Health Literacy, Technology Acceptance, On-line Self-Care: Understanding Teens

描述(由申请者提供)：超过300万美国青少年受到慢性疾病的影响，他们进入成年后需要处理这些疾病。在线疾病自我管理(ODSM)系统在这一人群中可能很有价值，因为这些系统为青少年提供了一种用户友好的机制，用于跟踪症状、药物和健康行为。然而，人们对青少年使用这类工具的能力或意愿的相关因素知之甚少。特别是，人们对青少年的健康素养知之甚少，也不知道健康素养的局限性如何会阻碍在线疾病自我管理的使用。我们研究计划的长期目标是通过扩大卫生保健信息学的使用来改善青少年的卫生保健。在这个项目中，我们将结合健康素养和技术接受的最新研究，以实现以下目标：(1)评估接受哮喘或糖尿病治疗的青少年群体的健康素养，并评估这些衡量标准在种族/民族和收入特征之间的差异；(2)测试统一技术接受和利用理论的扩展，基于个人的健康素养、计算机自我效能、健康自我效能、技术期望、计算机访问和社会人口学变量预测使用和实际使用ODSM系统的行为意愿。在这项研究中，随机选择的13-18岁的青少年在以医院为基础的儿科专科诊所接受护理，将评估他们的一般、健康和计算机素养以及对在线疾病管理支持的态度和意图，以及对计算机和互联网的访问。他们还将接受关于在线疾病自我管理的简短教育。为期90天的后续电话将评估青年是否尝试使用ODSM系统，并评估满意度和障碍。这项研究的结果将扩大青少年健康素养的知识，并将为开发和促进电子健康使用提供一个框架，最终可能改善青少年的健康行为和健康状况。公共卫生相关性：300多万美国青少年受到慢性病的影响，这些青少年必须做好准备，在他们成年后自己应对这些疾病。在线疾病自我管理系统可以在协助这一具有挑战性的过渡方面发挥重要作用。本研究将评估青少年的健康素养，并探讨健康素养与电脑自我效能、健康自我效能、健康相关生活品质、技术期望、电脑使用及社会人口因素如何影响使用在线疾病管理系统的意愿。

DESCRIPTION (provided by applicant): Over three millions U.S. adolescents are affected by chronic diseases that they will need to manage as they enter adulthood. Online disease self-management (ODSM) systems may be of great value in this population because these systems provide adolescents with a user-friendly mechanism for tracking symptoms, medications, and health behaviors. Little is known, however, about the factors associated with adolescent ability or willingness to use such tools. In particular, little is known about health literacy in adolescents or about how limitations in health literacy may inhibit use of online disease self-management. The long term goal of our research program is to improve health care for adolescents through expanded use of health care informatics. In this project, we will combine state of the art research in health literacy and technology acceptance to accomplish the following aims: (1) To assess health literacy in a population of adolescents treated for asthma or diabetes and to assess variation in these measures across racial/ethnic and income characteristics and (2) To test an extension of the Unified Technology Acceptance and Utilization Theory predicting behavioral intention to use and actual use of ODSM systems based on individuals' health literacy, computer self-efficacy, health self-efficacy, technology expectancies, computer access, and sociodemograhic variables. In this study, randomly selected adolescents, ages 13-18, receiving care in hospital based pediatric specialty clinics will be assessed for general, health, and computer literacy and attitudes and intentions toward online disease management support, and access to computers and the internet. They will also receive brief education on online disease self-management. Ninety-day follow-up calls will assess whether youth attempted use an ODSM system and assess satisfaction and barriers. Findings from this study will expand knowledge of adolescent health literacy and will provide a framework for developing and promoting e-health use which could ultimately improve adolescent health behaviors and health status. Public Health Relevance: Over three million U.S teens are affected by chronic diseases and these youth must be prepared to manage these conditions themselves as they reach adulthood. Online disease self-management systems can play an important role in assisting with this challenging transition. This study will assess health literacy in adolescents and will explore how health literacy along with computer self-efficacy, health self-efficacy, health related quality of life, technology expectancies, computer access, and sociodemographic factors impact willingness to use online disease management systems.