KIPS Transactions on Computer and Communication Systems (정보처리학회논문지:컴퓨터 및 통신 시스템)

Korea Information Processing Society (한국정보처리학회)
권호 표지
DOI QR코드

DOI QR Code

App Development and Usability Evaluation for Caregivers

돌봄 제공자를 위한 디지털 돌봄 앱 개발 및 사용성 평가

  • 박종찬 (가천대학교 바이오의료기기학과) ;
  • 김재국 (가천대학교 바이오의료기기학과) ;
  • 정의재 (가천대학교 바이오의료기기학과) ;
  • 안창선 ((주)엑스큐브) ;
  • 정봉수 (대구경북첨단의료산업진흥재단) ;
  • 김영주 (가쳔대학교 바이오의료기기학과)
  • Received : 2023.05.12
  • Accepted : 2023.09.25
  • Published : 2023.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

There is a need to develop an app for a caregiver health management that can provide continuous management in response to changes over time, because elderly people have low digital utilization capabilities, difficulty maintaining regular and continuous self-management. Based on this need, this study designed an app with a user-friendly UI and simple structure for the elderly. The app developed in this study supports regular management of health data such as blood pressure, blood sugar, and heart rate, as well as specific information on physical, disease, cognitive, communication, and environment in the care field. The app developed in this study supports care services by automatically entering data through integration with health management devices, automatically analyzing and visually representing recorded data to understand trends and volatility, and adding scalability to connect with various health management and medical support platforms. The effectiveness and satisfaction of the developed app were confirmed to be significant in the field verification results.

고령자는 낮은 디지털 활용 역량, 주기적이고 지속적인 자가관리 유지 어려움이 있어 시간에 따른 변화에 대응해 지속적인 관리를 해줄 수 있는 돌봄 제공자용 건강관리 앱이 필요하다. 이러한 필요성을 바탕으로 본 연구에서는 고령자가 사용하기 편한 UI와 단순한 구조의 앱을 디자인하였다. 본 연구에서 개발된 앱은 돌봄 현장에서 혈압, 혈당, 심박수 등의 건강 데이터와 신체, 질병, 인지, 의사소통, 환경 등의 특이 정보들을 정기적으로 관리하도록 지원한다. 본 연구에서 개발된 앱은 건강관리 기기와의 연동을 통해 데이터를 자동 입력하고, 기록된 데이터의 자동분석과 시각화 표현이 가능하다. 건강 변화의 추세, 변동성 등의 모니터링으로 돌봄 서비스를 제공할 수 있는 지원이 가능하다. 또한 다양한 건강관리, 의료지원 플랫폼과 연계할 수 있는 확장성이 추가되어 개발되었다. 개발된 앱에 대한 효과성과 만족도가 현장 실증 결과 유의미함이 확인되었다.

Keywords

Acknowledgement

본 연구는 보건복지부의 재원으로 한국보건산업진흥원의 보건의료기술연구개발사업 지원에 의하여 이루어진 것임(과제고유번호: HI21C0262).

References

  1. L. Fratiglioni and C. Qiu, "Prevention of common neuro-degenerative disorders in the elderly," Experimental Gerontology, Vol.44, No.1-2, pp.46-50, 2009. https://doi.org/10.1016/j.exger.2008.06.006
  2. G. Grande, C. Qiu, and L. Fratiglioni, "Prevention of dementia in an ageing world: Evidence and biological rationale," Ageing Research Reviews, Vol.64, pp.101045, 2020.
  3. N. J. Stone, and L. R. Schmeltz, "Metabolic syndrome management," Expert Opinion on Pharmacotherapy, Vol.8, No.13, pp.2059-75, 2007. https://doi.org/10.1517/14656566.8.13.2059
  4. G. Van Camp, "Cardiovascular disease prevention," Acta clinica Belgica, Vol.69, No.6, pp.407-11, 2014. https://doi.org/10.1179/2295333714Y.0000000069
  5. T. Bodenheimer, K. Lorig, H. Holman, and K. Grumbach, "Patient self-management of chronic disease in primary care," JAMA-Journal of the American Medical Association, Vol.288, No.19, pp.2469-75, 2002. https://doi.org/10.1001/jama.288.19.2469
  6. E. J. Barrett, C. Mensing, t. A. C. S. American Diabetes Association, and A. the American Heart, "The american diabetes association, the american cancer society, and the american heart association: A triumvirate of hope for the nation's health," Diabetes Care, Vol.27, No.7, pp.1789-90, 2004. https://doi.org/10.2337/diacare.27.7.1789
  7. V. S. Conn and C. L. Russell, "Self-management of chronic illnesses among aging adults," Journal of Gerontological Nursing, Vol.31, No.5, pp.4, 2005.
  8. M.-r. L. a. M. Song, "Long term effects of a self-care education program promoting self-efficacy for elderly people with diabetes," Journal of Korean Gerontological Nursing, Vol.5, No.1, pp.91-101, 2003.
  9. M. S. Marcolino, J. A. Q. Oliveira, M. D'Agostino, A. L. Ribeiro, M. B. M. Alkmim, and D. Novillo-Ortiz, "The impact of mhealth interventions: Systematic review of systematic reviews," JMIR Mhealth Uhealth, Vol.6, No.1, pp.e23, 2018.
  10. I. Adami et al., "Monitoring health parameters of elders to support independent living and improve their quality of life," Sensors (Basel), Vol.21, No.2, 2021.
  11. V. J. Dzau and C. A. Balatbat, "Future of hypertension," Hypertension, Vol.74, No.3, pp.450-457, 2019. https://doi.org/10.1161/HYPERTENSIONAHA.119.13437
  12. A. G. Logan, "Transforming hypertension management using mobile health technology for telemonitoring and self-care support," The Canadian Journal of Cardiology, Vol.29, No.5, pp.579-85, 2013. https://doi.org/10.1016/j.cjca.2013.02.024
  13. M. R. Grossman, D. K. Zak, and E. M. Zelinski, "Mobile apps for caregivers of older adults: Quantitative content analysis," JMIR Mhealth Uhealth, Vol.6, No.7, pp.e162, 2018.
  14. K. J. W. Mendez, C. Budhathoki, A. B. Labrique, T. Sadak, E. K. Tanner, and H. R. Han, "Factors associated with intention to adopt mHealth apps among dementia caregivers with a chronic condition: Cross-sectional, correlational study," JMIR mHealth and uHealth, Vol.9, No.8, pp.e27926, 2021.
  15. N. Ruggiano, E. L. Brown, S. Shaw, D. Geldmacher, P. Clarke, V. Hristidis, and J. Bertram, "The potential of information technology to navigate caregiving systems: Perspectives from dementia caregivers," Journal of Gerontological Social Work, Vol.62, No.4, pp.432-450, 2019. https://doi.org/10.1080/01634372.2018.1546786
  16. S. Rathnayake, W. Moyle, C. Jones, and P. Calleja, "Codesign of an mHealth application for family caregivers of people with dementia to address functional disability care needs," Informatics for Health and Social Care, Vol.46, No.1, pp.1-17, 2021. https://doi.org/10.1080/17538157.2020.1793347
  17. J. Wang, D. Carroll, M. Peck, S. Myneni, and Y. Gong, "Mobile and wearable technology needs for aging in place: Perspectives from older adults and their caregivers and providers," Nursing Informatics 2016, pp.486-490, 2016.
  18. T. W. Lee, S. H. Park, and S. H. Kwon, "Contents analysis of mobile applications for caregivers of community-dwelling older adults: Focused on Korea," The Journal of the Korea Contents Association, Vol.22, No.11, pp.331- 342, 2022. https://doi.org/10.5392/JKCA.2022.22.11.331
  19. S. H. Lee, S. J. Hong, and K. M. Kim, "Analysis of health care service trends for the older adults based on ICT," Journal of the Korea Convergence Society, Vol.12, No.5, pp.373- 383, 2021. https://doi.org/10.15207/JKCS.2021.12.5.373
  20. National Information Society Agency, "2021 The Report on the Digital Divide," Ministry of Science and ICT, Daegu: NIA, pp.75-111, 2021.
  21. K. Seo, "Latest global trends in digital health," Medical Policy Forum, Vol.18, No.2, pp.98-103, 2020.
  22. J. Brooke, "SUS-A quick and dirty usability scale," Usability evaluation in industry, Vol.189, No.194, pp.4-7, 1996.
  23. J. Brooke, "SUS: A retrospective," Journal of Usability Studies, Vol.8, No.2, pp.29-40, 2013.
  24. S. J. Yang, K. H. Yoon, and H. S. Kim, "Mobile health for health management of the elderly," Korean Journal of Clinical Geriatrics, Vol.17, No.1, pp.1-6, 2016. https://doi.org/10.15656/kjcg.2016.17.1.1
  25. S. B. Jo and J. I. Lee, "Proposal of GUI guidelines to improve the usability of mobile healthcare for new silver generation," Smart Media Journal, Vol.7, No.2, pp.60-70, 2018. https://doi.org/10.30693/SMJ.2018.7.2.60
  26. H. S. Lim, D. Y. Jung, S. W. Choi, D. S. Ryu, and S. J. Park, "Senior mode UI UX guidelines. Seoul," Seoul: INITION, pp.287, 2018.
  27. Y. A. Ahn and H. J. Cho, "Design of a HL7-based mobile web prescription interface for U-Healthcare," The Journal of the Korea Contents Association, Vol.13, No.4, pp.8-16, 2013. https://doi.org/10.5392/JKCA.2013.13.04.008
  28. Y. D. Kim, W. S. Kang, K. R. Cho, and J. W. Son, "Design of HL7 message based healthcare system with mobile devices," Korean HCI Society Conference, Vol.2013, No.1, pp.1088-1090, 2013.
  29. J. S. Kim, S. H. Park, and Y. M. Nah, "Design and implementation of a reusable and extensible HL7 encoding / decoding framework," KIISE Transactions on Computing Practices (KTCP), Vol.8, No.1, pp.96-106, 2002.
  30. HL7 Standards - Section 1c: FHIR®. [Internet], http://www.hl7.org/implement/standards/product_brief.cfm?product_id=491.