Enhancing User Experience Through User Study: Design of an mHealth Tool for Self-Management and Care Engagement of Cardiovascular Disease Patients.
Enhancing User Experience Through User Study: Design of an mHealth Tool for Self-Management and Care Engagement of Cardiovascular Disease Patients.
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DOI：
10.2196/cardio.9000
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发表时间：
2018-02-09
期刊：
影响因子：
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通讯作者：
Yoo, Sooyoung
中科院分区：
文献类型：
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作者：
Baek, Hyunyoung;Suh, Jung-Won;Yoo, Sooyoung
背景技术背景：随着患者沟通、参与、个人健康数据跟踪和最新信息通过移动的健康（mHealth）变得更加有效，心血管疾病（CVD）和其他需要在日常生活中改善行为的疾病现在能够得到更有效的管理和预防。然而，为了通过mHealth增加患者参与度，初始设计必须考虑功能和可用性因素，并在开发过程中准确评估用户需求，以便应用程序可以持续使用。目的：本研究的目的，是透过使用者研究，为心血管病患者发展移动健康服务提供有见地的信息，以帮助加强患者之间的沟通，方法：为了驱动管理CVD患者的疾病所需的移动的功能和服务，对位于韩国首尔大都市区的第三综合大学医院的患者和医生进行用户研究。对患者（35名参与者）进行了访谈和调查，并对医生（5名参与者）进行了焦点小组访谈。一个模拟的移动的应用程序开发的用户调查结果的基础上，然后进行了可用性测试（8名参与者），以确定应考虑的因素，以提高usability.RESULTS：大多数患者表现出积极的反应，他们的兴趣或意图使用应用程序来管理CVD。功能特征，如与医生的沟通，自我风险评估，锻炼，量身定制的教育，血压管理和健康状况记录在5分制的李克特量表上得分为4.0或更高，表明这些功能被认为对患者有用。模拟可用性测试的结果表明，输入和可视化血压和其他健康状况需要更容易。医生要求的功能，提供了一个全面的病人的日常健康状况，通过链接的mHealth应用程序的数据与医院的电子健康记录system.CONCLUSIONS：从用户研究开发的mHealth工具心血管疾病管理，如自我评估和患者和医生之间的沟通渠道的见解，可能有助于提高患者参与护理。
BACKGROUND: As patient communication, engagement, personal health data tracking, and up-to-date information became more efficient through mobile health (mHealth), cardiovascular diseases (CVD) and other diseases that require behavioral improvements in daily life are now capable of being managed and prevented more effectively. However, to increase patient engagement through mHealth, it is important for the initial design to consider functionality and usability factors and accurately assess user demands during the developmental process so that the app can be used continuously.OBJECTIVE: The purpose of the study was to provide insightful information for developing mHealth service for patients with CVD based on user research to help enhance communication between patients and doctors.METHODS: To drive the mobile functions and services needed to manage diseases in CVD patients, user research was conducted on patients and doctors at a tertiary general university hospital located in the Seoul metropolitan area of South Korea. Interviews and a survey were performed on patients (35 participants) and a focus group interview was conducted with doctors (5 participants). A mock-up mobile app was developed based on the user survey results, and a usability test was then conducted (8 participants) to identify factors that should be considered to improve usability.RESULTS: The majority of patients showed a positive response in terms of their interest or intent to use an app for managing CVD. Functional features, such as communication with doctors, self-risk assessment, exercise, tailored education, blood pressure management, and health status recording had a score of 4.0 or higher on a 5-point Likert scale, showing that these functions were perceived to be useful to patients. The results of the mock-up usability test showed that inputting and visualizing blood pressure and other health conditions was required to be easier. The doctors requested a function that offered a comprehensive view of the patient's daily health status by linking the mHealth app data with the hospital's electronic health record system.CONCLUSIONS: Insights derived from a user study for developing an mHealth tool for CVD management, such as self-assessment and a communication channel between patients and doctors, may be helpful to improve patient engagement in care.