Using a Mobile App to Promote Smoking Cessation in Hospitalized Patients.
Using a Mobile App to Promote Smoking Cessation in Hospitalized Patients.
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使用移动应用程序促进住院患者的戒烟。
DOI：
10.2196/mhealth.5149
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发表时间：
2016-05-06
影响因子：
5
通讯作者：
Cha EM
中科院分区：
文献类型：
--
作者：
Finkelstein J;Cha EM
互动式健康教育在预防保健应用方面的潜力已得到广泛证明。然而，使用移动应用程序促进住院患者戒烟还没有得到系统的评估。这项研究是为了评估通过触摸屏平板电脑向住院吸烟者提供吸烟教育的手机应用程序的可行性。招募了55名连续住院的吸烟者。在基线时收集患者的社会人口学和吸烟史。通过测量移动应用程序使用前后显示的促进戒烟的认知和行为因素来评估移动应用程序的影响，包括吸烟危险知识得分(KS)、吸烟态度和变化阶段。使用手机应用后，KS均值从27(3)增加到31(3)(P<；0.0001)。感到“无法戒烟”的患者比例从36%(20/55)下降到18%(10/55)(P<；0.03)。总体而言，13%(7/55)的患者进入了更晚期的变化阶段，处于准备阶段的患者比例从40%(22/55)增加到51%(28/55)。多元回归分析表明，知识获取和手机应用程序接受度与年龄、性别、种族、计算机技能、收入或教育水平无关。影响知识获取的主要因素是初始知识水平(P<；0.02)、就业状况(P<；0.05)和高应用接受度(P<；0.01)。知识的增长是对移动应用程序更好态度的主要预测因素(优势比(OR)=4.8；95%可信区间(CI)(1.1，20.0))。态度调查和定性采访发现，住院吸烟者对这款移动应用程序的接受度很高。超过92%(51/55)的研究参与者推荐该APP供其他住院吸烟者使用，98%(54/55)的患者愿意在未来使用这样的APP。我们的结果表明，一款促进戒烟的手机应用程序被住院吸烟者很好地接受。这款应用程序可以在住院期间用于互动的患者教育和咨询。有必要开发和评估移动应用程序，让患者在住院期间参与他们的护理。
The potential of interactive health education for preventive health applications has been widely demonstrated. However, use of mobile apps to promote smoking cessation in hospitalized patients has not been systematically assessed. This study was conducted to assess the feasibility of using a mobile app for the hazards of smoking education delivered via touch screen tablets to hospitalized smokers. Fifty-five consecutive hospitalized smokers were recruited. Patient sociodemographics and smoking history was collected at baseline. The impact of the mobile app was assessed by measuring cognitive and behavioral factors shown to promote smoking cessation before and after the mobile app use including hazards of smoking knowledge score (KS), smoking attitudes, and stages of change. After the mobile app use, mean KS increased from 27(3) to 31(3) (P<0.0001). Proportion of patients who felt they “cannot quit smoking” reduced from 36% (20/55) to 18% (10/55) (P<0.03). Overall, 13% (7/55) of patients moved toward a more advanced stage of change with the proportion of patients in the preparation stage increased from 40% (22/55) to 51% (28/55). Multivariate regression analysis demonstrated that knowledge gains and mobile app acceptance did not depend on age, gender, race, computer skills, income, or education level. The main factors affecting knowledge gain were initial knowledge level (P<0.02), employment status (P<0.05), and high app acceptance (P<0.01). Knowledge gain was the main predictor of more favorable attitudes toward the mobile app (odds ratio (OR)=4.8; 95% confidence interval (CI) (1.1, 20.0)). Attitudinal surveys and qualitative interviews identified high acceptance of the mobile app by hospitalized smokers. Over 92% (51/55) of the study participants recommended the app for use by other hospitalized smokers and 98% (54/55) of the patients were willing to use such an app in the future. Our results suggest that a mobile app promoting smoking cessation is well accepted by hospitalized smokers. The app can be used for interactive patient education and counseling during hospital stays. Development and evaluation of mobile apps engaging patients in their care during hospital stays is warranted.
影响因子：
7.4
作者：
Finkelstein J;Lapshin O;Cha E
通讯作者：
Cha E