Smartphone application for rheumatoid arthritis self-management: cross-sectional study revealed the usefulness, willingness to use and patients' needs
Smartphone application for rheumatoid arthritis self-management: cross-sectional study revealed the usefulness, willingness to use and patients' needs
复制标题
DOI：
10.1007/s00296-015-3270-9
复制
发表时间：
2015-10-01
影响因子：
4
通讯作者：
Lima, Aurea
中科院分区：
文献类型：
--
作者：
Azevedo, Rita;Bernardes, Miguel;Lima, Aurea
以患者为中心的智能手机应用程序有可能支持类风湿性关节炎（RA）自我管理，但在文献中几乎尚未探索。因此，本研究评估了智能手机应用程序支持RA自我管理的有用性，RA患者使用和支付的意愿以及应用程序应具有的功能。在这项横断面研究中，开发了一份调查问卷，以收集关于人群、器械所有权、有用性和使用意愿以及RA自我管理应用程序和应用程序功能的支付信息。采用描述性统计、卡方检验、Fisher精确检验、t检验或Mann-Whitney检验和多因素分析。100名RA患者回答了问卷。患者的平均年龄为57 +/-A11.9岁，大多数为女性（91%），采用多种药物方案，治疗不依从率为40%。大多数患者认为这可能在自我管理中发挥更积极的作用（94%），并报告开发RA自我管理应用程序将是有用的（86%）。愿意使用应用程序的患者（83%）更年轻，可能在自我管理中发挥更积极的作用，可以使用智能手机，使用短消息服务，电子邮件和互联网。多变量分析证实了这些结果，除了与使用智能手机和使用电子邮件和互联网有关的关联。58例患者（82%）愿意为RA自我管理应用程序付费，最需要的功能是简单格式的信息。这项研究表明了RA自我管理应用程序的有用性和患者使用和支付的意愿，并提供了对患者需求的见解。
Patient-centered smartphone applications have potential to support rheumatoid arthritis (RA) self-management but remain almost unexplored in literature. Therefore, this study evaluated the usefulness of a smartphone application to support RA self-management, the willingness of RA patients to use and pay for it and the features the application should have. In this cross-sectional study, a questionnaire was developed to collect information on population, device ownership, usefulness and willingness to use and pay for a RA self-management application and application features. Descriptive statistics, Chi-square, Fisher's exact test, t test or Mann-Whitney's test and multivariate analysis were used. One hundred RA patients answered the questionnaire. Patients' mean age was 57 +/- A 11.9 years, most were females (91 %), with multiple drug regimens and a 40 % treatment non-compliance rate. Most patients believed that could have a more active role in self-management (94 %) and reported it would be useful to develop a RA self-management application (86 %). Patients willing to use an application (83 %) were younger, with a possible more active role in self-management, with access to a smartphone, and using short message service, electronic mail and Internet. Multivariate analysis confirmed these results, except the associations regarding access to a smartphone and use of electronic mail and Internet. Fifty-eight patients (82 %) were willing to pay for a RA self-management application and the most requested feature for it was information in a simple format. This study suggested the usefulness and patients' willingness to use and pay for a RA self-management application and provided insight on patients' needs.