与初级保健中具有心血管危险因素的个体使用EMPOWER-SUSTAIN自我管理移动应用程序©相关的因素。

Factors associated with usability of the EMPOWER-SUSTAIN Self-management mobile app© among individuals with cardiovascular risk factors in primary care.

作者信息

Abu Hussain Siti M, Miptah Hayatul N, Shibraumalisi Nur A, Mohamed-Yassin Mohamed-Syarif, Baharudin Noorhida, Badlishah-Sham Siti F, Nik Mohd Nasir Nik M, Kamaruddin Khairatul N, Kanoo Lina L, Abdul-Razak Suraya, Abdul-Hamid Hasidah, Daud Maryam H, Yusoff Fakhrul H, Ramli Anis S

机构信息

Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia.

Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia.

出版信息

Digit Health. 2024 Apr 3;10:20552076241242795. doi: 10.1177/20552076241242795. eCollection 2024 Jan-Dec.

DOI:10.1177/20552076241242795

PMID:38571876

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10989042/

Abstract

OBJECTIVE

This study aimed to determine the usability of the EMPOWER-SUSTAIN Self-Management Mobile App© and evaluate the factors associated with its usability among patients with cardiovascular risk factors in primary care.

METHODOLOGY

This was a cross-sectional study, conducted among patients aged ≥ 18 years with cardiovascular risk factors attending a university primary care clinic. Patients were given the app to use for at least three months. Those who fulfilled the eligibility criteria were recruited. Data gathered were on sociodemographic, clinical characteristics, self-management support by doctors, utilisation of the app at home and social support in using the app. The previously translated and validated Malay version of the mHealth App Usability Questionnaire was used to measure usability. The mean usability score was calculated and linear regressions analysis was conducted to determine the factors associated with the usability of the app.

RESULTS

A total of 247 patients with at least one cardiovascular risk factor(s) were recruited. The mean age was 60.2 (±8.2). The majority were Malays (86.2%) and half of them were males (52.2%). The total mean (±SD) usability score was 5.26 (±0.67) indicating a high usability of the app. Usability of the app declined with increasing age in the simple linear regressions analysis. The multiple linear regressions yielded that being Malay ( = 0.31, 95% CI 0.08,0.54), using the app at home to understand their medications ( = 0.33, 95% CI 0.12,0.53) and having social support from family members and friends ( = 0.28, 95% CI 0.07,0.49) were significantly associated with higher usability of the app.

CONCLUSION

The usability of the EMPOWER-SUSTAIN Self-Management Mobile App© was high among patients with cardiovascular risk factors in our primary care clinic. This finding supports the widespread use of this app among our patients. Involvement of family members and friends should be encouraged to improve the usability of the app.

摘要

目的

本研究旨在确定EMPOWER - SUSTAIN自我管理移动应用程序©的可用性，并评估基层医疗中具有心血管危险因素的患者其可用性的相关因素。

方法

这是一项横断面研究，在一所大学基层医疗诊所中，对年龄≥18岁且具有心血管危险因素的患者进行。患者被给予该应用程序使用至少三个月。招募符合资格标准的患者。收集的数据包括社会人口统计学、临床特征、医生的自我管理支持、在家中应用程序的使用情况以及使用应用程序时的社会支持。使用先前翻译并验证的马来文版移动健康应用程序可用性问卷来测量可用性。计算平均可用性得分，并进行线性回归分析以确定与应用程序可用性相关的因素。

结果

共招募了247名至少有一种心血管危险因素的患者。平均年龄为60.2（±8.2）岁。大多数是马来人（86.2%），其中一半是男性（52.2%）。总平均（±标准差）可用性得分为5.26（±0.67），表明该应用程序具有较高的可用性。在简单线性回归分析中，应用程序的可用性随年龄增长而下降。多元线性回归结果显示，马来人（β = 0.31，95%可信区间0.08,0.54）、在家中使用该应用程序来了解其药物（β = 0.33，95%可信区间0.12,0.53）以及得到家庭成员和朋友的社会支持（β = 0.28，95%可信区间0.07,0.49）与该应用程序较高的可用性显著相关。