Intention to Use mHealth in Older Adults With Heart Failure
Intention to Use mHealth in Older Adults With Heart Failure
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DOI：
10.1097/jcn.0000000000000401
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发表时间：
2017-11-01
影响因子：
2
通讯作者：
Han, Hae-Ra
中科院分区：
文献类型：
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作者：
Cajita, Maan Isabella;Hodgson, Nancy A.;Han, Hae-Ra
背景：移动健康，或在医疗保健中使用移动的技术，正变得越来越普遍。在心力衰竭（HF）中，mHealth与改善自我管理和生活质量有关。然而，众所周知，在采用移动的技术方面，老年人继续落后于年轻人。目的：本研究的主要目的是检查影响HF老年人使用mHealth的意图的因素。方法：一个适应技术接受模型被用来指导这个横断面的，相关的研究。便利抽样被用来识别来自大型大学医院和在线的参与者。结果：共有129名老年HF患者参加了这项研究。社会影响力（beta = 0.17，P = 0.010），感知易用性（beta = 0.16，P <0.001）和感知有用性（beta = 0.33，P <0.001）与使用mHealth的意图显著相关，即使在控制了潜在的混杂因素（年龄，性别，种族，教育，收入和智能手机使用）之后。感知的财务成本和电子健康素养与使用移动医疗的意图没有显着相关。结论：研究人员应考虑在制定干预措施时使用参与式方法，以确保其基于移动健康的干预措施不仅能满足患者的HF自我管理需求，而且即使对于那些不太精通技术的人也足够容易使用。
Background: mHealth, or the use of mobile technology in healthcare, is becoming increasingly common. In heart failure (HF), mHealth has been associated with improved self-management and quality of life. However, it is known that older adults continue to lag behind their younger counterparts when it comes to mobile technology adoption. Objective: The primary aim of this study was to examine factors that influence intention to use mHealth among older adults with HF. Methods: An adapted Technology Acceptance Model was used to guide this cross-sectional, correlational study. Convenience sampling was used to identify participants from a large university hospital and online. Results: A total of 129 older adults with HF participated in the study. Social influence (beta = 0.17, P = .010), perceived ease of use (beta = 0.16, P < .001), and perceived usefulness (beta = 0.33, P < .001) were significantly associated with intention to use mHealth even after controlling for potential confounders (age, gender, race, education, income, and smartphone use). Perceived financial cost and eHealth literacy were not significantly associated with intention to use mHealth. Conclusions: Researchers should consider using the participatory approach in developing their interventions to ensure that their mHealth-based interventions will not only address the patient's HF self-management needs but also be easy enough to use even for those who are less technology savvy.