Gaynor Mark, Schneider David, Seltzer Margo, Crannage Erica, Barron Mary Lee, Waterman Jason, Oberle Andrew
Saint Louis University (SLU) College for Public Health and Social Justice (CPHSJ) St. Louis Missouri.
University of Texas Southwestern Medical Center Dallas Texas.
Learn Health Syst. 2020 Feb 18;4(3):e10217. doi: 10.1002/lrh2.10217. eCollection 2020 Jul.
Smartphone applications are an increasingly useful part of patients' self-management of chronic health conditions. Asthma is a common chronic health condition for which good self-management by patients is very helpful in maintaining stability. User-centered design and intelligent systems that learn are steps forward in building applications that are more effective in providing quality care that is scalable and tailored to each patient.
A literature and application store search to review historic and current asthma smart phone applications. User-centered design is a methodology that involves all stakeholders of a proposed system from the beginning of the design phase to the end of installation. One aspect of this user-centered approach involved conducting focus groups with patients and health care providers to determine what features they desire for use in applications and create a model to build smart infrastructure for a learning health care system. A simple prototype for an asthma smartphone application is designed and built with basic functionality.
Only one publication in the literature review of asthma smartphone applications describes both user-centered design and intelligent learning systems. The authors have presented a set of user-desired attributes for a smart health care application and a possible data flow diagram of information for a learning system. A prototype simple user-centered designed asthma smartphone application that better assists patients in their care illustrates the value of the proposed architecture.
Our user-centered approach helped design and implement a learning prototype smart phone application to help patients better manage their asthma and provide information to clinical care providers. While popular in other industries, user-centered design has had slow adoption in the health care area. However, the popularity of this approach is increasing and will hopefully result in mobile application that better meets the needs of both patients and their care providers.
智能手机应用程序在患者慢性健康状况的自我管理中发挥着越来越重要的作用。哮喘是一种常见的慢性健康状况，患者进行良好的自我管理对维持病情稳定非常有帮助。以用户为中心的设计和学习型智能系统是构建应用程序的进步，这些应用程序在提供可扩展且适合每个患者的优质护理方面更有效。
通过文献和应用商店搜索来回顾历史和当前的哮喘智能手机应用程序。以用户为中心的设计是一种方法，从设计阶段开始到安装结束，它涉及拟议系统的所有利益相关者。这种以用户为中心的方法的一个方面包括与患者和医疗保健提供者进行焦点小组讨论，以确定他们希望在应用程序中使用的功能，并创建一个模型来构建学习型医疗保健系统的智能基础设施。设计并构建了一个具有基本功能的哮喘智能手机应用程序的简单原型。
在哮喘智能手机应用程序的文献综述中，只有一篇出版物描述了以用户为中心的设计和智能学习系统。作者提出了一组智能医疗保健应用程序的用户期望属性以及学习系统的可能信息流程图。一个以用户为中心设计的简单哮喘智能手机应用程序原型，能更好地协助患者护理，说明了所提议架构的价值。
我们以用户为中心的方法有助于设计和实施一个学习型原型智能手机应用程序，以帮助患者更好地管理哮喘，并向临床护理提供者提供信息。虽然以用户为中心的设计在其他行业很流行，但在医疗保健领域的采用速度较慢。然而，这种方法的受欢迎程度正在增加，有望产生更能满足患者及其护理提供者需求的移动应用程序。
