Lortz Julia, Simanovski Jan, Kuether Tabea, Kreitschmann-Andermahr Ilonka, Ullrich Greta, Steinmetz Martin, Rammos Christos, Jánosi Rolf Alexander, Moebus Susanne, Rassaf Tienush, Paldán Katrin
Department of Cardiology and Vascular Medicine, West-German Heart and Vascular Center Essen, University of Duisburg-Essen, Essen, Germany.
Centre for Urban Epidemiology, Institute for Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany.
JMIR Form Res. 2020 Aug 4;4(8):e15669. doi: 10.2196/15669.
The development of mobile interventions for noncommunicable diseases has increased in recent years. However, there is a dearth of apps for patients with peripheral arterial disease (PAD), who frequently have an impaired ability to walk.
Using a patient-centered approach for the development of mobile interventions, we aim to describe the needs and requirements of patients with PAD regarding the overall care situation and the use of mobile interventions to perform supervised exercise therapy (SET).
A questionnaire survey was conducted in addition to a clinical examination at the vascular outpatient clinic of the West-German Heart and Vascular Center of the University Clinic Essen in Germany. Patients with diagnosed PAD were asked to answer questions on sociodemographic characteristics, PAD-related need for support, satisfaction with their health care situation, smartphone and app use, and requirements for the design of mobile interventions to support SET.
Overall, a need for better support of patients with diagnosed PAD was identified. In total, 59.2% (n=180) expressed their desire for more support for their disease. Patients (n=304) had a mean age of 67 years and half of them (n=157, 51.6%) were smartphone users. We noted an interest in smartphone-supported SET, even for people who did not currently use a smartphone. "Information," "feedback," "choosing goals," and "interaction with physicians and therapists" were rated the most relevant components of a potential app.
A need for the support of patients with PAD was determined. This was particularly evident with regard to disease literacy and the performance of SET. Based on a detailed description of patient characteristics, proposals for the design of mobile interventions adapted to the needs and requirements of patients can be derived.
近年来，针对非传染性疾病的移动干预措施有所增加。然而，针对外周动脉疾病（PAD）患者的应用程序却很匮乏，这类患者经常存在行走能力受损的情况。
采用以患者为中心的方法开发移动干预措施，我们旨在描述PAD患者在整体护理情况以及使用移动干预措施进行监督运动疗法（SET）方面的需求。
在德国埃森大学诊所西德意志心脏与血管中心的血管门诊进行临床检查的同时，开展了一项问卷调查。要求被诊断为PAD的患者回答有关社会人口学特征、与PAD相关的支持需求、对其医疗状况的满意度、智能手机和应用程序的使用情况，以及支持SET的移动干预措施设计要求等问题。
总体而言，确定了对已诊断PAD患者提供更好支持的需求。共有59.2%（n = 180）的患者表示希望获得更多针对其疾病的支持。患者（n = 304）的平均年龄为67岁，其中一半（n = 157，51.6%）是智能手机用户。我们注意到，即使是目前不使用智能手机的人，也对智能手机支持的SET感兴趣。“信息”“反馈”“选择目标”以及“与医生和治疗师互动”被评为潜在应用程序最相关的组成部分。
确定了对PAD患者提供支持的需求。这在疾病知识普及和SET实施方面尤为明显。基于对患者特征的详细描述，可以得出适应患者需求和要求的移动干预措施设计建议。
