Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey
Drivers and Barriers to Acceptance of Web-Based Aftercare of Patients in Inpatient Routine Care: A Cross-Sectional Survey
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DOI：
10.2196/jmir.6003
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发表时间：
2016-12-01
影响因子：
7.4
通讯作者：
Zwerenz, Ruediger
中科院分区：
文献类型：
--
作者：
Hennemann, Severin;Beutel, Manfred E.;Zwerenz, Ruediger
背景：基于网络的善后护理有助于稳定治疗效果并支持住院治疗后的过渡，但患者在常规护理中的采用似乎有限，而且对于采用和实施的机制知之甚少。目的：本研究的目的是（1）确定基于网络的善后护理的接受度，（2）在混合住院患者样本的不同亚组中探索其驱动因素和障碍。方法：在横断面设计中， 38.3% (374/977) 来自广泛诊断组（心身疾病、心脏病、骨科、儿科和物质相关疾病）的住院患者在出院前填写了一份自填问卷。根据“技术接受和使用统一理论”(UTAUT) 的扩展，检查了患者接受基于网络的善后护理的驱动因素和障碍。总共有 16.7% (59/353) 的参与者表示之前使用过电子健康干预措施。结果：接受度（最小值 1，最大值 5）较低（平均值 2.56，SD 1.22），并且诊断组之间存在差异（Welch F-4，F-133.10 = 7.77，P
Background: Web-based aftercare can help to stabilize treatment effects and support transition after inpatient treatment, yet uptake by patients seems limited in routine care and little is known about the mechanisms of adoption and implementation.Objective: The aim of this study was to (1) determine acceptance of Web-based aftercare and (2) explore its drivers and barriers in different subgroups of a mixed inpatient sample.Method: In a cross-sectional design, 38.3% (374/977) of the inpatients from a broad spectrum of diagnostic groups (psychosomatic, cardiologic, orthopedic, pediatric, and substance-related disorders) filled out a self-administered questionnaire prior to discharge. Drivers and barriers to patients' acceptance of Web-based aftercare were examined based on an extension to the "unified theory of acceptance and use of technology" (UTAUT). In total, 16.7% (59/353) of the participants indicated prior use of eHealth interventions.Results: Acceptance (min 1, max 5) was low (mean 2.56, SD 1.22) and differed between diagnostic groups (Welch F-4,F-133.10 = 7.77, P