Embedding Patient Education in Mobile Platform for Patients With Heart Failure Theory-Based Development and Beta Testing
Embedding Patient Education in Mobile Platform for Patients With Heart Failure Theory-Based Development and Beta Testing
复制标题
DOI：
10.1097/cin.0000000000000216
复制
发表时间：
2016-02-01
影响因子：
1.3
通讯作者：
Rogal, Philip J.
中科院分区：
文献类型：
--
作者：
Athilingam, Ponrathi;Osorio, Richard E.;Rogal, Philip J.
健康教育是心力衰竭多学科疾病管理的重要组成部分。住院后出院时或初次诊断时提供的教育信息往往对患者来说是难以承受的，并且经常丢失或再也不会被咨询。因此，该开发项目的目的是将交互式心力衰竭教育嵌入移动平台。采用以患者为中心的方法来开发和测试移动应用程序，该方法基于多种学习理论，包括梅耶尔的多媒体学习认知理论、斯韦勒的认知负荷、教学设计方法和基于问题的学习。前往心力衰竭门诊就诊的 10 名心力衰竭患者完成了 β 测试。使用经过验证的自信问卷来评估患者使用移动应用程序的信心。所有参与者 (100%) 都表示对使用该应用程序有中等至极端的信心，95% 的人非常有可能使用该应用程序，100% 的人表示设计易于导航，并且有关心力衰竭的内容是适当的。据报告，通过手机访问信息是一件积极的事情，就像所有患者的健康教练一样。临床医生和护士验证了内容。因此，建议将健康教育嵌入移动应用程序中，以促进持续参与以改善健康结果。
Health education is an important component of multidisciplinary disease management of heart failure. The educational information given at the time of discharge after hospitalization or at initial diagnosis is often overwhelming to patients and is often lost or never consulted again. Therefore, the aim of this developmental project was to embed interactive heart failure education in a mobile platform. A patient-centered approach, grounded on several learning theories including Mayer's Cognitive Theory of Multimedia Learning, Sweller's Cognitive Load, Instructional Design Approach, and Problem-Based Learning, was utilized to develop and test the mobile app. Ten heart failure patients, who attended an outpatient heart failure clinic, completed beta testing. A validated self-confidence questionnaire was utilized to assess patients' confidence in using the mobile app. All participants (100%) reported moderate to extreme confidence in using the app, 95% were very likely to use the app, 100% reported the design was easy to navigate, and content on heart failure was appropriate. Having the information accessible on their mobile phone was reported as a positive, like a health coach by all patients. Clinicians and nurses validated the content. Thus, embedding health education in a mobile app is proposed in promoting persistent engagement to improve health outcomes.