检查行为改变技术的哮喘管理应用程序的系统评估
2019/04/19
摘要
背景：移动健康(mHealth)应用程序具有促进哮喘自我管理的潜力，包括药物提醒、自我监测症状、改善与提供者沟通信息的获取和质量，以及为患者和家长提供教育资源。然而，有许多应用程序用于哮喘管理，但应用程序基于证据的行为改变策略的程度尚未得到检验。
目的：回顾可用于患者的移动健康哮喘管理应用程序的内容和质量。
方法：哮喘应用程序是通过一个系统的搜索过程确定的。根据Abraham & Michie定义的行为改变技术的分类，23个应用程序被编码为存在或不存在行为改变技术(BCTs)。使用移动应用程序评分量表(MARS)为每个应用程序确定质量评级。
结果：每个应用程序使用的BCTs的数量从1-11 (M = 4)不等，最常用的BCTs是指令、行为-健康链接、自我监控、反馈、使用提示/线索的教学、结果和其他方面的认可。基于MARS评分的应用程序总体质量范围为2.45-4.50 (M = 3.32)。KissmyAsthma和AsthmaMD这两个应用程序使用了至少8个BCTs，并获得了高质量的评分。
结论：KissmyAsthma和AsthmaMD使用了至少8个BCTs，并具有良好的质量评分。
Ramsey RR, Caromody JK, Voorhees SE, Warning A, Cushing CC, Guilbert TW, Hommel KA, Fedele DA.
Abstract
BACKGROUND: Mobile health (mHealth) apps have the potential to facilitate asthma self-management by including medication reminders, allowing self-monitoring of symptoms, improving access and quality of information communicated with provider, and providing educational resources to patients and parents. Many apps exist for asthma management, however, the extent to which apps include evidence-based behavior change strategies has not been examined.
OBJECTIVE: To review the content and quality of mHealth asthma management apps that are available to patients.
METHODS: Asthma apps were identified using a systematic search process. Twenty-three apps were coded for presence or absence of behavior change techniques (BCTs) using the taxonomy of behavior change techniques as defined by Abraham & Michie. Quality ratings were also determined for each app using the Mobile App Rating Scale (MARS).
RESULTS: The number of BCTs each app utilized ranged from 1-11 (M = 4). BCTs that were most commonly used were instruction, behavior-health link, self-monitoring, feedback, teach to use prompts/cues, consequences, and others' approval. Overall app quality based on MARS scores ranged from 2.45-4.50 (M = 3.32). Two apps, KissmyAsthma and AsthmaMD, utilized at least eight BCTs and had high quality ratings.
CONCLUSION: KissmyAsthma and AsthmaMD utilized at least eight BCTs and had good quality scores.
背景：移动健康(mHealth)应用程序具有促进哮喘自我管理的潜力，包括药物提醒、自我监测症状、改善与提供者沟通信息的获取和质量，以及为患者和家长提供教育资源。然而，有许多应用程序用于哮喘管理，但应用程序基于证据的行为改变策略的程度尚未得到检验。
目的：回顾可用于患者的移动健康哮喘管理应用程序的内容和质量。
方法：哮喘应用程序是通过一个系统的搜索过程确定的。根据Abraham & Michie定义的行为改变技术的分类，23个应用程序被编码为存在或不存在行为改变技术(BCTs)。使用移动应用程序评分量表(MARS)为每个应用程序确定质量评级。
结果：每个应用程序使用的BCTs的数量从1-11 (M = 4)不等，最常用的BCTs是指令、行为-健康链接、自我监控、反馈、使用提示/线索的教学、结果和其他方面的认可。基于MARS评分的应用程序总体质量范围为2.45-4.50 (M = 3.32)。KissmyAsthma和AsthmaMD这两个应用程序使用了至少8个BCTs，并获得了高质量的评分。
结论：KissmyAsthma和AsthmaMD使用了至少8个BCTs，并具有良好的质量评分。
(中日友好医院呼吸与危重症医学科 禹汶伯 摘译 林江涛 审校)
(J Allergy Clin Immunol Pract. 2019 Apr 4. pii: S2213-2198(19)30326-5. doi: 10.1016/j.jaip.2019.03.041.)
A Systematic Evaluation of Asthma Management Apps Examining Behavior Change Techniques.(J Allergy Clin Immunol Pract. 2019 Apr 4. pii: S2213-2198(19)30326-5. doi: 10.1016/j.jaip.2019.03.041.)
Ramsey RR, Caromody JK, Voorhees SE, Warning A, Cushing CC, Guilbert TW, Hommel KA, Fedele DA.
Abstract
BACKGROUND: Mobile health (mHealth) apps have the potential to facilitate asthma self-management by including medication reminders, allowing self-monitoring of symptoms, improving access and quality of information communicated with provider, and providing educational resources to patients and parents. Many apps exist for asthma management, however, the extent to which apps include evidence-based behavior change strategies has not been examined.
OBJECTIVE: To review the content and quality of mHealth asthma management apps that are available to patients.
METHODS: Asthma apps were identified using a systematic search process. Twenty-three apps were coded for presence or absence of behavior change techniques (BCTs) using the taxonomy of behavior change techniques as defined by Abraham & Michie. Quality ratings were also determined for each app using the Mobile App Rating Scale (MARS).
RESULTS: The number of BCTs each app utilized ranged from 1-11 (M = 4). BCTs that were most commonly used were instruction, behavior-health link, self-monitoring, feedback, teach to use prompts/cues, consequences, and others' approval. Overall app quality based on MARS scores ranged from 2.45-4.50 (M = 3.32). Two apps, KissmyAsthma and AsthmaMD, utilized at least eight BCTs and had high quality ratings.
CONCLUSION: KissmyAsthma and AsthmaMD utilized at least eight BCTs and had good quality scores.
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