对心脏衰竭成年人进行数字自我护理干预的发展要求:定性研讨会研究
Rebecca Nourse1,2, Lars Kayser2, Ralph Maddison1
1Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood Highway, Burwood, 3125, Australia, 61 0392446218.
Journal of medical Internet research
|August 25, 2025
概括
这项研究将以用户为中心的设计与行为改变轮结合起来, 创建数字心力衰竭自我护理干预措施. 发现了有效的,基于理论的数字健康解决方案的关键障碍和用户需求.
科学领域:
- 数字卫生干预措施
- 行为科学
- 治疗心力衰竭
背景情况:
- 心力衰竭自我护理是复杂的,需要有效的长期管理策略.
- 现有干预措施缺乏强有力的证据,需要基于理论和以用户为中心的方法.
- 通过行为理论和用户输入, 数字技术有助于增强心力衰竭自我护理.
研究的目的:
- 定义以用户为中心,以理论为基础的数字干预要求,以支持心力衰竭自我护理.
- 整合行为变化轮 (BCW) 与以用户为中心的设计 (UCD) 以识别障碍和产生干预要求.
主要方法:
- 包括心力衰竭患者 (n=16) 和护理人员 (n=4) 的4个研讨会的定性研究.
- 使用UCD原则来探索自我护理障碍并收集干预想法.
- 使用COM-B模型和理论领域框架编码障碍;通过需求分析和亲和度映射分析想法.
主要成果:
- 在COM-B组件和11个理论领域框架领域中确定了自我护理障碍.
- 将障碍转化为 28 个不同的用户需求.
- 创建了6个干预组件主题 (教育,监测,支持,规划,医疗保健支持) 映射到7个BCW功能,以及6个用户需求主题 (设计,可用性,个性化,参与,支持,集成).
结论:
- 整合UCD与BCW有效地开发了以用户为中心,理论上有基础的干预要求.
- 确定的可行的要求弥合了行为理解和有效的数字解决方案之间的差距.
- 未来的研究应该集中在原型设计和评估这些可行性,可接受性和有效性的要求上.
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