TY -非盟的野蛮,安东尼娅盟——Munteanu Cosmin AU -罗斯,希瑟盟——Cafazzo约瑟夫PY - 2022 DA - 2022/12/21 TI -一个语音应用程序设计为心脏衰竭自我管理:概念实现研究乔- Res JMIR形式SP - e40021六世- 6 - 12 KW -心脏衰竭KW -自我管理KW -数字疗法KW -语音技术KW -智能议长KW -形成性评量KW -手机AB -背景:语音用户界面在医疗保健中变得越来越普遍，并且通常用于患者参与。人们越来越感兴趣的是确定这种形式的接口对慢性疾病管理中数字治疗(DTx)患者参与的潜力。根据现有的研究，通过另一种相互作用模式使DTx易于使用也有可能更好地满足一些患者的需求，例如老年人和那些有身体和认知障碍的人。目的:本研究旨在通过概念验证实施研究设计，评估心力衰竭患者如何与语音应用程序版本的DTx Medly进行互动。目的是了解语音应用程序是否能够使参与者成功地与DTx进行交互，重点是可接受性和可行性。方法:采用混合方法并行三角测量设计，以更好地了解Medly语音应用程序在4周内对研究参与者(N=20)的可接受性和可行性。定量数据包括参与水平、准确率和问卷，这些数据使用描述性统计进行分析。定性数据包括半结构化访谈，并使用定性描述方法进行分析。结果:总体平均参与度为73% (SD为9.5%)，第1周至第4周的结果下降了14%。 The biggest difference was between the average engagement levels of the oldest and youngest demographics, 84% and 43%, respectively, but these results were not significant—Kruskal-Wallis test, H(2)=3.8 (P=.14). The Medly voice app had an overall accuracy rate of 97.8% and was successful in sending data to the clinic. From an acceptability perspective, the voice app was ranked in the 80th percentile, and overall, the users felt that the voice app was not a lot of work (average of 2.1 on a 7-point Likert scale). However, the overall average score for whether users would use it in the future declined by 13%. Thematic analysis revealed the following: the theme feasibility of clinical integration had 2 subthemes, namely users adapted to the voice app’s conversational style and device unreliability, and the theme voice app acceptability had 3 subthemes, namely the device integrated well within household and users’ lives, users blamed themselves when problems arose with the voice app, and voice app was missing specific, desirable user features. Conclusions: In conclusion, participants were largely successful in using the Medly voice app despite some of the barriers faced, proving that an app such as this could be feasible to be deployed in the clinic. Our data begin to piece together the patient profile this technology may be most suitable for, namely those who are older, have flexible schedules, are confident in using technology, and are experiencing other medical conditions. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/12/e40021 UR - https://doi.org/10.2196/40021 UR - http://www.ncbi.nlm.nih.gov/pubmed/36542435 DO - 10.2196/40021 ID - info:doi/10.2196/40021 ER -