Variations in the Use of mHealth Tools: The VA Mobile Health Study.
Variations in the Use of mHealth Tools: The VA Mobile Health Study.
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DOI：
10.2196/mhealth.3726
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发表时间：
2016-07-19
影响因子：
5
通讯作者：
Frisbee KL
中科院分区：
文献类型：
--
作者：
Frisbee KL
移动医疗（mHealth）技术有望为患者及其护理人员提供即时的健康自我管理工具。这项研究包括向接受退伍军人事务（VA）健康管理局护理的退伍军人的家庭照顾者分发包含一套移动健康应用程序的ipad，这些退伍军人有严重的身体或精神伤害。该研究的目的是确定退伍军人及其家庭护理人员的因素和特征，预测移动健康应用程序的使用。参加退伍军人事务部家庭照顾者综合援助计划的退伍军人/家庭照顾者夫妇（N=882）被招募参加移动健康试点计划。参与并获得iPad的退伍军人和护理人员同意监控他们对应用程序的使用情况，并被要求完成一项评估护理人员准备情况、护理人员特征和护理人员Zarit负担清单基线调查的调查。在882对夫妇中，94.9%（837/882）的照顾者是女性，95.7%（844/882）的退伍军人接受者是男性。平均照顾者年龄为40岁（SD 10.2），平均退伍军人年龄为39岁（SD 9.15）， 39.8%（351/882）生活在农村地区。大多数（89%,788/882）的照顾者是配偶。总的来说，最常用的应用程序是“护理总结”，其次是“RX补充”，然后是“日记”、“care4caregiers”、“VA疼痛教练”，最后是“VA创伤后应激障碍教练”。应用程序的使用被以下因素显著预测：照顾者是配偶、照顾者计算机技能提高、居住在农村、照顾者准备程度较低、退伍军人心理健康诊断（创伤后应激障碍除外）和退伍军人年龄。这个移动健康家庭护理试点项目有效地建立了VA第一个面向患者的移动健康应用程序，这些应用程序集成在VA数据系统中。使用情况差异很大，使用最多的应用程序是那些帮助他们照顾孩子的应用程序。
Mobile health (mHealth) technologies exhibit promise for offering patients and their caregivers point-of-need tools for health self-management. This research study involved the dissemination of iPads containing a suite of mHealth apps to family caregivers of veterans who receive care from the Veterans Affairs (VA) Health Administration and have serious physical or mental injuries. The goal of the study was to identify factors and characteristics of veterans and their family caregivers that predict the use of mHealth apps. Veteran/family caregiver dyads (N=882) enrolled in VA’s Comprehensive Assistance for Family Caregivers program were recruited to participate in an mHealth pilot program. Veterans and caregivers who participated and received an iPad agreed to have their use of the apps monitored and were asked to complete a survey assessing Caregiver Preparedness, Caregiver Traits, and Caregiver Zarit Burden Inventory baseline surveys. Of the 882 dyads, 94.9% (837/882) of caregivers were women and 95.7% (844/882) of veteran recipients were men. Mean caregiver age was 40 (SD 10.2) years and mean veteran age was 39 (SD 9.15) years, and 39.8% (351/882) lived in rural locations. Most (89%, 788/882) of the caregivers were spouses. Overall, the most frequently used app was Summary of Care, followed by RX Refill, then Journal, Care4Caregivers, VA Pain Coach, and last, VA PTSD Coach. App use was significantly predicted by the caregiver being a spouse, increased caregiver computer skills, a rural living location, lower levels of caregiver preparedness, veteran mental health diagnosis (other than posttraumatic stress disorder), and veteran age. This mHealth Family Caregiver pilot project effectively establishes the VA’s first patient-facing mHealth apps that are integrated within the VA data system. Use varied considerably, and apps that were most used were those that assisted them in their caregiving responsibilities.