Koo Kevin, Herrick Benjamin W, Yap Ronald L
Dartmouth-Hitchcock Medical Center, Lebanon and Concord Hospital Center for Urologic Care (RLY), Concord, New Hampshire.
Urol Pract. 2015 Jan;2(1):7-11. doi: 10.1016/j.urpr.2014.08.003. Epub 2014 Oct 27.
Bladder voiding diaries are an important part of evaluating and managing lower urinary tract symptoms but are subject to poor data quality and diary completion rates. Mobile health technology is increasingly prevalent and can help overcome the problems of traditional paper and electronic diaries.
We identified proof of concept design principles based on a literature review and needs assessment. An electronic application was developed to improve self-assessment and symptom management for patients with voiding dysfunction. We analyzed application distribution and use patterns for 12 consecutive months.
We designed an electronic application with complete mobile device integration containing a voiding diary, incontinence tracker and AUA Symptom Score questionnaire. Users could enter and modify details about the volume and frequency of voiding events, including leakage and pad use. Data could be electronically shared with providers. Integrating the application on the Apple® iOS and Android™ mobile operating systems eliminated the need for patients to carry or learn to use a separate device. During the 12-month study period 1,868 unique visitors from 18 countries downloaded the mobile application and made a total of 13,145 subsequent visits.
This application for evaluating voiding dysfunction leverages mobile technology to overcome the limits of paper and standalone electronic formats. Domestic and international users downloaded the application and consistently logged return visits. Using mobile health in urology practices may help patients and providers better manage lower urinary tract symptoms and achieve improved control.
膀胱排尿日记是评估和管理下尿路症状的重要组成部分，但存在数据质量差和日记完成率低的问题。移动健康技术日益普及，有助于克服传统纸质和电子日记的问题。
我们基于文献综述和需求评估确定了概念验证设计原则。开发了一个电子应用程序，以改善排尿功能障碍患者的自我评估和症状管理。我们连续12个月分析了应用程序的分发和使用模式。
我们设计了一个与移动设备完全集成的电子应用程序，其中包含排尿日记、尿失禁追踪器和美国泌尿外科学会症状评分问卷。用户可以输入和修改有关排尿事件的量和频率的详细信息，包括漏尿和护垫使用情况。数据可以通过电子方式与医疗服务提供者共享。将该应用程序集成到苹果®iOS和安卓™移动操作系统上，患者无需携带或学习使用单独的设备。在为期12个月的研究期间，来自18个国家的1868名独立访客下载了该移动应用程序，随后共进行了13145次访问。
这个用于评估排尿功能障碍的应用程序利用移动技术克服了纸质和独立电子格式的局限性。国内外用户下载了该应用程序，并持续进行回访。在泌尿外科实践中使用移动健康技术可能有助于患者和医疗服务提供者更好地管理下尿路症状并实现更好的控制。
