DOI QR코드

DOI QR Code

Study on Compliance of Personal Health Record Application in Patients with Atopic Dermatitis

아토피피부염 환자의 개인별 증상 기록에 대한 순응도 연구

  • Seo, Jin Soon (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kim, Young Eun (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kim, An Na (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kim, Ick Tae (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Son, Yun Hee (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Jang, Hyun Chul (Future Medicine Division, Korea Institute of Oriental Medicine)
  • 서진순 (한국한의학연구원 미래의학부) ;
  • 김영은 (한국한의학연구원 미래의학부) ;
  • 김안나 (한국한의학연구원 미래의학부) ;
  • 김익태 (한국한의학연구원 미래의학부) ;
  • 손윤희 (한국한의학연구원 미래의학부) ;
  • 장현철 (한국한의학연구원 미래의학부)
  • Received : 2020.07.24
  • Accepted : 2020.08.20
  • Published : 2020.08.31

Abstract

Objectives : The purpose of this study is to evaluate clinical utilization by measuring compliance with the use of mobile health applications (AtopyPHR developed in a previous study) for patients with atopic dermatitis. Methods : Based on the AtopyPHR and the input period and frequency survey results for each symptom item, a scenario for measuring compliance was derived. The study period was 4 weeks. Participants installed AtopyPHR app and Telegram app on their smartphones, conducted user training on the app, and recorded symptoms using the app for 4 weeks. At the 2nd and 4th week visits, the AtopyPHR data recorded by the user can be viewed on the web page and used for medical decision. Compliance was analyzed by the date the symptoms were recorded. Results : There were 28 participants, all (100%) were compliant, and the compliance was 96.8. The patients were 1 to 18 years old, and the average age was 8.2±5.7 years, 10 males and 18 females. The actual date of participation in recording symptoms was 28.6±0.56 on average. Compared to Week 1, compliance decreased at Week 2, and Week 4 had the highest compliance. Daily check, daily emotion, stool/urine/sleep, and meal management showed high compliance, SCORAD and quality of life were higher than required to record. Conclusions : AtopyPHR was effective in compliance. The results of this study could be used to collect personal health data in daily life through the AtopyPHR, improving participant compliance. It is considered to be meaningful because it measured the compliance with the symptom record actually recorded using the mobile app rather than a questionnaire. This study may be useful not only for personal health care but also for medical decisions, as opinions are given by experts who treat atopic dermatitis.

Keywords

References

  1. https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do. Korea Health Statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-3).
  2. Lee SI, Kim JH, Han YS, Ahn KM. A proposal: Atopic Dermatitis Organizer (ADO) guideline for children. Asia Pac Allergy. 2011;1(2):53-63. https://doi.org/10.5415/apallergy.2011.1.2.53
  3. Hamine S, Gerth-Guyette E, Faulx D, Green BB, Ginsburg AS. Impact of mHealth Chronic Disease Management on Treatment Adherence and Patient Outcomes: A Systematic Review. J Med Internet Res. 2015;17(2):e52. https://doi.org/10.2196/jmir.3951
  4. Jeong YY. Adherence: implications for asthma treatment. Allergy Asthma Respir Dis. 2013;1(2):105-110. https://doi.org/10.4168/aard.2013.1.2.105
  5. Duan H, Wang Z, Ji Y, Ma L, Liu F, Chi M, Deng N, An J. Using Goal-Directed Design to Create a Mobile Health App to Improve Patient Compliance With Hypertension Self-Management: Development and Deployment. JMIR Mhealth Uhealth. 2020;8(2):e14466. https://doi.org/10.2196/14466
  6. Seo JS, Kim YE, Lee SH, Kim AN, Nam BR, Jang HC. Study on Development a Personal Health Record Application of Atopic Dermatitis in Korean Medicine. J Korean Med Ophthalmol Otolaryngol Dermatol. 2019;32(1):32-41. https://doi.org/10.6114/JKOOD.2019.32.1.032
  7. Nam BR, Kim YE, Seo JS, Kim AN, Lee SH, Kim IT, Jang HC. Usefulness of personal health record platform managing atopic dermatitis in Korean medicine clinical practice. Integrative Medicine Research. 2020;9(2). https://doi.org/10.1016/j.imr.2020.02.009
  8. Anhoj J, Moldrup Claus. Feasibility of Collecting Diary Data From Asthma Patients Through Mobile Phones and SMS (Short Message Service): Response Rate Analysis and Focus Group Evaluation From a Pilot Study. J Med Internet Res. 2004;6(4):e42. https://doi.org/10.2196/jmir.6.4.e42
  9. Jeon EJ. Development and effectiveness evaluation of diabetes self-management mobile application based on IMB model. Seoul National University. 2017.
  10. Song EK. Effect of a Telephone Monitoring on Self-management & Symptom Experiences in Patients With Heart Failure. Korean Journal of Adult Nursing. 2005;17(1):56-67.
  11. Lee JA, Kim WS, Bae MJ, Kim YS, Oh HJ, Lee SY, Kim CM, Shin DH, Han SH, Cho KH. The Effectiveness of Short Term Mobile Phone Text Reminders in Improving Compliance among Hypertensive Patients. Korean J Health Promot Dis Prev. 2014;14(1):1-8. https://doi.org/10.15384/kjhp.2014.14.1.1
  12. Setiawan IMA, Zhou L, Alfikri Z, Saptono A, Fairman AD, Dicianno BE, Parmanto B. An Adaptive Mobile Health System to Support Self-Management for Persons With Chronic Conditions and Disabilities: Usability and Feasibility Studies. JMIR Form Res. 2019;3(2):e12982. https://doi.org/10.2196/12982
  13. Whitehead L, Seaton P. The Effectiveness of Self-Management Mobile Phone and Tablet Apps in Long-term Condition Management: A Systematic Review. J Med Internet Res. 2016;18(5):e97. https://doi.org/10.2196/jmir.4883
  14. Lee JH. Relationship between Compliance of Self-Management Health Program and Patient Outcomes for Patients with Multiple Chronic Disease. Seoul National University. 2019.
  15. Kim MJ, Choi MH. Knowledge, Compliance and Quality of Life of Mothers of Children with Atopic Dermatitis. J Korean Acad Child Health Nurs. 2011;17(4):272-280. https://doi.org/10.4094/jkachn.2011.17.4.272
  16. Kwak JY, Kim MH, Kang MS, Park SY, Choi IH. Prognostic Factors of Inpatients with Severe Atopic Dermatitis Treated in a Traditional Korean Medicine Hospital. J Korean Med Ophthalmol Otolaryngol Dermatol. 2018;31(4):13-21. https://doi.org/10.6114/JKOOD.2018.31.4.013
  17. Choi YS. Digital Health Care. Cloud nine. 2020.
  18. Leshem YA, Chalmers JR, Apfelbacher C, Furue M, Gerbens LAA, Prinsen CAC, Schmitt J, Spuls PI, Thomas KS, Williams HC, Simpson EL. Measuring atopic eczema symptoms in clinical practice: The first consensus statement from the Harmonising Outcome Measures for Eczema in clinical practice initiative. J AM ACAD DERMATOL. 2020;18(5):1181-1186.
  19. http://www.cdc.kr/contents.es?mid=a20303020400. Chronic disease prevention management.
  20. http://www.nih.go.kr/board/board.es?mid=a20507020000&bid=0019&act=view&list_no=366442&tag=&nPage=1. Integrated Community Health Promotion Program Guide.
  21. Yun YH, Ahn JH, Lee BR, Kim HH, Jung WM, Jang BH, Ko SG. The Status of Mobile Personal Health Records of Atopic Dermatitis : An evaluation of features and functionality. Kor. J. Oriental Preventive Medical Societ. 2015;19(2):103-112.
  22. Panesar A. Machine Learning and AI for Healthcare: Big Data for Improved Health Outcomes. acorn publishing. 2020.