Smartphones and Pediatric Apps to Mobilize the Medical Home
Smartphones and Pediatric Apps to Mobilize the Medical Home
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DOI：
10.1016/j.jpeds.2014.05.037
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发表时间：
2014-09-01
影响因子：
5.1
通讯作者：
Braganza, Sandra
中科院分区：
文献类型：
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作者：
Singh, Arunjot;Wilkinson, Sarah;Braganza, Sandra
Objectives通过测量智能手机拥有率、青少年与父母/护理人员对移动的设备的主要使用以及使用智能手机健康应用程序的兴趣水平，评估城市儿科诊所的数字访问和移动的健康。148项调查在候诊室进行口头管理，使用24项“iHealthNYC”问卷。智能手机的健康应用程序的演示，然后进行数据分析，使用双变量分析和c 2 statistics.Results总体而言，84%的受试者是智能手机所有者，57%使用智能手机作为他们的主要互联网来源。在不同年龄组或性别、种族和社会经济地位的人口统计数据之间，智能手机拥有率没有统计学差异。智能手机用户平均使用14.5个应用程序，其中70.4%的人每天访问应用程序超过3次。大多数参与者表示对医疗应用程序感兴趣，尽管护理人员的积极性更高。同样，照顾者更有可能通过手机搜索健康主题（76.7%对47.9%，P < .01）和拥有医疗应用程序与青少年（35.1%对16.9%，P = .02）。随着对移动的健康的兴趣增加，智能手机是一种有吸引力的模式，用于患者教育、疾病管理和简化不同环境中的医疗保健通信，从而“移动”医疗之家。需要进一步的研究，以便儿科医生能够推广基于证据的应用程序，从而使患者能够拥有自己的健康。
Objectives To assess digital access and mobile health in urban pediatric clinics by measuring demographics of smartphone ownership, primary uses of mobile devices by teens vs parents/caregivers, and interest levels in using smartphone health apps.Study design This cross-sectional survey studied teenagers and caregivers from 2 urban pediatric practices in Bronx, New York; 148 surveys were administered verbally in waiting rooms using a 24-item "iHealthNYC" questionnaire. A demonstration of smartphone health apps was then conducted and data analyzed using bivariate analysis and c 2 statistics.Results Overall, 84% of subjects were smartphone owners, with 57% using smartphones as their primary internet source. There was no statistical difference in smartphone ownership between age groups or demographics of sex, ethnicity, and socioeconomic status. Smartphone users had a mean 14.5 apps, with 70.4% accessing apps >3 times a day. The majority of participants stated interest in medical apps, although caregivers were significantly more motivated. Likewise, caregivers are more likely to search health topics via their phone (76.7% vs 47.9%, P < .01) and own medical apps vs teens (35.1% vs 16.9%, P = .02).Conclusion The prevalence of smartphone and app use in urban pediatric populations is high. With increased interest in mobile health, smartphones are an attractive modality for patient education, disease management, and streamlining health care communication in diverse settings, thus "mobilizing" the medical home. Further research is needed so that pediatricians can promote evidence-based apps, thus enabling patients to take ownership of their health.