User-centered design features for digital health applications to support physical activity behaviors in solid organ transplant recipients: A qualitative study.

IF 1.9 4区 医学 Q2 SURGERY Clinical Transplantation Pub Date : 2021-12-01 Epub Date: 2021-09-23 DOI:10.1111/ctr.14472
Sunita Mathur, Tania Janaudis-Ferreira, Julia Hemphill, Joseph A Cafazzo, Donna Hart, Sandra Holdsworth, Mike Lovas, Lisa Wickerson
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引用次数: 3

Abstract

Introduction: Digital health tools may be effective in engaging solid organ transplant (SOT) recipients in physical activity (PA). This study examined the perspectives of SOT recipients regarding PA, and desired features for digital health tools.

Methods: Semi-structured interviews were used to explore perspectives of SOT recipients about barriers and motivators to physical activity, and core features of a digital health tool to support PA. Interviews were analyzed via thematic analysis.

Results: Participants included 21 SOT recipients (11 men, 10 women, 21-78 years, 1.5-16 years post-transplant) from various organ groups (four heart, five kidney, five liver, three lung, and four multi-organ). Barriers to PA included risk aversion, managing non-linear health trajectories, physical limitations and lack of access to appropriate fitness training. Facilitators of PA included desire to live long and healthy lives, renewed physical capabilities, access to appropriate fitness guidelines and facilities. Desired features of a digital health tool included a reward system, affordability, integration of multiple functions, and the ability to selectively share information with healthcare professionals and peers.

Conclusions: SOT recipients identified the desired features of a digital health tool, which may be incorporated into future designs of digital and mobile health applications to support PA in SOT recipients.

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支持实体器官移植受者身体活动行为的数字健康应用程序以用户为中心的设计特征:一项定性研究。
数字健康工具可能有效地参与实体器官移植(SOT)接受者的身体活动(PA)。本研究考察了SOT接受者对PA的看法,以及对数字健康工具的期望功能。方法:采用半结构化访谈的方法,探讨SOT接受者对体育活动障碍和激励因素的看法,以及支持体育活动的数字健康工具的核心特征。访谈通过专题分析进行分析。结果:参与者包括21名SOT受者(11名男性,10名女性,21-78岁,移植后1.5-16年),来自不同器官组(4个心脏,5个肾脏,5个肝脏,3个肺和4个多器官)。PA的障碍包括风险规避、管理非线性健康轨迹、身体限制和缺乏适当的健身训练。PA的促进因素包括长寿和健康生活的愿望,恢复身体能力,获得适当的健身指南和设施。数字健康工具的期望功能包括奖励系统、可负担性、多种功能的集成以及与医疗保健专业人员和同行有选择地共享信息的能力。结论:SOT接受者确定了数字健康工具的期望特征,这些特征可能被纳入未来的数字和移动健康应用程序设计中,以支持SOT接受者的PA。
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来源期刊
Clinical Transplantation
Clinical Transplantation 医学-外科
CiteScore
3.70
自引率
4.80%
发文量
286
审稿时长
2 months
期刊介绍: Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.
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