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Development and Pilot Testing of a Smartphone-Based Self-Care Program for Patients with Chronic Hepatitis B

Authors
 Yeonsoo Jang  ;  Sang Hoon Ahn  ;  Kyunghwa Lee  ;  Oh Young Kwon  ;  Jeong Hyun Kim 
Citation
 INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, Vol.18(21) : 11139, 2021-10 
Journal Title
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
ISSN
 1661-7827 
Issue Date
2021-10
MeSH
Exercise ; Hepatitis B* ; Hepatitis B, Chronic* / therapy ; Humans ; Quality of Life ; Self Care ; Smartphone
Keywords
chronic disease ; hepatitis B surface antigens ; mobile applications ; quality of life ; self-care
Abstract
The purpose of this study is to develop a smartphone-based self-care program (Hep B Care®) for patients with the chronic hepatitis B virus (HBV). To pilot test the feasibility of Hep B Care®, 63 participants with chronic HBV were recruited from an outpatient clinic at S hospital, Seoul, South Korea (experimental group [EG]: n = 30, control group [CG]: n = 33) between February and July 2016. Hep B Care® was developed based on the theory of self-care whilst having a chronic illness. During the 12-week intervention period, the application: (1) provided information about the disease, medication, nutrition, and exercise; (2) encouraged taking medication and exercise using alarms; and (3) enabled the exchange of messages between healthcare providers and patients. Salivary cortisol, fatigue, depression, anxiety, knowledge of the HBV, quality of life, and medication adherence were all measured as outcomes. Cortisol levels were significantly increased, knowledge of the HBV was improved, and the mean anxiety score was significantly decreased in the EG. Thus, Hep B Care ® partially improved health outcomes in the EG. We recommend that large trials be conducted among patients with the HBV. The smartphone-based self-care program for providing education and coaching is effective for improving knowledge and reducing anxiety among patients with the HBV.
Files in This Item:
T202104803.pdf Download
DOI
10.3390/ijerph182111139
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kwon, Oh Young(권오영)
Ahn, Sang Hoon(안상훈) ORCID logo https://orcid.org/0000-0002-3629-4624
Jang, Yeon Soo(장연수) ORCID logo https://orcid.org/0000-0002-1898-025X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186901
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