Usability and acceptability of a mobile application prototype for a combined behavioural activation and physical rehabilitation intervention in acute respiratory failure survivors |
| |
| Affiliation: | 1. Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA;2. Outcomes After Surgery and Critical Illness Research Group, Johns Hopkins University School of Medicine, Baltimore, MD, USA;3. Department of Pediatrics, Hershey Medical Center, Hershey, PA, USA;4. Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA;5. Department of Information Systems, University of Maryland Baltimore County, Baltimore, MD, USA;6. Department of Psychiatry Research, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA;7. Dartmouth College, Hanover, NH, USA;1. Servicio de Medicina Intensiva, Hospital Universitario La Paz-Carlos III, IdiPAZ, Madrid, España;2. CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid. España;1. CNC Intensive Care, Northern NSW LHD, 89 Tamar Street, Ballina, NSW, 2478, Australia;2. Academic Conjoint, Southern Cross University, 89 Tamar Street, Ballina, NSW, 2478, Australia;1. Malcolm Fisher Department of Intensive Care Medicine, Royal North Shore Hospital, Sydney, Australia;2. Northern Clinical School, Sydney Medical School, University of Sydney, Sydney, Australia;3. Division of Critical Care, The George Institute for Global Health, University of New South Wales, Sydney, Australia;4. Department of Neurosurgery, Royal North Shore Hospital, Sydney, Australia;1. Pediatric Nurse, Hospital Sant Joan de Déu, Barcelona, Spain;2. Department of Public Health, Mental Health, and Maternity/Childhood Nursing, School of Nursing, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain;3. Pediatric Intensive Care Specialist, Hospital Sant Joan de Déu, Barcelona, Spain;4. Medicine Unit of Training and Research, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain;5. Department of Fundamental Care and Medical-Surgical Nursing, School of Nursing, Faculty of Medicine and Health Sciences, Spain;6. Consolidated Research Group SGR 269 Quantitative Psychology, University of Barcelona, Barcelona, Spain |
| |
| Abstract: | BackgroundAcute respiratory failure survivors experience depression symptoms and new impairments in physical function. Behavioural activation, an evidence-based nonpharmacological treatment for depression, combined with physical rehabilitation, is a promising intervention. Notably, mHealth applications (Apps) are potentially effective methods of delivering home-based interventions.ObjectivesThe objective of this study was to evaluate the usability and acceptability of a prototype App to deliver a combined, home-based behavioural activation and rehabilitation intervention to acute respiratory failure survivors.MethodsA prospective user-preference study was conducted with acute respiratory failure survivors and self-designated care partners. Survivors were adults with at least mild depression symptoms before hospital discharge who received mechanical ventilation in the intensive care unit for ≥24 h. Survivors and care partners reviewed the App during a single in-person home visit and completed the System Usability Scale (range: 0–100; score >73 considered “good”) and a semistructured interview.ResultsTen patient/care partner dyads completed study. The median [interquartile range] patient age was 50 [40–64] years, and 50% were female. The median System Usability Scale scores among patients and care partners were 76 [68–83] and 88 [75–94], respectively. Qualitative feedback supported usability and acceptability of the App, with three themes reported: (1) stigma associated with depression, (2) App as a motivator for recovery, and (3) App providing multidisciplinary support for survivor and care partner.ConclusionsA mobile App prototype designed to deliver a combined behavioural activation and rehabilitation intervention was usable and acceptable to survivors of acute respiratory failure and their care partners. Given the reported stigma associated with depression, the self-directed App may be particularly valuable for motivation and multidisciplinary support. |
| |
| Keywords: | Intensive care unit Acute respiratory failure Depression Mobile application |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
