College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
BMC Med Inform Decis Mak. 2022 Aug 2;22(1):206. doi: 10.1186/s12911-022-01945-z.
Peripheral artery disease (PAD) is a cardiovascular disease that can be improved by risk factor modification. Mobile health (mHealth) intervention is an effective method of healthcare delivery to promote behavior changes. An mHealth platform can encourage consistent involvement of participants and healthcare providers for health promotion. This study aimed to develop an mHealth platform consisting of a smartphone application (app) synchronized with a wearable activity tracker and a web-based portal to support exercise intervention in patients with PAD.
This study was conducted based on an iterative development process, including analysis, design, and implementation. In the analysis phase, a literature review and needs assessment through semi-structured interviews (n = 15) and a questionnaire-based survey (n = 138) were performed. The initial prototype design and contents were developed based on the users' requirements. In the implementation phase, multidisciplinary experts (n = 4) evaluated the heuristics, following which the mHealth platform was revised. User evaluation of the usability was performed by nurses (n = 4) and patients with PAD (n = 3).
Through the development process, the functional requirements of the platform were represented through visual display, reminder, education, self-monitoring, goal setting, goal attainment, feedback, and recording. In-app videos of exercise and PAD management were produced to provide information and in-app automatic text messages were developed for user motivation. The final version of the platform was rated 67.86 out of 100, which indicated "good" usability.
The mHealth platform was designed and developed for patients with PAD and their healthcare providers. This platform can be used to educate and promote individualized exercise among patients with PAD.
外周动脉疾病（PAD）是一种心血管疾病，可以通过危险因素的改变来改善。移动医疗（mHealth）干预是一种有效的医疗保健交付方法，可以促进行为的改变。mHealth 平台可以鼓励参与者和医疗保健提供者持续参与，以促进健康。本研究旨在开发一个由智能手机应用程序（app）与可穿戴活动追踪器同步的 mHealth 平台和一个基于网络的门户组成，以支持 PAD 患者的运动干预。
本研究基于迭代开发过程，包括分析、设计和实施。在分析阶段，通过半结构化访谈（n=15）和基于问卷的调查（n=138）进行文献回顾和需求评估。根据用户的需求，设计并开发了初始原型。在实施阶段，多名跨学科专家（n=4）对启发式进行了评估，随后对 mHealth 平台进行了修订。护士（n=4）和 PAD 患者（n=3）对可用性进行了用户评估。
通过开发过程，平台的功能需求通过视觉显示、提醒、教育、自我监测、目标设定、目标实现、反馈和记录来体现。制作了运动和 PAD 管理的应用内视频，提供信息，并开发了应用内自动短信，以激励用户。该平台的最终版本评分为 67.86 分（满分 100 分），表明“良好”的可用性。
为 PAD 患者及其医疗保健提供者设计和开发了 mHealth 平台。该平台可用于教育和促进 PAD 患者的个性化运动。
