Sivakumar Bridve, Lemonde Manon, Stein Matthew, Goldstein Sarah, Mak Susanna, Arcand JoAnne
Faculty of Health Science, Ontario Tech University, Oshawa, ON, Canada.
Social Research Centre, Ontario Tech University, Oshawa, ON, Canada.
JMIR Cardio. 2022 Oct 26;6(2):e40546. doi: 10.2196/40546.
Nonadherence to diet and medical therapies in heart failure (HF) contributes to poor HF outcomes. Mobile apps may be a promising way to improve adherence because they increase knowledge and behavior change via education and monitoring. Well-designed apps with input from health care providers (HCPs) can lead to successful adoption of such apps in practice. However, little is known about HCPs' perspectives on the use of mobile apps to support HF management.
The aim of this study is to determine HCPs' perspectives (needs, motivations, and challenges) on the use of mobile apps to support patients with HF management.
A qualitative descriptive study using one-on-one semistructured interviews, informed by the diffusion of innovation theory, was conducted among HF HCPs, including cardiologists, nurses, and nurse practitioners. Transcripts were independently coded by 2 researchers and analyzed using content analysis.
The 21 HCPs (cardiologists: n=8, 38%; nurses: n=6, 29%; and nurse practitioners: n=7, 33%) identified challenges and opportunities for app adoption across 5 themes: participant-perceived factors that affect app adoption-these include patient age, technology savviness, technology access, and ease of use; improved delivery of care-apps can support remote care; collect, share, and assess health information; identify adverse events; prevent hospitalizations; and limit clinic visits; facilitating patient engagement in care-apps can provide feedback and reinforcement, facilitate connection and communication between patients and their HCPs, support monitoring, and track self-care; providing patient support through education-apps can provide HF-related information (ie, diet and medications); and participant views on app features for their patients-HCPs felt that useful apps would have reminders and alarms and participative elements (gamification, food scanner, and quizzes).
HCPs had positive views on the use of mobile apps to support patients with HF management. These findings can inform effective development and implementation strategies of HF management apps in clinical practice.
心力衰竭（HF）患者不坚持饮食和药物治疗会导致不良的心力衰竭治疗结果。移动应用程序可能是提高依从性的一种有前景的方式，因为它们通过教育和监测增加知识并改变行为。由医疗保健提供者（HCP）提供意见设计良好的应用程序能够在实际应用中成功推广。然而，对于HCP在使用移动应用程序支持心力衰竭管理方面的观点却知之甚少。
本研究旨在确定HCP在使用移动应用程序支持心力衰竭患者管理方面的观点（需求、动机和挑战）。
采用定性描述性研究，以创新扩散理论为依据，对包括心脏病专家、护士和执业护士在内的心力衰竭HCP进行一对一的半结构化访谈。访谈记录由两名研究人员独立编码，并采用内容分析法进行分析。
21名HCP（心脏病专家：n = 8，38%；护士：n = 6，29%；执业护士：n = 7，33%）在5个主题中确定了应用程序采用的挑战和机遇：影响应用程序采用的参与者感知因素——这些因素包括患者年龄、技术熟练程度、技术获取情况和易用性；改善护理服务——应用程序可以支持远程护理；收集、共享和评估健康信息；识别不良事件；预防住院；并减少门诊就诊；促进患者参与护理——应用程序可以提供反馈和强化，促进患者与其HCP之间的联系和沟通，支持监测并跟踪自我护理；通过教育提供患者支持——应用程序可以提供心力衰竭相关信息（如饮食和药物）；以及参与者对其患者应用程序功能的看法——HCP认为有用的应用程序应具有提醒和警报以及参与元素（游戏化、食物扫描仪和测验）。
HCP对使用移动应用程序支持心力衰竭患者管理持积极态度。这些发现可为临床实践中心力衰竭管理应用程序的有效开发和实施策略提供参考。
Zotero 插件
