles and is highly engaging.

摘要

患有过敏性鼻炎 (AR) 的人经常在社区药店自行管理,而无需咨询医疗保健专业人员,并且轻视他们的哮喘等合并症。具有自我监测和药物依从性系统的移动健康应用程序 (mHealth 应用程序) 可以协助适当管理 AR 和哮喘。本研究旨在确定一种有效的 AR 和/或哮喘自我管理应用程序。从澳大利亚苹果应用商店和 Android Google Play 商店检索到的 mHealth 应用程序,如果它们是为 AR 和/或哮喘的自我管理而开发的;用英语;完整版本免费;并且 mHealth 应用程序的用户可以访问,则包含在本研究中。使用两阶段过程对 mHealth 应用程序的三个领域进行了评估。在第 1 阶段,根据第 1 域(在两个应用程序商店中都具有可访问性)对应用程序进行排名。在第 2 阶段,在第 1 阶段中得分最高的应用程序按照第 2 域(与 AR 和/或哮喘自我管理的理论原则保持一致)和第 3 域(使用移动应用程序评分量表仪器评估 mHealth 应用程序的可用性)进行排名。在检索到的 418 个应用程序中,有 31 个在第 1 阶段进行了评估,16 个在第 2 阶段进行了评估。在所有自我管理原则中,取得了最高的平均排名,除了医生预约提醒外,涵盖了所有自我管理原则,并且总 MARS 平均得分为 0.91/1.在评估 AR 和共存哮喘的自我管理的所有领域中排名最高。该 mHealth 应用程序涵盖了大多数自我管理原则,并且具有很高的吸引力。

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