Health Management and Economics Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Deparment of Artificial Intelligence, Smart University of Medical Sciences, Tehran, Iran.
BMC Med Inform Decis Mak. 2024 Nov 6;24(1):331. doi: 10.1186/s12911-024-02744-4.
Effective self-care practices are crucial for maintaining health and well-being, as inadequate self-care can lead to increased health risks and decreased overall quality of life. To address these issues, one promising approach involves leveraging progressive web app (PWA) platforms to educate and empower individuals with necessary self-care services. This study aims to design, implement, and evaluate a national self-care PWA platform, aiming to enhance accessibility and effectiveness in promoting health and self-care practices. The platform designed to improve self-care processes can be utilized by mothers, children, adolescents, youth, adults, and patients with emotional and mental disorders.
This study was conducted in three phases. In the first phase, during 35 meetings with 19 health care providers including physicians and another group of professionals, the most common illnesses and conditions that require self-care were identified. Platform capabilities were then assessed based on stakeholder opinions. Subsequently, during 15 meetings 19 health care providers identified a comprehensive list of conditions benefiting from dedicated decision aids to enhance individuals' self-care processes. In the second phase, a progressive web app platform was designed based on these common illnesses and conditions and capabilities and subsequently evaluated. To usability evaluation the platform, 26 evaluators utilized the system for two weeks. The QUIS 5.5 questionnaire was employed for evaluation, and the results were analyzed using SPSS 23. In the final phase, the system was implemented at the Smart University of Medical Sciences (SMUMS), affiliated with the Ministry of Health and Medical Education in Iran.
Based on the most common illnesses and conditions (n = 87) and identified capabilities, the national self-care platform was designed with eight sections catering to 'Maternal and child health services,' 'Mothers,' 'Infants,' 'Teenagers,' 'Adults,' 'Elderly,' 'Health of All Age Groups,' 'Patients with Mental and Emotional Health Disorders,' and 'General Information' for user education. Furthermore, the platform features 54 decision aids (DA), teleconsultation services, and a self-care magazine (Access link: https://khodmoragheb.ir/ ). These features were integrated to provide comprehensive support and resources for self-care. A mean exceeding 7 was attained across all evaluated dimensions, indicating that evaluators generally agreed the platform performed well.
The designed national self-care platform offers a promising solution for managing healthcare challenges. This innovative approach addresses the specific needs of individuals and extends its reach to Persian-speaking patients worldwide, fostering a global impact. By embracing self-care practices on an international scale, this platform contributes to a more inclusive and accessible healthcare landscape for individuals in Iran, Afghanistan, Tajikistan, and beyond.
有效的自我护理实践对于维护健康和幸福感至关重要,因为自我护理不足可能会增加健康风险并降低整体生活质量。为了解决这些问题,一种有前途的方法是利用渐进式 Web 应用程序 (PWA) 平台为个人提供必要的自我护理服务,以进行教育和赋权。本研究旨在设计、实施和评估一个全国性的自我护理 PWA 平台,旨在提高促进健康和自我护理实践的可及性和有效性。该平台旨在改善自我护理流程,可供母亲、儿童、青少年、青年、成年人和患有情绪和精神障碍的患者使用。
该研究分三个阶段进行。在第一阶段,通过与 19 名医疗保健提供者(包括医生和另一组专业人员)举行 35 次会议,确定了最常见需要自我护理的疾病和状况。然后根据利益相关者的意见评估平台功能。随后,在 19 名医疗保健提供者举行的 15 次会议中,确定了受益于专用决策辅助工具以增强个人自我护理流程的一系列综合疾病和状况。在第二阶段,根据这些常见疾病和状况以及能力设计了一个渐进式 Web 应用程序平台,随后对其进行了评估。为了进行可用性评估,有 26 名评估者使用该系统进行了两周的评估。使用 QUIS 5.5 问卷进行评估,并使用 SPSS 23 进行分析。在最后阶段,该系统在伊朗卫生部附属的医疗科学智能大学 (SMUMS) 实施。
根据最常见的疾病和状况(n=87)和确定的功能,为用户教育设计了全国性的自我护理平台,该平台有八个部分,分别是“母婴健康服务”、“母亲”、“婴儿”、“青少年”、“成人”、“老年人”、“各年龄段健康”、“有精神和情绪健康障碍的患者”和“一般信息”。此外,该平台还具有 54 个决策辅助工具(DA)、远程咨询服务和自我护理杂志(访问链接:https://khodmoragheb.ir/ )。这些功能集成在一起,为自我护理提供了全面的支持和资源。在所有评估维度上,得分均超过 7,这表明评估者普遍认为该平台表现良好。
设计的全国性自我护理平台为管理医疗保健挑战提供了一个有前途的解决方案。这种创新方法满足了个人的特定需求,并将其覆盖范围扩展到全球讲波斯语的患者,产生了国际影响。通过在国际范围内采用自我护理实践,该平台为伊朗、阿富汗、塔吉克斯坦及其他地区的个人提供了更具包容性和可及性的医疗保健服务。