Adolescents' Perspectives on Using Technology for Health: Qualitative Study
Adolescents' Perspectives on Using Technology for Health: Qualitative Study
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DOI：
10.2196/pediatrics.8677
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发表时间：
2018-01-01
影响因子：
3.7
通讯作者：
Richardson, Laura P.
中科院分区：
文献类型：
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作者：
Radovic, Ana;McCarty, Carolyn A.;Richardson, Laura P.
背景：青少年对技术的广泛使用为将技术融入健康就诊和医疗保健提供了机会。特别是，技术有可能通过许多不同的平台为提供者沟通和支持健康选择提供新的途径，从而影响青少年行为的改变。然而，指导将技术融入青少年卫生保健的信息很少，特别是青少年对他们认为有用的东西的看法和偏好。 目的：这项定性研究旨在采用国外方法来了解青少年使用技术来支持其整体健康的情况，并了解青少年是否以及如何设想使用技术来增强他们的健康和临床护理，特别是与他们的提供者的沟通。方法：招募青少年（13-18岁）参与半结构化、深入的个人访谈。在等待咨询预约时，我们通过西雅图儿童医院青少年医学诊所亲自接触了潜在的参与者，通过向对当地其他研究活动表示兴趣的青少年进行外展，并通过候诊室的传单进行接触。使用主题分析方法对访谈进行记录、转录和分析。结果：对 31 名青少年（58% 女性，平均年龄 15.2 岁）进行了访谈，并描述了技术的 3 个主要用途：(1) 收集信息，(2a) 分享自己的经历，(2b) 查看他人的经历以获得社会支持或灵感，以及 (3) 跟踪行为和健康目标。确定了技术使用的可感知的好处和潜在的缺点。青少年希望与他们的提供者一起使用技术有 3 个主要原因：(1) 在访问之外回答问题，(2) 可以更多地接触提供者作为建立关系/融洽的方式，以及 (3) 在访问之间共享有关行为的数据。由于担心隐私和侵扰性，社交媒体并不是任何年轻人与医疗服务提供者沟通的首选方法。 结论：虽然年轻人总体上是技术的狂热用户，但在健康技术方面，他们表现出特定的使用偏好，尤其是在他们希望如何使用技术与初级保健提供者沟通方面。卫生保健提供者应向青少年提供有关他们如何使用和计划使用技术以及如何平衡使用的潜在积极和消极影响的指导。技术开发人员在设计新的健康技术时应考虑年轻人的偏好，并结合他们使用该技术与医疗保健提供者沟通的方式。
Background: Adolescents' wide use of technology opens up opportunities to integrate technology into health visits and health care. In particular, technology has the potential to influence adolescent behavior change by offering new avenues for provider communication and support for healthy choices through many different platforms. However, little information exists to guide the integration of technology into adolescent health care, especially adolescents' perspectives and preferences for what they find useful.Objective: This qualitative study aimed to take abroad approach to understanding adolescents' use of technology for supporting their overall health and to understand whether and how adolescents envision using technology to enhance their health and clinical care, particularly in communicating with their provider.Methods: Adolescents (13-18 years) were recruited to participate in semi-structured, in-depth individual interviews. Potential participants were approached in-person through the Seattle Children's Hospital Adolescent Medicine Clinic while they were waiting for consultation appointments, through outreach to youth who expressed interest in other local research study activities, and via flyers in waiting rooms. Interviews were recorded, transcribed, and analyzed using a thematic analysis approach.Results: Thirty-one adolescents (58% female, mean age 15.2 years) were interviewed and described 3 main uses of technology: (1) to gather information, (2a) to share their own experiences and (2b) view others' experiences in order to gain social support or inspiration, and (3) to track behaviors and health goals. Perceived benefits and potential downsides were identified for technology use. Teens desired to use technology with their provider for 3 main reasons: (1) have questions answered outside of visits, (2) have greater access to providers as a way to build relationship/rapport, and (3) share data regarding behaviors in between visits. Social media was not a preferred method for communicating with providers for any of the youth due to concerns about privacy and intrusiveness.Conclusions: Although youth are avid users of technology in general, in regard to technology for health, they display specific use preferences especially in how they wish to use it to communicate with their primary care provider. Health care providers should offer guidance to youth with regard to how they have used and plan to use technology and how to balance potential positives and negatives of use. Technology developers should take youth preferences into account when designing new health technology and incorporate ways they can use it to communicate with their health care provider.