Directed use of the internet for health information by patients with chronic kidney disease: prospective cohort study.
Directed use of the internet for health information by patients with chronic kidney disease: prospective cohort study.
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DOI：
10.2196/jmir.2848
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发表时间：
2013-11-15
影响因子：
7.4
通讯作者：
Fink JC
中科院分区：
文献类型：
--
作者：
Diamantidis CJ;Fink W;Yang S;Zuckerman MR;Ginsberg J;Hu P;Xiao Y;Fink JC
健康信息技术在慢性病患者的护理中已经变得很普遍；然而，在肾脏疾病中使用这种应用程序的情况很少。这项研究的目的是评估一个网站的使用，该网站提供透析前慢性肾脏疾病患者特定疾病的安全信息。作为安全肾脏护理(SKC)研究的一部分，一个教育网站被设计来提供关于慢性肾脏疾病安全问题的信息。第一阶段的研究向参与者提供了一个带有唯一ID号的医疗警报附件、安全肾脏护理网站，以及关于使用互联网和访问基线SKC网站的面对面教程。参与者被要求在接下来的365天内或在他们的年度后续访问之前(以最先发生的为准)，随时访问网站并输入他们唯一的ID。使用链接到MySQL数据库的嵌入式网页PHP脚本跟踪参与者在特定安全模块上的访问和停留时间，从而能够收集网站使用统计数据。在108名第一阶段参与者中，28.7%(31/108)的人在观察期内(中位数随访365天)访问网站1-6次。中位访问时间为每次访问7分钟(范围1-46)和每人13分钟(范围1-123)。最常访问的三个页面是“肾功能计算器”、“避孕药”和“避免进食”。高中文化程度和频繁使用互联网与网站进入显著相关(分别为P=0.02和P=0.03)。初步结果显示，人们普遍对基于网络的平台感兴趣，该平台旨在提高慢性肾脏疾病患者的安全性。ClinicalTrials.gov NCT01407367；http://clinicaltrials.gov/show/NCT01407367(由网站http://www.webcitation.org/6KvxFKA6M).存档
Health information technology has become common in the care of patients with chronic diseases; however, there are few such applications employed in kidney disease. The aim of the study was to evaluate the use of a website providing disease-specific safety information by patients with predialysis chronic kidney disease. As part of the Safe Kidney Care (SKC) study, an educational website was designed to provide information on safety concerns in chronic kidney disease. Phase I study participants were provided a medical alert accessory with a unique ID number, the Safe Kidney Care website, and an in-person tutorial on the use of the Internet and accessing the SKC website at baseline. Participants were asked to visit the website and enter their unique ID as frequently as they desired over the next 365 days or until their annual follow-up visit, whichever occurred first. Participants’ visits and dwell times on specific safety modules were tracked using embedded webpage PHP scripts linked to a MySQL database, enabling the collection of website usage statistics. Of 108 Phase I participants, 28.7% (31/108) visited the website from 1-6 times during the observation period (median follow-up 365 days). Median access time was 7 minutes per visit (range <1-46) and 13 minutes per person (range <1-123). The three most frequently visited pages were “Renal function calculator”, “Pills to avoid”, and “Foods to avoid”. High school education and frequent Internet use were significantly associated with website entry (P=.02 and P=.03, respectively). Preliminary results show general interest in a Web-based platform designed to improve patient safety in chronic kidney disease. Clinicaltrials.gov NCT01407367; http://clinicaltrials.gov/show/NCT01407367 (Archived by WebCite at http://www.webcitation.org/6KvxFKA6M).
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DOI：
10.1089/tmj.2008.0099
发表时间：
2009-04-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
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作者：
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DOI：
10.1016/j.ijhcs.2009.08.005
发表时间：
2010-01-01
影响因子：
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