Usability and acceptability testing of a Plan of Safe Care in a mobile health platform.

Usability and acceptability testing of a Plan of Safe Care in a mobile health platform.
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DOI:
10.3389/fpsyt.2023.1182630
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发表时间:
2023
影响因子:
4.7
通讯作者:
Ma, Tony X. X.
Ma, Tony X. X.
中科院分区:
医学3区
文献类型:
--
作者:
Isaacs, Krystyna R. R.;Bajracharya, Elina;Taylor, Shantae;Chang, Katie;Washio, Yukiko;Parker, Trenee;Paul, David A. A.;Ma, Tony X. X.

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在药物滥用障碍 (SUD) 康复期间怀孕或育儿的女性面临康复支持不足的风险。根据联邦授权,安全护理计划 (POSC) 的实施由各州负责,这导致在提供全面护理协调和满足联邦报告要求方面面临挑战。这项研究测试了名为 SAFE4BOTH 的 POSC 平台的可用性和可接受性,该平台将供患有药物滥用障碍 (MSUD) 的母亲使用的移动健康 (mHealth) 应用程序与供利益相关者使用的基于网络的案例管理系统相结合,以减少产后母婴护理分散的问题。该平台旨在实现服务获取、改进报告任务工作流程并协助改善母亲与服务提供者之间的互动。采用以用户为中心的设计方法后,通过焦​​点小组、访谈和系统可用性量表 (SUS) 评估了 SAFE4BOTH 平台的可用性和可接受性。评估涉及药物成瘾治疗诊所的四名工作人员(包括三名案件管理人员和一名同伴辅导员)、特拉华州家庭服务部的四名州雇员,以及 20 名患有 MSUD 且曾接生需要 POSC 的婴儿的母亲。 SAFE4BOTH 平台中测试的功能包括安全的、基于网络的 POSC、基于应急管理的奖励系统、微型学习库、资源定位器、聊天消息和视频会议系统、联系人管理目录、二维码阅读器、使用涉及地理围栏的预约合规系统以及增强的日历。家庭服务和治疗中心工作人员通过笔记本电脑或平板电脑访问 SAFE4BOTH,MSUD 通过手机访问 SAFE4BOTH。家庭服务工作人员、治疗中心工作人员和 MSUD 参与者将 SAFE4BOTH 评为可用且可接受,系统可用性量表平均得分分别为 68.1 (SD 8.5)、92.5 (SD 11.73) 和 78.4 (SD 12.5)。所有三个目标人群(家庭服务人员、治疗中心工作人员和 MSUD)均认为该平台可用且可接受。计划进一步研究探索纵向支持母亲康复和婴儿健康发育的功效。
Women who are pregnant or parenting while recovering from substance use disorder (SUD) are at risk for insufficient recovery support. With the federal mandate, implementation has been left to each state for the Plan of Safe Care (POSC), leading to challenges in providing comprehensive care coordination and meeting federal reporting requirements. This research tests the usability and acceptability of a POSC platform, called SAFE4BOTH, which combines a mobile health (mHealth) app for use by mothers with substance use disorder (MSUD) with a web-based case management system for use by stakeholders to reduce the issue of fragmented postnatal maternal and infant care. The platform was designed to enable access to services, improve reporting task workflow, and assist in improving interactions between mothers and service providers. After applying a user-centered design approach, the usability and acceptability of the SAFE4BOTH platform were evaluated using focus groups, interviews, and a System Usability Scale (SUS). The evaluation involved four staff members from a Medication for Addiction Treatment clinic (comprising of three case management workers and one peer counselor), four state employees of the Delaware Division of Family Services, and 20 mothers with MSUD who had delivered infants in need of a POSC. Features tested in the SAFE4BOTH platform included a secure, web-based POSC, a contingency management-based reward system, a micro-learning library, a resources locator, a chat messaging and videoconferencing system, a directory for contact management, a QR code reader, use of an appointment compliance system engaging geofencing, and an enhanced calendar. Family services and treatment center staff accessed SAFE4BOTH from their laptops or tablets, and MSUD accessed SAFE4BOTH from their phones. Family services staff, treatment center staff, and MSUD participants rated SAFE4BOTH as usable and acceptable with average System Usability Scale scores of 68.1 (SD 8.5), 92.5 (SD 11.73), and 78.4 (SD 12.5) (respectively). The platform was judged both usable and acceptable by all three target populations (family services staff, treatment center staff, and MSUD). Further studies are planned to explore the efficacy of longitudinally supporting the mother’s recovery and the infant’s healthy development.
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