@文章{信息:doi/10.2196/18793,作者=“Alismail, Sarah and Olfman, Lorne”,标题=“为促进阻塞性睡眠呼吸暂停患者持续使用移动健康睡眠行为改变支持系统量身定制的激励信息库:开发、内容验证和测试”,期刊=“JMIR Mhealth Uhealth”,年=“2020”,月=“8”,日=“12”,卷=“8”,数=“8”,页=“e18793”,关键词=“阻塞性睡眠呼吸暂停;移动健康;定制的消息;CPAP疗法;背景:持续气道正压通气(CPAP)治疗是阻塞性睡眠呼吸暂停(OSA)最有效的治疗方法。尽管CPAP治疗在治疗OSA方面有益处,但其有效性因依从性或使用不理想而降低。高达50%接受CPAP治疗的患者未能坚持治疗。由于缺乏对CPAP治疗的承诺是阻碍OSA治疗有效性的最重要因素之一,因此患者的动机和教育对于帮助缓解CPAP依从性或使用不良的问题至关重要。目的:本研究旨在通过开发、内容验证和测试量身定制的激励信息,支持移动健康干预或信息系统解决方案的开发,以促进OSA患者的CPAP依从性和使用。方法:在第一阶段,开发了一个包含60条信息的初始信息库,以促进OSA患者使用CPAP。 In phase 2, draft messages were evaluated for content validation testing for relevance and clarity by research and clinical experts. In phase 3, patients with OSA (N=24) were recruited through a Qualtrics panel to rate the perceived persuasiveness of the messages in terms of threat and efficacy perceptions, as per their computed extended parallel process model (EPPM) response states. The average score of the ratings was calculated for each message. The messages were sorted according to their average (from highest to lowest) to select the best 12 messages for each tailored set based on the potential responses from the EPPM. Results: In phase 1, 60 messages were developed based on the existing literature and a review of existing materials. In phase 2, the enumerated content validity of the messages was established through the use of the content validity index for items. A total of 57 messages were found to have acceptable content relevance and clarity. In phase 3, patients with OSA perceived the final library of 48 messages to be persuasive. Conclusions: After the process of content validation and testing, the final library of messages met the criteria for clarity, relevance, and perceived persuasiveness. This study emphasizes the importance of developing and validating the content of motivational messages, grounded in EPPM theory, across the 4 possible response states in terms of high or low efficacy and threat perceptions. ", issn="2291-5222", doi="10.2196/18793", url="https://mhealth.www.mybigtv.com/2020/8/e18793", url="https://doi.org/10.2196/18793", url="http://www.ncbi.nlm.nih.gov/pubmed/32784176" }
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