移动健康APP与自我保健外文翻译文献原文及译文.doc

译文字数：4600多字英文部分Mobile Health Apps to Facilitate Self-Care: A Qualitative Study of User ExperiencesAnderson Kevin; Burford Oksana; Emmerton Lynne.IntroductionThe increasing aging population will benefit from 21st Century self-care techniques, easing burden on healthcare by enabling self-monitoring at home, office or other location JI] In order for self-care of a chronic condition to be sustained, self-management techniques need to be integrated into one's life.[2, 3] Due to differences between chronic conditions, there is no agreed definition of self-care.[4] One commonality is that self-care requires self-monitoring for a consumer to pursue daily decisions to maintain functionality. [4] Self-monitoring can be conducted by consumers on various levels; examples are self-awareness of symptoms (e.g. shortness of breath), manual blood pressure readings, and self-maintained electronic databases of blood glucose measurements in diabetes management. For consumers with reasonable health literacy, self-monitoring offers greater autonomy, aiming to reduce pressure on health resources.[5-8]Despite being a relatively new phenomenon, self-monitoring has experienced notable developments in its practical immersion into one's lifestyle. Health consumers are increasingly engaging with mobile health applications (?apps')[9] for self-monitoring. However, limited regulation in the technology marketplace enables insufficiently tested[10, 11] self-monitoring devices to be launched, with potential for health consumers to ill-advisedly change their self-care regimens. There are many instances of 'buggy' health apps.[10, 11] Indeed, a number of authors have called for guidelines around electronic self-monitoring to prevent eiTors or other incidents. [12, 13] In Australia, the introduction of the Health Market Validation Program[14] signifies the Victorian State Government^ and technology vendors1 commitment to remote/home monitoring; feasibility studies are required in other jurisdictions. Research incorporating Consumer Experience MetricsOne report, in which consumer experience with health apps was a key outcome, describes two Swiss university randomised pragmatic trials. [15] Both studies explored whether an app-based intervention was more effective than self-management of chronic pain without an app. The apps included modules for participants to write diary entries and complete questionnaires during the six-month intervention. Consumer experience was measured in terms of adaptability and pre-post sick leave,[15] with the Chronic Pain Acceptance Questionnaire[16J used to record sick leave taken by participants.Consumer experience was also included in a four-week British weight management study involving seven females and six males-[17] A hybrid website and smartphone app were trialed. Semi-structured telephone interviews were used to assess the two platforms, with data analyzed via inductive thematic analysis.[17] Participants noted improvement in self-reported dietary and physical activity. No confounding factors relating to weight management were acknowledged. Key outcomes relating to goal engagement included motivation, self-efficacy, awareness, effort and achievement. The researchers encouraged critique of the app, whereby participants suggested use of barcode scanners and free-text entry boxes.Since self-care transfers most of the responsibility to the consumer, the usability of technology for this purpose is imperative. Consequently, self-care technologies need to be adaptable to technological environments and user preferences.A growing number of studies have explored the impact of technological interventions on consumers1 health outcomes. These interventions have included automated reminders (via text messaging)] 18, 19] and internet-based informationJ20] and have been assessed using self-report by participantsJ21] with little, if any, external validation. Poor persistence with long-term self-monitoring is evident in chronic conditions such as asthma.[22] Gamification can be used to increase engagement through use of rewards for repeat logins within a period of time and achieved milestones.[23] With many usability features conceived to date, mobile health app design is constantly evolving;[241 many app development frameworks offer fast, scalable interfaces to deploy changes to user interfaces seamlessly.An American health app study reported sociodemographic characteristics of app users, through a 36-item cross-sectional survey of 1604 English-speaking adults.[25] At least one health app had beenConstructs of the TAMJ33] specifically, perceived ease of use and perceived usefulness, were included in the interview guide. The HITAM included constructs describing personal and social factors such as motivation, self-reflection, competition and recommendation. Additionally, features of the MARS, such as engagement and aesthetics, were included. Duplicated concepts between the three models were deleted. Ques。