Evaluating mobile Health technology use among cancer caregivers in the digital era.
Evaluating mobile Health technology use among cancer caregivers in the digital era.
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DOI：
10.1177/20552076221109071
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发表时间：
2022-01
期刊：
影响因子：
3.9
通讯作者：
Choi, Sung Won
中科院分区：
文献类型：
--
作者：
Raj, Minakshi;Gupta, Vibhuti;Hoodin, Flora;Clingan, Caroline;Roslin, Chloe;Yahng, Lilian;Braun, Thomas;Choi, Sung Won
基于数字健康技术的干预措施有可能支持癌症护理人员承担护理责任并管理自己的健康和福祉。这项研究的目的是在全国范围内对接受造血细胞移植(HCT)的患者的护理人员进行抽样调查，以检验护理特征与不同类型的数字健康技术之间的关系。我们对948名HCT照顾者进行了一项在线横断面调查。配偶照顾者占受访者的近三分之一(27.1%)，年龄中值为59岁(范围：18-80岁)，相比之下，父母(32.9%：38岁)、成年子女(28.9%：38岁)和其他(11.1%；例如朋友、其他家庭成员：36岁)。近三分之二(65.4%)的受访者报告使用应用程序健身或计步，41.3%的受访者报告使用智能手表。然而，与根据人口统计学和应对方式进行调整的模型中的父母照顾者相比，配偶照顾者使用移动应用(P <； 0.005)或智能手表(OR = 0.46；P <； 0.005)的可能性最小。在调整后的模型中，护理六个月或更长时间与使用较少的应用程序相关，而不是六个月以下的护理(OR = 0.8，P <； 0.005)。在调整后的模型(OR = 1.36，P <； 0.005)中，接受异基因移植的患者的照顾者(即非自体捐赠者)平均比接受自体移植的患者的照顾者使用更多的APP。数字健康技术反映了支持癌症护理人员的有希望的途径。虽然数字技术正变得越来越普遍，但老年照顾者仍然是一个服务不足的群体。未来的研究应该将老年照顾者纳入技术驱动的照顾者支持产品的共同设计和开发活动中。
Digital health technology-based interventions have the potential to support cancer caregivers in caregiving responsibilities and in managing their own health and well-being. The objective of this study was to examine the association between caregiving characteristics and different types of digital health technologies used in a national sample of caregivers of patients undergoing hematopoietic cell transplantation (HCT). We conducted an online, cross-sectional survey of 948 HCT caregivers. Spousal caregivers comprised nearly one-third of respondents (27.1%) with a median age of 59 years (range: 18–80 years), compared with parents (32.9%: 38 years), adult children (28.9%: 38 years), and other (11.1%; e.g. friend, other family member: 36 years). Almost two-thirds (65.4%) of all respondents reported using an app for fitness or step counting and 41.3% reported using a smartwatch. However, spousal caregivers were the least likely group to use mobile apps (0.72; P < 0.005) or smartwatches (OR = 0.46; P < 0.005) compared with parent caregivers in models adjusted for demographics and coping style. Caregiving for six months or greater was associated with the use of fewer apps compared with caregiving for less than six months in adjusted models (OR = 0.80, P < 0.005). Caregivers of patients receiving an allogeneic transplant (i.e. non-self-donor) used more apps on average than caregivers of patients receiving an autologous transplant (i.e. self-donor) in adjusted models (OR = 1.36, P < 0.005). Digital health technologies reflect promising avenues for supporting cancer caregivers. While digital technologies are becoming increasingly pervasive, older caregivers remain an underserved population. Future research should integrate older adult caregivers in the co-design and development activities of technology-driven caregiver support products.
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