Jahre Lisa Maria, Lortz Julia, Rassaf Tienush, Rammos Christos, Mallien Charlotta, Skoda Eva-Maria, Teufel Martin, Bäuerle Alexander
Clinic for Psychosomatic Medicine and Psychotherapy, University of Duisburg-Essen, LVR-University Hospital Essen, Virchowstr. 174, 45147 Essen, Germany.
Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University of Duisburg-Essen, Virchowstr. 174, 45147 Essen, Germany.
Eur Heart J Digit Health. 2023 Jul 5;4(5):393-401. doi: 10.1093/ehjdh/ztad038. eCollection 2023 Oct.
Cardiovascular diseases are one of the main contributors to disability and mortality worldwide. Meanwhile, risk factors can be modified by lifestyle changes. mHealth is an innovative and effective way to deliver cardiac health promotion. This study aims to examine the needs and demands regarding the design and contents of an mHealth intervention for cardiac health promotion among individuals with cardiac diseases. Different clusters were determined and analysed in terms of the intention to use an mHealth intervention.
A cross-sectional study was conducted via a web-based survey. Three hundred and four individuals with coronary artery diseases (CADs) and/or congestive heart failure (CHF) were included in the data analysis. Descriptive statistics were applied to evaluate needs and demands regarding an mHealth intervention. A -medoids cluster analysis was performed. Individuals with CAD and CHF favoured an mHealth intervention that supports its users permanently and is easily integrated into everyday life. Handheld devices and content formats that involve active user participation and regular updates were preferred. Three clusters were observed and labelled high, moderate, and low burden, according to their psychometric properties. The high burden cluster indicated higher behavioural intention towards use of an mHealth intervention than the other clusters.
The results of the study are a valuable foundation for the development of an mHealth intervention for cardiac health promotion following a user-centred design approach. Individuals with cardiac diseases report positive attitudes in the form of high usage intention regarding mHealth. Highly burdened individuals report a high intention to use such interventions.
心血管疾病是全球残疾和死亡的主要原因之一。同时，风险因素可通过改变生活方式加以改善。移动健康（mHealth）是促进心脏健康的一种创新且有效的方式。本研究旨在调查心脏病患者对促进心脏健康的移动健康干预措施的设计和内容的需求。根据使用移动健康干预措施的意愿确定并分析了不同的类别。
通过基于网络的调查进行了一项横断面研究。数据分析纳入了304例冠状动脉疾病（CAD）和/或充血性心力衰竭（CHF）患者。应用描述性统计来评估对移动健康干预措施的需求。进行了一种基于中心点的聚类分析。CAD和CHF患者倾向于一种能为用户提供长期支持且易于融入日常生活的移动健康干预措施。他们更喜欢涉及用户积极参与和定期更新的手持设备及内容形式。根据心理测量特性观察到三个类别，并分别标记为高负担、中等负担和低负担。高负担类别显示出比其他类别更高的使用移动健康干预措施的行为意愿。
本研究结果是以用户为中心的设计方法开发促进心脏健康的移动健康干预措施的宝贵基础。心脏病患者对移动健康表现出以高使用意愿形式的积极态度。高负担个体报告了使用此类干预措施的高意愿。
