Mobile Web-based monitoring and coaching: Feasibility in chronic migraine
Mobile Web-based monitoring and coaching: Feasibility in chronic migraine
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DOI：
10.2196/jmir.9.5.e38
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发表时间：
2007-01-01
影响因子：
7.4
通讯作者：
van Doornen, Lorenz J. P.
中科院分区：
文献类型：
--
作者：
Sorbi, Marjolijn J.;Mak, Sander B.;van Doornen, Lorenz J. P.
背景：互联网可以促进日记监测（经验抽样、生态瞬间评估）和行为指导。在线数字援助（ODA）是一种用于移动网络的通用工具，旨在作为面对面或基于互联网的认知行为治疗的辅助手段。目前应用官方发展援助的目的是支助以家庭为基础的慢性偏头痛行为预防培训，重点是查明发作前体和支助预防性保健行为。目的：从技术问题和参与者依从性方面确定ODA方法的可行性，并根据用户友好性、潜在负担和对偏头痛行为攻击预防培训的感知支持度评分确定ODA的可接受性。方法：ODA结合移动电子日记监测和根据日记信息对健康行为进行直接人工在线指导。日记包含三个部分，内容包括：(1)偏头痛和药物使用；(2)发作的前兆；(3)自我放松和其他预防行为；此外，月经（在晚上日记中评估）和睡眠紊乱（在早晨日记中评估）也被监测。该初步研究包括两组试验，共有5名女性慢性偏头痛无先兆，每位（范围4）参与者的ODA测试时间为8.5天-12天。第一次测试有三个参与者，每天测试4-5个日记提示。另三名参与者（包括一名同时参加两次测试的受试者）进行了第二次测试，测试了减少的提示方案（2-3）和对日记的轻微修改。工作日每天进行两次在线辅导。结果：基于可接受的数据丢失（个人数字助理导致的数据丢失占1.2%，网络传输失败导致的数据丢失占5.6%）和良好的参与者依从性（第二轮为86.8%），建立了ODA可行性。运行1显示每天的提示数量有些令人烦恼。总体的官方发展援助可接受性从参与者对用户友好性、无负担和对偏头痛发作预防的感知支持的积极反应中可见。该软件进行了调整，以进一步增加应用程序的灵活性。结论：官方发展援助是可行的，并被广泛接受。容忍度是一个敏感问题，平衡是一个敏感问题，利益与负担之间的平衡必须慎重考虑。ODA提供了一种通用的工具，将移动指导与日记监测相结合，独立于时间和空间。ODA对改善偏头痛的作用仍有待确定。
Background: The Internet can facilitate diary monitoring (experience sampling, ecological momentary assessment) and behavioral coaching. Online digital assistance (ODA) is a generic tool for mobile Web-based use, intended as an adjuvant to face-to-face or Internet-based cognitive behavioral treatment. current ODA application was designed to support home-based training of behavioral attack prevention in chronic migraine, focusing on the identification of attack precursors and the support of preventive health behaviour. Objective: The aim was to establish feasibility of the ODA approach in terms of technical problems and participant compliance, and ODA acceptability on the basis of ratings of user-friendliness, potential burden, and perceived support of the training for behavioral attack prevention in migraine. Methods: ODA combines mobile electronic diary monitoring with direct human online coaching of health behavior according to the information from the diary. The diary contains three parts covering the following: (1) migraine headache and medication use, (2) attack precursors, and (3) self-relaxation and other preventive behavior; in addition, menstruation (assessed in the evening diary) and disturbed sleep (assessed in the morning diary) is monitored. The pilot study consisted of two runs conducted with a total of five women with chronic migraine without aura ODA was tested for 8.5 days -12 days) per (range 4 participant. The first test run with three participants tested 4-5 diary prompts per day. The second run with another three participants (including one subject who participated in both runs) tested a reduced prompting scheme (2-3) and minor adaptations to the diary. Online coaching was executed twice daily on workdays. Results: ODA feasibility was established on the basis of acceptable data loss (1.2% due to the personal digital assistant; 5.6% due to failing Internet transmission) and good participant compliance (86.8% in the second run). Run 1 revealed some annoyance with the number of prompts per day. Overall ODA acceptability was evident by the positive participant responses concerning userfriendliness, absence of burden, and perceived support of migraine attack prevention. The software was adapted to further increase the flexibility of the application. Conclusions: ODA is feasible and well accepted. Tolerability is a sensitive issue and the balance a sensitive issue, and the balance between benefit and burden must be considered with care. ODA offers a generic tool to combine mobile coaching with diary monitoring,independently of time and space. ODA effects on improvement of migraine remain to be established.