The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis
The Mobile Health Readiness of People Receiving In-Center Hemodialysis and Home Dialysis
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DOI：
10.2215/cjn.11690720
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发表时间：
2021-01-07
影响因子：
9.8
通讯作者：
Schiller, Brigitte
中科院分区：
文献类型：
--
作者：
Hussein, Wael F.;Bennett, Paul N.;Schiller, Brigitte
背景和目的移动健康是指移动设备(如智能手机)的医疗保健用途。流动卫生准备情况是成功实施流动卫生方案的先决条件。本研究旨在探讨血液透析患者的流动健康准备状况及相关因素。设计、设置、参与者及测量。本研究以卡顿流动健康准备概念模型为指导，对21个中心内血液透析机构及14个家庭透析中心的血液透析患者发放横断面30个项目的问卷。调查评估了设备和互联网的可用性、对移动医疗的熟练程度和使用移动医疗的兴趣。结果共有949名患者(632名血液透析患者和317名家庭透析患者)完成了调查。在这些人中，81%的人拥有智能手机或其他可以上网的设备，72%的人报告使用互联网。大多数(70%)报告了中等或高级的移动卫生熟练程度。使用移动医疗的主要原因是预约(56%)、与医护人员沟通(56%)和实验室结果(55%)。报告中对移动健康的主要担忧是隐私和安全(18%)。老年患者的移动卫生熟练程度较低：与45-60岁组相比，70岁年龄组的受访者调整后的优势比分别为5.04(95%可信区间，2.23至11.38)、0.39(95%可信区间，0.24至0.62)和0.22(95%可信区间，0.14至0.35)。西班牙裔/拉丁裔族裔的参与者的概率较低(调整后的优势比为0.49；95%可信区间为0.31至0.75)，以及大学教育程度以下的参与者(调整后的高中以下学生的优势比为0.09；95%的可信区间为0.05至0.16，调整后的优势比为0.26；95%的可信区间为0.18至0.39)。就业与较高的熟练程度相关(调整后的优势比为2.26；95%可信区间为1.18至4.32)。尽管在未调整的分析中，家庭透析与较高的熟练程度相关，但在调整了其他因素后，我们没有观察到这种关联。结论接受调查的大多数透析患者已经准备好并熟练掌握移动医疗。
Background and objectives Mobile health is the health care use of mobile devices, such as smartphones. Mobile health readiness is a prerequisite to successful implementation of mobile health programs. The aim of this study was to examine the status and correlates of mobile health readiness among individuals on dialysis.Design, setting, participants, & measurements A cross-sectional 30-item questionnaire guided by the Khatun mobile health readiness conceptual model was distributed to individuals on dialysis from 21 in-center hemodialysis facilities and 14 home dialysis centers. The survey assessed the availability of devices and the internet, proficiency, and interest in using mobile health.Results In total, 949 patients (632 hemodialysis and 317 home dialysis) completed the survey. Of those, 81% owned smartphones or other internet-capable devices, and 72% reported using the internet. The majority (70%) reported intermediate or advanced mobile health proficiency. The main reasons for using mobile health were appointments (56%), communication with health care personnel (56%), and laboratory results (55%). The main reported concerns with mobile health were privacy and security (18%). Mobile health proficiency was lower in older patients: compared with the 45- to 60-years group, respondents in age groups 70 years had adjusted odds ratios of 5.04 (95% confidence interval, 2.23 to 11.38), 0.39 (95% confidence interval, 0.24 to 0.62), and 0.22 (95% confidence interval, 0.14 to 0.35), respectively. Proficiencywas lower in participants with Hispanic/Latinx ethnicity (adjusted odds ratio, 0.49; 95% confidence interval, 0.31 to 0.75) and with less than college education (adjusted odds ratio for "below high school," 0.09; 95% confidence interval, 0.05 to 0.16 and adjusted odds ratio for "high school only," 0.26; 95% confidence interval, 0.18 to 0.39). Employment was associated with higher proficiency (adjusted odds ratio, 2.26; 95% confidence interval, 1.18 to 4.32). Although home dialysis was associated with higher proficiency in the unadjusted analyses, we did not observe this association after adjustment for other factors.Conclusions The majority of patients on dialysis surveyed were ready for, and proficient in, mobile health.