Approaches for Implementing App-Based Digital Treatments for Drug Use Disorders Into Primary Care: A Qualitative, User-Centered Design Study of Patient Perspectives.
Approaches for Implementing App-Based Digital Treatments for Drug Use Disorders Into Primary Care: A Qualitative, User-Centered Design Study of Patient Perspectives.
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DOI：
10.2196/25866
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发表时间：
2021-07-06
影响因子：
7.4
通讯作者：
Bradley KA
中科院分区：
文献类型：
--
作者：
Glass JE;Matson TE;Lim C;Hartzler AL;Kimbel K;Lee AK;Beatty T;Parrish R;Caldeiro RM;Garza McWethy A;Curran GM;Bradley KA
数字干预措施，如网站和智能手机应用程序，可以有效地治疗药物使用障碍（DUD）。然而，它们在初级保健中的实施受到阻碍，部分原因是缺乏对患者如何喜欢这些治疗的了解。这项研究旨在增加对DUD患者如何更喜欢接受基于应用程序的治疗的理解，以告知这些治疗在初级保健中的实施。以用户为中心的设计方法与定性研究方法相结合，为初级保健中提供基于应用程序的治疗的工作流程设计提供信息。来自西雅图地区Kaiser Permanente华盛顿的5家初级保健诊所的过去一年大麻、兴奋剂或阿片类药物使用障碍的成人患者（n=14）参加了本研究。半结构化访谈记录，转录，并使用定性模板分析进行分析。编码方案包括基于访谈主题的演绎编码，主要侧重于工作流程设计。数据中出现了归纳代码。参与者希望在讨论药物使用的访视期间了解应用程序，并认为应尽可能将应用程序相关的对话纳入现有护理中，而不是创建新的医疗保健访视以促进应用程序的使用。几乎所有参与者都更喜欢在使用应用程序时获得临床医生的支持，而不是在没有支持的情况下使用应用程序。参与者希望通过电话或安全消息获得随访支持，因为这些通信模式被认为是方便和低负担的（例如，没有共付额或预约旅行）。在初级保健中以用户为中心的DUD治疗应用程序的实施将要求卫生系统设计工作流程，以满足患者对结构、就诊内外支持以及便利性的需求。
Digital interventions, such as websites and smartphone apps, can be effective in treating drug use disorders (DUDs). However, their implementation in primary care is hindered, in part, by a lack of knowledge on how patients might like these treatments delivered to them. This study aims to increase the understanding of how patients with DUDs prefer to receive app-based treatments to inform the implementation of these treatments in primary care. The methods of user-centered design were combined with qualitative research methods to inform the design of workflows for offering app-based treatments in primary care. Adult patients (n=14) with past-year cannabis, stimulant, or opioid use disorder from 5 primary care clinics of Kaiser Permanente Washington in the Seattle area participated in this study. Semistructured interviews were recorded, transcribed, and analyzed using qualitative template analysis. The coding scheme included deductive codes based on interview topics, which primarily focused on workflow design. Inductive codes emerged from the data. Participants wanted to learn about apps during visits where drug use was discussed and felt that app-related conversations should be incorporated into the existing care whenever possible, as opposed to creating new health care visits to facilitate the use of the app. Nearly all participants preferred receiving clinician support for using apps over using them without support. They desired a trusting, supportive relationship with a clinician who could guide them as they used the app. Participants wanted follow-up support via phone calls or secure messaging because these modes of communication were perceived as a convenient and low burden (eg, no copays or appointment travel). A user-centered implementation of treatment apps for DUDs in primary care will require health systems to design workflows that account for patients’ needs for structure, support in and outside of visits, and desire for convenience.
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影响因子：
4.4
作者：
CUNNINGHAM, JA;SOBELL, LC;TONEATTO, T
通讯作者：
TONEATTO, T
影响因子：
6.3
作者：
Edwards, P;Cooper, R;Frost, C
通讯作者：
Frost, C
影响因子：
1.4
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通讯作者：
Tai, Betty
DOI：
10.1080/10447310902864928
发表时间：
2009-01-01
影响因子：
4.7
作者：
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通讯作者：
Carayon, Pascale
影响因子：
5.9
作者：
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通讯作者：
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