移动保健应用程序的功能便于青少年管理生活方式,并得到护理人员和医疗服务提供者的认可。

IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES
mHealth Pub Date : 2024-07-05 eCollection Date: 2024-01-01 DOI:10.21037/mhealth-24-3
Parijat Ghosh, Rachel Proffitt, K Taylor Bosworth, Richelle J Koopman, Lauren Flowers, Gwen Wilson, Aneesh K Tosh, Amy S Braddock
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引用次数: 0

摘要

背景:移动健康(mHealth)应用程序正成为一种前景广阔的工具,可用于激励人们持续改变生活方式和行为,包括调整饮食和锻炼。然而,目前大多数移动医疗应用程序并没有得到有意义的、持续的用户接受,尤其是在青少年中。在他们看来,为成年人设计的移动医疗应用程序枯燥乏味、视觉效果不佳,这阻碍了青少年的使用。研究人员和青少年移动医疗应用程序开发人员将受益于对青少年认为哪些功能和特性最能激发他们使用应用程序的基本认识。获取护理人员和医疗保健提供者的意见也很重要,因为这两个群体在青少年医疗保健决策中扮演着不可或缺的角色。本研究的目的是探索和分析由青少年、护理人员和医疗服务提供者确定的移动医疗应用程序的功能,这些功能有可能激励青少年继续使用,从而使青少年的健康行为发生持续的变化:我们通过 Zoom© 对半结构化焦点小组获得的定性数据进行了归纳主题分析。我们与 25 名参与者(包括青少年、他们的照顾者和医疗服务提供者)探讨了移动医疗应用程序鼓励采用和持续使用的重要特征:结果:参与研究的青少年、其护理人员和医疗服务提供者认为,促进持续使用移动医疗应用程序的共同特点是:应用程序的外观和感觉、定制、教育信息/建议以及与电子健康记录的整合。目前的青少年移动医疗应用程序通常缺乏游戏化和社交互动等功能,而这些功能被认为对激励青少年具有重要意义:研究结果表明,青少年和护理人员认为用户界面友好、直观的应用程序是有价值的,并欣赏那些能激励用户并能让用户参与积极行为的功能。医疗服务提供者更喜欢用户友好且能有效融入医疗周期的移动医疗应用程序,从而能提供高效且以价值为基础的医疗服务。因此,根据医疗服务提供者的临床经验和需求进行移动医疗应用程序设计,并结合青少年及其护理人员所希望和支持的应用程序功能,就有可能推动应用程序的广泛采用和长期使用,从而改善青少年的健康行为和结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
mHealth app features that facilitate adolescent use for lifestyle management, and are endorsed by caregivers and health care providers.

Background: Mobile health (mHealth) apps are becoming a promising tool to motivate sustainable lifestyle and behavior changes, including modifications to diet and exercise. However, most current mHealth apps do not have meaningful, and sustained user acceptance, particularly, among adolescents. They perceive mHealth apps designed for adults to be tedious and visually unexciting, which discourage adolescent usage. Researchers and adolescent mHealth app developers would benefit from a foundational understanding of which functions and features adolescents feel would most motivate app use. Capturing caregivers' and health care providers' inputs are also important as both groups play an integral role in adolescent health care decision-making. The purpose of the study is to explore and analyze mHealth app features identified by adolescents, caregivers, and health care providers that have the potential to inspire continued use, thereby resulting in sustained health behavior changes in adolescents.

Methods: We used inductive thematic analysis of qualitative data obtained from semi-structured focus groups conducted via Zoom©. Important features of mHealth apps that encourage adoption and continued use were explored with 25 participants, including adolescents, their caregivers, and health care providers.

Results: Common features facilitating continual usage of mHealth apps that were identified as significant by participating adolescents, their caregivers and health care providers were: look and feel of the app, customization, educational information/recommendations, and integration with electronic health record. Features such as gamification and social interaction that are usually lacking in current adolescent mHealth apps were well recognized as meaningful for motivational purposes.

Conclusions: The findings suggest that adolescents and caregivers identify an app as valuable when it is user-friendly and intuitive and appreciate features that are motivating and can engage users in positive behaviors. Health care providers prefer mHealth apps that are user-friendly and can be effectively integrated into the cycle of care, thereby enabling delivery of efficient and value-based health care. Thus, mHealth app designs that are informed by health care providers' clinical experience and needs, in combination with app features that are desired and supported by both adolescents and their caregivers, have the potential to motivate widespread adoption and long-term use, which could result in improved health behaviors and outcomes among adolescents.

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