Build a better mouse: directly-observed issues in computer use for adults with SMI.

Build a better mouse: directly-observed issues in computer use for adults with SMI.
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DOI:
10.1007/s11126-012-9229-z
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发表时间:
2013-03
影响因子:
3.5
通讯作者:
Rosen, Marc I.
Rosen, Marc I.
中科院分区:
医学4区
文献类型:
--
作者:
Black, Anne C.;Serowik, Kristin L.;Schensul, Jean J.;Bowen, Anne M.;Rosen, Marc I.

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将信息技术整合到医疗保健中,有可能为难以接触到的人带来治疗。然而,由于缺乏计算机所有权和经验,患有严重精神疾病(SMI)的人可能会从这些护理方面的进步中获得有限的好处。到目前为止,关于患有SMI的成年人的计算机技能和态度的结论主要是基于自我报告。在目前的研究中,28名同时使用可卡因的精神科门诊患者接受了关于他们使用电脑和意见的采访,然后在他们浏览一个多组件的健康信息网站时,使用任务分析和大声思考的方法直接观察了25名患者。参与者反映计算机拥有率和使用率较低,对计算机持负面态度。自我报告的计算机技能高于任务分析中的表现。然而,一些参与者在浏览网站后自发地表达了更积极的态度和更强的电脑自我效能。讨论了增加以计算机为基础的健康信息的获取的影响。
Integrating information technology into healthcare has the potential to bring treatment to hard-to-reach people. Individuals with serious mental illness (SMI), however, may derive limited benefit from these advances in care because of lack of computer ownership and experience. To date, conclusions about the computer skills and attitudes of adults with SMI have been based primarily on self-report. In the current study, 28 psychiatric outpatients with co-occurring cocaine use were interviewed about their computer use and opinions, and 25 were then directly observed using task analysis and think aloud methods as they navigated a multi-component health informational website. Participants reported low rates of computer ownership and use, and negative attitudes towards computers. Self-reported computer skills were higher than demonstrated in the task analysis. However, some participants spontaneously expressed more positive attitudes and greater computer self-efficacy after navigating the website. Implications for increasing access to computer-based health information are discussed.
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