Barriers and facilitators to mobile health and active surveillance use among older adults with skin disease.
Barriers and facilitators to mobile health and active surveillance use among older adults with skin disease.
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DOI：
10.1111/hex.13229
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Linos E
中科院分区：
文献类型：
--
作者：
Johnson A;Shukla N;Halley M;Nava V;Budaraju J;Zhang L;Linos E
COVID-19 大流行加速了远程医疗的采用，包括远程皮肤病学。使用远程皮肤病学监测皮肤病变对于包括低风险皮肤癌在内的多种皮肤病可能变得越来越重要。本研究的目的是描述可能成为使用移动健康技术 (mHealth) 监测老年人皮肤病的障碍或促进因素的关键因素。 2019 年 12 月至 2020 年 7 月期间，我们对 65 岁或以上的老年皮肤病患者及其在过去 18 个月内看过皮肤科医生的护理人员进行了访谈和调查。这些访谈的目的是为了更好地了解可能成为使用移动医疗和主动监测来监测低风险皮肤癌的障碍和促进因素的态度、信念和行为。总共 33 次访谈产生了 6022 个独特的摘录，得出了 8 个因素或主题，这些因素或主题可能成为移动医疗和主动监测的障碍、促进因素或两者兼而有之。我们提出了一个综合概念框架，强调这些主题在患者和提供者层面上的相互作用，包括护理环境、支持系统和个人价值观。这些初步研究结果揭示了影响患者接受皮肤科主动监测的因素，例如患者与提供者互动的变化以及与个人价值观的一致。研究还发现这些因素会影响移动医疗干预措施的采用。鉴于这种重叠，在利用新型移动医疗技术设计新的皮肤科主动监测方法时，必须解决两个领域的障碍和促进因素。本研究中的患者是数据收集过程的参与者。斯坦福医疗保健和丹佛科技皮肤科医疗保健团队的成员在数据收集过程的招募阶段提供了帮助。
The COVID‐19 pandemic has accelerated the adoption of telemedicine, including teledermatology. Monitoring skin lesions using teledermatology may become increasingly important for several skin diseases, including low‐risk skin cancers. The purpose of this study was to describe the key factors that could serve as barriers or facilitators to skin disease monitoring using mobile health technology (mHealth) in older adults. Older adult dermatology patients 65 years or older and their caregivers who have seen a dermatologist in the last 18 months were interviewed and surveyed between December 2019 and July 2020. The purpose of these interviews was to better understand attitudes, beliefs and behaviours that could serve as barriers and facilitators to the use of mHealth and active surveillance to monitor low‐risk skin cancers. A total of 33 interviews leading to 6022 unique excerpts yielded 8 factors, or themes, that could serve as barriers, facilitators or both to mHealth and active surveillance. We propose an integrated conceptual framework that highlights the interaction of these themes at both the patient and provider level, including care environment, support systems and personal values. These preliminary findings reveal factors influencing patient acceptance of active surveillance in dermatology, such as changes to the patient‐provider interaction and alignment with personal values. These factors were also found to influence adoption of mHealth interventions. Given such overlap, it is essential to address barriers and facilitators from both domains when designing a new dermatology active surveillance approach with novel mHealth technology. The patients included in this study were participants during the data collection process. Members of the Stanford Healthcare and Denver Tech Dermatology health‐care teams aided in the recruitment phase of the data collection process.
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DOI：
10.1016/j.jalz.2011.03.005
发表时间：
2011-05
期刊：
Alzheimer's & dementia : the journal of the Alzheimer's Association
影响因子：
--
作者：
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10.11124/jbisrir-2016-2270
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2016-02-01
期刊：
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影响因子：
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作者：
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影响因子：
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