JMIR出版公司开发一种移动监测和反馈工具，以刺激初级保健中慢性病患者卡塔尔世界杯8强波胆分析的身体活动A以用户为中心的设计，A van der Weegen,Sanne, A Verwey, ren， A Spreeuwenberg,Marieke, A Tange,Huibert, A van der Weijden,Trudy, A de Witte,Luc + CAPHRI公共卫生与初级保健学院，马斯特里赫特大学卫生服务研究部，邮政信箱616，马斯特里赫特，6200 MD，荷兰，31 433881479，s.vanderweegen@maastrichtuniversity.nl %K以用户为中心的设计%K自我管理%K身体活动%K加速度计%K遥感技术%K初级卫生保健%D 2013 %7 02.07.2013 %9背景:身体活动是慢性阻塞性肺疾病或2型糖尿病患者治疗的一个重要方面。监测和反馈工具与初级保健提供者的指导相结合，可能是提高这些患者身体活动水平的成功方法。作为有用技术的先决条件，从早期阶段就让终端用户参与到设计过程中是很重要的。目的:本研究的目的是调查用户对一种工具的需求，以刺激身体活动，嵌入初级保健实践。这个工具的主要原则是通过自我监控、目标设定和反馈来改变行为。方法:研究小组对15名患者、16名医护人员和多位专家进行定性资料收集。原型机的研制分三个阶段进行。在第1阶段，检索文献以确定最终用户和上下文。 In stage 2, the literature, experts and patient representatives were consulted to set up a use case with the general idea of the innovation. In stage 3, individual interviews and focus groups were held to identify the end-user requirements. Based on these requirements a prototype was built by the engineering team. Results: The development process has led to a tool that generally meets the requirements of the end-users. A tri-axial activity sensor, worn on the hip, is connected by Bluetooth to a smartphone. In an app, quantitative feedback is given about the amount of activity and goals reached by means of graphical visualization, and an image shows a sun when the goal is reached. Overviews about activity per half an hour, per day, week, and month are provided. In the menu of the app and on a secured website, patients can enter information in individual sessions or read feedback messages generated by the system. The practice nurse can see the results of all patients on a secure webpage and can then discuss the results and set personalized goals in consultation with the patient. Conclusions: This study demonstrates that a user-centered approach brings in valuable details (such as the requirements for feedback in activity minutes per day) to improve the fit between the user, technology, and the organization of care, which is important for the usability and acceptability of the tool. The tool embedded in primary care will be evaluated in a randomized controlled trial. %M 25099556 %R 10.2196/mhealth.2526 %U http://mhealth.www.mybigtv.com/2013/2/e8/ %U https://doi.org/10.2196/mhealth.2526 %U http://www.ncbi.nlm.nih.gov/pubmed/25099556