患者对使用移动应用程序支持心力衰竭管理的看法：定性描述性研究。
Patient perspectives on the use of mobile apps to support heart failure management: A qualitative descriptive study.
机构信息
Ontario Tech University, Faculty of Health Science, Oshawa, Canada.
Ontario Tech University, Social Research Centre, Oshawa, Canada.
出版信息
PLoS One. 2023 May 11;18(5):e0285659. doi: 10.1371/journal.pone.0285659. eCollection 2023.
BACKGROUND
Adherence to diet and medical therapies are key to improving heart failure (HF) outcomes; however, nonadherence is common. While mobile apps may be a promising way to support patients with adherence via education and monitoring, HF patient perspectives regarding the use of apps for HF management in unknown. This data is critical for these tools to be successfully developed, implemented, and adopted to optimize adherence and improve HF outcomes.
OBJECTIVE
To determine patients' needs, motivations, and challenges on the use of mobile apps to support HF management.
METHODS
A qualitative descriptive study using focus groups (n = 4,60 minutes) was conducted among HF patients from outpatient HF clinics in Toronto, Canada. The Diffusion of Innovation theory informed a ten-question interview guide. Interview transcripts were independently coded by two researchers and analyzed using content analysis.
RESULTS
Nineteen HF patients (65 ± 10 yrs, 12 men) identified a total of four key themes related to the use of mobile apps. The theme 'Factors impacting technology use by patients' identified motivations and challenges to app use, including access to credible information, easy and accessible user-interface. Three themes described patients' needs on the use of mobile apps to support HF management: 1) 'Providing patient support through access to information and self-monitoring', apps could provide education on HF-related content (e.g., diet, medication, symptoms); 2) 'Facilitating connection and communication', through information sharing with healthcare providers and connecting with other patients; 3) 'Patient preferences', app features such as reminders for medication, and visuals to show changes in HF symptoms were favoured.
CONCLUSIONS
HF patients perceive several benefits and challenges to app use for HF self-management. Capitalizing on the benefits and addressing the challenges during the app development process may maximize adoption of such tools in this patient population.
背景
坚持饮食和医疗疗法是改善心力衰竭（HF）预后的关键；然而，不遵医嘱的情况很常见。虽然移动应用程序可能是通过教育和监测来支持患者遵医嘱的一种有前途的方式，但 HF 患者对使用应用程序进行 HF 管理的看法尚不清楚。这些数据对于成功开发、实施和采用这些工具以优化依从性并改善 HF 结局至关重要。
目的
确定患者在使用移动应用程序支持 HF 管理方面的需求、动机和挑战。
方法
采用焦点小组（n=4，时长 460 分钟）的定性描述性研究，在加拿大多伦多的门诊 HF 诊所招募 HF 患者。创新扩散理论为 10 个问题的访谈指南提供了信息。访谈记录由两位研究人员独立编码，并使用内容分析法进行分析。
结果
19 名 HF 患者（65±10 岁，12 名男性）确定了与使用移动应用程序相关的四个关键主题。主题“影响患者技术使用的因素”确定了使用应用程序的动机和挑战，包括获取可信信息、易于访问的用户界面。三个主题描述了患者对使用移动应用程序支持 HF 管理的需求：1）“通过获取信息和自我监测为患者提供支持”，应用程序可以提供与 HF 相关的内容教育（例如，饮食、药物、症状）；2）“促进联系和沟通”，通过与医疗保健提供者共享信息并与其他患者建立联系；3）“患者偏好”，患者倾向于使用提醒药物、显示 HF 症状变化的视觉效果等应用程序功能。
结论
HF 患者认为使用移动应用程序进行 HF 自我管理有一些好处和挑战。在应用程序开发过程中利用这些好处并解决这些挑战，可能会最大限度地提高这些工具在该患者群体中的采用率。
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