Intervention Mapping Approach in the Design of an Interactive Mobile Health Application to Improve Self-care in Heart Failure
Intervention Mapping Approach in the Design of an Interactive Mobile Health Application to Improve Self-care in Heart Failure
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DOI：
10.1097/cin.0000000000000383
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发表时间：
2018-02-01
影响因子：
1.3
通讯作者：
Labrador, Miguel A.
中科院分区：
文献类型：
--
作者：
Athilingam, Ponrathi;Clochesy, John M.;Labrador, Miguel A.
心力衰竭是一种复杂的综合征，老年人可能会经历和解释不同的症状。这些症状解释的差异可能会影响症状管理的决策。一个消息灵通和积极主动的人可能会发展成功管理症状所需的知识和技能。因此，以患者为中心的移动的健康应用程序HeartMapp旨在通过使用移动的电话提供定制的警报和反馈，使心力衰竭患者参与自我护理管理。本文的主要目的是描述六步干预映射方法，包括（1）初始需求评估，（2）近端计划目标，（3）基于理论的方法选择，（4）将目标转化为移动的健康干预的实际计划，（5）适应和实施计划，以及（6）在开发HeartMapp期间协助团队开发概念框架和干预计划矩阵的评估计划。HeartMapp干预以信息，动机和行为技能模型为理论基础，患者参与作为心力衰竭患者实现有针对性和持久性自我护理行为改变的关键中介。HeartMapp干预旨在改善自我护理管理和长期结果。
Heart failure is a complex syndrome among older adults who may experience and interpret symptoms differently. These differences in symptom interpretation may influence decision-making in symptom management. A well-informed and motivated person may develop the knowledge and skills needed to successfully manage symptoms. Therefore, the patient-centered mobile health application HeartMapp was designed to engage patients with heart failure in self-care management by offering tailored alerts and feedback using mobile phones. The main objective of this article is to describe the six-step intervention mapping approach including (1) the initial needs assessment, (2) proximal program objective, (3) selection of theory-based methods, (4) the translation of objectives into an actual program plan for mobile health intervention, (5) adaptation and implementation plan, and (6) evaluation plan that assisted the team in the development of a conceptual framework and intervention program matrix during the development of HeartMapp. The HeartMapp intervention takes the information, motivation, and behavioral skills model as the theoretical underpinning, with patient engagement as the key mediator in achieving targeted and persistent self-care behavioral changes in patients with heart failure. The HeartMapp intervention is proposed to improve self-care management and long-term outcomes.