Examination of the uses, needs, and preferences for health technology use in adolescents with asthma.

Examination of the uses, needs, and preferences for health technology use in adolescents with asthma.
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DOI:
10.1080/02770903.2018.1514048
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发表时间:
2019-09
期刊:
The Journal of asthma : official journal of the Association for the Care of Asthma
影响因子:
--
通讯作者:
Hommel KA
Hommel KA
中科院分区:
其他
文献类型:
--
作者:
Ramsey RR;Carmody JK;Holbein CE;Guilbert TW;Hommel KA

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采用定性描述性个体访谈方法,研究青少年哮喘患者对卫生技术的使用和偏好。2016年2月至7月,从定期安排的哮喘门诊招募了20名青少年。患者接受了采访,他们的技术使用和方式,卫生技术可以改善他们的哮喘管理使用一个开放式的半结构化访谈格式。访谈被录音,转录,并编码成主题。社交媒体(例如,Snapchat、Instagram)和一般通信(例如,消息传送)是技术的最常见用途,而医疗提醒(例如,预约、续药、服药)是卫生技术最常见的用途。青少年确定了卫生技术可以改善他们哮喘管理的方法,包括:1)跟踪症状和药物,2)医疗提醒,3)与药物和个人行动计划特别相关的哮喘和自我管理知识。出现的其他主题包括希望定制卫生技术,以适应个人的时间表和医疗程序,以及与医疗提供者一起使用卫生技术数据。青少年和家长在管理哮喘方面遇到了许多挑战,卫生技术干预措施应侧重于提高依从性和自我管理的方法。未来的研究考虑和潜在的干预措施,包括如何将青少年的喜好与循证干预措施进行了讨论。
To examine the health technology uses and preferences of adolescents with asthma using a qualitative descriptive individual interview approach. Twenty adolescents were recruited from regularly scheduled asthma clinic appointments from February to July 2016. Patients were interviewed about their technology use and ways in which health technology could improve their asthma management using an open-ended semi-structured interview format. Interviews were audio recorded, transcribed, and coded into themes. Social media (e.g., Snapchat, Instagram) and general communication (e.g., messaging) were the most common uses of technology while medical reminders (e.g., appointment, refill, medication) were the most common use of health technology. Adolescents identified ways in which health technology could improve their asthma management including: 1) Tracking symptoms and medication, 2) Medical reminders, and 3) Asthma and self-management knowledge specifically related to medications and individual action plans. Other themes that emerged included a desire to customize health technology to fit with individual schedules and medical routines and use of health technology data with medical providers. Adolescents and parents experience a number of challenges related to managing asthma, and health technology interventions should focus on ways to improve adherence and self-management. Future research considerations and potential interventions including ways to integrate adolescent preferences with evidence-based interventions are discussed.
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