TY -的盟Nittas Vasileios AU - Mutsch,玛戈特AU -布劳恩,茱莉亚盟——Puhan米洛Alan PY - 2020 DA - 2020/11/27 TI -自我监控应用程序首选项防晒:离散选择试验调查分析乔- J地中海互联网Res SP - e18889六世22 - 11 KW -预防医学千瓦mHealth KW -远程医疗KW -卫生信息学KW -卫生经济学KW -偏好KW -防晒AB -背景:健康应用程序的可用性和使用持续增加，彻底改变了移动健康干预的交付方式。应用程序越来越多地用于预防疾病、改善福祉和促进健康行为。皮肤癌的发病率也有类似的上升趋势。许多潜在的风险可以通过改变行为习惯和适当的防晒措施来预防。自我监测应用程序有可能通过测量风险(如阳光强度)和鼓励保护行为(如寻找荫蔽处)来促进预防。目的:我们的目的是通过一个自我监测应用程序评估保健消费者对防晒的偏好，该应用程序跟踪阳光照射的持续时间和强度，并就何时以及如何保护皮肤提供反馈。方法:我们进行了一项无标记的离散选择实验，包含8个独特的选择任务，参与者在2个应用程序选项中进行选择，由5个预先确定的2级属性(自我监控方法、隐私控制、与医疗保健提供商的数据共享、提醒定制性和成本)组成，这些属性是多步骤和多利益相关者定性方法的结果。参与者偏好，因此，属性及其级别的相对重要性是使用条件logit建模来估计的。分析包括200个可用的调查，产生3196个观测值。 Results: Our respondents strongly preferred automatic over manually operated self-monitoring (odds ratio [OR] 2.37, 95% CI 2.06-2.72) and no cost over a single payment of 3 Swiss francs (OR 1.72, 95% CI 1.49-1.99). They also preferred having over not having the option of sharing their data with a health care provider of their choice (OR 1.66, 95% CI 1.40-1.97), repeated over single user consents, whenever app data are shared with commercial thirds (OR 1.57, 95% CI 1.31-1.88), and customizable over noncustomizable reminders (OR 1.30, 95% CI 1.09-1.54). While most participants favored thorough privacy infrastructures, the attribute of privacy control was a relatively weak driver of app choice. The attribute of self-monitoring method significantly interacted with gender and perceived personal usefulness of health apps, suggesting that female gender and lower perceived usefulness are associated with relatively weaker preferences for automatic self-monitoring. Conclusions: Based on the preferences of our respondents, we found that the utility of a self-monitoring sun protection app can be increased if the app is simple and adjustable; requires minimal effort, time, or expense; and has an interoperable design and thorough privacy infrastructure. Similar features might be desirable for preventive health apps in other areas, paving the way for future discrete choice experiments. Nonetheless, to fully understand these preference dynamics, further qualitative or mixed method research on mobile self-monitoring-based sun protection and broader preventive mobile self-monitoring is required. International Registered Report Identifier (IRRID): RR2-10.2196/16087 SN - 1438-8871 UR - //www.mybigtv.com/2020/11/e18889/ UR - https://doi.org/10.2196/18889 UR - http://www.ncbi.nlm.nih.gov/pubmed/33245282 DO - 10.2196/18889 ID - info:doi/10.2196/18889 ER -