Improved readability and functions needed for mHealth apps targeting patients with heart failure: An app store review.

Improved readability and functions needed for mHealth apps targeting patients with heart failure: An app store review.
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针对心力衰竭患者的mHealth应用程序所需的可读性和功能得到改进:应用程序商店评论。

DOI:
10.1002/nur.22078
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发表时间:
2021-03
影响因子:
2
通讯作者:
Donevant SB
Donevant SB
中科院分区:
医学4区
文献类型:
--
作者:
Dunn Lopez K;Chae S;Michele G;Fraczkowski D;Habibi P;Chattopadhyay D;Donevant SB

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为了维持生活质量并避免住院和早期死亡,心力衰竭患者必须识别并应对病情加重的症状。让患者参与自我护理的一种有前途的方法是通过移动健康应用程序(mHealth 应用程序)。然而,为了使移动医疗有最大的机会改善患者的治疗结果,应用程序内容必须可读、提供有用的功能并以证据为基础。该研究旨在确定:(1) 可读性,(2) 功能类型,以及 (3) 与 Apple 和 Google Play 商店中提供的针对心力衰竭患者的自我护理重点 mHealth 应用程序的权威证据来源的联系。我们在 Apple 和 Google Play 商店中系统地搜索了针对心力衰竭患者的 mHealth 应用程序,并应用了选择标准。使用 Microsoft Word 中的 Flesch-Kincaid 等级测试工具确定随机选择的信息段落的可读性。十个移动医疗应用程序符合我们的标准。只有一名学生的阅读成绩水平等于或低于推荐的六年级阅读水平(平均 9.35)。最常见的功能是跟踪、临床数据反馈以及非基于数据的提醒和警报。只有三个声明明确将移动医疗应用程序内容与值得信赖、基于证据的来源联系起来。只有其中两个具有与电子健康记录的互操作性,并且只有一个具有与临床医生的通信功能。未来的移动医疗设计根据患者的识字水平量身定制并具有先进的功能,可能在改善患者治疗效果方面具有更大的潜力。
To maintain their quality of life and avoid hospitalization and early mortality, patients with heart failure must recognize and respond to symptoms of exacerbation. A promising method for engaging patients in their self-care is through mobile health applications (mHealth apps). However, for mHealth to have its greatest chance for improving patient outcomes, the app content must be readable, provide useful functions and be based in evidence. The study aimed to determine: (1) readability, (2) types of functions, and (3) linkage to authoritative sources of evidence for self-care focused mHealth apps targeting heart failure patients that are available in the Apple and Google Play Stores. We systematically searched for mHealth apps targeting patients with heart failure in the Apple and Google Play Stores and applied selection criteria. Readability of randomly selected informational paragraphs were determined using Flesch–Kincaid grade level test tool in Microsoft Word. Ten mHealth apps met our criteria. Only one had a reading grade level at or below the recommended 6th grade reading level (average 9.35). The most common functions were tracking, clinical data feedback, and non-data-based reminders and alerts. Only three had statements that clearly linked the mHealth app content to trustworthy, evidence-based sources. Only two had interoperability with the electronic health record and only one had a communication feature with clinicians. Future mHealth designs that are tailored to patients’ literacy level and have advanced functions may hold greater potential for improving patient outcomes.
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