TY -的AU -多伊尔,朱莉AU -墨菲,艾玛AU -加文,Shane盟——帕斯卡尔,亚历山德拉盟——Deparis Stephane AU -托马西,又是AU -史密斯,苏珊娜AU -汉尼根,Caoimhe AU - Sillevis Smitt, Myriam AU - van Leeuwen,科拉盟——Lastra,茱莉亚盟——加尔文,玛丽AU - McAleer,帕特丽夏盟,汤普金斯洛林盟-雅各布斯,非盟- M品牌,玛尔塔非盟-麦地那大师,Jaime AU -博伊尔,戈登-非盟丁斯莫尔约翰PY - 2021 DA - 2021/12/15 TI -数字平台支持多种慢性病自我管理(ProACT):在一年的概念验证试验发现与接触乔- J地中海互联网Res SP - e22672六世- 23 - 12 KW -数字医疗KW -老化KW - multimorbidity KW -慢性疾病KW -自我管理KW -综合保健KW -纵向研究KW -接触KW -可用性KW -手机AB -背景:全球人口正在老龄化，导致慢性病发病率上升。数字健康平台旨在支持慢性病患者在家自我管理，提供了一个有前途的解决方案，帮助人们监测自己的状况和生活方式，保持良好的健康，并减少计划外的临床就诊。然而，尽管多病或多种慢性疾病的患病率很高，大多数平台倾向于专注于单一疾病。另一个挑战是，尽管用户积极参与这类系统很重要，但很少有研究探讨用户参与。目的:本研究的目的是设计和开发一个数字健康平台ProACT，以帮助老年人在其护理网络的支持下自我管理多病，并通过12个月的试验评估终端用户对该平台的参与度和体验。方法:介绍ProACT数字健康平台。该平台在一项为期一年的概念验证行动研究试验中得到了评估，试验对象是爱尔兰和比利时120名患有多种疾病的老年人。除了这项技术，参与者还可以获得针对症状警报的临床分诊服务和技术帮助台。 Interactions with the platform during the trial were logged to determine engagement. Semistructured interviews were conducted with participants and analyzed using inductive thematic analysis, whereas usability and user burden were examined using validated questionnaires. Results: This paper presents the ProACT platform and its components, along with findings on engagement with the platform and its usability. Of the 120 participants who participated, 24 (20%) withdrew before the end of the study, whereas 3 (2.5%) died. The remaining 93 participants actively used the platform until the end of the trial, on average, taking 2 or 3 health readings daily over the course of the trial in Ireland and Belgium, respectively. The participants reported ProACT to be usable and of low burden. Findings from interviews revealed that participants experienced multiple benefits as a result of using ProACT, including improved self-management, health, and well-being and support from the triage service. For those who withdrew, barriers to engagement were poor health and frustration when technology, in particular sensing devices, did not work as expected. Conclusions: This is the first study to present findings from a longitudinal study of older adults using digital health technology to self-manage multimorbidity. Our findings show that older adults sustained engagement with the technology and found it usable. Potential reasons for these results include a strong focus on user-centered design and engagement throughout the project lifecycle, resulting in a platform that meets user needs, as well as the integration of behavior change techniques and personal analytics into the platform. The provision of triage and technical support services alongside the platform during the trial were also important facilitators of engagement. International Registered Report Identifier (IRRID): RR2-10.2196/22125 SN - 1438-8871 UR - //www.mybigtv.com/2021/12/e22672 UR - https://doi.org/10.2196/22672 UR - http://www.ncbi.nlm.nih.gov/pubmed/34914612 DO - 10.2196/22672 ID - info:doi/10.2196/22672 ER -