Korpershoek Yvonne Jg, Holtrop Tjitske, Vervoort Sigrid Cjm, Schoonhoven Lisette, Schuurmans Marieke J, Trappenburg Jaap Ca
Research Group Chronic Illnesses, University of Applied Sciences Utrecht, Utrecht, Netherlands.
Nursing Science, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.
JMIR Form Res. 2020 Nov 19;4(11):e21577. doi: 10.2196/21577.
There is an emergence of mobile health (mHealth) interventions to support self-management in patients with chronic obstructive pulmonary disease (COPD). Recently, an evidence-driven mHealth intervention has been developed to support patients with COPD in exacerbation-related self-management: the Copilot app. Health care providers (HCPs) are important stakeholders as they are the ones who have to provide the app to patients, personalize the app, and review the app. It is, therefore, important to investigate at an early stage whether the app is feasible in the daily practice of the HCPs.
The aim of this study is to evaluate the perceived feasibility of the Copilot app in the daily practice of HCPs.
A multimethods design was used to investigate how HCPs experience working with the app and how they perceive the feasibility of the app in their daily practice. The feasibility areas described by Bowen et al were used for guidance. HCPs were observed while performing tasks in the app and asked to think aloud. The System Usability Scale was used to investigate the usability of the app, and semistructured interviews were conducted to explore the feasibility of the app. The study was conducted in primary, secondary, and tertiary care settings in the Netherlands from February 2019 to September 2019.
In total, 14 HCPs participated in this study-8 nurses, 5 physicians, and 1 physician assistant. The HCPs found the app acceptable to use. The expected key benefits of the app were an increased insight into patient symptoms, more structured patient conversations, and more tailored self-management support. The app especially fits within the available time and workflow of nurses. The use of the app will be influenced by the autonomy of the professional, the focus of the organization on eHealth, costs associated with the app, and compatibility with the current systems used. Most HCPs expressed that there are conditions that must be met to be able to use the app. The app can be integrated into the existing care paths of primary, secondary, and tertiary health care settings. Individual organizational factors must be taken into account when integrating the app into daily practice.
This early-stage feasibility study shows that the Copilot app is feasible to use in the daily practice of HCPs and can be integrated into primary, secondary, and tertiary health care settings in the Netherlands. The app was considered to best fit the role of the nurses. The app will be less feasible for those organizations in which many conditions need to be met to use the app. This study provides a new approach to evaluate the perceived feasibility of mHealth interventions at an early stage and provides valuable insights for further feasibility testing.
出现了移动健康（mHealth）干预措施来支持慢性阻塞性肺疾病（COPD）患者的自我管理。最近，已开发出一种基于证据的mHealth干预措施，以支持COPD加重期患者的自我管理：Copilot应用程序。医疗保健提供者（HCP）是重要的利益相关者，因为他们必须将该应用程序提供给患者、对应用程序进行个性化设置并审查该应用程序。因此，在早期阶段调查该应用程序在HCP的日常实践中是否可行很重要。
本研究的目的是评估Copilot应用程序在HCP日常实践中的感知可行性。
采用多方法设计来调查HCP使用该应用程序的体验以及他们如何看待该应用程序在其日常实践中的可行性。Bowen等人描述的可行性领域用于指导。在HCP执行应用程序中的任务时对其进行观察，并要求他们边做边想。使用系统可用性量表来调查该应用程序的可用性，并进行半结构化访谈以探索该应用程序的可行性。该研究于2019年2月至2019年9月在荷兰的初级、二级和三级医疗机构中进行。
共有14名HCP参与了本研究——8名护士、5名医生和1名医师助理。HCP认为该应用程序可以接受使用。该应用程序预期的主要益处是对患者症状有更多了解、患者对话更有条理以及更有针对性的自我管理支持。该应用程序特别适合护士现有的时间和工作流程。该应用程序的使用将受到专业人员的自主权、组织对电子健康的关注、与应用程序相关的成本以及与当前使用系统的兼容性的影响。大多数HCP表示，要能够使用该应用程序必须满足一些条件。该应用程序可以集成到初级、二级和三级医疗机构现有的护理路径中。将该应用程序集成到日常实践中时必须考虑个体组织因素。
这项早期可行性研究表明，Copilot应用程序在HCP的日常实践中使用是可行的，并且可以集成到荷兰的初级、二级和三级医疗机构中。该应用程序被认为最适合护士的角色。对于那些需要满足许多条件才能使用该应用程序的组织来说，该应用程序的可行性较低。本研究提供了一种在早期阶段评估mHealth干预措施感知可行性的新方法，并为进一步的可行性测试提供了有价值的见解。
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