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《呼吸更轻松:基于正念的肺癌幸存者及其家庭成员的移动医疗应用的焦点小组评估》

A Focus Group Evaluation of Breathe Easier: A Mindfulness-Based mHealth App for Survivors of Lung Cancer and Their Family Members.

机构信息

Institute of Gerontology, University of Georgia, Athens, GA, USA.

College of Public Health, University of Georgia, Athens, GA, USA.

出版信息

Am J Health Promot. 2020 Sep;34(7):770-778. doi: 10.1177/0890117120924176. Epub 2020 May 14.

Abstract

PURPOSE

To explore attitudes and acceptance (i.e., intent for future adoption) of survivors of lung cancer and their family members toward a dyad-focused mHealth mindfulness-based intervention (MBI).

APPROACH

Focus groups.

SETTING

Community hospital setting in South Carolina.

PARTICIPANTS

Survivors n = 11 (M = 64.6 years; 73% female; 64% African American) of non-small cell lung cancer (stage I-IIIa) and their family members, n = 8 (M = 58.6 years; 38% female; 75% African American).

INTERVENTION

A fully functional prototype mHealth app to deliver a tailored MBI for survivors of lung cancer and their family members.

METHOD

Semi-structured focus groups were conducted and assessed using thematic data analysis to identify the benefits, concerns, needs, and expectations of the app.

RESULTS

Convenience and health were the top benefits of using the app, while cost and difficulty of use were the top concerns. Survivors mentioned benefits more than their family members did. Participants felt positively about adding a community network to the app. Finally, participants expected to hear about Breathe Easier from their care provider.

CONCLUSION

Participants perceived a benefit to having credible health information delivered through an mHealth app. Guidance and credible health information regarding lung cancer survivorship should be accessible and convenient for everyone impacted by the disease. Thus, future research should explore platforms for a virtual support system and understanding dissemination of mHealth apps through health care providers.

摘要

目的

探索肺癌幸存者及其家属对关注二人组的移动健康正念干预(MBI)的态度和接受程度(即未来采用的意向)。

方法

焦点小组。

地点

南卡罗来纳州的社区医院。

参与者

11 名非小细胞肺癌(I-IIIa 期)幸存者(M=64.6 岁;73%为女性;64%为非裔美国人)及其 8 名家属(M=58.6 岁;38%为女性;75%为非裔美国人)。

干预措施

一款功能齐全的移动健康应用原型,为肺癌幸存者及其家属提供量身定制的 MBI。

结果

便利性和健康是使用该应用的最大好处,而成本和使用难度是最大的关注点。幸存者比他们的家属更能体会到使用该应用的好处。参与者对在应用中添加社区网络持积极态度。最后,参与者希望从他们的医疗服务提供者那里听到关于“呼吸更轻松”的信息。

结论

参与者认为通过移动健康应用程序提供可信的健康信息是有益的。针对肺癌生存者的指导和可信的健康信息应该对受疾病影响的每个人都是可及和便利的。因此,未来的研究应该探索通过医疗保健提供者传播虚拟支持系统和移动健康应用程序的平台。

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