Tadayon Hamidreza, Masoud Seyed Ali, Nabovati Ehsan, Akbari Hossein, Farzandipour Mehrdad, Babaei Masoud
Health Information Management Research Center Kashan University of Medical Sciences Kashan Iran.
Department of Health Information Management and Technology Kashan University of Medical Sciences Kashan Iran.
Healthc Technol Lett. 2022 Jul 31;9(4-5):55-69. doi: 10.1049/htl2.12034. eCollection 2022 Aug-Oct.
This study aimed to determine the functional requirements of a self-management mobile application for stroke survivors. For extracting the initial functional requirements, a literature review as well as interviews with 17 patients and caregivers were done. The results were analyzed using the content analysis method. The initial extracted requirements were then provided to the specialists by the Delphi technique to determine the final functional requirements. Content validity ratio (CVR) and content validity index (CVI) were calculated according to the Lawshe model. Criteria for item approval included CVR > 0.49 and CVI > 0.79. Finally, the approved items were turned into a five-point Likert scale questionnaire and were then provided to 53 experts and items with a mean score higher than 3.75 were approved. Functional requirements including creating a user account, educational material, support services, providing reminders and alerts for drugs administration and physician appointments, and rehabilitation exercises (to improve balance, upper and lower extremities rehabilitation, and activities of daily living (ADLs)) were approved. Most of the approved functional requirements were related to rehabilitation exercises for improving upper limb motor function. The experts did not approve the requirements for using splints and slings or the recommendation to take some medications.
本研究旨在确定一款针对中风幸存者的自我管理移动应用程序的功能需求。为提取初始功能需求，进行了文献综述以及对17名患者和护理人员的访谈。采用内容分析法对结果进行分析。然后通过德尔菲技术将初步提取的需求提供给专家，以确定最终的功能需求。根据劳希模型计算内容效度比（CVR）和内容效度指数（CVI）。项目批准标准包括CVR > 0.49和CVI > 0.79。最后，将批准的项目转化为五点李克特量表问卷，并提供给53名专家，平均得分高于3.75的项目获得批准。获得批准的功能需求包括创建用户账户、教育材料、支持服务、提供药物管理和医生预约提醒与警报，以及康复锻炼（以改善平衡、上肢和下肢康复以及日常生活活动（ADL））。大多数获得批准的功能需求与改善上肢运动功能的康复锻炼有关。专家们未批准使用夹板和吊带的需求或服用某些药物的建议。
