A Systematic Evaluation of Asthma Management Apps Examining Behavior Change Techniques
A Systematic Evaluation of Asthma Management Apps Examining Behavior Change Techniques
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DOI：
10.1016/j.jaip.2019.03.041
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发表时间：
2019-11-01
影响因子：
9.4
通讯作者：
Fedele, David A.
中科院分区：
文献类型：
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作者：
Ramsey, Rachelle R.;Caromody, Julia K.;Fedele, David A.
背景：移动健康（mHealth）应用程序具有促进哮喘自我管理的潜力，包括药物提醒，允许自我监测症状，改善与提供者沟通的信息的获取和质量，并为患者和家长提供教育资源。有很多哮喘管理应用；然而，应用程序包含基于证据的行为改变策略的程度尚未得到检验。目的：回顾患者可用的移动健康哮喘管理应用程序的内容和质量。方法：使用系统搜索过程识别哮喘应用程序。根据亚伯拉罕和米奇在2008年定义的行为改变技术分类，对23个应用程序进行了是否存在行为改变技术（bct）的编码。使用移动应用评级量表（MARS）确定每个应用程序的质量评级。结果：每个应用程序使用的bct数量为1至11个（平均4个）。最常用的bct是指导、行为健康联系、自我监控、反馈、教导使用提示/线索、后果和他人的认可。基于MARS得分的整体应用质量范围为2.45至4.50（平均3.32）。Kiss myAsthma和AsthmaMD这两款应用至少使用了8个bct，并获得了很高的质量评级。结论：Kiss myAsthma和AsthmaMD至少使用了8个bct，且质量评分良好。(C) 2019年美国过敏、哮喘与免疫学学会
BACKGROUND: Mobile health (mHealth) apps have the potential to facilitate asthma self-management by including medication reminders, allowing self-monitoring of symptoms, improving access and quality of information communicated with provider, and providing educational resources to patients and parents. Many apps exist for asthma management; however, the extent to which apps include evidence-based behavior change strategies has not been examined.OBJECTIVE: To review the content and quality of mHealth asthma management apps that are available to patients.METHODS: Asthma apps were identified using a systematic search process. Twenty-three apps were coded for presence or absence of behavior change techniques (BCTs) using the taxonomy of BCTs as defined by Abraham and Michie in 2008. Quality ratings were also determined for each app using the Mobile App Rating Scale (MARS).RESULTS: The number of BCTs each app used ranged from 1 to 11 (mean, 4). BCTs that were most commonly used were instruction, behavior-health link, self-monitoring, feedback, teach to use prompts/cues, consequences, and others' approval. Overall app quality based on MARS scores ranged from 2.45 to 4.50 (mean, 3.32). Two apps, Kiss myAsthma and AsthmaMD, used at least 8 BCTs and had high quality ratings.CONCLUSIONS: Kiss myAsthma and AsthmaMD used at least 8 BCTs and had good quality scores. (C) 2019 American Academy of Allergy, Asthma & Immunology