I JMIR出版物使用目标导向设计创建移动健康应用程序，以提高患者对高卡塔尔世界杯8强波胆分析血压自我管理的依从性:段A，王慧龙，纪哲宇，马玉萌，刘莉，池方，邓明伟，安宁，吉业+浙江大学生物医学工程与仪器科学学院，生物医学工程教育部重点实验室，浙江省杭州市玉泉校区浙大路38号周一清大厦512号，86 571 2295 2693，zju.dengning@gmail.com %K目标导向设计%K智能手机%K移动健康%K患者%K高血压自我管理%K手机%D 2020 %7 25.2.2020 %9原始论文%J JMIR移动健康Uhealth %G英文%X背景:高血压是一种生活方式诱导的慢性疾病，威胁着患者的生命。高血压的控制需要患者遵循自我管理制度;然而，不幸的是，患者对高血压自我管理的依从性很低，尤其是在发展中国家。提高患者依从性是以满足患者需求为前提的。在慢性疾病的自我管理方面，移动健康应用程序越来越受欢迎。然而，很少有移动应用程序被设计来满足患者对高血压自我管理的需求。目的:本研究的目标是开发一款提高患者高血压自我管理依从性的移动健康应用程序，并评估该应用程序在患者依从性方面的有效性。方法:采用目标导向设计方法指导研究设计。 We divided the study into 4 stages. Stages 1 to 3 comprised the development process. To improve the applicability of the goal-directed design method to chronic disease management, we extracted elements of user models concerned with patient compliance and defined a concrete process for user modeling. In stage 1, personas of hypertensive patients were built using qualitative and quantitative methods. Clustering methods based on questionnaire responses were used to group patients. Qualitative interviews were conducted to identify the needs of different groups. In stage 2, several functional modules were designed to meet the needs of different groups based on the results from stage 1. In stage 3, prototypes of functional modules were designed and implemented as a real app. Stage 4 was the deployment process, in which we conducted a pilot study to investigate patient compliance after using the app. Patient compliance was calculated through the frequency with which they took blood pressure measurements. In addition, qualitative interviews were conducted to learn the underlying reasons for the compliance results. Results: In stage 1, patients were divided into 3 groups based on 82 valid questionnaire responses. Eighteen patients from the different groups (7, 5, and 6 patients) were interviewed, and the needs of the groups were summarized as follows: improve self-management ability, enhance self-management motivation, and receive self-management support. In stages 2 and 3, 6 functional modules were designed and implemented based on specified needs, and the usability of the app was improved through usability tests. In stage 4, 143 patients were recruited to use different versions of the app for 2 months. Results show that patient compliance improved as functional modules were added (P<.001) and was maintained at a high level (rate of 0.73). Interview results from 32 patients show that the design of the app met different needs; thus, patients were more compliant with it. Conclusions: This study developed a mobile health app for hypertension self-management using the goal-directed design method. The app proved to be effective for improving patient compliance with hypertension self-management. %M 32130161 %R 10.2196/14466 %U http://mhealth.www.mybigtv.com/2020/2/e14466/ %U https://doi.org/10.2196/14466 %U http://www.ncbi.nlm.nih.gov/pubmed/32130161