{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T08:00:29Z","timestamp":1769587229157,"version":"3.49.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>\n            Background\u2003mHealth apps may be useful tools for supporting chronic disease management.<\/jats:p><jats:p>\n            Objective\u2003Our aim was to apply user-centered design principles to efficiently identify core components for an mHealth-based asthma symptom\u2013monitoring intervention using patient-reported outcomes (PROs).<\/jats:p><jats:p>\n            Methods\u2003We iteratively combined principles of qualitative research, user-centered design, and \u201cgamification\u201d to understand patients' and providers' needs, develop and refine intervention components, develop prototypes, and create a usable mobile app to integrate with clinical workflows. We identified anticipated benefits and burdens for stakeholders.<\/jats:p><jats:p>\n            Results\u2003We conducted 19 individual design sessions with nine adult patients and seven clinicians from an academic medical center (some were included multiple times). We identified four core intervention components: (1) Invitation\u2014patients are invited by their physicians. (2) Symptom checks\u2014patients receive weekly five-item questionnaires via the app with 48 hours to respond. Depending on symptoms, patients may be given the option to request a call from a nurse or receive one automatically. (3) Patient review\u2014in the app, patients can view their self-reported data graphically. (4) In-person visit\u2014physicians have access to patient-reported symptoms in the electronic health record (EHR) where they can review them before in-person visits. As there is currently no location in the EHR where physicians would consistently notice these data, recording a recent note was the best option. Benefits to patients may include helping decide when to call their provider and facilitating shared decision making. Benefits to providers may include saving time discussing symptoms. Provider organizations may need to pay nurses extra, but those costs may be offset by reduced visits and hospitalizations.<\/jats:p><jats:p>\n            Conclusion\u2003Recent systematic reviews show inconsistent outcomes and little insight into functionalities required for mHealth asthma interventions, highlighting the need for systematic intervention design. We identified specific features for adoption and engagement that meet the stated needs of users for asthma symptom monitoring.<\/jats:p>","DOI":"10.4338\/aci-2017-06-ra-0096","type":"journal-article","created":{"date-parts":[[2018,1,10]],"date-time":"2018-01-10T06:06:38Z","timestamp":1515564398000},"page":"1031-1043","source":"Crossref","is-referenced-by-count":40,"title":["Core Components for a Clinically Integrated mHealth App for Asthma Symptom Monitoring"],"prefix":"10.4338","volume":"08","author":[{"given":"Robert","family":"Rudin","sequence":"additional","affiliation":[]},{"given":"Christopher","family":"Fanta","sequence":"additional","affiliation":[]},{"given":"Zachary","family":"Predmore","sequence":"additional","affiliation":[]},{"given":"Kevin","family":"Kron","sequence":"additional","affiliation":[]},{"given":"Maria","family":"Edelen","sequence":"additional","affiliation":[]},{"given":"Adam","family":"Landman","sequence":"additional","affiliation":[]},{"given":"Eyal","family":"Zimlichman","sequence":"additional","affiliation":[]},{"given":"David","family":"Bates","sequence":"additional","affiliation":[]}],"member":"194","published-online":{"date-parts":[[2017,12,14]]},"container-title":["Applied Clinical Informatics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4338\/ACI-2017-06-RA-0096.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T19:41:54Z","timestamp":1557171714000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4338\/ACI-2017-06-RA-0096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2017,12,14]]},"published-print":{"date-parts":[[2017,10]]}},"URL":"https:\/\/doi.org\/10.4338\/aci-2017-06-ra-0096","relation":{},"ISSN":["1869-0327"],"issn-type":[{"value":"1869-0327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017]]}}}