Mobile Health (mHealth) Technology: Assessment of Availability, Acceptability, and Use in CKD.
Mobile Health (mHealth) Technology: Assessment of Availability, Acceptability, and Use in CKD.
复制标题
移动的健康（mHealth）技术：可用性、可接受性和CKD使用评估。
DOI：
10.1053/j.ajkd.2020.10.013
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
CRIC Study Investigators
中科院分区：
文献类型：
--
作者：
Schrauben SJ;Appel L;Rivera E;Lora CM;Lash JP;Chen J;Hamm LL;Fink JC;Go AS;Townsend RR;Deo R;Dember LM;Feldman HI;Diamantidis CJ;CRIC Study Investigators
数字和移动医疗(MHealth)技术改善了患者与提供者之间的沟通，增加了信息的可及性。我们评估了慢性肾脏疾病(CKD)患者的技术使用情况、对使用mHealth技术的态度以及使用mHealth技术的熟练程度。采用开放式文本回复的横断面调查慢性肾功能不全队列研究参与者完成了目前使用和对使用mHealth技术感兴趣的问卷，以及eHealth扫盲调查(EHEALS)。参与者特征技术使用(互联网/电子邮件/智能手机/mHealth应用程序[app])，对未来mHealth使用的兴趣，以及对使用数字和mHealth技术的熟练程度，或eHeALS分数决定的eHealth素养。Poisson回归和开放式反应的定性含量分析研究参与者(N=932)的平均年龄为68岁，EGFR为54ml/min/1.73m2，其中59%为男性。大约70%的人报告当前使用互联网/电子邮件/智能手机，35%的人使用移动健康应用程序；只有27%的人具有足够的电子健康素养(eHEALS得分≥32)。65岁的参与者(与≥65岁相比)，受教育程度高、收入高、认知能力好、健康素养高的参与者报告说，他们更多地使用技术，对使用技术也更感兴趣。白人(与非白人)种族的参与者报告说，他们更多地使用互联网/电子邮件，但对未来mHealth的使用兴趣较小。较年轻的年龄、较高的年收入和较高的疾病自我效能与足够的电子健康素养相关。关于使用数字和移动健康技术的兴趣出现了三个主题：意愿、担忧和障碍。残留混淆、确定偏差许多CKD患者目前使用互联网和智能手机，并对未来使用mHealth感兴趣，但很少有人使用mHealth应用程序或具有足够的eHealth素养。与非少数群体相比，MHealth技术为CKD患者，特别是种族或少数族裔群体成员提供了接触CKD的机会，因为他们报告说，他们对使用MHealth技术更感兴趣。需要进一步研究，以确定克服电子健康素养不足的战略。移动医疗(MHealth)技术改善了患者与提供者之间的沟通，并增加了对信息的获取。我们想要探索患者使用mHealth技术的广泛程度，他们对使用它的想法，以及他们使用它的熟练程度。我们的研究集中在932名慢性肾脏疾病(CKD)患者。我们发现，70%的人目前使用互联网/电子邮件/智能手机，35%的人使用针对健康的应用程序。不到三分之一的患者报告熟练使用了mHealth技术。65岁以下、受过更多教育、收入更高的人更有可能使用mHealth技术，并对其有更大的兴趣。黑人和西班牙裔个人总体上使用的技术较少，但对使用移动健康技术更感兴趣。移动健康技术提供了一个让个人参与CKD的机会。
Digital and mobile health (mHealth) technologies improve patient-provider communication and increase information accessibility. We assessed technology use, attitudes toward using mHealth technologies, and the proficiency in using mHealth technologies among individuals with chronic kidney disease (CKD). Cross-sectional survey with open text responses Chronic Renal Insufficiency Cohort Study participants who completed current use and interest in using mHealth technologies questionnaires, and the eHealth literacy Survey (eHEALS). Participant characteristics Technology use (internet/email/smartphone/mHealth applications [apps]), interest in future mHealth use, and proficiency in using digital and mHealth technologies, or eHealth literacy, determined by eHEALS score. Poisson regression and a qualitative content analysis of open-ended responses Study participants (N=932) had a mean age of 68 years, eGFR 54 ml/min/1.73m2, and 59% were male. Approximately 70% reported current use of internet/email/smartphones, and 35% used mHealth apps; only 27% had adequate eHealth literacy (eHEALS score ≥32). Participants <65 years (vs. ≥65), with more education, higher income, better cognition, and adequate health literacy reported more technology use, and greater interest in using technologies. Participants of white (vs. non-white) race reported more internet/email use, but less interest in future mHealth use. Younger age, higher annual income, and greater disease self-efficacy were associated with adequate eHealth literacy. Three themes regarding interest in using digital and mHealth technologies emerged: willingness, concerns, and barriers. Residual confounding, ascertainment bias Many individuals with CKD currently use the internet and smartphones, and are interested in using mHealth in the future, but few use mHealth apps or have adequate eHealth literacy. mHealth technologies present an opportunity to engage individuals with CKD, especially members of racial or ethnic minority groups since they reported greater interest in using mHealth technology, compared to the non-minority population. Further research is needed to identify strategies to overcome inadequate eHealth literacy. Mobile health (mHealth) technology improves patient-provider communication and increases access to information. We wanted to explore how extensively patients are using mHealth technology, what they think about using it, and how proficient they are using it. Our study focused on a group of 932 individuals with chronic kidney disease (CKD). We found that 70% currently used internet/email/smartphones, and 35% used health-specific apps. Less than a third of our patients reported proficient use of mHealth technology. Individuals who were under 65, had more education, and higher income were more likely to use mHealth technology and had a greater interest in it. Black and Hispanic individuals had less technology use overall but were more interested in using mHealth technology. mHealth technology presents an opportunity to engage individuals with CKD.
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影响因子：
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作者：
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通讯作者：
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DOI：
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2009-08-01
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