{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T23:16:00Z","timestamp":1776294960266,"version":"3.50.1"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T00:00:00Z","timestamp":1597104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T00:00:00Z","timestamp":1597104000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100011933","name":"Chongqing Science and Technology Development Foundation","doi-asserted-by":"publisher","award":["cstc2015shms-ztzx10009"],"award-info":[{"award-number":["cstc2015shms-ztzx10009"]}],"id":[{"id":"10.13039\/501100011933","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>China has had about 1.2 billion mobile-phone users, and this number continues to grow. However, mobile-health services (mHealth) are currently in the initial stage, and have not yet prevailed in China. Additionally, the prevalence of Parkinson\u2019s disease (PD) in China is 1700\/100,000 (\u226565\u2009years). Indeed, these PD patients would benefit from mHealth to manage their disease. Therefore, we designed a study to determine attitudes toward smartphone applications (apps) for chronic condition self-management, and to discover the practicality of these apps among PD patients in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We selected 204 participants with PD between 52 and 87\u2009years old and surveyed their attitudes concerning the use of smartphone apps for chronic condition management via questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the participants, 65.19% had smartphones. Among these smartphone users, 82.84% expressed a preference for using apps for PD management. This group tended to be younger and more frequent web users with higher education and better medication compliance, and they tended to have a longer PD course and worse conditions (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>P\u2009=<\/jats:italic>\n                      \u00a00.001,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.041,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.013). Additionally, the willingness to apply apps for PD self-management was positively related to education (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and negatively related to age and PD course (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.017,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In China, patients with PD have a generally positive attitude towards self-management through smartphone apps. Consequently, improving the coverage of smartphones with practical and handy apps is a promising strategy for PD self-management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12911-020-01187-x","type":"journal-article","created":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T05:25:35Z","timestamp":1597123535000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Acceptability and practicability of self-management for patients with Parkinson\u2019s disease based on smartphone applications in China"],"prefix":"10.1186","volume":"20","author":[{"given":"J.","family":"Hu","sequence":"first","affiliation":[]},{"given":"D. Z.","family":"Yuan","sequence":"additional","affiliation":[]},{"given":"Q. Y.","family":"Zhao","sequence":"additional","affiliation":[]},{"given":"X. F.","family":"Wang","sequence":"additional","affiliation":[]},{"given":"X. T.","family":"Zhang","sequence":"additional","affiliation":[]},{"given":"Q. H.","family":"Jiang","sequence":"additional","affiliation":[]},{"given":"H. R.","family":"Luo","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6971-2602","authenticated-orcid":false,"given":"J.","family":"Li","sequence":"additional","affiliation":[]},{"given":"J. H.","family":"Ran","sequence":"additional","affiliation":[]},{"given":"J. F.","family":"Li","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2020,8,11]]},"reference":[{"issue":"2","key":"1187_CR1","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1093\/ptj\/85.2.134","volume":"85","author":"KJ Brusse","year":"2005","unstructured":"Brusse KJ, Zimdars S, Zalewski KR, Steffen TM. Testing functional performance in people with Parkinson disease. Phys Ther. 2005;85(2):134\u201341.","journal-title":"Phys Ther"},{"issue":"9459","key":"1187_CR2","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1016\/S0140-6736(05)70801-1","volume":"365","author":"Z-X Zhang","year":"2005","unstructured":"Zhang Z-X, Roman GC, Hong Z, Wu C-B, Qu Q-M, Huang J-B, et al. Parkinson\u2019s disease in China: prevalence in Beijing, Xian, and Shanghai. Lancet. 2005;365(9459):595\u20137.","journal-title":"Lancet"},{"issue":"2","key":"1187_CR3","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1007\/s00702-013-1092-z","volume":"121","author":"CL Ma","year":"2014","unstructured":"Ma CL, Su L, Xie JJ, Long JX, Wu P, Gu L. The prevalence and incidence of Parkinson's disease in China: a systematic review and meta-analysis. J Neural Transm (Vienna). 2014;121(2):123\u201334.","journal-title":"J Neural Transm (Vienna)"},{"key":"1187_CR4","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s40035-019-0162-z","volume":"8","author":"G Li","year":"2019","unstructured":"Li G, Ma J, Cui S, He Y, Xiao Q, Liu J, et al. Parkinson's disease in China: a forty-year growing track of bedside work. Transl Neurodegener. 2019;8:22.","journal-title":"Transl Neurodegener"},{"issue":"Suppl 1","key":"1187_CR5","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1111\/jnc.13691","volume":"139","author":"S Sveinbjornsdottir","year":"2016","unstructured":"Sveinbjornsdottir S. The clinical symptoms of Parkinson's disease. J Neurochem. 2016;139(Suppl 1):318\u201324.","journal-title":"J Neurochem"},{"key":"1187_CR6","first-page":"853","volume-title":"Physical rehabilitation","author":"SB O\u2019Sullivan","year":"2007","unstructured":"O\u2019Sullivan SB. Parkinson\u2019s disease. In: O\u2019Sullivan SB, Schmitz TJ, editors. Physical rehabilitation. 5th ed. Philadelphia: F.A. Davis; 2007. p. 853\u201393.","edition":"5"},{"issue":"5","key":"1187_CR7","doi-asserted-by":"publisher","first-page":"e113","DOI":"10.2196\/mhealth.8236","volume":"6","author":"J Floch","year":"2018","unstructured":"Floch J, Zettl A, Fricke L, Weisser T, Grut L, Vilarinho T, et al. User needs in the development of a health app ecosystem for self-Management of Cystic Fibrosis: user-centered development approach. JMIR mHealth and uHealth. 2018;6(5):e113.","journal-title":"JMIR mHealth and uHealth"},{"issue":"2","key":"1187_CR8","doi-asserted-by":"publisher","first-page":"e33","DOI":"10.2196\/jmir.3938","volume":"17","author":"G Goh","year":"2015","unstructured":"Goh G, Tan NC, Malhotra R, Padmanabhan U, Barbier S, Allen JC Jr, et al. Short-term trajectories of use of a caloric-monitoring mobile phone app among patients with type 2 diabetes mellitus in a primary care setting. J Med Internet Res. 2015;17(2):e33.","journal-title":"J Med Internet Res"},{"issue":"1","key":"1187_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1207\/S15324796ABM2601_01","volume":"26","author":"KR Lorig","year":"2003","unstructured":"Lorig KR, Holman H. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003;26(1):1\u20137.","journal-title":"Ann Behav Med"},{"issue":"1","key":"1187_CR10","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1177\/1357633X16673538","volume":"24","author":"FH McKay","year":"2016","unstructured":"McKay FH, Cheng C, Wright A, Shill J, Stephens H, Uccellini M. Evaluating mobile phone applications for health behaviour change: a systematic review. J Telemed Telecare. 2016;24(1):22\u201330.","journal-title":"J Telemed Telecare"},{"key":"1187_CR11","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.ijmedinf.2016.06.021","volume":"94","author":"AD Nguyen","year":"2016","unstructured":"Nguyen AD, Baysari MT, Kannangara DRW, Tariq A, Lau AYS, Westbrook JI, et al. Mobile applications to enhance self-management of gout. Int J Med Inform. 2016;94:67\u201374.","journal-title":"Int J Med Inform"},{"issue":"2","key":"1187_CR12","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1016\/j.jash.2014.12.001","volume":"9","author":"N Kumar","year":"2015","unstructured":"Kumar N, Khunger M, Gupta A, Garg N. A content analysis of smartphone-based applications for hypertension management. J Am Soc Hypertens. 2015;9(2):130\u20136.","journal-title":"J Am Soc Hypertens"},{"issue":"19-20","key":"1187_CR13","doi-asserted-by":"publisher","first-page":"3719","DOI":"10.1111\/jocn.14522","volume":"27","author":"C Hellqvist","year":"2018","unstructured":"Hellqvist C, Dizdar N, Hagell P, Bertero C, Sund Levander M. Improving self-management for persons with Parkinson's disease through education focusing on management of daily life: patients\u2019 and relatives\u2019 experience of the Swedish National Parkinson School. J Clin Nurs. 2018;27(19-20):3719.","journal-title":"J Clin Nurs"},{"issue":"mar19 9","key":"1187_CR14","doi-asserted-by":"publisher","first-page":"g1838","DOI":"10.1136\/bmj.g1838","volume":"348","author":"BR Bloem","year":"2014","unstructured":"Bloem BR, Munneke M. Revolutionising management of chronic disease: the ParkinsonNet approach. Bmj. 2014;348(mar19 9):g1838.","journal-title":"Bmj"},{"issue":"3","key":"1187_CR15","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1111\/j.1748-3743.2008.00123.x","volume":"3","author":"L Chenoweth","year":"2008","unstructured":"Chenoweth L, Gallagher R, Sheriff JN, Donoghue J, Stein-Parbury J. Factors supporting self-management in Parkinson's disease: implications for nursing practice. Int J Older People Nursing. 2008;3(3):187\u201393.","journal-title":"Int J Older People Nursing"},{"issue":"11","key":"1187_CR16","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1080\/10810730.2013.778370","volume":"18","author":"DW Corpman","year":"2013","unstructured":"Corpman DW. Mobile health in China: a review of research and programs in medical care, health education, and public health. J Health Commun. 2013;18(11):1345\u201367.","journal-title":"J Health Commun"},{"issue":"5","key":"1187_CR17","doi-asserted-by":"publisher","first-page":"e97","DOI":"10.2196\/jmir.4883","volume":"18","author":"L Whitehead","year":"2016","unstructured":"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.","journal-title":"J Med Internet Res"},{"issue":"1","key":"1187_CR18","doi-asserted-by":"publisher","first-page":"e6","DOI":"10.2196\/jmir.2284","volume":"15","author":"JW McGillicuddy","year":"2013","unstructured":"McGillicuddy JW, Weiland AK, Frenzel RM, Mueller M, Brunner-Jackson BM, Taber DJ, et al. Patient attitudes toward mobile phone-based health monitoring: questionnaire study among kidney transplant recipients. J Med Internet Res. 2013;15(1):e6.","journal-title":"J Med Internet Res"},{"issue":"4","key":"1187_CR19","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1136\/jnnp.2007.131045","volume":"79","author":"J Jankovic","year":"2008","unstructured":"Jankovic J. Parkinson\u2019s disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry. 2008;79(4):368\u201376.","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"5","key":"1187_CR20","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1002\/mds.27303","volume":"33","author":"A Makkos","year":"2018","unstructured":"Makkos A, Kovacs M, Aschermann Z, Harmat M, Janszky J, Karadi KA-O, et al. Are the MDS-UPDRS-based composite scores clinically applicable? Mov Disord. 2018;33(5):835 1531\u20138257 (Electronic).","journal-title":"Mov Disord"},{"issue":"9","key":"1187_CR21","doi-asserted-by":"publisher","first-page":"1020","DOI":"10.1002\/mds.20213","volume":"19","author":"CG Goetz","year":"2004","unstructured":"Goetz CG, Poewe W, Rascol O, Sampaio C, Stebbins GT, Counsell C, et al. Movement disorder society task force report on the Hoehn and Yahr staging scale: status and recommendations. Mov Disord. 2004;19(9):1020 0885\u20133185 (Print).","journal-title":"Mov Disord"},{"issue":"4","key":"1187_CR22","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/j.seizure.2014.01.003","volume":"23","author":"A Yang","year":"2014","unstructured":"Yang A, Wang B, Zhu G, Jiao Z, Fang Y, Tang F, et al. Validation of Chinese version of the Morisky medication adherence scale in patients with epilepsy. Seizure. 2014;23(4):295\u20139.","journal-title":"Seizure"},{"key":"1187_CR23","doi-asserted-by":"publisher","first-page":"733","DOI":"10.1056\/NEJMoa1611179","volume":"377","author":"DR Berlowitz","year":"2017","unstructured":"Berlowitz DR, Foy CG, Kazis LE, Bolin L, Conroy LB, Fitzpatrick P, et al. For the SPRINT study research group. Impact of intensive blood pressure therapy on patient-reported outcomes: outcomes results from the SPRINT study. N Engl J Med. 2017;377:733\u201344.","journal-title":"N Engl J Med"},{"issue":"5","key":"1187_CR24","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1111\/j.1751-7176.2008.07572.x","volume":"10","author":"DE Morisky","year":"2008","unstructured":"Morisky DE, Ang A, Krousel-Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich). 2008;10(5):348\u201354.","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"1187_CR25","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1056\/NEJMsa1616035","volume":"377","author":"AP Bress","year":"2017","unstructured":"Bress AP, Bellows BK, King J, Hess R, Beddhu S, Zhang Z, et al. Cost-effectiveness of intensive versus standard blood pressure control. N Engl J Med. 2017;377:745\u201355. https:\/\/doi.org\/10.1056\/NEJMsa1616035.","journal-title":"N Engl J Med"},{"key":"1187_CR26","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.yebeh.2015.11.024","volume":"55","author":"X Liu","year":"2016","unstructured":"Liu X, Wang R, Zhou D, Hong Z. Feasibility and acceptability of smartphone applications for seizure self-management in China: questionnaire study among people with epilepsy. Epilepsy Behav. 2016;55:57\u201361.","journal-title":"Epilepsy Behav"},{"issue":"4","key":"1187_CR27","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1016\/j.pcrj.2006.03.001","volume":"15","author":"H Pinnock","year":"2006","unstructured":"Pinnock H, Slack R, Pagliari C, Price D, Sheikh A. Professional and patient attitudes to using mobile phone technology to monitor asthma: questionnaire survey. Prim Care Respir J. 2006;15(4):237\u201345.","journal-title":"Prim Care Respir J"},{"issue":"6","key":"1187_CR28","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1016\/j.ijmedinf.2008.11.002","volume":"78","author":"W-Y Jen","year":"2009","unstructured":"Jen W-Y. Mobile healthcare services in school-based health center. Int J Med Inform. 2009;78(6):425\u201334.","journal-title":"Int J Med Inform"},{"issue":"4","key":"1187_CR29","doi-asserted-by":"publisher","first-page":"e44","DOI":"10.2196\/mhealth.3599","volume":"2","author":"ME Hilliard","year":"2014","unstructured":"Hilliard ME, Hahn A, Ridge AK, Eakin MN, Riekert KA. User preferences and design recommendations for an mHealth app to promote cystic fibrosis self-management. JMIR Mhealth Uhealth. 2014;2(4):e44.","journal-title":"JMIR Mhealth Uhealth"},{"issue":"6","key":"1187_CR30","doi-asserted-by":"publisher","first-page":"e142","DOI":"10.2196\/jmir.4550","volume":"17","author":"JD Piette","year":"2015","unstructured":"Piette JD, Striplin D, Marinec N, Chen J, Trivedi RB, Aron DC, et al. A Mobile health intervention supporting heart failure patients and their informal caregivers: a randomized comparative effectiveness trial. J Med Internet Res. 2015;17(6):e142.","journal-title":"J Med Internet Res"},{"issue":"4","key":"1187_CR31","doi-asserted-by":"publisher","first-page":"e95","DOI":"10.2196\/jmir.3811","volume":"17","author":"N Kassam-Adams","year":"2015","unstructured":"Kassam-Adams N, Marsac ML, Kohser KL, Kenardy JA, March S, Winston FK. A new method for assessing content validity in model-based creation and iteration of eHealth interventions. J Med Internet Res. 2015;17(4):e95.","journal-title":"J Med Internet Res"}],"container-title":["BMC Medical Informatics and Decision Making"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-020-01187-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12911-020-01187-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-020-01187-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T19:10:34Z","timestamp":1628622634000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmedinformdecismak.biomedcentral.com\/articles\/10.1186\/s12911-020-01187-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,11]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1187"],"URL":"https:\/\/doi.org\/10.1186\/s12911-020-01187-x","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.2.15372\/v4","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.15372\/v3","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.15372\/v6","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.15372\/v5","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.15372\/v2","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.2.15372\/v1","asserted-by":"object"}]},"ISSN":["1472-6947"],"issn-type":[{"value":"1472-6947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,11]]},"assertion":[{"value":"22 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 July 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 August 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Informed consent form was obtained from each study participant, and the study was approved by the Research Ethics Committee of the Second Affiliated Hospital of Chongqing Medical University (No. (2019) No. 268).","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"183"}}