@文章{信息:doi/10.2196/35426，作者=“赫伯特，凯莉和布拉赫，约翰和希特克斯，威廉和卡苏，费利西亚和Gibson，劳拉和普雷茨，凯特琳和伍兹，凯尔西和克特帕尔，维克和苏瓦纳，泰哈斯和诺瓦克，克里斯托弗和拉扎尔，彼得和艾特克，迪顿和巴顿，布鲁斯和阿肯巴赫，查德和墨菲，罗伯特和麦克马纳斯，大卫和索尼，Apurv”，标题=“使用数字智能手机应用程序进行非处方SARS-CoV-2测试的家庭系列测试的可行性:纵向队列研究”，期刊=“JMIR Form Res”，年=“2022”，月=“Oct”，日=“18”，卷=“6”，号=“10”，页=“e35426”，关键词=“COVID-19;SARS-CoV-2;快速测试;mydatahelp智能手机应用;移动健康;移动健康;串行自检;数字健康;大流行; self test", abstract="Background: The ongoing SARS-CoV-2 pandemic necessitates the development of accurate, rapid, and affordable diagnostics to help curb disease transmission, morbidity, and mortality. Rapid antigen tests are important tools for scaling up testing for SARS-CoV-2; however, little is known about individuals' use of rapid antigen tests at home and how to facilitate the user experience. Objective: This study aimed to describe the feasibility and acceptability of serial self-testing with rapid antigen tests for SARS-CoV-2, including need for assistance and the reliability of self-interpretation. Methods: A total of 206 adults in the United States with smartphones were enrolled in this single-arm feasibility study in February and March 2021. All participants were asked to self-test for COVID-19 at home using rapid antigen tests daily for 14 days and use a smartphone app for testing assistance and to report their results. The main outcomes were adherence to the testing schedule, the acceptability of testing and smartphone app experiences, and the reliability of participants versus study team's interpretation of test results. Descriptive statistics were used to report the acceptability, adherence, overall rating, and experience of using the at-home test and MyDataHelps app. The usability, acceptability, adherence, and quality of at-home testing were analyzed across different sociodemographic, age, and educational attainment groups. Results: Of the 206 enrolled participants, 189 (91.7{\%}) and 159 (77.2{\%}) completed testing and follow-up surveys, respectively. In total, 51.3{\%} (97/189) of study participants were women, the average age was 40.7 years, 34.4{\%} (65/189) were non-White, and 82{\%} (155/189) had a bachelor's degree or higher. Most (n=133/206, 64.6{\%}) participants showed high testing adherence, meaning they completed over 75{\%} of the assigned tests. Participants' interpretations of test results demonstrated high agreement (2106/2130, 98.9{\%}) with the study verified results, with a $\kappa$ score of 0.29 (P<.001). Participants reported high satisfaction with self-testing and the smartphone app, with 98.7{\%} (157/159) reporting that they would recommend the self-test and smartphone app to others. These results were consistent across age, race/ethnicity, and gender. Conclusions: Participants' high adherence to the recommended testing schedule, significant reliability between participants and study staff's test interpretation, and the acceptability of the smartphone app and self-test indicate that self-tests for SARS-CoV-2 with a smartphone app for assistance and reporting is a highly feasible testing modality among a diverse population of adults in the United States. ", issn="2561-326X", doi="10.2196/35426", url="https://formative.www.mybigtv.com/2022/10/e35426", url="https://doi.org/10.2196/35426", url="http://www.ncbi.nlm.nih.gov/pubmed/36041004" }