可用性和有效性的智能手机应用程序跟踪肿瘤患者在哈博罗内,博茨瓦纳

Sidrah Shah, B. Monare, Sandra Urusaro, R. Bhatia, Sherman Preet Singh, T. Ralefala, Givy Dhaliwal, S. Grover
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引用次数: 1

摘要

到2025年,大多数癌症诊断预计将发生在低收入和中等收入国家(LMIC),65%的癌症死亡发生在LMIC。坚持治疗和患者监测对癌症护理至关重要,但在LMIC中通常是不可能的。OP Care是一款为填补这一空白而开发的智能手机应用程序,它可以虚拟存储医疗记录,并向患者发送预约提醒短信。这项研究评估了它的可用性和有效性。OP Care在博茨瓦纳哈博罗内的公主码头医院进行了试点。这项研究是一项横断面调查研究。所有使用该应用程序的提供者以及之前参与该应用程序并在3周调查期内参加妇科肿瘤诊所的所有患者都接受了调查。收集工作人员的人口统计、反应、对可用性的意见以及患者对预约提醒的反应。答案被记录在1(一点也不)到7(非常)的范围内。主要结果是应用程序的可用性和文本提醒的有效性。宾夕法尼亚大学机构审查委员会和博茨瓦纳卫生与健康部批准了这项研究。患者在入组前提供书面同意书。调查了9名工作人员和15名患者。工作人员包括三名医生和六名护士,他们都有一部智能手机,在家里使用电脑。大多数员工(78%)不认为OP Care会增加他们的工作负担,如果永久实施,他们愿意使用该应用程序(中位响应,6;四分位间距[IQR],1)。大多数可用性问题(19个问题中的17个),如“我觉得使用这个系统很舒服”,得分中值为6。大多数患者认为提醒短信是有帮助的(中位数,6;IQR,1),但希望短信提醒使用塞茨瓦纳语(中位数,7;IQR)。高可用性分数表明该应用程序适用于其他诊所。尽管患者很欣赏OP Care,但在Setswana有电话和短信提醒的选项。一个潜在的限制是,预约提醒对患者没有帮助的患者不一定包括在内,因为只有诊所的患者接受了调查。优势是包括所有相关工作人员,统一调查管理,并包括数字分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Usability and Effectiveness of a Smartphone Application for Tracking Oncology Patients in Gaborone, Botswana
Most cancer diagnoses are expected to be in low- and middle-income countries (LMICs) by 2025, and 65% of cancer deaths occur in LMICs. Treatment adherence and patient monitoring are essential to cancer care but are often not possible in LMICs. OP Care, a smartphone application developed to fill this gap, stores medical records virtually and texts appointment reminders to patients. This study assessed its usability and effectiveness. OP Care was piloted at Princess Marina Hospital in Gaborone, Botswana. The study was a cross-sectional study using surveys. All providers using the application were surveyed, along with all patients who were previously enrolled in the application and attended the gynecologic oncology clinic during the 3-week survey period. Staff demographics, reaction, opinions on usability, and patients’ reactions to appointment reminders were collected. Answers were recorded on a 1 (not at all) to 7 (extremely so) scale. Primary outcomes were the application’s usability and the effectiveness of the text reminders. The University of Pennsylvania Institutional Review Board and the Ministry of Health and Wellness in Botswana gave approval for the study. Patients provided written consent before enrollment. Nine staff and 15 patients were surveyed. Staff included three doctors and six nurses, all of whom own a smartphone and use a computer at home. Most staff (78%) did not feel OP Care would increase their work burden and were willing to use the application if implemented permanently (median response, 6; interquartile range [IQR], 1). Most usability questions (17 of 19), such as “I feel comfortable using this system,” scored a median of 6. Most patients believed that the reminder text messages were helpful (median, 6; IQR, 1) but wanted the text reminders to be in the Setswana language (median, 7; IQR, 1). High usability scores indicate the application is adaptable to other clinics. Although patients appreciate OP Care, the option for call and text reminders in Setswana is indicated. A potential limitation is that patients for whom the appointment reminders were not helpful were not necessarily included, because only patients in the clinic were surveyed. Strengths were inclusion of all involved staff, uniformity in survey administration, and inclusion of numerical analysis.
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来源期刊
自引率
0.00%
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0
审稿时长
20 weeks
期刊介绍: The Journal of Global Oncology (JGO) is an online only, open access journal focused on cancer care, research and care delivery issues unique to countries and settings with limited healthcare resources. JGO aims to provide a home for high-quality literature that fulfills a growing need for content describing the array of challenges health care professionals in resource-constrained settings face. Article types include original reports, review articles, commentaries, correspondence/replies, special articles and editorials.
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