A mixed-methods study on the implementation of a mobile health application (mHealth app) for stroke caregivers in Malaysia: healthcare providers' perspective.
A mixed-methods study on the implementation of a mobile health application (mHealth app) for stroke caregivers in Malaysia: healthcare providers' perspective.
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DOI：
10.3389/fneur.2023.1222260
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发表时间：
2023
影响因子：
3.4
通讯作者：
中科院分区：
文献类型：
--
作者：
认识到中风幸存者的照顾者所经历的负担，已经提出了使用移动的健康应用程序（mHealth应用程序）的干预措施，以支持和授权中风照顾者。本研究旨在评估医疗保健提供者的可接受性和期望，他们在医疗保健系统中扮演着至关重要的角色，以确保干预的有效性和可持续性。这是一项同时进行的混合方法研究设计，参与马来西亚东北部地区卒中护理管理的医疗保健提供者作为研究参与者。该研究的定性部分采用现象学方法进行，该方法涉及深入访谈，以探讨医疗保健提供者在卒中预防背景下采用mHealth应用程序的可接受性和期望。这项研究得到了通过使用技术接受模型工具调整版进行在线调查收集的定量数据的补充。总共有239名来自不同背景和专业的参与者参加了这项研究，其中12人参加了定性部分，227人参加了定量部分。定量调查的结果显示，超过80%的参与者表示有意使用移动健康应用程序。定性部分产生了两个主题相关的可接受性和期望的mHealth应用程序，这是与定量结果相结合。此外，深入访谈揭示了一个新的主题，即移动健康的主要特征，有三个子主题：为照顾者提供服务，提供知识技能，并支持照顾者管理中风患者。医疗保健提供者表现出很好的可接受性，这种mHealth干预措施作为医疗援助的一部分，特别是包括基本的关键功能。然而，未来的调查是必要的，以确定将mHealth应用程序整合到医疗保健系统中的可行性，并确保其长期可持续性。
Recognizing the burden experienced by caregivers of stroke survivors, an intervention using mobile health applications (mHealth apps) has been proposed to support and empower stroke caregivers. This study aimed to assess the acceptability and expectations of healthcare providers, who play a vital role as gatekeepers in the healthcare system, to ensure the effectiveness and sustainability of the intervention. This was a concurrent mixed-method study design, with healthcare providers involved in stroke care management in the northeast regions of Malaysia as study participants. The qualitative component of the study was conducted using a phenomenological approach that involved in-depth interviews to explore the acceptability and expectations of healthcare providers regarding the adoption of mHealth apps in the context of stroke caregiving. The study was complemented by quantitative data collected through an online survey using an adjusted version of the technology acceptance model tool. In total, 239 participants from diverse backgrounds and professions were enrolled in the study, with 12 in the qualitative component and 227 in the quantitative component. The findings from the quantitative survey showed that over 80% of the participants expressed their intention to use mHealth apps. The qualitative component generated two themes related to the acceptability and expectations of mHealth apps, which were integrated with the quantitative findings. Additionally, in-depth interviews revealed a new theme, namely the key features of mHealth, with three sub-themes: availability of services for caregivers, provision of knowledge skills, and supporting caregivers in managing stroke patients. Healthcare providers demonstrated excellent acceptability of this mHealth intervention as part of caregiving assistance, particularly with the inclusion of essential key features. However, future investigations are necessary to establish the feasibility of integrating the mHealth app into the healthcare system and to ensure its long-term sustainability.
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