Effects of Three Antecedents of Patient Compliance for Users of Peer-to-Peer Online Health Communities: Cross-Sectional Study
Effects of Three Antecedents of Patient Compliance for Users of Peer-to-Peer Online Health Communities: Cross-Sectional Study
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DOI：
10.2196/14006
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发表时间：
2019-11-11
影响因子：
7.4
通讯作者：
Ertz, Myriam
中科院分区：
文献类型：
--
作者：
Audrain-Pontevia, Anne-Francoise;Menvielle, Loick;Ertz, Myriam
背景资料：在过去的50年里，病人的不依从性已经成为一个主要的公共卫生问题和大量研究的焦点，因为它危及病人的康复，并对医疗保健系统造成相当大的经济负担。与此同时，在线健康社区（OHC）正变得越来越普遍，并且通常被有健康问题的个人使用，它们可能在促进依从性方面发挥作用。尽管这种日益普及，鲜为人知的是病人的依从性预测OHCs' users.Objective：本研究旨在探讨在何种程度上参与OHCs可能会引发更高水平的遵守。它确定了可能影响患者依从性的3个相互关联的预测因素：通过对等OHC获得的患者授权，对医生的满意度和对医生的承诺。一项基于网络的调查测试了概念模型，并评估了通过OHC获得的患者赋权对患者满意度和对医生的承诺的影响，以及这3个预测因子对患者依从性的影响。点对点OHC的成员被要求回答在线问卷2018年8月在加拿大魁北克调查了420名患有慢性疾病并使用点对点OHC的患者的便利样本。使用结构方程模型的路径分析测试了预测因素与患者依从性各自路径之间的拟议关系。结果：通过OHC获得的患者授权与患者对医生的承诺呈正相关（β = 0.69; P
Background: Over the past 50 years, patient noncompliance has appeared as a major public health concern and focus of a great deal of research because it endangers patient recovery and imposes a considerable financial burden on health care systems. Meanwhile, online health communities (OHCs) are becoming more common and are commonly used by individuals with health problems, and they may have a role in facilitating compliance. Despite this growing popularity, little is known about patient compliance predictors for OHCs' users.Objective: This study aimed to investigate the extent to which participating in OHCs may trigger higher levels of compliance. It identified 3 interrelated predictors that may affect patient compliance: patient empowerment gained through peer-to-peer OHCs, satisfaction with the physician, and commitment to the physician.Methods: A Web-based survey tested the conceptual model and assessed the effects of patient empowerment gained through OHCs on patient satisfaction and commitment to the physician, as well as the effects of these 3 predictors on patient compliance with the proposed treatment. Members of peer-to-peer OHCs were asked to answer an online questionnaire A convenience sample of 420 patients experiencing chronic illness and using peer-to-peer OHCs was surveyed in August 2018 in Quebec, Canada A path analysis using structural equation modeling tested the proposed relationships between the predictors and their respective paths on patient compliance. The mediation effects of these predictor variables on patient compliance were estimated with the PROCESS macro in SPSS.Results: The findings indicated that patient empowerment gained through OHCs was positively related to patient commitment to the physician (beta=.69; P