@Article{信息:doi 10.2196 / /移动医疗。9988，作者=“Kim, Heejung and Park, Eunhee and Lee, Sangeun and Kim, Mijung and Park, Eun Jeong and Hong, Soyun”，标题=“韩国老年人慢性疾病的自我管理:移动健康培训，协议和可行性研究”，期刊=“JMIR移动健康Uhealth”，年=“2018”，月=“Jun”，日=“29”，卷=“6”，数=“6”，页=“e147”，关键词=“移动健康;可行性研究;慢性疾病;电子健康增强慢性病护理模式;老年人;背景:目前，韩国大多数慢性病自我管理培训项目主要涉及卫生保健机构的面对面互动。因此，居住在社区的韩国老年人继续寻求慢性病管理方面的其他培训机会。这导致了新的培训方法的发展，例如在社区中心和家庭中很有价值的移动医疗(mHealth)保健。目的:本可行性研究(1)开发了一种移动健康培训方案，使社区居住的老年人能够管理他们的慢性病; (2) examined the feasibility of delivering this mHealth training protocol to elderly individuals through mobile tablets and applications (apps); and (3) discussed the contextual and methodological challenges associated with the development of this protocol. Methods: The mHealth training protocol was developed based on the eHealth Enhanced Chronic Care Model and comprised of four phases. Phase 1 included standardized technology (mobile tablets) training using guidebooks, demonstrations, and guided practice. Phase 2 included provision of standardized information about disease management that was obtained from governmental and professional health care organizations. Phase 3 included provision of training on the use of high-quality mHealth apps that were selected based on individual diagnoses. Phase 4 included encouraging the patients to practice using self-selected mHealth apps based on their individual needs. Quantitative descriptive statistics and qualitative content analyses of user evaluations were used to assess the feasibility and user acceptance of this protocol. Results: Of the 27 older adults included in this study, 25 completed all 4 weeks of the mHealth training. The attrition rate was 7{\%} (2/27), and the reasons included time conflicts, emotional distress, and/or family discouragement. The men required little or no training for Phase 1, and in comparison with men, women seemed to depend more on the mHealth trainers in Phase 3. Gender, level of education, and previous experience of using smartphones were associated with the speed of learning, level of confidence, and overall competence. Conclusions: A tailored and personalized approach is required to develop mHealth training protocols for older adults. Self-management of chronic diseases via mHealth training requires careful consideration of the complex nature of human behavior, emotional responses, and familial influences. Therefore, integration of a theoretical, clinical, and technical approach is necessary for the successful development and implementation of an mHealth training program that targets older adults with chronic diseases in a community setting. ", issn="2291-5222", doi="10.2196/mhealth.9988", url="http://mhealth.www.mybigtv.com/2018/6/e147/", url="https://doi.org/10.2196/mhealth.9988", url="http://www.ncbi.nlm.nih.gov/pubmed/29959109" }