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

Yeonsoo Jang, Sang Hoon Ahn, Kyunghwa Lee, Oh Young Kwon and Jeong Hyun Kim
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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

IJERPH, 2021, vol. 18, issue 21, 1-13

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.

Keywords: hepatitis B surface antigens; chronic disease; self-care; mobile applications; quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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