Professional and patient attitudes to using mobile phone technology to monitor asthma: questionnaire survey.
Professional and patient attitudes to using mobile phone technology to monitor asthma: questionnaire survey.
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DOI：
10.1016/j.pcrj.2006.03.001
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发表时间：
2006-08-01
期刊：
影响因子：
--
通讯作者：
Sheikh, Aziz
中科院分区：
文献类型：
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作者：
Pinnock, Hilary;Slack, Roger;Sheikh, Aziz
目的：国际上对利用新兴技术加强慢性病管理的兴趣越来越大。我们的目的是探讨患者和初级保健专业人员的态度，以使用移动的技术，以监测asthma.METHODS：一个试点问卷包含封闭式和开放式的问题，评估使用电子自我监测的态度被张贴到一个随机样本的全科医生，哮喘护士，哮喘患者（12岁及以上）在洛锡安和肯特，英国，有2个提醒。除描述性统计外，还使用卡方或独立样本t检验比较患者和临床医生的反应。自由文本的反应进行了分析thematic.Results：从130/300专业人士（43%）和202/389患者（52%）的反应。患者对该技术给予了积极评价，并认为它可能有助于临床医生提供护理，特别是在急性发作期间。尽管评级相似，但专业人士对福利持怀疑态度。专业人士和患者都担心时间和成本的影响。在受访者中，28名专业人士（10%）和62名患者（16%）返回未完成的问卷，理由是缺乏感知的relevance.CONCLUSIONS：低完成率可能反映了移动的电话促进护理作为少数人的利益“早期采用者”的技术的现状。即使是对少数热情的人来说，使用移动的电话技术也提出了临床效益、对自我管理的影响以及对工作量和成本的担忧等问题，这些问题需要在更广泛的接受之前得到解决。
AIMS: There is increasing international interest in using emerging technologies to enhance chronic disease management. We aimed to explore the attitudes of patients and primary care professionals to using mobile technology in order to monitor asthma.METHODS: A piloted questionnaire containing closed and open-ended questions assessing attitudes to using electronic self-monitoring was posted to a random sample of general practitioners, asthma nurses, and people with asthma (12 years and over) in Lothian and Kent, UK, with 2 reminders. In addition to descriptive statistics, patient and clinician responses were compared using Chi-squared or independent sample t-tests. Free-text responses were analysed thematically.RESULTS: Responses were obtained from 130/300 professionals (43%) and 202/389 patients (52%). Patients rated the technology positively and considered that it may help clinicians to provide care, especially during acute attacks. Although rated similarly, professionals were more sceptical about benefits. Both professionals and patients had concerns about the time and cost implications. Of the respondents, 28 professionals (10%) and 62 patients (16%) returned uncompleted questionnaires citing lack of perceived relevance.CONCLUSIONS: The low completion rate probably reflects the current status of mobile phone-facilitated care as a minority interest for 'early adopters' of technology. Even for the enthusiastic minority, using mobile phone technology raised questions of clinical benefit, impact on self-management, and concerns about workload and cost, which will need to be addressed prior to wider acceptance.