Bridging the Digital Divide in Diabetes: Family Support and Implications for Health Literacy
Bridging the Digital Divide in Diabetes: Family Support and Implications for Health Literacy
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DOI：
10.1089/dia.2011.0055
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发表时间：
2011-10-01
影响因子：
5.4
通讯作者：
Osborn, Chandra Y.
中科院分区：
文献类型：
--
作者：
Mayberry, Lindsay S.;Kripalani, Sunil;Osborn, Chandra Y.
背景：患者门户网站（PWPs）为患者提供远程访问他们的医疗记录和与医疗服务提供者的通信。有卫生知识普及限制的成年人不太可能获得和使用卫生信息技术（HIT），包括pwp。在糖尿病患者中，PWP的使用与患者满意度、医患沟通和血糖控制有关。方法：采用混合方法，探讨健康素养、计算能力和计算机素养与PWP和HIT使用之间的关系。参与者（N=61名患有2型糖尿病的成年人）参加了焦点小组并完成了调查，包括健康素养、计算能力和计算机焦虑（计算机素养的一个指标）以及PWP和HIT使用频率的测量。结果：计算机素养与健康素养（r = 0.41, P < 0.001）和计算能力（r = 0.35, P < 0.001）呈正相关，但健康素养与计算能力不相关。健康素养（23%）、计算能力（43%）或计算机素养（25%）有限的参与者获得PWPs或HIT的可能性并不低，但较低的健康素养与较少使用计算机研究糖尿病药物或治疗相关。在焦点小组中，参与者自发地评论了在获取和使用pwp或HIT进行糖尿病管理时的家庭支持。结论：参与者报告家庭成员促进了HIT的访问和使用，教他们使用技巧，并作为在线代表。参与者的陈述表明，家庭成员可以通过帮助成年人访问PWP或HIT进行糖尿病管理来弥合HIT在糖尿病方面的“数字鸿沟”。
Background: Patient web portals (PWPs) offer patients remote access to their medical record and communication with providers. Adults with health literacy limitations are less likely to access and use health information technology (HIT), including PWPs. In diabetes, PWP use has been associated with patient satisfaction, patient-provider communication, and glycemic control.Methods: Using mixed methods, we explored the relationships between health literacy, numeracy, and computer literacy and the usage of a PWP and HIT. Participants (N=61 adults with type 2 diabetes) attended focus groups and completed surveys, including measures of health literacy, numeracy, and computer anxiety (an indicator of computer literacy) and frequency of PWP and HIT use.Results: Computer literacy was positively associated with health literacy (r = 0.41, P < 0.001) and numeracy (r = 0.35, P < 0.001), but health literacy was not associated with numeracy. Participants with limited health literacy (23%), numeracy (43%), or computer literacy (25%) were no less likely to access PWPs or HIT, but lower health literacy was associated with less frequent use of a computer to research diabetes medications or treatments. In focus groups, participants spontaneously commented on family support when accessing and using PWPs or HIT for diabetes management.Conclusions: Participants reported family members facilitated access and usage of HIT, taught them usage skills, and acted as online delegates. Participant statements suggest family members may bridge the HIT "digital divide" in diabetes by helping adults access a PWP or HIT for diabetes management.