@Article{信息:doi 10.2196 / / jmir.6.4。e42,作者=“Anh{\o}j, Jacob and M{\o}ldrup, Claus”,标题=“通过手机和短信(短消息服务)收集哮喘患者日记数据的可行性:响应率分析和焦点小组评估”,期刊=“j Med Internet Res”,年=“2004”,月=“Dec”,日=“2”,卷=“6”,号=“4”,页=“e42”,关键词=“Internet”;手机;哮喘;疾病管理;病人的依从性;焦点小组;定性研究”,摘要=“背景:哮喘的自我管理可以改善哮喘的预后。互联网已被建议作为哮喘监测和自我管理的工具。然而,在最近的一项研究中,我们发现Web界面有一些缺点,用户会在短时间内停止使用该应用程序。 Objective: The primary objective of this study was to evaluate, from a user perspective, the feasibility of using short message service (SMS) for asthma diary data collection through mobile phones. The secondary objective was to investigate patient compliance with an SMS diary, as measured by response rates over time. Methods: The study included quantitative response rate data, based on SMS collection, and qualitative data from a traditional focus group setting. In a period of 2 months, the participants received 4 SMS messages each day, including a medication reminder, a request to enter peak flow, data on sleep loss, and medication dosage. Participants were asked to reply to a minimum of 3 of the messages per day. Diary inputs were collected in a database and the response rate per patient was expressed as the number of diary inputs (SMS replies) divided by diary requests (product of number of days in the study and the number of diary questions per day) for each participant. After the study period, the participants were invited to a focus group interview addressing the participants' attitudes to their disease, their experience with the SMS asthma diary, and their future expectations from the SMS asthma diary. Results: Twelve patients with asthma (6 males, 6 females) participated in the data collection study. The median age was 38.5 (range: 13 -- 57) years. The median response rate per patient was 0.69 (range: 0.03 -- 0.98), ie, half the participants reported more than about two thirds of the requested diary data. Furthermore, response rates were relatively steady during the study period with no signs of decreasing usage over time. From the subsequent focus group interview with 9 users we learned that, in general, the participants were enthusiastic about the SMS diary -- it became an integrated part of their everyday life. However, the participants wished for a simpler diary with only one SMS message to respond to and a system with a Web interface for system customization and graphical display of diary data history. Conclusion: This study suggests that SMS collection of asthma diary data is feasible, and that SMS may be a tool for supporting the self-management of asthma (and possibly other chronic diseases) in motivated and self-efficacious patients because mobile phones are a part of people's everyday lives and enable active requests for data wherever the patient is. The combination of SMS data collection and a traditional Web page for data display and system customization may be a better and more usable tool for patients than the use of Web-based asthma diaries which suffer from high attrition rates. ", issn="1438-8871", doi="10.2196/jmir.6.4.e42", url="//www.mybigtv.com/2004/4/e42/", url="https://doi.org/10.2196/jmir.6.4.e42", url="http://www.ncbi.nlm.nih.gov/pubmed/15631966" }
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