Gender Differences in Satisfaction With a Text Messaging Program (Text4Hope) and Anticipated Receptivity to Technology-Based Health Support During the COVID-19 Pandemic: Cross-sectional Survey Study.
Gender Differences in Satisfaction With a Text Messaging Program (Text4Hope) and Anticipated Receptivity to Technology-Based Health Support During the COVID-19 Pandemic: Cross-sectional Survey Study.
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DOI：
10.2196/24184
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发表时间：
2021-04-15
影响因子：
5
通讯作者：
Agyapong VIO
中科院分区：
文献类型：
--
作者：
Shalaby R;Vuong W;Hrabok M;Gusnowski A;Mrklas K;Li D;Snaterse M;Surood S;Cao B;Li XM;Greiner R;Greenshaw AJ;Agyapong VIO
2020年3月，向阿尔伯塔居民提供了一项社区卫生服务“Text 4 Hope”。这项免费服务旨在促进心理复原力，并在COVID-19大流行期间缓解与大流行相关的压力，焦虑和抑郁症状。本研究旨在评估Text 4 Hope订阅者的反馈，满意度，体验和感知，并检查订阅者收到6周的每日支持短信后基于性别的任何差异。此外，这项研究还考察了订户对重大危机、紧急情况或流行病期间可能提供的基于技术的医疗服务的预期接受程度。个人自行订阅Text 4 Hope，可在3个月内每天收到支持短信。订阅者被邀请完成一项基于网络的调查，在6周后干预提供服务满意度相关的信息。总体满意度采用0-10分量表进行评估，满意度评分采用相关测量t检验进行分析。李克特量表满意度的反应被用来评估各个方面的Text 4 Hope计划。性别差异采用单因素方差分析（ANOVA）和卡方分析进行分析。共有2032名订户完成了基线和6周调查; 1788名（88%）为女性，219名（10.8%）为男性，25名（1.2%）为其他性别。研究参与者的平均年龄为44.58岁（SD 13.45岁）。平均总体满意度评分为8.55（SD 1.78），表明对Text 4 Hope的总体满意度较高。使用Welch检验（n=1716）进行的ANOVA分析表明，女性的平均满意度得分显著高于男性（分别为8.65 vs 8.11;平均差异=0.546; 95% CI 0.19 - 0.91; P<.001），满意度评分无显著性低于其他性别受访者（平均差异=-0.938; 95%CI-0.37至2.25; P= 0.15）。超过70%的订阅者同意Text 4 Hope帮助他们科普压力（1334/1731，77.1%）和焦虑（1309/1728，75.8%），感觉与支持系统相连（1400/1729，81%），管理COVID-19相关问题（1279/1728，74%），改善心理健康（1308/1731，75.6%）。同样，订阅者也认为信息是积极的、肯定的和简洁的。97.9%（1681/1716）的受访者总是或经常阅读消息，超过20%（401/1716，23.4%）的受访者总是或经常返回消息。大多数订阅者（1 471/1 666，88.3%）阅读了这些信息，并对其进行了反思或采取了积极行动。订户欢迎在危机或紧急情况下将几乎所有基于技术的服务作为其保健的一部分。Text 4 Hope被许多女性用户认为是有效的，她们在收到短信6周后报告了更高的满意度和更好的应对方式。答复者肯定了短信的高质量，并给予了积极的反馈。基于技术的服务可以提供远程访问和人口一级的干预措施，与建议的大流行病物理距离做法相一致。Text 4 Hope用户反馈显示，干预后6周的满意度和接受度很高。RR2-10.2196/19292
In March 2020, Text4Hope—a community health service—was provided to Alberta residents. This free service aims to promote psychological resilience and alleviate pandemic-associated stress, anxiety, and depression symptoms during the COVID-19 pandemic. This study aimed to evaluate the feedback, satisfaction, experience, and perceptions of Text4Hope subscribers and to examine any differences based on gender after subscribers received 6 weeks of daily supportive text messages. Additionally, this study examined subscribers’ anticipated receptivity to technology-based medical services that could be offered during major crises, emergencies, or pandemics. Individuals self-subscribed to Text4Hope to receive daily supportive text messages for 3 months. Subscribers were invited to complete a web-based survey at 6 weeks postintervention to provide service satisfaction–related information. Overall satisfaction was assessed on a scale of 0-10, and satisfaction scores were analyzed using a related-measures t test. Likert scale satisfaction responses were used to assess various aspects of the Text4Hope program. Gender differences were analyzed using one-way analysis of variance (ANOVA) and Chi-square analyses. A total of 2032 subscribers completed the baseline and 6-week surveys; 1788 (88%) were female, 219 (10.8%) were male, and 25 (1.2%) were other gender. The mean age of study participants was 44.58 years (SD 13.45 years). The mean overall satisfaction score was 8.55 (SD 1.78), suggesting high overall satisfaction with Text4Hope. The ANOVA analysis, which was conducted using the Welch test (n=1716), demonstrated that females had significantly higher mean satisfaction scores than males (8.65 vs 8.11, respectively; mean difference=0.546; 95% CI 0.19 to 0.91; P<.001) and nonsignificantly lower satisfaction scores than other gender respondents (mean difference=−0.938; 95% CI −0.37 to 2.25; P=.15). More than 70% of subscribers agreed that Text4Hope helped them cope with stress (1334/1731, 77.1%) and anxiety (1309/1728, 75.8%), feel connected to a support system (1400/1729, 81%), manage COVID-19–related issues (1279/1728, 74%), and improve mental well-being (1308/1731, 75.6%). Similarly, subscribers agreed that messages were positive, affirmative, and succinct. Messages were always or often read by 97.9% (1681/1716) of respondents, and more than 20% (401/1716, 23.4%) always or often returned to messages. The majority of subscribers (1471/1666, 88.3%) read the messages and either reflected upon them or took a positive action. Subscribers welcomed almost all technology-based services as part of their health care during crisis or emergency situations. Text4Hope was perceived to be effective by many female subscribers, who reported higher satisfaction and improved coping after receiving text messages for 6 weeks. Respondents affirmed the high quality of the text messages with their positive feedback. Technology-based services can provide remotely accessible and population-level interventions that align with the recommended physical distancing practices for pandemics. Text4Hope subscriber feedback revealed high satisfaction and acceptance at 6 weeks postintervention. RR2-10.2196/19292
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影响因子：
4.6
作者：
Kang, Hee-Ju;Park, Yoomi;Kim, Jae-Min
通讯作者：
Kim, Jae-Min
影响因子：
7.4
作者：
Baumel, Amit;Muench, Frederick;Kane, John M.
通讯作者：
Kane, John M.
影响因子：
7.4
作者：
Evans, W. Douglas;Bihm, Jasmine Wallace;Snider, Jeremy
通讯作者：
Snider, Jeremy
影响因子：
6.6
作者：
Agyapong, Vincent I. O.;Ahern, Sinead;Farren, Conor K.
通讯作者：
Farren, Conor K.
DOI：
10.3390/ijerph17196986
发表时间：
2020-09-24
影响因子：
--
作者：
Abba-Aji A;Li D;Hrabok M;Shalaby R;Gusnowski A;Vuong W;Surood S;Nkire N;Li XM;Greenshaw AJ;Agyapong VIO
通讯作者：
Agyapong VIO