@文章{info:doi/10.2196/34294，作者="Lunde, Pernille and Bye, Asta and Bruusgaard, Kari Anette and Hellem, Elisabet and Nilsson, Birgitta Blakstad"，标题="患者在心脏康复后使用智能手机应用程序的经验:定性研究"，期刊="JMIR Hum Factors"，年="2022"，月=" 3"，日="23"，卷="9"，数="1"，页="e34294"，关键词="mHealth;移动健康;心脏康复;手机app;智能手机;背景:基于运动的心脏康复(CR)是心脏病患者治疗的重要组成部分，坚持健康的行为是改善长期预后的先决条件。不幸的是，对于许多心脏病患者来说，长期坚持CR适应的健康行为是一项挑战。最近，我们证明了通过应用程序进行的为期一年的随访显著改善了CR后对健康行为的坚持。为了增加对可促进接受和坚持的移动健康(mHealth)干预措施的知识和理解，有必要对患者使用这些干预措施的经历进行定性研究。目的:通过应用程序对患者进行为期1年的个体化长期随访，了解患者对CR后哪些特征促进了健康行为的坚持的想法。目的是加深对之前报道的重要发现的理解，并指导未来在坚持领域类似干预措施的开发。方法:在2018年11月至2019年5月期间，采用个人访谈的定性研究。 A thematic interview guide was used when conducting the semistructured in-depth interviews. The interviews were audio recorded and transcribed successively during the period in which the interviews were conducted. Texts were managed and systematized by NVivo. Interviews were analyzed by qualitative content analysis. Codes and themes were inductively developed. Results: Ten patients who had participated in a randomized controlled trial evaluating the effect of follow-up conducted via an app on adherence to healthy behavior after CR were included. The median patient age was 65 years (range 46-72 years), and both genders were represented. The analysis resulted in the following 4 themes describing the patients' experiences: (1) The person behind the app is crucial for motivation and adherence; (2) The app as a commitment; (3) The app as a path to independence; and (4) Suggestions for improvements. Features experienced as beneficial to promote adherence were individualized feedback and the use of goal setting. The significance of the person behind the app (the supervisor) who provided individualized feedback was a consistent finding. This person seemed to promote motivation in general and to enable other known behavioral change techniques. Conclusions: The person behind the app (the supervisor) seems to be one of the most significant success factors in promoting adherence to healthy behavior after CR. This indicates that a health care provider must actively participate in a patient's process of adherence to healthy behavior, even when using interventions, including an app. Future development of interventions in the field of adherence should strive to create tools that enable an ongoing collaborative relationship between the patient and the health care provider. The follow-up should be based on the patient's own goals, and individualized feedback should be provided. ", issn="2292-9495", doi="10.2196/34294", url="https://humanfactors.www.mybigtv.com/2022/1/e34294", url="https://doi.org/10.2196/34294", url="http://www.ncbi.nlm.nih.gov/pubmed/35319476" }