@Article{信息:doi 10.2196 / / jmir。8867，作者=“Ryu, Borim和Kim, Nari和Heo, Eunyoung和Yoo, Sooyoung和Lee, Keehyuck和Hwang, Hee和Kim, Jeong-Whun和Kim, yjung和Lee, Joongseek和Jung, Se Young”，标题=“电子健康记录集成个人健康记录对患者参与医疗保健的影响:MyHealthKeeper的开发与随机对照试验，期刊=“J Med Internet Res”，年=“2017”，月=“12”，日=“07”，卷=“19”，数=“12”，页=“e401”，关键词=“健康记录，个人;生活记录数据;生活方式管理;临床干预;保健服务;电子健康记录;移动健康;远程医疗; clinical trial", abstract="Background: Personal health record (PHR)--based health care management systems can improve patient engagement and data-driven medical diagnosis in a clinical setting. Objective: The purpose of this study was (1) to demonstrate the development of an electronic health record (EHR)--tethered PHR app named MyHealthKeeper, which can retrieve data from a wearable device and deliver these data to a hospital EHR system, and (2) to study the effectiveness of a PHR data-driven clinical intervention with clinical trial results. Methods: To improve the conventional EHR-tethered PHR, we ascertained clinicians' unmet needs regarding PHR functionality and the data frequently used in the field through a cocreation workshop. We incorporated the requirements into the system design and architecture of the MyHealthKeeper PHR module. We constructed the app and validated the effectiveness of the PHR module by conducting a 4-week clinical trial. We used a commercially available activity tracker (Misfit) to collect individual physical activity data, and developed the MyHealthKeeper mobile phone app to record participants' patterns of daily food intake and activity logs. We randomly assigned 80 participants to either the PHR-based intervention group (n=51) or the control group (n=29). All of the study participants completed a paper-based survey, a laboratory test, a physical examination, and an opinion interview. During the 4-week study period, we collected health-related mobile data, and study participants visited the outpatient clinic twice and received PHR-based clinical diagnosis and recommendations. Results: A total of 68 participants (44 in the intervention group and 24 in the control group) completed the study. The PHR intervention group showed significantly higher weight loss than the control group (mean 1.4 kg, 95{\%} CI 0.9-1.9; P<.001) at the final week (week 4). In addition, triglyceride levels were significantly lower by the end of the study period (mean 2.59 mmol/L, 95{\%} CI 17.6-75.8; P=.002). Conclusions: We developed an innovative EHR-tethered PHR system that allowed clinicians and patients to share lifelog data. This study shows the effectiveness of a patient-managed and clinician-guided health tracker system and its potential to improve patient clinical profiles. Trial Registration: ClinicalTrials.gov NCT03200119; https://clinicaltrials.gov/ct2/show/NCT03200119 (Archived by WebCite at http://www.webcitation.org/6v01HaCdd) ", issn="1438-8871", doi="10.2196/jmir.8867", url="//www.mybigtv.com/2017/12/e401/", url="https://doi.org/10.2196/jmir.8867", url="http://www.ncbi.nlm.nih.gov/pubmed/29217503" }