@文章{信息:doi/10.2196/11192，作者=“Eno, Ann K和Thomas, Alvin G和Ruck, Jessica M和Van Pilsum Rasmussen, Sarah E和Halpern, Samantha E和Waldram, Madeleine M和Muzaale, Abimereki D和Purnell, Tanjala S和Massie, Allan B和Garonzik Wang, Jacqueline M和Lentine, Krista L和Segev, Dorry L和Henderson, Macey L”，标题=“评估对活体肾供者随访中使用移动健康技术的态度和看法:“调查研究”，期刊=“JMIR移动健康Uhealth”，年=“2018”，月=“Oct”，日=“09”，卷=“6”，号=“10”，页=“e11192”，关键词=“随访;肾移植;活体肾供者;背景:2013年，器官获取和移植网络开始要求美国的移植中心收集和报告捐赠后活体肾脏供者6个月、1年和2年的随访数据。尽管有这一要求，但只有不到50%的移植中心能够收集和报告所需的数据。先前的工作确定了活体肾脏供者随访的一些障碍，包括移植中心的后勤和管理障碍以及供者的成本和功能障碍。基于智能手机的新型移动健康(mHealth)技术可能会减轻活体肾脏供体中心和供体随访的负担。然而，活体肾脏供者对将移动健康纳入捐赠后护理的态度和看法尚不清楚。了解捐赠者的态度和看法对于创建以患者为导向的移动医疗系统以改善美国活体捐赠者的随访至关重要。 Objective: The goal of this study was to assess living kidney donor attitudes and perceptions associated with the use of mHealth for follow-up. Methods: We developed and administered a cross-sectional 14-question survey to 100 living kidney donors at our transplant center. All participants were part of an ongoing longitudinal study of long-term outcomes in living kidney donors. The survey included questions on smartphone use, current health maintenance behaviors, accessibility to health information, and attitudes toward using mHealth for living kidney donor follow-up. Results: Of the 100 participants surveyed, 94 owned a smartphone (35 Android, 58 iPhone, 1 Blackberry), 37 had accessed their electronic medical record on their smartphone, and 38 had tracked their exercise and physical activity on their smartphone. While 77{\%} (72/93) of participants who owned a smartphone and had asked a medical question in the last year placed the most trust with their doctors, nurses, or other health care professionals regarding answering a health-related question, 52{\%} (48/93) most often accessed health information elsewhere. Overall, 79{\%} (74/94) of smartphone-owning participants perceived accessing living kidney donor information and resources on their smartphone as useful. Additionally, 80{\%} (75/94) perceived completing some living kidney donor follow-up via mHealth as useful. There were no significant differences in median age (60 vs 59 years; P=.65), median years since donation (10 vs 12 years; P=.45), gender (36/75, 36{\%}, vs 37/75, 37{\%}, male; P=.57), or race (70/75, 93{\%}, vs 18/19, 95{\%}, white; P=.34) between those who perceived mHealth as useful for living kidney donor follow-up and those who did not, respectively. Conclusions: Overall, smartphone ownership was high (94/100, 94.0{\%}), and 79{\%} (74/94) of surveyed smartphone-owning donors felt that it would be useful to complete their required follow-up with an mHealth tool, with no significant differences by age, sex, or race. These results suggest that patients would benefit from an mHealth tool to perform living donor follow-up. ", issn="2291-5222", doi="10.2196/11192", url="http://mhealth.www.mybigtv.com/2018/10/e11192/", url="https://doi.org/10.2196/11192", url="http://www.ncbi.nlm.nih.gov/pubmed/30305260" }