@Article{信息:doi 10.2196 / / jmir。4870，作者="Duman-Lubberding, Sanne and van Uden-Kraan, Cornelia F and Peek, Niels and Cuijpers, Pim and Leemans, C Ren{\'e} and Verdonck-de Leeuw, Irma M"，标题=" eHealth在头颈癌存活治疗中的应用:卫生保健专业人员的视角"，期刊="J Med Internet Res"，年="2015"，月="10"，日="21"，卷="17"，数="10"，页数="e235"，关键词="癌症;三级预防;参与式设计方法;后续护理;背景:尽管许多癌症幸存者可以从支持性护理中受益，但他们往往不利用这些服务。以前的研究表明，患者报告的结果(PROs)可能是满足癌症幸存者需求的解决方案，例如通过电子健康应用程序监测生活质量，并提供个性化的建议和支持性护理选项。为了开发一个有效的应用程序，可以成功地实施在当前的卫生保健，重要的是在开发过程中包括卫生保健专业人员。目的:本研究的目的是调查医疗保健专业人员对后续护理的看法，以及电子健康应用OncoKompas在后续癌症护理中的应用，该应用通过PROs监测生活质量，然后自动生成针对支持性护理的定制反馈和个性化建议。方法:对参与头颈部癌症护理的医疗保健专业人员(N=11)进行了当前随访护理和拟议的电子健康应用程序的预期价值(步骤1)的访谈。开发了电子健康应用程序的原型OncoKompas(步骤2)。在医疗保健专业人员(N=21)中进行认知行走，以调查感知可用性(步骤3)。由2名编码员记录、逐字转录并分析访谈。 Results: Health care professionals indicated several barriers in current follow-up care including difficulties in detecting symptoms, patients' perceived need for supportive care, and a lack of time to encourage survivors to obtain supportive care. Health care professionals expected the eHealth application to be of added value. The cognitive walkthroughs demonstrated that health care professionals emphasized the importance of tailoring care. They considered the navigation structure of OncoKompas to be complex. Health care professionals differed in their opinion toward the best strategy to implement the application in clinical practice but indicated that it should be incorporated in the HNC cancer care pathway to ensure all survivors would benefit. Conclusions: Health care professionals experienced several barriers in directing patients to supportive care. They were positive toward the development and implementation of an eHealth application and expected it could support survivors in obtaining supportive care tailored to their needs. The cognitive walkthroughs revealed several points for optimizing the application prototype and developing an efficient implementation strategy. Including health care professionals in an early phase of a participatory design approach is valuable in developing an eHealth application and an implementation strategy meeting stakeholders' needs. ", issn="1438-8871", doi="10.2196/jmir.4870", url="//www.mybigtv.com/2015/10/e235/", url="https://doi.org/10.2196/jmir.4870", url="http://www.ncbi.nlm.nih.gov/pubmed/26489918" }