Assessing Patient Proficiency with Internet-Connected Technology and Their Preferences for E-Health in Cirrhosis.

Assessing Patient Proficiency with Internet-Connected Technology and Their Preferences for E-Health in Cirrhosis.
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评估患者通过互联网连接技术的熟练程度及其对肝硬化电子健康的偏好。

DOI:
10.1007/s10916-021-01746-3
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发表时间:
2021-06-05
影响因子:
5.3
通讯作者:
Tandon P
Tandon P
中科院分区:
医学3区
文献类型:
--
作者:
Ismond KP;Eslamparast T;Farhat K;Stickland M;Spence JC;Bailey RJ;Abraldes JG;Spiers JA;Tandon P

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人们对电子医疗的需求正在迅速发展,以支持慢性病自我管理并将患者与其医疗团队联系起来。肝硬化患者有较高的症状负担、明显的合并症以及一系列心理和认知问题。评估了肝硬化患者对电子医疗的准备程度和兴趣。招募了在阿尔伯塔省两家肝硬化门诊之一就诊的成年人。符合资格的参与者不需要拥有数字技术或互联网或具有数字技术或互联网的经验。病史、社会经济状况以及对电子医疗的态度、计算机熟练程度调查问卷和移动设备熟练程度调查问卷用于描述参与者的知识和技能。在 117 名招募的患者中,68.4% 拥有电脑,84.6% 拥有移动设备。患者对这些设备的平均熟练度分数分别为 72.8% (SD 25.9%) 和 69.3% (SD 26.4%)。在多元回归分析中,设备熟练程度的重要预测因素是年龄、教育程度和家庭收入。大多数患者(78.7%)相信他们可以在培训后参加视频会议,大多数患者(61.5%)对在线个性化健康管理计划感兴趣。这个多样化的肝硬化患者群体拥有与普通人群相似的技术所有权、熟练程度和在线行为。此外,如果提供培训,患者非常愿意接受电子医疗。鉴于 COVID-19 的独特需求及其对弱势群体自我管理和医疗服务的影响,这一充满希望的数据来得正是时候。在线版本包含可在 10.1007/s10916-021-01746-3 获取的补充材料。
There is a rapidly evolving need for e-health to support chronic disease self-management and connect patients with their healthcare teams. Patients with cirrhosis have a high symptom burden, significant comorbidities, and a range of psychological and cognitive issues. Patients with cirrhosis were assessed for their readiness and interest in e-health. Adults attending one of two outpatient cirrhosis clinics in Alberta were recruited. Eligible participants were not required to own or have experience with digital technologies or the Internet. Medical history, socioeconomic status, and attitudes regarding e-health, the Computer Proficiency Questionnaire, and the Mobile Device Proficiency Questionnaire were used to describe participants’ knowledge and skills. Of the 117 recruited patients, 68.4% owned a computer and 84.6% owned a mobile device. Patients had mean proficiency scores of 72.8% (SD 25.9%) and 69.3% (SD 26.4%) for these devices, respectively. In multiple regression analyses, significant predictors of device proficiency were age, education, and household income. Most patients (78.7%) were confident they could participate in videoconferencing after training and most (61.5%) were interested in an online personalized health management program. This diverse group of patients with cirrhosis had technology ownership, proficiency, and online behaviours similar to the general population. Moreover, the patients were very receptive to e-health if training was provided. This promising data is timely given the unique demands of COVID-19 and its influence on self-management and healthcare delivery to a vulnerable population. The online version contains supplementary material available at 10.1007/s10916-021-01746-3.
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