TY - JOUR AU - Alismail, Sarah AU - Olfman, Lorne PY - 2020 DA - 2020/8/12 TI -移动健康睡眠行为改变支持系统的定制激励信息库促进阻塞性睡眠呼吸暂停患者持续使用气道正压通气;开发、内容验证和测试JO - JMIR Mhealth Uhealth SP - e18793 VL - 8 IS - 8 KW -阻塞性睡眠呼吸暂停KW - Mhealth量身定制消息KW - CPAP治疗KW -扩展平行过程模型AB -背景:持续气道正压(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。在第二阶段，研究和临床专家对信息草案的相关性和清晰度进行了内容验证测试。在第三阶段，通过Qualtrics小组招募OSA患者(N=24)，根据他们计算的扩展平行过程模型(epppm)反应状态，对感知到的威胁和有效性信息的说服力进行评分。为每条消息计算评级的平均分数。 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. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2020/8/e18793 UR - https://doi.org/10.2196/18793 UR - http://www.ncbi.nlm.nih.gov/pubmed/32784176 DO - 10.2196/18793 ID - info:doi/10.2196/18793 ER -