Mobile health devices: will patients actually use them?

Mobile health devices: will patients actually use them?
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DOI:
10.1093/jamia/ocv186
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发表时间:
2016-05-01
影响因子:
6.4
通讯作者:
Bosworth, Hayden B.
Bosworth, Hayden B.
中科院分区:
管理学2区
文献类型:
--
作者:
Shaw, Ryan J.;Steinberg, Dori M.;Bosworth, Hayden B.

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尽管移动健康(MHealth)设备提供了远程捕获患者健康数据的独特机会,但尚不清楚患者是否会同时持续使用多个设备和/或慢性病是否会影响依从性。三名健康的参与者和三名患有慢性病的参与者被招募,通过四个设备和一个饮食应用程序提供11个健康指标的数据。健康参与者每周的平均使用率为76%,而慢性病患者的这一比例为16%。在研究期间,所有参与者的设备依从性都有所下降。慢性病患者可以说是从先进(或增加的)监测中受益最大的,与健康的人相比,他们可能不太可能采用和使用这些设备。结果表明,设备疲劳可能是一个重要的问题。随着时间的推移,移动技术的使用可能会改变人群之间和个人内部的护理提供。然而,设备可能需要量身定做,以满足特定的患者需求。
Although mobile health (mHealth) devices offer a unique opportunity to capture patient health data remotely, it is unclear whether patients will consistently use multiple devices simultaneously and/or if chronic disease affects adherence. Three healthy and three chronically ill participants were recruited to provide data on 11 health indicators via four devices and a diet app. The healthy participants averaged overall weekly use of 76%, compared to 16% for those with chronic illnesses. Device adherence declined across all participants during the study. Patients with chronic illnesses, with arguably the most to benefit from advanced (or increased) monitoring, may be less likely to adopt and use these devices compared to healthy individuals. Results suggest device fatigue may be a significant problem. Use of mobile technologies may have the potential to transform care delivery across populations and within individuals over time. However, devices may need to be tailored to meet the specific patient needs.