慢性疾患を持つ若者の自己管理と成人保健サービスへの移行を支援する携帯電話アプリ:単腕のパイロット介入研究
Shehani C Samarasinghe1,2, Riham Al Na'abi1,2, Hoi Lun Cheng1,2
1Academic Department of Adolescent Medicine, The Children's Hospital at Westmead, Locked Bag 4001, Westmead, 2145, Australia, 61 2 78252148.
JMIR pediatrics and parenting
|September 3, 2025
まとめ
モバイルアプリのTransitionMate (TMApp) は,大人のケアに移行する若者の間で使用率が低いことが示され,さらなる試験の実現可能性が不足しました. 大抵の若者はアプリとは無関係に 成人保健サービス (AHS) に成功しました
科学分野:
- 青少年と若年者の健康
- 慢性疾患の自己管理
- デジタルヘルスの介入
背景:
- 小児から成人保健サービス (AHS) への移行は,慢性疾患の青少年と若者にとって重要な時期です.
- 移行期間の自己管理の課題は 健康に悪影響を及ぼします
- モバイルアプリケーションは自己管理のための潜在的なサポートを提供していますが,有効性に関する経験的データはありません.
研究 の 目的:
- トランジションメイト・モバイル・アプリ (TMApp) の利用を評価し,成人介護への移行を進める若者の自己管理を支援する.
- 移行後の最初の12ヶ月における AHS 出席率と疾病管理の変化を評価する.
- 将来のランダム化制御試験のためのTMAppの可行性を決定します.
主な方法:
- オーストラリアのシドニーで小児科から大人の診療所へ移行した73人の青少年と若年成人 (16~19歳) を募集した.
- 参加者のデバイスにTMAppをインストールし,6ヶ月と12ヶ月でモバイル分析と自己報告を通じて使用を追跡しました.
- 12ヶ月の電子医療記録からAHS出勤,病気管理,入院に関するデータを収集した.
主要な成果:
- 参加者の50%が1ヶ月でTMAppを使用し,12ヶ月で11%に低下し,定期的な使用が低いことを示しています.
- アプリの普及率が低いにもかかわらず,68%がAHSに順調に移行し,入手可能なデータの80%以上が安定したまたは改善された病気制御を維持しました.
- 12ヶ月間TMAppを使用した小グループ (8人の参加者) は,高い有用性 (中位 8/10) を報告した.
結論:
- TMAppの使用は,ランダム化制御試験の実現性を示すには不十分でした.
- この研究は,ほとんどの参加者が一貫したアプリの関与なしに成功して移行したため,TMAppは移行結果に最小限の影響を与えたことを示唆しています.
- 重要な移行期間の慢性疾患の自己管理のためのデジタルヘルスのツールを最適化するためにさらなる研究が必要です.
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