Diffusion of the Digital Health Self-Tracking Movement in Canada: Results of a National Survey.
Diffusion of the Digital Health Self-Tracking Movement in Canada: Results of a National Survey.
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DOI：
10.2196/jmir.9388
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发表时间：
2018-05-02
影响因子：
7.4
通讯作者：
Bourget C
中科院分区：
文献类型：
--
作者：
Paré G;Leaver C;Bourget C
随着移动应用程序、消费者可穿戴设备和智能医疗设备的日益普及，越来越多的人开始自我跟踪和管理他们的个人健康数据。这项研究的目的是调查数字自我跟踪运动在加拿大的传播。它对这一现象提供了全面而详细的描述。它检查了数字自我跟踪器、传统自我跟踪器和非跟踪器的概况，进一步调查了自我跟踪的主要动机和不跟踪的原因；采用互联医疗技术的障碍；用户对自我追踪设备的评价，包括他们认为的主要好处；影响人们未来继续使用互联医疗技术意愿的因素；以及停止使用的原因。我们对4109名加拿大成年人进行了一项在线调查，这是有史以来规模最大的调查之一。为了确保样本的代表性，采用了配额法（性别，年龄），然后按地区分层。最大误差幅度估计为1.6%，是20倍中的19倍。我们的研究结果显示，66.20%（2720/4109）的受访者定期自我跟踪他们健康的一个或多个方面。大约四分之一的受访者（1014/4109,24.68%）目前拥有可穿戴或智能医疗设备，57.20%（580/1014）的受访者定期使用他们的设备进行自我跟踪。数字自我跟踪者通常是年轻或成熟的成年人，健康、有工作、受过大学教育，家庭年收入超过80,000加元。据报道，最受欢迎的设备是可以捕捉一系列参数的健身追踪器或智能手表。目前，移动应用程序和数字自我跟踪设备主要用于监测身体活动（856/1669,51.13%）、营养（545/1669,32.65%）、睡眠模式（482/1669,28.88%），心血管和肺部生物标志物（215/1669,12.88%）、药物摄入（126/1669,7.55%）和血糖水平（79/1669,4.73%）。大多数联网护理技术的用户（481/580,83.0%）非常满意，88.2%（511/580）打算在未来继续使用他们的应用程序和设备。大多数人表示，智能数字设备使他们能够保持或改善他们的健康状况（398/580,68.5%），并更好地了解他们的总体健康状况（387/580,66.6%）。我们的样本中约有33.80%（1389/4109）是由不定期监测自己健康或幸福的人组成的。我们的研究显示了通过互联医疗技术促进加拿大人健康的机会。我们的研究结果可用于为未来关于数字健康自我跟踪的兴起及其影响的研究设定基线信息。尽管移动应用程序、消费者可穿戴设备和智能医疗设备的使用可能会使越来越多的慢性病患者受益，但问题仍然是，它是否会在早期采用者和成本不平等之间广泛传播。
With the ever-increasing availability of mobile apps, consumer wearables, and smart medical devices, more and more individuals are self-tracking and managing their personal health data. The aim of this study was to investigate the diffusion of the digital self-tracking movement in Canada. It provides a comprehensive, yet detailed account of this phenomenon. It examines the profile of digital self-trackers, traditional self-trackers, and nontrackers, further investigating the primary motivations for self-tracking and reasons for nontracking; barriers to adoption of connected care technologies; users’ appreciation of their self-tracking devices, including what they perceive to be the main benefits; factors that influence people’s intention to continue using connected care technologies in the future; and the reasons for usage discontinuance. We conducted an online survey with a sample of 4109 Canadian adults, one of the largest ever. To ensure a representative sample, quota method was used (gender, age), following stratification by region. The maximum margin of error is estimated at 1.6%, 19 times out of 20. Our findings reveal that 66.20% (2720/4109) of our respondents regularly self-track one or more aspects of their health. About one in 4 respondents (1014/4109, 24.68%) currently owns a wearable or smart medical device, and 57.20% (580/1014) use their devices on a regular basis for self-tracking purposes. Digital self-trackers are typically young or mature adults, healthy, employed, university educated, with an annual family income of over $80,000 CAD. The most popular reported device is the fitness tracker or smartwatch that can capture a range of parameters. Currently, mobile apps and digital self-tracking devices are mainly used to monitor physical activity (856/1669, 51.13%), nutrition (545/1669, 32.65%), sleep patterns (482/1669, 28.88%) and, to a much lesser extent, cardiovascular and pulmonary biomarkers (215/1669, 12.88%), medication intake (126/1669, 7.55%), and glucose level (79/1669, 4.73%). Most users of connected care technologies (481/580, 83.0%) are highly satisfied and 88.2% (511/580) intend to continue using their apps and devices in the future. A majority said smart digital devices have allowed them to maintain or improve their health condition (398/580, 68.5%) and to be better informed about their health in general (387/580, 66.6%). About 33.80% of our sample (1389/4109) is composed of people who do not monitor their health or well-being on a regular basis. Our study shows an opportunity to advance the health of Canadians through connected care technologies. Our findings can be used to set baseline information for future research on the rise of digital health self-tracking and its impacts. Although the use of mobile apps, consumer wearables, and smart medical devices could potentially benefit the growing population of patients with chronic conditions, the question remains as to whether it will diffuse broadly beyond early adopters and across cost inequities.
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