Kandia Lewis, Cynthia M Zettler-Greeley, Kathryn V Blake, Amy Milkes
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引用次数: 0
摘要
儿童哮喘是一种常见的严重慢性肺部疾病。移动医疗(mHealth)技术可以帮助临床提供者、护理人员和儿童管理儿科哮喘。这项研究评估了移动健康应用程序Nemours。我们检查了:a) 5-11岁诊断为哮喘的儿童的提供者访问数据的频率和照顾者(父母/法定监护人)使用特征的频率;b)使用是否与福利相关。9名医护人员(过敏症专家/肺病专家)和80名患者家庭(护理人员/儿童夫妇)参与了调查。获得了哮喘控制、现场紧急医疗保健利用和应用程序使用的两年回顾性数据。六个月的前瞻性数据包括哮喘控制、现场紧急医疗保健使用、应用程序使用、调查和健康素养筛查。提供者(56%)访问应用程序数据，护理人员(61%)使用应用程序。护理人员使用消息传递功能预测健康素养得分的提高(b =)。44, p = .041)，这表明应用程序的使用可能会带来一些教育益处。执行支持应用粘性和使用率的策略可能有助于最大化预期收益。
A digital health application for managing pediatric asthma: Use and benefits.
Childhood asthma is a common and serious chronic lung disease. Mobile health (mHealth) technologies may assist clinical providers, caregivers, and children in managing pediatric asthma. This study evaluated the Nemours app, an mHealth application. We examined: a) frequency of data access by providers and feature use by caregivers (parents/legal guardians) of 5-11-year-old children diagnosed with asthma and b) whether utilization was related to benefits. Nine providers (allergists/pulmonologists) and 80 patient-families (caregiver/child dyads) participated. Two-years of retrospective data were obtained for asthma control, in-person urgent healthcare utilization, and app utilization. Six-months of prospective data included asthma control, in-person urgent healthcare utilization, app utilization, surveys, and health literacy screeners. Providers (56%) accessed app data and caregivers (61%) utilized the app. Caregiver use of messaging feature predicted gains in health literacy scores (b = .44, p = .041), suggesting app use may offer some educational benefits. Implementation of strategies that support app engagement and utilization may help to maximize intended benefits.
期刊介绍：
Informatics for Health & Social Care promotes evidence-based informatics as applied to the domain of health and social care. It showcases informatics research and practice within the many and diverse contexts of care; it takes personal information, both its direct and indirect use, as its central focus.
The scope of the Journal is broad, encompassing both the properties of care information and the life-cycle of associated information systems.
Consideration of the properties of care information will necessarily include the data itself, its representation, structure, and associated processes, as well as the context of its use, highlighting the related communication, computational, cognitive, social and ethical aspects.
Consideration of the life-cycle of care information systems includes full range from requirements, specifications, theoretical models and conceptual design through to sustainable implementations, and the valuation of impacts. Empirical evidence experiences related to implementation are particularly welcome.
Informatics in Health & Social Care seeks to consolidate and add to the core knowledge within the disciplines of Health and Social Care Informatics. The Journal therefore welcomes scientific papers, case studies and literature reviews. Examples of novel approaches are particularly welcome. Articles might, for example, show how care data is collected and transformed into useful and usable information, how informatics research is translated into practice, how specific results can be generalised, or perhaps provide case studies that facilitate learning from experience.
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