@文章{信息:doi/10.2196/24561，作者=“Waselewski, Marika Elise和Flickinger, Tabor Elisabeth和Canan, Chelsea和Harrington, William和Franklin, Taylor和Otero, Kori Nicole和Huynh, Jacqueline和Waldman, Ava Lena Davila和Hilgart, Michelle和Ingersoll, Karen和Ait-Daoud Tiouririne, Nassima和Dillingham, Rebecca Anne”，标题=“支持阿片类药物使用障碍患者接受药物辅助治疗的移动健康应用程序:，期刊="JMIR Form Res"，年="2021"，月="2月"，日="23"，卷="5"，数="2"，页数="e24561"，关键词="阿片类药物使用障碍;移动健康;保持护理;自我管理;阿片类药物;公共卫生;背景:阿片类药物使用障碍(OUD)是一种公共卫生危机，在美国有超过200万人患有OUD。药物辅助治疗(MAT)是一种基于证据的治疗OUD的方法，依赖于行为治疗和药物治疗的结合。只有不到一半的OUD患者能够获得这种治疗。 Mobile technology can enhance the treatment of chronic diseases in readily accessible and cost-effective ways through self-monitoring and support. Objective: The aim of this study is to describe the adaptation of a mobile platform for patients undergoing treatment for OUD and preliminary pilot testing results. Methods: Our study was conducted with patient and provider participants at the University of Virginia MAT clinic and was approved by the institutional review board. The formative phase included semistructured interviews to understand the needs of patients with OUD, providers' perspectives, and opportunities for MAT support via a mobile app. A second round of formative interviews used mock-ups of app features to collect feedback on feature function and desirability. Formative participants' input from 16 interviews then informed the development of a functional smartphone app. Patient participants (n=25) and provider participants (n=3) were enrolled in a 6-month pilot study of the completed platform. Patient app use and usability interviews, including a system usability score and open-ended questions, were completed 1 month into the pilot study. Open-ended responses were analyzed for prevalent themes. Results: Formative interviews resulted in the development of a mobile app, named HOPE, which includes both evidence-based and participant-suggested features. The features included daily prompts for monitoring mood, stress, treatment adherence, and substance use; patient tracking of goals, reminders, and triggering or encouraging experiences; informational resources; an anonymous community board to share support with other patients; and secure messaging for communication between patients and providers. All patient participants engaged with at least one app feature during their first month of pilot study participation, and the daily self-monitoring prompts were the most used. Patients and providers reported high levels of system usability (mean 86.9, SD 10.2 and mean 83.3, SD 12.8, respectively). Qualitative analysis of open-ended usability questions highlighted the value of self-monitoring, access to support through the app, and perceived improvement in connection to care and communication for both patient and provider participants. Conclusions: The use of the HOPE program by pilot participants, high usability scoring, and positive perceptions from 1-month interviews indicate successful program development. By engaging with end users and eliciting feedback throughout the development process, we were able to create an app and a web portal that was highly usable and acceptable to study participants. Further work is needed to understand the program's effect on clinical outcomes, patient linkage, and engagement in care. ", issn="2561-326X", doi="10.2196/24561", url="https://formative.www.mybigtv.com/2021/2/e24561", url="https://doi.org/10.2196/24561", url="http://www.ncbi.nlm.nih.gov/pubmed/33620324" }