Emergency Department Patients' Preferences for Technology-Based Behavioral Interventions
Emergency Department Patients' Preferences for Technology-Based Behavioral Interventions
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DOI：
10.1016/j.annemergmed.2012.02.026
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发表时间：
2012-08-01
影响因子：
6.2
通讯作者：
Mello, Michael J.
中科院分区：
文献类型：
--
作者：
Ranney, Megan L.;Choo, Esther K.;Mello, Michael J.
研究目的：为了评估急诊科（艾德）患者的喜好，以技术为基础的行为interventions.Methods相关的人口因素：一个横断面调查的随机样本的城市艾德患者（>= 13岁）从一个有代表性的样本的转变，与过抽样的青少年/年轻人（13至24岁）。参与者自我管理的调查基线技术的使用，对基于技术的干预措施的关注，以及7个行为健康主题的首选干预形式。我们进行了描述性统计和多变量logistic回归（控制人口统计学，然后另外为基线技术使用），以确定差异相关的因素与技术偏好为每个behavioral topics.Results：在研究助理轮班，1,429（约59%）的患者进行筛选和664（68.2%的合格）同意参加。平均年龄为31岁（SD 0.69）; 54.5%为女性，64.1%为白色，23.2%为西班牙裔，46.6%报告低收入。基线使用电脑（91.2%）、互联网（70.7%）、社交网络（66.9%）、移动的电话（95.0%）和短信（73.8%）的比例较高。参与者报告了对每个行为主题进行干预的兴趣。90%的人更喜欢至少一个主题的基于技术的干预。患者对互联网（51.5%）和社交网络（57.6%）表示最大的担忧，特别是保密性。调整性别，种族，民族和收入，年龄较小与对意外伤害的技术干预的偏好相关（成年人与青年人相比，技术偏好的比值比为0.63; 95%置信区间为0.45至0.89）和同伴暴力（成年人的比值比为0.63; 95%置信区间为0.43至0.92）。此外调整基线技术的使用，只有基线使用与技术为基础的interventions.Conclusion的偏好：艾德患者报告高基线技术的使用，高兴趣的行为健康干预，和不同的偏好为基础的技术干预。未来的研究应解决在更广泛的人群中基于技术的干预措施的实际可行性和可接受性，以及减轻对这些干预措施的担忧的方法。[Ann 2012;60：218-227.]
Study objective: To assess emergency department (ED) patients' preferences for technology-based behavioral interventions, and the demographic factors associated with these preferences.Methods: A cross-sectional survey of a random sample of urban ED patients (>= 13 years) from a representative sample of shifts, with oversampling of adolescents/young adults (aged 13 to 24 years). Participants self-administered the survey about baseline technology use, concerns about technology-based interventions, and preferred intervention format for 7 behavioral health topics. We performed descriptive statistics and multivariate logistic regression (controlling for demographics and then additionally for baseline technology use) to identify factors differentially associated with technology preference for each behavioral topic.Results: Of patients presenting during research assistant shifts, 1,429 (approximate to 59%) were screened and 664 (68.2% of eligible) consented to participate. Mean age was 31 years (SD 0.69); 54.5% were female, 64.1% were white, 23.2% were Hispanic, and 46.6% reported low income. Baseline use of computers (91.2%), Internet (70.7%), social networking (66.9%), mobile phones (95.0%), and text messaging (73.8%) was high. Participants reported interest in receiving interventions on each behavioral topic. Ninety percent preferred a technology-based intervention for at least 1 topic. Patients expressed greatest concerns about Internet (51.5%) and social networking (57.6%), particularly about confidentiality. Adjusting for sex, race, ethnicity, and income, younger age associated with preference for technology-based interventions for unintentional injuries (odds ratio 0.63 for technology preference if adult versus youth; 95% confidence interval 0.45 to 0.89) and peer violence (odds ratio 0.63 if adult; 95% confidence interval 0.43 to 0.92). Additionally adjusting for baseline technology usage, only baseline usage was associated with preference for technology-based interventions.Conclusion: ED patients reported high baseline technology use, high interest in behavioral health interventions, and varying preferences for technology-based interventions. Future studies should address actual feasibility and acceptability of technology-based interventions in a more generalized population and ways to alleviate concerns about these interventions. [Ann Emerg Med. 2012;60:218-227.]