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在初级卫生保健中实施用于个性化体育活动咨询的移动健康应用程序面临的挑战:一项定性研究

Challenges of Implementing an mHealth Application for Personalized Physical Activity Counselling in Primary Health Care: A Qualitative Study.

作者信息

Wattanapisit Apichai, Amaek Waluka, Wattanapisit Sanhapan, Tuangratananon Titiporn, Wongsiri Sunton, Pengkaew Prasert

机构信息

School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.

Walailak University Hospital, Nakhon Si Thammarat, Thailand.

出版信息

Int J Gen Med. 2021 Jul 24;14:3821-3831. doi: 10.2147/IJGM.S317241. eCollection 2021.

Abstract

INTRODUCTION

A mobile health (mHealth) technology has the potential to facilitate personalized physical activity (PA) counselling. We aimed to explore the feasibility and challenges of implementing a newly developed mHealth application (PAC app) for personalized PA counselling.

MATERIAL AND METHODS

A qualitative design employed a descriptive phenomenology approach. Data were collected through focus group discussions (FGDs) with primary health care (PHC) providers and were analyzed using a deductive thematic approach.

RESULTS

A total of 16 participants participated in four FGDs. Four major themes were found: application for personalized PA counselling, barriers to the use of the application by providers, patient involvement, and impact on PHC services.

DISCUSSION

The results showed that the new mHealth application can potentially facilitate PA counselling. However, its use in PHC settings requires an understanding of the context of service delivery; the challenges faced by providers and patients and effects on services must be considered.

CONCLUSION

Future research should focus on the long-term use of PAC app and its impact on behavioral and health outcomes.

摘要

引言

移动健康(mHealth)技术有潜力促进个性化身体活动(PA)咨询。我们旨在探讨实施一款新开发的用于个性化PA咨询的移动健康应用程序(PAC应用程序)的可行性和挑战。

材料与方法

采用定性设计,运用描述性现象学方法。通过与初级卫生保健(PHC)提供者进行焦点小组讨论(FGD)收集数据,并使用演绎主题分析法进行分析。

结果

共有16名参与者参加了4次FGD。发现了四个主要主题:个性化PA咨询的应用、提供者使用该应用的障碍、患者参与以及对初级卫生保健服务的影响。

讨论

结果表明,新的移动健康应用程序可能促进PA咨询。然而,在初级卫生保健环境中使用它需要了解服务提供的背景;必须考虑提供者和患者面临的挑战以及对服务的影响。

结论

未来的研究应关注PAC应用程序的长期使用及其对行为和健康结果的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e9d/8318008/4b4bdc05e503/IJGM-14-3821-g0001.jpg

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