Assessment of Heart Failure Patients' Interest in Mobile Health Apps for Self-Care: Survey Study.
Assessment of Heart Failure Patients' Interest in Mobile Health Apps for Self-Care: Survey Study.
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DOI：
10.2196/14332
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发表时间：
2019-10-29
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影响因子：
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通讯作者：
Arnold, Corey
中科院分区：
文献类型：
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作者：
Sohn, Albert;Speier, William;Arnold, Corey
背景：心力衰竭是一个严重的公共卫生问题，困扰着美国数百万人。发展促进心力衰竭自我护理的行为可能是减少并发症和避免再次入院的必要条件。移动的健康解决方案，如活动跟踪器和智能手机应用程序，可能有助于通过远程跟踪和发布提醒来促进自我护理。目的：本研究的目的是确定心力衰竭患者对智能手机应用程序的兴趣，以帮助他们管理他们的治疗和症状，并确定影响他们对此类应用程序兴趣的因素。在门诊预约当天的门诊候诊室，50名心力衰竭患者参加了一项自我管理的调查。该调查包括先前发布的机构审查委员会批准的问卷中的139个问题。该调查测量了患者对使用技术的兴趣和经验，以及他们的功能，心力衰竭症状和心力衰竭自我护理行为。明尼苏达心力衰竭生活质量问卷（MLHFQ）是11份问卷中的一份，通过患者报告的结果来衡量心力衰竭患者的健康相关生活质量。参与者平均年龄为64.5岁，32%（16/50）的参与者为女性，91%（41/45）的参与者被确定为纽约心脏协会II级或更高。超过60%（30/50）的调查参与者表示对为心力衰竭患者设计的智能手机应用程序的几个潜在功能感兴趣。多元回归分析显示，参与者年龄与跟踪、提示和提醒的兴趣呈负相关（P
BACKGROUND: Heart failure is a serious public health concern that afflicts millions of individuals in the United States. Development of behaviors that promote heart failure self-care may be imperative to reduce complications and avoid hospital re-admissions. Mobile health solutions, such as activity trackers and smartphone apps, could potentially help to promote self-care through remote tracking and issuing reminders.OBJECTIVE: The objective of this study was to ascertain heart failure patients' interest in a smartphone app to assist them in managing their treatment and symptoms and to determine factors that influence their interest in such an app.METHODS: In the clinic waiting room on the day of their outpatient clinic appointments, 50 heart failure patients participated in a self-administered survey. The survey comprised 139 questions from previously published, institutional review board-approved questionnaires. The survey measured patients' interest in and experience using technology as well as their function, heart failure symptoms, and heart failure self-care behaviors. The Minnesota Living with Heart Failure Questionnaire (MLHFQ) was among the 11 questionnaires and was used to measure the heart failure patients' health-related quality of life through patient-reported outcomes.RESULTS: Participants were aged 64.5 years on average, 32% (16/50) of the participants were women, and 91% (41/45) of the participants were determined to be New York Heart Association Class II or higher. More than 60% (30/50) of the survey participants expressed interest in several potential features of a smartphone app designed for heart failure patients. Participant age correlated negatively with interest in tracking, tips, and reminders in multivariate regression analysis (P