Adoption of mHealth among Latinos with Cardiometabolic Risk Factors

具有心脏代谢危险因素的拉丁美洲人采用移动医疗

• 批准号: 9814597
• 负责人: Sabianca Delva
• 金额: $ 4.5万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9814597
• 关键词: Acculturation; Adopted; Adoption; Age; Attitude; Blood Glucose; Car Phone; Cardiac health; Cardiovascular Diseases; Cardiovascular system; Cause of Death; Cellular Phone; Characteristics; Chronic Disease; Communities; Conscious; Coronary heart disease; Counseling; Country; Devices; Diabetes Mellitus; Discipline of Nursing; Education; Fasting; Fibrinogen; Gender Role; Goals; Health; Health Care Costs; Health Expenditures; Health Technology; Heart failure; High Density Lipoprotein Cholesterol; Hypertension; Hypertriglyceridemia; Incidence; Income; Individual; Insurance; Intervention; Knowledge; Language; Latino; Literature; Medical; Mentors; Methods; Mission; Modality; Modeling; Monitor; Morbidity - disease rate; Motivation; National Institute of Nursing Research; Not Hispanic or Latino; Obesity; Outcome; Ownership; Pathway interactions; Patients; Penetration; Perception; Peripheral; Population; Positioning Attribute; Public Health; Reporting; Research; Research Support; Risk; Risk Factors; Role; Science; Self Management; Social support; Strategic Planning; Stroke; Targeted Research; Technology; Telephone; Testing; Text Messaging; Training; Transportation; United States; Vulnerable Populations; Wireless Technology; behavior influence; cardiometabolic risk; cardiovascular disorder risk; care outcomes; design; digital; experience; health belief; health disparity; health literacy; health seeking behavior; improved; innovation; innovative technologies; mHealth; mobile application; mortality; patient oriented; patient-clinician communication; sex; skills; smartphone Application; social; social norm; sociodemographics

Project Summary Cardiometabolic risk factors (CMRF) —a cluster of risk factors for coronary heart disease (CHD) and diabetes is a significant public health concern in the US, positioning cardiovascular disease as the leading cause of death in the country. Latinos have higher incidence for CMRF compared to non- Hispanic whites. Due to a number of sociodemographic and cultural barriers such as lack of insurance, lack of transportation, or language discordance, Latinos with CMRF often have difficulty managing their health condition which often results in increased CHD, stroke, and heart failure. Evidence consistently shows that mobile health (mHealth), which includes SMS facilitated patient-provider communication, telephone counseling, smartphone applications, and medical peripheral devices to monitor and access health related information, is effective in improving CMRF. While there has been an increased penetration of mobile phones in Latinos, with a reported 87% cell phone ownership, there are limited mHealth interventions explored in Latinos who suffer the most from CMRF. In order to facilitate the implementation of mHealth in CMRF self-management and improve the health outcomes of the Latinos with CMRF, this study aims to examine the factors that influence the adoption of mHealth among Latinos with CMRF using a mixed methods design. A modified Technology Acceptance Model (TAM) reveals how health beliefs, attitudes and mHealth literacy—one's ability to understand and use mHealth—influence Latino's motivation to manage their CMRF by adopting mHealth. The proposed aims are as follows: 1) To examine the relationship among health beliefs (Perceived Health Risks and Health Consciousness), Perceived Usefulness, and levels of mHealth Adoption among Latinos with CMRF. 2) To examine the role of mHealth literacy in mHealth Adoption. 3) To explore the individual experiences of Latinos with CMRF in the United States to elicit barriers and facilitators of mHealth adoption. 4) To generate a comprehensive understanding of how cultural and social norms of Latinos with CMRF influence mHealth adoption, using an explanatory sequential design. An understanding of the Latino patients with CMRF in terms of their characteristics, perceptions and sociocultural norms and how they influence the Latino patients' adoption of mHealth can help inform the design of a patient- centered mHealth intervention and facilitate its implementation. The proposed study fits the strategic plan of the NINR as it supports research targeted at using innovative technologies to facilitate self- management of chronic diseases. The training plan will provide the requisite individualized and mentored experiences to develop knowledge and professional skills in nursing science, cardiovascular research, digital health technologies and health disparities research.

项目摘要 心脏代谢危险因素（CMRF） - 冠心病（CHD）的危险因素群 糖尿病在美国是一个重大的公共卫生问题，将心血管疾病定位为 该国的主要死亡原因。与非 - 西班牙裔白人。由于许多社会人口统计学和文化障碍，例如缺乏保险， 缺乏运输或语言不一致的拉丁裔与CMRF通常很难管理 健康状况通常会导致CHD，中风和心力衰竭增加。证据一致 表明移动健康（MHealth）包括SMS准备的患者提供沟通， 电话咨询，智能手机应用程序和医疗外围设备以监视和访问 与健康相关的信息可有效改善CMRF。虽然增加了 拉丁裔手机的渗透，据报道有87％的手机所有权，有限 在CMRF中受苦最大的拉丁美洲人探讨了MHealth干预措施。为了促进 MHealth在CMRF自我管理中的实施并改善拉丁美洲人的健康成果 对于CMRF，本研究旨在研究影响MHealth采用MHealth的因素 使用混合方法设计的拉丁裔与CMRF。修改的技术接受模型（TAM） 揭示健康的信念，参加和MHealth扫盲如何理解和使用的能力 MHealth - 通过采用MHealth来管理其CMRF的动力。提议 目的如下：1）检查健康信念之间的关系（感知的健康风险和 健康意识），感知的有用性以及拉丁美洲的MHealth采用水平 CMRF。 2）检查MHealth素养在MHealth采用中的作用。 3）探索个人 在美国，拉丁美洲人与CMRF的经验引起MHealth的障碍和促进者 采用。 4）对拉丁美洲人的文化和社会规范产生全面的了解 使用CMRF影响MHealth的采用，使用利用顺序设计。对 CMRF的拉丁裔患者在其特征，看法和社会文化规范方面 他们如何影响拉丁裔患者对MHealth的采用可以帮助告知患者的设计 - 以MHealth干预为中心，并促进其实施。拟议的研究适合该策略 NINR的计划支持用于使用创新技术促进自我的研究 慢性疾病的管理。培训计划将提供必要的个性化和 有指导的经验来发展护士科学，心血管的知识和专业技能 研究，数字健康技术和健康差异研究。