A user-centered, learning asthma smartphone application for patients and providers
A user-centered, learning asthma smartphone application for patients and providers
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DOI：
10.1002/lrh2.10217
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发表时间：
2020-02-18
影响因子：
3.1
通讯作者：
Oberle, Andrew
中科院分区：
文献类型：
--
作者：
Gaynor, Mark;Schneider, David;Oberle, Andrew
问题 智能手机应用程序是患者自我管理慢性健康状况的一个越来越有用的部分。哮喘是一种常见的慢性健康状况，患者良好的自我管理对于保持稳定非常有帮助。以用户为中心的设计和具有学习能力的智能系统在构建应用程序方面向前迈出了一步，这些应用程序可以更有效地提供可扩展且针对每位患者量身定制的优质护理。方法通过文献和应用程序商店搜索来回顾历史和当前的哮喘智能手机应用程序。以用户为中心的设计是一种从设计阶段开始到安装结束涉及拟议系统的所有利益相关者的方法。这种以用户为中心的方法的一个方面涉及与患者和医疗保健提供者进行焦点小组讨论，以确定他们希望在应用程序中使用哪些功能，并创建一个模型来为学习型医疗保健系统构建智能基础设施。设计并构建了一个具有基本功能的哮喘智能手机应用程序的简单原型。 结果 哮喘智能手机应用程序文献综述中只有一篇出版物描述了以用户为中心的设计和智能学习系统。作者提出了智能医疗保健应用程序的一组用户所需的属性以及学习系统可能的信息数据流程图。一个以用户为中心设计的原型简单哮喘智能手机应用程序可以更好地帮助患者进行护理，这说明了所提出的架构的价值。讨论我们以用户为中心的方法帮助设计和实现了学习原型智能手机应用程序，以帮助患者更好地管理哮喘并向临床护理提供者提供信息。虽然以用户为中心的设计在其他行业很受欢迎，但在医疗保健领域的采用进展缓慢。然而，这种方法越来越受欢迎，并有望带来更好地满足患者及其护理提供者需求的移动应用程序。
Problem Smartphone applications are an increasingly useful part of patients' self-management of chronic health conditions. Asthma is a common chronic health condition for which good self-management by patients is very helpful in maintaining stability. User-centered design and intelligent systems that learn are steps forward in building applications that are more effective in providing quality care that is scalable and tailored to each patient.Methods A literature and application store search to review historic and current asthma smart phone applications. User-centered design is a methodology that involves all stakeholders of a proposed system from the beginning of the design phase to the end of installation. One aspect of this user-centered approach involved conducting focus groups with patients and health care providers to determine what features they desire for use in applications and create a model to build smart infrastructure for a learning health care system. A simple prototype for an asthma smartphone application is designed and built with basic functionality.Outcomes Only one publication in the literature review of asthma smartphone applications describes both user-centered design and intelligent learning systems. The authors have presented a set of user-desired attributes for a smart health care application and a possible data flow diagram of information for a learning system. A prototype simple user-centered designed asthma smartphone application that better assists patients in their care illustrates the value of the proposed architecture.Discussion Our user-centered approach helped design and implement a learning prototype smart phone application to help patients better manage their asthma and provide information to clinical care providers. While popular in other industries, user-centered design has had slow adoption in the health care area. However, the popularity of this approach is increasing and will hopefully result in mobile application that better meets the needs of both patients and their care providers.