Mobile Apps for the Care Management of Chronic Kidney and End-Stage Renal Diseases: Systematic Search in App Stores and Evaluation
Mobile Apps for the Care Management of Chronic Kidney and End-Stage Renal Diseases: Systematic Search in App Stores and Evaluation
复制标题
用于慢性肾脏和终末期肾病护理管理的移动应用程序：应用程序商店中的系统搜索和评估
作者：
A. Siddique;Mary Krebs;S. Álvarez;I. Greenspan;Amit Patel;Julianna Kinsolving;N. Koizumi
背景近年来，许多用于肾脏疾病护理管理的免费和低成本移动的应用程序已经可用。虽然这些似乎是有前途的工具，但尚未根据标准移动的应用程序指标对其进行比较评估，因此，关于其有效性的证据有限。本研究系统性地分类和评估了移动的应用程序，这些应用程序旨在帮助慢性肾脏病（CKD）和终末期肾脏病（ESRD）透析患者的药物依从性和营养追踪。目的本研究的目的是全面评估用于CKD和ESRD患者用药依从性和营养跟踪的移动的应用程序的可能使用情况。方法采用系统评价框架对从iOS和Android应用商店识别和下载的应用程序进行搜索、筛选和评估。我们使用13个相关搜索词选择应用程序，根据一组纳入和排除标准缩小范围，然后使用移动的应用程序评级量表（MARS），这是一种广泛采用的应用程序评估工具，用于评估应用程序的有效性。内部一致性和评分者间信度分别采用Cronbach α和组间相关系数（ICC）进行检验。结果MARS总分具有良好的内部一致性（Cronbach α =.90）和中等水平的评分者间信度（双向混合ICC 0.65）。总体而言，12个审查的应用程序中有11个符合MARS评级的最低可接受分数3.0。综合得分最高的3个应用程序分别是My Kidneys、My Health Handbook（MARS=4.68）、My Food Coach（MARS=4.48）和National Kidney Foundation Malaysia（MARS=4.20）。该研究确定了现有应用程序中的2个一般性弱点：应用程序无法适应高级交互功能，例如提供激励反馈以及促进家庭成员和护理人员参与应用程序的使用。结论MARS评分系统在应用程序评价中表现良好。排名最高的3个应用程序在MARS中指定的5个维度上得分一直很高。这些应用程序是与知名组织和领域专家合作开发的，表明了专家指导在开发医疗应用程序方面的重要性。
Background Numerous free and low-cost mobile apps for the care management of kidney disease have become available in recent years. Although these appear to be promising tools, they have not been evaluated comparatively based on standard mobile app metrics, and thus, limited evidence is available regarding their efficacy. This study systematically cataloged and assessed mobile apps designed to assist medication compliance and nutrition tracking that are useful to the chronic kidney disease (CKD) and the end-stage renal disease (ESRD) patients who are on dialysis. Objective The objective of this study was to comprehensively evaluate mobile apps used for medication compliance and nutrition tracking for possible use by CKD and ESRD patients. Methods A systematic review framework was applied to the search, screening, and assessment of apps identified and downloaded from the iOS and Android app stores. We selected apps using 13 relevant search terms, narrowed down based on a set of inclusion and exclusion criteria, and then used the Mobile App Rating Scale (MARS), a widely adopted app evaluation tool to assess the effectiveness of apps. The internal consistency and interrater reliability were tested using Cronbach alpha and interclass correlation coefficients (ICCs), respectively. Results The MARS total score had excellent internal consistency (Cronbach alpha=.90) and a moderate level of interrater reliability (2-way mixed ICC 0.65). Overall, 11 out of the 12 reviewed apps met the minimum acceptable score of 3.0 in MARS rating. The 3 apps with the highest combined scores were My Kidneys, My Health Handbook (MARS=4.68); My Food Coach (MARS=4.48); and National Kidney Foundation Malaysia (MARS=4.20). The study identified 2 general weaknesses in the existing apps: the apps fell short of accommodating advanced interactive features such as providing motivational feedback and promoting family member and caregiver participations in the app utilization. Conclusions The MARS rating system performed well in the app evaluation. The 3 highest ranked apps scored consistently high across the 5 dimensions specified in MARS. These apps were developed in collaboration with reputable organizations and field experts, demonstrating the importance of expert guidance in developing medical apps.
DOI：
10.2215/cjn.04580908
发表时间：
2009-05-01
影响因子：
9.8
作者：
Cavanaugh, Kerri L.;Wingard, Rebecca L.;Ikizler, T. Alp
通讯作者：
Ikizler, T. Alp