Telephone-linked care for physical activity: A qualitative evaluation of the use patterns of an information technology program for patients

Telephone-linked care for physical activity: A qualitative evaluation of the use patterns of an information technology program for patients
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DOI:
10.1016/j.jbi.2004.11.011
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发表时间:
2005-06-01
影响因子:
4.5
通讯作者:
Friedman, R
Friedman, R
中科院分区:
医学3区
文献类型:
--
作者:
Farzanfar, R;Frishkopf, S;Friedman, R

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涉及患者或消费者在较长时间内随意使用的自动化健康行为干预正变得越来越常见,通常认为遵守建议的时间表与系统对用户的影响有关。然而,使用或不使用这类系统的原因尚未得到认真探讨。了解影响人们使用、不使用或未充分利用这些自动行为改变和自我护理管理系统的因素有助于设计更有效、更为用户所接受的系统。本研究采用质的研究方法,探讨45位使用者使用多接触健康促进应用的体验,目的是了解影响使用模式(接触频率和持续时间)的主要因素。通过质的研究方法对用户的看法和观点的深入探索揭示了一些重要的主题。报告的利用不足或未使用的原因既与用户有关,也与系统有关。与用户有关的原因包括阻止或阻碍系统使用的个人和个人事件。与系统有关的原因包括与媒体本身有关的原因以及应用程序的内容。这项研究中采用的定性方法创建了一个论坛,通过该论坛可以充分探索用户的反馈,然后进行综合,以帮助改进这种和其他自动化的健康行为干预措施。(C)2004 Elsevier Inc.保留所有权利。
Automated health behavior interventions that involve discretionary use by patients or consumers over extended periods of time are becoming more common and it is generally assumed that adherence to the recommended schedule is related to the impact of the system on users. Yet reasons for use or non-use of such systems have not been carefully explored. An understanding of factors that influence people to use, not use, or underutilize these automated behavioral change and self-care management systems can help in designing systems that are more effective and acceptable to users. Using qualitative research methods, this study explored the experiences of 45 users of a multiple-contact health promotion application with the goal of understanding the major factors that affect patterns of use (frequency of and duration of contact). The in-depth exploration of users' perceptions and views made possible by the qualitative research methods revealed a number of important themes. Reported reasons for underutilization or non-use were found to be both user-related and system-related. User-related reasons encompassed personal and individual events that prevented or impeded system utilization. System-related reasons included those that related to the medium itself as well as the content of the application. The qualitative methods employed in this study created a forum through which users' feedback could be fully explored and then synthesized to assist in the improvement of this and other automated health behavior interventions. (c) 2004 Elsevier Inc. All rights reserved.