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

Author

Listed:
  • Yeonsoo Jang

    (College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, 50-1, Seodaemun-gu, Seoul 03722, Korea)

  • Sang Hoon Ahn

    (College of Medicine, Department of Internal Medicine, Institute of Gastroenterology, Yonsei University, 50-1, Seodaemun-gu, Seoul 03722, Korea)

  • Kyunghwa Lee

    (College of Nursing, Konyang University, Daejeon 35365, Korea)

  • Oh Young Kwon

    (College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, 50-1, Seodaemun-gu, Seoul 03722, Korea)

  • Jeong Hyun Kim

    (College of Nursing, Ansan University, Ansan 15328, Korea)

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.

Suggested Citation

  • Yeonsoo Jang & Sang Hoon Ahn & Kyunghwa Lee & Oh Young Kwon & Jeong Hyun Kim, 2021. "Development and Pilot Testing of a Smartphone-Based Self-Care Program for Patients with Chronic Hepatitis B," IJERPH, MDPI, vol. 18(21), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11139-:d:663158
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    References listed on IDEAS

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    1. Yeonsoo Jang & Jeong Hyun Kim & Kyunghwa Lee, 2017. "Validation of the revised piper fatigue scale in Koreans with chronic hepatitis B," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-11, May.
    2. Carla Guerriero & John Cairns & Ian Roberts & Anthony Rodgers & Robyn Whittaker & Caroline Free, 2013. "The cost-effectiveness of smoking cessation support delivered by mobile phone text messaging: Txt2stop," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(5), pages 789-797, October.
    3. Yeonsoo Jang & Sang Hoon Ahn & Kyunghwa Lee & Jiyeon Lee & Jeong Hyun Kim, 2019. "Psychometric evaluation of the Korean version of the Hepatitis B Quality of Life Questionnaire," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-10, February.
    4. Wan‐Shiuan Lin & Ting‐Ting Lee & Yuan‐Hao Yang & Mary Etta Mills, 2019. "Environmental factors affecting self‐management of chronic hepatitis B from the patients’ perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(21-22), pages 4128-4138, November.
    5. Sarah J Iribarren & Kenrick Cato & Louise Falzon & Patricia W Stone, 2017. "What is the economic evidence for mHealth? A systematic review of economic evaluations of mHealth solutions," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-20, February.
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