Demand Analysis of Self-Management Mobile Health Applications for Middle-Aged and older Patients with Chronic Kidney Disease Based on the Kano Model.

IF 2.3 4区 医学 Q2 UROLOGY & NEPHROLOGY Nephron Pub Date : 2024-10-11 DOI:10.1159/000541729
Yu Yan, Min Liu, Di-Fei Duan, Lin-Jia Yan, Ling Li, Deng-Yan Ma
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Abstract

Introduction: Middle-aged and older individuals often face significant challenges in adopting digital health solutions, leading to a digital divide that hinders their ability to benefit from mobile health (mHealth) interventions. This study aims to investigate the specific requirements of middle-aged and older patients with chronic kidney disease (CKD) for self-management through mobile health applications (mHealth apps), using the Kano model.

Methods: A multicenter cross-sectional survey was conducted from April to September 2023 in five hospitals across Sichuan, Shandong, Guangdong, and Shaanxi provinces in China. The Kano model was employed to analyze participants' preferences regarding mHealth apps for self-management.

Results: Out of 359 participants (57.1% men, predominantly aged 45-54), the study identified essential and desirable features for mHealth apps. Essential attributes include comprehensive CKD information and robust privacy protection. Key to enhancing user satisfaction are features like symptom and medication management, access to medical insurance information, and app interface simplicity. Additional attractive features for increasing app appeal include diet management, exercise guidance, and customizable text size.

Conclusion: This study identifies critical mHealth app features for self-management in middle-aged and older CKD patients, emphasizing the importance of user-centric design. The findings provide valuable insights for app developers to create tailored solutions that cater to the specific needs of this demographic, potentially enhancing their self-management capabilities.

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基于卡诺模型的中老年慢性肾病患者自我管理移动医疗应用需求分析。
简介中老年人在采用数字健康解决方案时往往面临巨大挑战,这导致了数字鸿沟,阻碍了他们从移动健康(mHealth)干预措施中获益的能力。本研究旨在采用卡诺模型,调查中老年慢性肾病(CKD)患者通过移动医疗应用程序(mHealth apps)进行自我管理的具体要求:方法:2023 年 4 月至 9 月,在中国四川、山东、广东和陕西四省的五家医院开展了一项多中心横断面调查。采用卡诺模型分析参与者对用于自我管理的移动医疗应用程序的偏好:在 359 名参与者(57.1% 为男性,年龄主要在 45-54 岁之间)中,研究确定了移动医疗应用程序的基本功能和理想功能。基本特性包括全面的慢性肾脏病信息和强大的隐私保护。提高用户满意度的关键在于症状和药物管理、医疗保险信息访问以及应用界面简洁性等功能。其他可增加应用程序吸引力的功能包括饮食管理、运动指导和可定制的文字大小:本研究确定了中老年慢性肾脏病患者进行自我管理的关键移动医疗应用程序功能,强调了以用户为中心的设计的重要性。研究结果为应用程序开发人员提供了宝贵的见解,使他们能够针对这一人群的特殊需求量身定制解决方案,从而提高他们的自我管理能力。
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来源期刊
Nephron
Nephron UROLOGY & NEPHROLOGY-
CiteScore
5.00
自引率
0.00%
发文量
80
期刊介绍: ''Nephron'' comprises three sections, which are each under the editorship of internationally recognized leaders and served by specialized Associate Editors. Apart from high-quality original research, ''Nephron'' publishes invited reviews/minireviews on up-to-date topics. Papers undergo an innovative and transparent peer review process encompassing a Presentation Report which assesses and summarizes the presentation of the paper in an unbiased and standardized way.
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