Lim Ji Young, Kim Jong Kwang, Kim Yoon, Ahn So-Yeon, Yu Jonghan, Hwang Ji Hye
Department of Physical Therapy, General Graduate School of Medical Sciences, Konyang University, Daejeon, Republic of Korea.
Medi Plus Solution, Seoul, Republic of Korea.
JMIR Form Res. 2021 Apr 13;5(4):e23304. doi: 10.2196/23304.
Although many mobile health (mHealth) apps have evolved as support tools for self-management of breast cancer, limited studies have developed a comprehensive app and described the algorithms for personalized rehabilitation throughout the breast cancer care continuum.
This study aimed to develop a comprehensive mobile app and to describe an algorithm that adjusts personalized content to facilitate self-management throughout the breast cancer care continuum.
The development process of the modular mHealth app included the following 4 steps: (1) organizing expert teams, (2) defining evidence-based fundamental content and modules, (3) classifying user information for algorithms to personalize the content, and (4) creating the app platform and connectivity to digital health care devices.
We developed a modular mHealth app service, which took 18 months, including a review of related literature and guidelines and the development of the app and connectivity to digital health care devices. A total of 11 functionalities were defined in the app with weekly analysis. The user information classification was formulated for personalized rehabilitation according to 5 key criteria: general user information, breast operation type, lymph node surgery type, chemotherapy and hormonal therapy use, and change in treatment after surgery. The main modules for personalized content included a self-monitoring screen, personalized health information, personalized exercise, and diet management.
The strength of this study was the development of a comprehensive mHealth app and algorithms to adjust content based on user medical information for personalized rehabilitation during the breast cancer care continuum.
尽管许多移动健康（mHealth）应用程序已发展成为乳腺癌自我管理的支持工具，但开展综合性应用程序并描述贯穿乳腺癌护理全过程的个性化康复算法的研究却很有限。
本研究旨在开发一款综合性移动应用程序，并描述一种可调整个性化内容以促进乳腺癌护理全过程自我管理的算法。
模块化移动健康应用程序的开发过程包括以下4个步骤：（1）组建专家团队；（2）定义基于证据的基本内容和模块；（3）对用户信息进行分类以便算法对内容进行个性化设置；（4）创建应用程序平台并与数字医疗设备建立连接。
我们开发了一款模块化移动健康应用程序服务，耗时18个月，包括对相关文献和指南的审查以及应用程序的开发和与数字医疗设备的连接。该应用程序通过每周分析共定义了11项功能。根据5个关键标准制定了用于个性化康复的用户信息分类：一般用户信息、乳房手术类型、淋巴结手术类型、化疗和激素治疗的使用情况以及术后治疗变化。个性化内容的主要模块包括自我监测屏幕、个性化健康信息、个性化运动和饮食管理。
本研究的优势在于开发了一款综合性移动健康应用程序以及用于在乳腺癌护理全过程中根据用户医疗信息调整内容以实现个性化康复的算法。
