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User perceptions and experiences of an AI-driven conversational agent for mental health support. 用户对人工智能驱动的心理健康支持对话代理的看法和体验。
IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-05 eCollection Date: 2024-01-01 DOI: 10.21037/mhealth-23-55
Beenish Moalla Chaudhry, Happy Rani Debi

Background: The increasing prevalence of artificial intelligence (AI)-driven mental health conversational agents necessitates a comprehensive understanding of user engagement and user perceptions of this technology. This study aims to fill the existing knowledge gap by focusing on Wysa, a commercially available mobile conversational agent designed to provide personalized mental health support.

Methods: A total of 159 user reviews posted between January, 2020 and March, 2024, on the Wysa app's Google Play page were collected. Thematic analysis was then used to perform open and inductive coding of the collected data.

Results: Seven major themes emerged from the user reviews: "a trusting environment promotes wellbeing", "ubiquitous access offers real-time support", "AI limitations detract from the user experience", "perceived effectiveness of Wysa", "desire for cohesive and predictable interactions", "humanness in AI is welcomed", and "the need for improvements in the user interface". These themes highlight both the benefits and limitations of the AI-driven mental health conversational agents.

Conclusions: Users find that Wysa is effective in fostering a strong connection with its users, encouraging them to engage with the app and take positive steps towards emotional resilience and self-improvement. However, its AI needs several improvements to enhance user experience with the application. The findings contribute to the design and implementation of more effective, ethical, and user-aligned AI-driven mental health support systems.

背景:人工智能(AI)驱动的心理健康对话式代理日益普及,因此有必要全面了解用户参与情况以及用户对该技术的看法。本研究旨在通过关注Wysa填补现有的知识空白,Wysa是一款商用移动对话式代理,旨在提供个性化的心理健康支持:方法:收集了 2020 年 1 月至 2024 年 3 月期间在 Wysa 应用程序的 Google Play 页面上发布的 159 篇用户评论。然后采用主题分析法对收集到的数据进行开放式和归纳式编码:结果:从用户评论中发现了七大主题:"信任的环境能促进身心健康"、"无处不在的访问能提供实时支持"、"人工智能的局限性有损用户体验"、"Wysa 的感知有效性"、"希望有凝聚力和可预测的互动"、"人工智能中的人性受到欢迎 "以及 "用户界面需要改进"。这些主题突出了人工智能驱动的心理健康对话代理的优点和局限性:用户发现,Wysa 能有效地与用户建立紧密联系,鼓励他们使用该应用程序,并采取积极措施来恢复情绪和提升自我。然而,它的人工智能还需要一些改进,以提高用户的应用体验。研究结果有助于设计和实施更有效、更合乎道德、更符合用户需求的人工智能心理健康支持系统。
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引用次数: 0
mHealth app features that facilitate adolescent use for lifestyle management, and are endorsed by caregivers and health care providers. 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 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

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.

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。
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引用次数: 0
The evolution and mapping trends of mobile health (m-Health): a bibliometric analysis (1997–2023) 移动医疗(m-Health)的演变和绘图趋势:文献计量分析(1997-2023 年)
IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.21037/mhealth-23-20
Turki M. Alanzi, Shafiq Ur Rehman, Muhammad Ajmal Khan, Robert S. H. Istepanian
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引用次数: 0
Designing sustainable mobile weight management applications: information technology (IT) experts perspectives 设计可持续的移动体重管理应用程序:信息技术(IT)专家的观点
IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.21037/mhealth-24-4
Yahya Al Naabi, Nazrita Ibrahim, J. Dhillon
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引用次数: 0
Empowering WHISE women: usability testing of a mobile application to enhance blood pressure control 赋予 WHISE 妇女权力:加强血压控制的移动应用程序可用性测试
IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.21037/mhealth-24-6
Lenette M. Jones, Korrey E Monroe, Priya Tripathi, Mary J. Bashshur, Joachim Kavalakatt, Kierra Tarrance, Jamie Mitchell, Jaclynn Hawkins
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引用次数: 0
Performance, impact and experiences of using wearable devices for seizure detection in community-based settings: a mixed methods systematic review 在社区环境中使用可穿戴设备检测癫痫发作的性能、影响和经验:混合方法系统综述
IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-07-01 DOI: 10.21037/mhealth-24-7
M. Sasseville, Eugène Attisso, Marie-Pierre Gagnon, Jean-Marc Supper, Steven Ouellet, Samira Amil, E. B. Assi, Dang Khoa Nguyen
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引用次数: 0
Proof-of-concept testing of a mobile application-delivered mindfulness exercise for emotional eaters: RAIN delivered as a step-by-step image sequence. 针对情绪性进食者的移动应用程序正念练习概念验证测试:RAIN 以逐步图像序列的形式提供。
IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-06-03 eCollection Date: 2024-01-01 DOI: 10.21037/mhealth-23-56
Kimberly Carrière, Nellie Siemers, Serena Thapar, Bärbel Knäuper

Background: Over fifty percent of individuals with overweight and obesity are emotional eaters. Emotional eating can be theorized as a conditioned response to eat for reasons that are not associated with physiological hunger. We conducted this proof-of-concept study to gather evidence that a mobile app that delivers a common non-meditative mindfulness exercise called RAIN, in a step-by-step image sequence can improve emotional eating and other outcomes over a 3-week period.

Methods: Forty-nine Canadian adults who self reported as emotional eaters (mean age =30.7 years) were recruited through social media and participated in a workshop in which RAIN and its use on the app were introduced. Participants were asked to use the app every time that they experienced a non-homeostatic craving to eat for three weeks. Emotional eating, reactivity to food cravings, perceived loss of control around food, distress tolerance, and eating-specific mindfulness were assessed pre- and post-intervention.

Results: Improvements on all outcomes were found (r-range, -0.58 to -0.28). The feasibility of the mobile application was demonstrated by a low attrition rate (8%), high user satisfaction, and strong app engagement metrics.

Conclusions: The data provide proof-of-concept evidence that a mobile app that delivers a mindfulness exercise in a step-by-step image sequence has potential to be effective and thus identifies a new approach that may reduce emotional eating in an accessible and affordable manner.

背景超过 50% 的超重和肥胖症患者是情绪性进食者。情绪化进食可以被认为是一种条件反射,即出于与生理饥饿无关的原因而进食。我们进行了这项概念验证研究,旨在收集证据,证明一款名为 RAIN 的手机应用程序通过逐步的图像序列提供一种常见的非定性正念练习,可以在 3 周内改善情绪性进食和其他结果:通过社交媒体招募了 49 名自我报告为情绪化进食者的加拿大成年人(平均年龄=30.7 岁),他们参加了一个研讨会,会上介绍了 RAIN 及其在应用程序上的使用。参与者被要求在三周内每次出现非同源的进食渴望时都使用该应用程序。对干预前后的情绪性进食、对食物渴望的反应性、对食物失去控制的感知、对痛苦的耐受力以及对进食的正念进行了评估:结果:所有结果均有所改善(r 范围为-0.58 至-0.28)。移动应用的可行性体现在低流失率(8%)、高用户满意度和强大的应用参与度指标上:这些数据提供了概念验证的证据,证明以逐步图像序列提供正念练习的移动应用程序具有潜在的有效性,从而确定了一种新的方法,可以以方便、经济的方式减少情绪化饮食。
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引用次数: 0
Understanding the potential implementation determinants of Our Plan: a couples-based digital human immunodeficiency virus prevention intervention for same-gender male couples. 了解 "我们的计划 "的潜在实施决定因素:针对同性男性伴侣的基于夫妻的数字化人体免疫缺陷病毒预防干预措施。
Pub Date : 2024-04-09 eCollection Date: 2024-01-01 DOI: 10.21037/mhealth-23-57
Kristi E Gamarel, Adrian Rodriguez-Bañuelos, Ini-Abasi Ubong, Janae N Best, Laura Jadwin-Cakmak, Jason W Mitchell

Background: There has been a proliferation of digital health interventions (DHIs) focused on addressing human immunodeficiency virus (HIV) prevention and treatment outcomes, including couples-based interventions with same-gender male couples. However, the barriers and facilitators of implementing couples-based HIV and sexually transmitted infection (STI) prevention interventions using digital platforms in community-based organizations remains largely unknown. The goal of this study was to explore the implementation determinants of Our Plan, a couples-based DHI designed for new relationships of same-gender male couples and dyadic, sexual partnerships.

Methods: Qualitative interviews were conducted with 40 organization leaders, healthcare providers, and staff at acquired immunodeficiency syndrome (AIDS)-service and community-based organizations in 13 states serving populations in Ending the HIV Epidemic jurisdictions. Interview items and follow-up questions were guided by the Consolidated Framework for Implementation Research (CFIR) to inquire about implementation determinants of Our Plan.

Results: Most participants highlighted several relative advantages of Our Plan: increasing capacity to support couples, potential synergy with existing programs, and opportunities to increase patient engagement. Participants also discussed relative disadvantages: misalignment with organizational values in the provision of patient-centered models of care and low interest from some priority populations. Participants emphasized the need for adaptability of Our Plan to fit within their local contexts, which encompassed support for both implementers and end-users, cultural tailoring, and privacy and security features. The desired evidence needed to implement Our Plan focused on data on impact, acceptability, and usability and functionality from communities most heavily impacted by the HIV epidemic. The majority of participants described how Our Plan could be integrated within service delivery and aligned with their organization's aspirational values; however, some noted that their organizational culture valued in-person interactions, particularly among patients experiencing structural vulnerabilities. Finally, participants discussed how the implementation of Our Plan would require additional training and funding for staff to support end-users and a relationship with the developers so that they could demonstrate their investment in the communities that their organizations served.

Conclusions: Our Plan was deemed a promising tool among potential implementers. To ensure optimal implementation and organizational fit, Our Plan refinement and evaluation must include implementers and end-users most impacted by the HIV epidemic throughout the entire process.

背景:数字健康干预措施(DHIs)已经大量涌现,其重点是解决人类免疫缺陷病毒(HIV)的预防和治疗效果问题,包括对同性男性夫妇采取基于夫妇的干预措施。然而,在社区组织中使用数字平台实施以夫妇为基础的 HIV 和性传播感染(STI)预防干预措施的障碍和促进因素在很大程度上仍不为人所知。本研究的目的是探索 "我们的计划 "的实施决定因素。"我们的计划 "是一项以夫妻为基础的 DHI,专为新的同性男性夫妻关系和双性性伴侣关系而设计:我们对 13 个州的 40 名组织领导者、医疗保健提供者以及获得性免疫缺陷综合症(AIDS)服务机构和社区机构的工作人员进行了定性访谈,这些机构为 "终结 HIV 流行 "辖区内的人群提供服务。访谈项目和后续问题以实施研究综合框架(CFIR)为指导,旨在了解 "我们的计划 "的实施决定因素:大多数参与者强调了 "我们的计划 "的几个相对优势:提高支持夫妇的能力、与现有计划的潜在协同作用以及提高患者参与度的机会。与会者还讨论了相对劣势:在提供以患者为中心的护理模式方面与组织的价值观不一致,以及一些重点人群的兴趣不高。与会者强调,"我们的计划 "需要适应当地环境,这包括对实施者和最终用户的支持、文化定制以及隐私和安全功能。实施 "我们的计划 "所需的理想证据侧重于受艾滋病疫情影响最严重的社区提供的有关影响、可接受性、可用性和功能性的数据。大多数与会者介绍了如何将 "我们的计划 "整合到服务交付中,并与其组织的理想价值观保持一致;但是,一些与会者指出,他们的组织文化重视面对面的互动,尤其是在经历结构性脆弱性的患者中。最后,与会者讨论了实施 "我们的计划 "如何需要为员工提供额外的培训和资金,以支持最终用户,以及如何与开发者建立关系,从而证明他们对其组织所服务社区的投资:结论:"我们的计划 "在潜在实施者中被认为是一个很有前途的工具。为确保最佳的实施效果和组织适应性,"我们的计划 "的完善和评估必须将实施者和受艾滋病毒流行影响最大的最终用户纳入整个过程。
{"title":"Understanding the potential implementation determinants of Our Plan: a couples-based digital human immunodeficiency virus prevention intervention for same-gender male couples.","authors":"Kristi E Gamarel, Adrian Rodriguez-Bañuelos, Ini-Abasi Ubong, Janae N Best, Laura Jadwin-Cakmak, Jason W Mitchell","doi":"10.21037/mhealth-23-57","DOIUrl":"https://doi.org/10.21037/mhealth-23-57","url":null,"abstract":"<p><strong>Background: </strong>There has been a proliferation of digital health interventions (DHIs) focused on addressing human immunodeficiency virus (HIV) prevention and treatment outcomes, including couples-based interventions with same-gender male couples. However, the barriers and facilitators of implementing couples-based HIV and sexually transmitted infection (STI) prevention interventions using digital platforms in community-based organizations remains largely unknown. The goal of this study was to explore the implementation determinants of Our Plan, a couples-based DHI designed for new relationships of same-gender male couples and dyadic, sexual partnerships.</p><p><strong>Methods: </strong>Qualitative interviews were conducted with 40 organization leaders, healthcare providers, and staff at acquired immunodeficiency syndrome (AIDS)-service and community-based organizations in 13 states serving populations in Ending the HIV Epidemic jurisdictions. Interview items and follow-up questions were guided by the Consolidated Framework for Implementation Research (CFIR) to inquire about implementation determinants of Our Plan.</p><p><strong>Results: </strong>Most participants highlighted several relative advantages of Our Plan: increasing capacity to support couples, potential synergy with existing programs, and opportunities to increase patient engagement. Participants also discussed relative disadvantages: misalignment with organizational values in the provision of patient-centered models of care and low interest from some priority populations. Participants emphasized the need for adaptability of Our Plan to fit within their local contexts, which encompassed support for both implementers and end-users, cultural tailoring, and privacy and security features. The desired evidence needed to implement Our Plan focused on data on impact, acceptability, and usability and functionality from communities most heavily impacted by the HIV epidemic. The majority of participants described how Our Plan could be integrated within service delivery and aligned with their organization's aspirational values; however, some noted that their organizational culture valued in-person interactions, particularly among patients experiencing structural vulnerabilities. Finally, participants discussed how the implementation of Our Plan would require additional training and funding for staff to support end-users and a relationship with the developers so that they could demonstrate their investment in the communities that their organizations served.</p><p><strong>Conclusions: </strong>Our Plan was deemed a promising tool among potential implementers. To ensure optimal implementation and organizational fit, Our Plan refinement and evaluation must include implementers and end-users most impacted by the HIV epidemic throughout the entire process.</p>","PeriodicalId":74181,"journal":{"name":"mHealth","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Capture of real-time data from electronic health records: scenarios and solutions. 从电子健康记录中获取实时数据:方案和解决方案。
Pub Date : 2024-04-03 eCollection Date: 2024-01-01 DOI: 10.21037/mhealth-24-2
Nikola Kirilov

Background: The integration of real-time data (RTD) in the electronic health records (EHRs) is transforming the healthcare of tomorrow. In this work, the common scenarios of capturing RTD in the healthcare from EHRs are studied and the approaches and tools to implement real-time solutions are investigated.

Methods: Delivering RTD by representational state transfer (REST) application programming interfaces (APIs) is usually accomplished through a Publish-Subscribe approach. Common technologies and protocols used for implementing subscriptions are REST hooks and WebSockets. Polling is a straightforward mechanism for obtaining updates; nevertheless, it may not be the most efficient or scalable solution. In such cases, other approaches are often preferred. Database triggers and reverse proxies can be useful in RTD scenarios; however, they should be designed carefully to avoid performance bottlenecks and potential issues.

Results: The implementation of subscriptions through REST hooks and WebSocket notifications using a Fast Healthcare Interoperability Resources (FHIR) REST API, as well as the design of a reverse proxy and database triggers is described. Reference implementations of the solutions are provided in a GitHub repository. For the reverse proxy implementation, the Go language (Golang) was used, which is specialized for the development of server-side networking applications. For FHIR servers a python script is provided to create a sample Subscription resource to send RTD when a new Observation resource for specific patient id is created. The sample WebSocket client is written using the "websocket-client" python library. The sample RTD endpoint is created using the "Flask" framework. For database triggers a sample structured query language (SQL) query for Postgres to create a trigger when an INSERT or UPDATE operation is executed on the FHIR resource table is available. Furthermore, a use case clinical example, where the main actors are the healthcare providers (hospitals, physician private practices, general practitioners and medical laboratories), health information networks and the patient are drawn. The RTD flow and exchange is shown in detail and how it could improve healthcare.

Conclusions: Capturing RTD is undoubtedly vital for health professionals and successful digital healthcare. The topic remains unexplored especially in the context of EHRs. In our work for the first time the common scenarios and problems are investigated. Furthermore, solutions and reference implementations are provided which could support and contribute to the development of real-time applications.

背景:在电子健康记录(EHR)中集成实时数据(RTD)正在改变未来的医疗保健。在这项工作中,研究了从电子病历中获取医疗保健实时数据的常见情况,并调查了实施实时解决方案的方法和工具:方法:通过表征状态传输(REST)应用编程接口(API)提供实时数据通常是通过发布-订阅(Publish-Subscribe)方法完成的。实现订阅的常用技术和协议是 REST 钩子和 WebSockets。轮询是一种获取更新的直接机制,但它可能不是最有效或可扩展的解决方案。在这种情况下,其他方法往往更受欢迎。数据库触发器和反向代理在 RTD 应用场景中可能很有用,但应仔细设计,以避免性能瓶颈和潜在问题:结果:介绍了通过 REST 钩子和 WebSocket 通知(使用快速医疗互操作性资源(FHIR)REST API)实现订阅的方法,以及反向代理和数据库触发器的设计。GitHub 存储库中提供了解决方案的参考实现。反向代理的实现使用了专门用于开发服务器端网络应用程序的 Go 语言(Golang)。对于 FHIR 服务器,我们提供了一个 python 脚本来创建样本订阅资源,以便在为特定患者 ID 创建新的观察资源时发送 RTD。WebSocket 客户端示例是使用 "websocket-client "python 库编写的。示例 RTD 端点使用 "Flask "框架创建。在数据库触发器方面,提供了 Postgres 的结构化查询语言 (SQL) 查询示例,用于在 FHIR 资源表执行 INSERT 或 UPDATE 操作时创建触发器。此外,还提供了一个临床用例,其中的主要参与者包括医疗服务提供者(医院、私人诊所、全科医生和医学实验室)、医疗信息网络和患者。详细介绍了实时数据流和交换,以及如何改善医疗保健:获取 RTD 对于医疗专业人员和成功的数字医疗无疑是至关重要的。但这一主题仍未得到深入探讨,尤其是在电子病历的背景下。在我们的工作中,首次对常见场景和问题进行了研究。此外,我们还提供了解决方案和参考实施方案,可为实时应用程序的开发提供支持和帮助。
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引用次数: 0
Exploring mHealth design opportunities for blind and visually impaired older users. 探索为失明和视力受损的老年用户设计移动医疗的机会。
Pub Date : 2024-04-03 eCollection Date: 2024-01-01 DOI: 10.21037/mhealth-23-65
Soyoung Choi, Christian Joseph Chlebek

Background: Mobile health (mHealth) applications (apps) are crucial in delivering health information and services to older adults. Despite their importance, blind and visually impaired (BVI) older individuals often face significant challenges in app accessibility and usability. This study delves into the design preferences and expectations of BVI older users and underscores the necessity of user-centered design for inclusive mHealth apps.

Methods: Conducted in September 2023, the study comprised six focus group interviews. Each session involved two to four participants who began with self-introductions, followed by discussions centered on three open-ended interview questions.

Results: The study involved 14 participants: four with severe low vision and 10 totally blind. The primary design principles highlighted were "customizability" and "simplicity". The participants stressed the importance of intuitively designed main pages aligning with user patterns. Further, the participants articulated the following mHealth app feature or menu recommendations: editable profiles, emergency contact access, adaptable data presentation, data exportation, audible color details, customizable colors for varying visual needs, audible error feedback, feasible data input methods, toolbars, and habit-establishing reminders. Discussions also touched on the vital role of clear health data visualizations and comprehensible app-based health information.

Conclusions: The findings illuminate paths for software developers and health scientists working towards more inclusive mHealth solutions. It is essential during the development phase to prioritize app learnability to accommodate a broad range of users, ensuring that even those with disabilities can effectively use technological innovations to address health disparities.

背景:移动医疗(mHealth)应用程序(apps)对于向老年人提供健康信息和服务至关重要。尽管其重要性不言而喻,但盲人和视障(BVI)老年人在应用程序的可访问性和可用性方面往往面临着巨大的挑战。本研究深入探讨了盲人和视障老年人用户的设计偏好和期望,并强调了包容性移动医疗应用程序以用户为中心设计的必要性:本研究于 2023 年 9 月进行,包括六次焦点小组访谈。每次访谈有 2 至 4 名参与者,他们首先进行自我介绍,然后围绕三个开放式访谈问题展开讨论:研究涉及 14 名参与者:4 名重度低视力者和 10 名完全失明者。强调的主要设计原则是 "可定制性 "和 "简洁性"。参与者强调了根据用户模式直观设计主页的重要性。此外,与会者还提出了以下移动医疗应用程序功能或菜单建议:可编辑的个人资料、紧急联系人访问、可调整的数据展示、数据导出、可听的颜色细节、针对不同视觉需求的自定义颜色、可听的错误反馈、可行的数据输入方法、工具栏和习惯养成提醒。讨论还涉及清晰的健康数据可视化和可理解的基于应用程序的健康信息的重要作用:研究结果为软件开发人员和健康科学家提供了实现更具包容性的移动医疗解决方案的途径。在开发阶段,必须优先考虑应用程序的可学习性,以适应广泛的用户,确保即使是残疾人也能有效地利用技术创新来解决健康差异问题。
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引用次数: 0
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