User acceptance of HIV TIDES - Tailored Interventions for management of Depressive Symptoms in persons living with HIV/AIDS
User acceptance of HIV TIDES - Tailored Interventions for management of Depressive Symptoms in persons living with HIV/AIDS
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DOI：
10.1197/jamia.m2481
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发表时间：
2008-03-01
影响因子：
6.4
通讯作者：
Bakken, Suzanne
中科院分区：
文献类型：
--
作者：
Lai, Tsai-Ya;Larson, Elaine L.;Bakken, Suzanne
目的：抑郁症状管理的定制干预（TIDES）计划是根据社会认知理论设计的，旨在为艾滋病毒/艾滋病感染者（PLWHA）的抑郁症状提供定制的、基于计算机的关键要素和自我护理策略教育。设计和测量：基于技术接受模型（TAM）的扩展，采用横断面设计，对HIV TIDES原型的接受程度进行评估，并探讨概念模型中提出的系统接受因素之间的关系。大多数是非洲裔美国人（68.8%），男性（65.6%），高中或以下教育程度（68.7%），40多岁（62.5%）。参与者平均花费10.4分钟（SD = 5.6）使用HIV TIDES。PLWHA将该系统评为易于使用（平均值= 9.61，SD = 0.76）和有用（平均值= 9.50，SD = 1.16）。使用行为意向得分较高（均值= 9.47，标准差= 1.24），提示HIV TIDES具有被感染者接受和使用的潜力。四个因素与行为使用意图呈正相关：感知有用性（r = 0.61），感知易用性（r = 0.61），内部控制（r = 0.59），和外部控制（r = 0.46）。计算机焦虑（r = -0.80）、剪裁路径（r = 0-35）和抑郁症状（r = -0.49）与行为使用意向呈负相关。结论：本研究结果为艾滋病病毒感染者对艾滋病病毒TIDES的接受提供了依据。个人有望通过参与互动过程来制定自己的自我护理计划。HIV TIDES使有关抑郁症预防和健康促进的信息共享成为可能，并有可能重新构建传统的患者-提供者关系。
Objective: The Tailored Interventions for management of DEpressive Symptoms (TIDES) program was designed based on social cognitive theory to provide tailored, computer-based education on key elements and self-care strategies for depressive symptoms in persons living with HIV/AIDS (PLWHAs).Design and Measurement: Based on an extension of the Technology Acceptance Model (TAM), a cross-sectional design was used to assess the acceptance of the HIV TIDES prototype and explore the relationships among system acceptance factors proposed in the conceptual model.Results: Thirty-two PLWHAs were recruited from HIV/AIDS clinics. The majority were African American (68.8%), male (65.6%), with high school or lower education (68.7%), and in their 40s (62.5%). Participants spent an average of 10.4 minutes (SD = 5.6) using HIV TIDES. The PLWHAs rated the system as easy to use (Mean = 9.61, SD = 0.76) and useful (Mean = 9.50, SD = 1.16). The high ratings of behavior intention to use (Mean = 9.47, SD = 1.24) suggest that HIV TIDES has the potential to be accepted and used by PLWHAs. Four factors were positively correlated with behavioral intention to use: perceived usefulness (r = 0.61), perceived ease of use (r 0.61), internal control (r = 0.59), and external control (r = 0.46). Computer anxiety (r = -0.80), tailoring path (r 0-35) and depressive symptoms (r = -0.49) were negatively correlated with behavioral intention to use.Conclusion: The results of this study provide evidence of the acceptability of HIV TIDES by PLWHAs. Individuals are expected to be empowered through participating in the interactive process to generate their self-care plan. HIV TIDES enables information sharing about depression prevention and health promotion and has the potential to reframe the traditional patient-provider relationship.