McDonald Megan D, Dantzler Danyel, Nichols Michelle, Miller Sarah, Dawley Erin, Walgrave Mason, Boan Andrea Denise, Teufel Ronald J
College of Medicine, Medical University of South Carolina, Anderson, SC, USA.
Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.
J Asthma. 2025 Feb;62(2):261-270. doi: 10.1080/02770903.2024.2400285. Epub 2024 Sep 11.
Mobile health (mHealth), defined as the use of mobile phones or applications in healthcare, has been developed to enhance asthma care; yet implementation is inconsistent, and few studies have focused on provider perspectives on use in daily practice. The purpose of this study was to explore primary care pediatric provider perspectives regarding mHealth use in clinical practice for children with asthma.
A qualitative, descriptive approach was utilized to perform semi-structured interviews on asthma mHealth use with providers caring for children with asthma. Interview transcripts were coded by two independent investigators and any differences were reconciled. Interviews continued until thematic saturation was achieved.
Seventeen pediatric providers were recruited and interviewed. Three themes identified included implementation benefits, implementation barriers, and reporting desires, with 11 subthemes. Many subthemes were consistent across providers (e.g. self-management benefits and electronic medical record integration), while others such as provider clinical burden and approach to integrating mHealth data reports into daily workflow demonstrated variability. Provider perspectives highlight the potential of mHealth applications in asthma self-management while offering challenges related to clinical burden and suggestions for reporting and workflow integration. These results provide valuable perspectives on mHealth use and reporting to ensure provider efficiency and technology-enhanced asthma care. This study investigates pediatric provider perspectives on asthma mobile health use and reporting in daily practice, a topic that has not sufficiently been explored within the literature. Results can guide best practices, encourage more consistent use, and maximize the benefits of asthma mHealth tools by providers.
移动健康（mHealth）被定义为在医疗保健中使用手机或应用程序，其已被开发用于加强哮喘护理；然而实施情况并不一致，并且很少有研究关注医疗服务提供者在日常实践中使用移动健康的观点。本研究的目的是探讨初级保健儿科医疗服务提供者对于在哮喘患儿临床实践中使用移动健康的观点。
采用定性描述性方法，对照顾哮喘患儿的医疗服务提供者就哮喘移动健康的使用进行半结构化访谈。访谈记录由两名独立研究人员进行编码，如有差异则进行协调。访谈持续进行直至达到主题饱和。
招募并访谈了17名儿科医疗服务提供者。确定的三个主题包括实施益处、实施障碍和报告意愿，还有11个子主题。许多子主题在医疗服务提供者中是一致的（例如自我管理益处和电子病历整合），而其他一些子主题，如医疗服务提供者的临床负担以及将移动健康数据报告整合到日常工作流程中的方法则存在差异。医疗服务提供者的观点突出了移动健康应用在哮喘自我管理中的潜力，同时也提出了与临床负担相关的挑战以及关于报告和工作流程整合的建议。这些结果为移动健康的使用和报告提供了有价值的观点，以确保医疗服务提供者的效率和技术增强的哮喘护理。本研究调查了儿科医疗服务提供者在日常实践中对哮喘移动健康使用和报告的观点，这是一个在文献中尚未得到充分探讨的主题。研究结果可以指导最佳实践，鼓励更一致的使用，并使医疗服务提供者最大化哮喘移动健康工具的益处。
