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中文糖尿病自我管理移动应用程序的质量、功能和特点:移动应用程序的系统搜索和评估。

Quality, Functionality, and Features of Chinese Mobile Apps for Diabetes Self-Management: Systematic Search and Evaluation of Mobile Apps.

机构信息

Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.

Global Health Research Center, Duke Kunshan University, Kunshan, Jiangsu, China.

出版信息

JMIR Mhealth Uhealth. 2020 Apr 7;8(4):e14836. doi: 10.2196/14836.


DOI:10.2196/14836
PMID:32255432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7175187/
Abstract

BACKGROUND: The emergence and advancement of mobile technologies offer a promising opportunity for people with diabetes to improve their self-management. Despite the proliferation of mobile apps, few studies have evaluated the apps that are available to the millions of people with diabetes in China. OBJECTIVE: This study aimed to conduct a systematic search of Chinese mobile apps for diabetes self-management and to evaluate their quality, functionality, and features by using validated rating scales. METHODS: A systematic search was conducted to identify Chinese apps for diabetes self-management in the four most popular Chinese language mobile app stores. Apps were included if they were designed for diabetes self-management and contained at least one of the following components: blood glucose management, dietary and physical activity management, medication taking, and prevention of diabetes-related comorbidities. Apps were excluded if they were unrelated to health, not in Chinese, or the targeted users are health care professionals. Apps meeting the identified inclusion criteria were downloaded and evaluated by a team of 5 raters. The quality, functionalities, and features of these apps were assessed by using the Mobile App Rating Scale (MARS), the IMS Institute for Healthcare Informatics Functionality score, and a checklist of self-management activities developed based on the Chinese diabetes self-management guideline, respectively. RESULTS: Among 2072 apps searched, 199 were eligible based on the inclusion criteria, and 67 apps were successfully downloaded for rating. These 67 apps had an average MARS score of 3.42 out of 5, and 76% (51/67) of the apps achieved an acceptable quality (MARS score >3.0). The scores for the four subdomains of MARS were 3.97 for functionality, 3.45 for aesthetics, 3.21 for information, and 3.07 for engagement. On average, reviewed apps applied five out of the 19 examined behavior change techniques, whereas the average score on the subjective quality for the potential impact on behavior change is 3 out of 5. In addition, the average score on IMS functionality was 6 out of 11. Functionalities in collecting, recording, and displaying data were mostly presented in the reviewed apps. Most of the apps were multifeatured with monitoring blood glucose and tracking lifestyle behaviors as common features, but some key self-management activities recommended by clinical guidelines, such as stress and emotional management, were rarely presented in these apps. CONCLUSIONS: The general quality of the reviewed apps for diabetes self-management is suboptimal, although the potential for improvement is significant. More attention needs to be paid to the engagement and information quality of these apps through co-design with researchers, public health practitioners, and consumers. There is also a need to promote the awareness of the public on the benefit and potential risks of utilizing health apps for self-management.

摘要

背景:移动技术的出现和发展为糖尿病患者改善自我管理提供了一个有前景的机会。尽管移动应用程序大量涌现,但很少有研究评估中国数百万糖尿病患者可用的应用程序。

目的:本研究旨在通过使用经过验证的评分量表,对中国用于糖尿病自我管理的移动应用程序进行系统搜索,并评估其质量、功能和特点。

方法:在中国四个最受欢迎的中文移动应用程序商店中,对用于糖尿病自我管理的中文应用程序进行了系统搜索。如果应用程序是为糖尿病自我管理而设计的,并且包含以下至少一个组件,则将其包括在内:血糖管理、饮食和身体活动管理、药物服用和预防糖尿病相关并发症。如果应用程序与健康无关、不是中文的,或者目标用户是医疗保健专业人员,则将其排除在外。符合确定的纳入标准的应用程序被下载并由 5 名评估人员组成的团队进行评估。使用移动应用程序评分量表(MARS)、IMS 研究所医疗保健信息学功能评分和基于中国糖尿病自我管理指南制定的自我管理活动检查表分别评估这些应用程序的质量、功能和特点。

结果:在搜索到的 2072 个应用程序中,有 199 个符合纳入标准,其中 67 个成功下载进行评分。这 67 个应用程序的 MARS 平均得分为 5 分中的 3.42 分,76%(51/67)的应用程序达到了可接受的质量(MARS 得分>3.0)。MARS 的四个子域得分分别为功能 3.97、美学 3.45、信息 3.21 和参与度 3.07。平均而言,所审查的应用程序应用了 19 种行为改变技术中的 5 种,而对行为改变潜在影响的主观质量的平均得分为 5 分中的 3 分。此外,IMS 功能的平均得分为 11 分中的 6 分。所审查的应用程序大多具有收集、记录和显示数据的功能。大多数应用程序具有多种功能,以监测血糖和跟踪生活方式行为作为常见功能,但一些临床指南推荐的关键自我管理活动,如压力和情绪管理,在这些应用程序中很少出现。

结论:尽管改进的潜力很大,但用于糖尿病自我管理的已审查应用程序的总体质量并不理想。通过与研究人员、公共卫生从业人员和消费者共同设计,需要更加关注这些应用程序的参与度和信息质量。还需要提高公众对利用健康应用程序进行自我管理的益处和潜在风险的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b32/7175187/e6f94c5abb70/mhealth_v8i4e14836_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b32/7175187/f96f10e0ce59/mhealth_v8i4e14836_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b32/7175187/c24094dba2a1/mhealth_v8i4e14836_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b32/7175187/e6f94c5abb70/mhealth_v8i4e14836_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b32/7175187/f96f10e0ce59/mhealth_v8i4e14836_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b32/7175187/c24094dba2a1/mhealth_v8i4e14836_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b32/7175187/e6f94c5abb70/mhealth_v8i4e14836_fig3.jpg

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本文引用的文献

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JMIR Mhealth Uhealth. 2017-3-14

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