Technology Experience of Solid Organ Transplant Patients and Their Overall Willingness to Use Interactive Health Technology.
Abstract: Background: The use of interactive health technology (IHT) is a promising pathway to tackle self‐management problems experienced by many chronically ill patients, including solid organ transplant (Tx) patients. Yet, to ensure that the IHT is accepted and used, a human‐centered design proce...
| Publicado en: | Journal of Nursing Scholarship Vol. 50; no. 2; pp. 151 - 163 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128345583&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128345583 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15276546 6QP jtl: Journal of Nursing Scholarship issn: 15276546 maglogo: Y pubinfo: dt: Mar2018 vid: 50 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 128345583 128345583 128345583 10.1111/jnu.12362 128345583 ppf: 151 ppct: 12 formats: tig: atl: Technology Experience of Solid Organ Transplant Patients and Their Overall Willingness to Use Interactive Health Technology. aug: au: Vanhoof, Jasper M. M. Vandenberghe, Bert Geerts, David Philippaerts, Pieter De Mazière, Patrick DeVito Dabbs, Annette De Geest, Sabina Dobbels, Fabienne on behalf of the PICASSO‐Tx Consortium affil: Academic Centre for Nursing and Midwifery, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium sug: subj: Transplant Recipients Self Care Communication Information Technology Utilization Human Cross Sectional Studies Descriptive Research Belgium Descriptive Statistics Logistic Regression Funding Source Convenience Sample Middle Age Aged Middle Aged: 45-64 years Aged: 65+ years ab: Abstract: Background: The use of interactive health technology (IHT) is a promising pathway to tackle self‐management problems experienced by many chronically ill patients, including solid organ transplant (Tx) patients. Yet, to ensure that the IHT is accepted and used, a human‐centered design process is needed, actively involving end users in all steps of the development process. A first critical, predevelopment step involves understanding end users’ characteristics. This study therefore aims to (a) select an IHT platform to deliver a self‐management support intervention most closely related to Tx patients’ current use of information and communication technologies (ICTs), (b) understand Tx patients’ overall willingness to use IHT for self‐management support, and investigate associations with relevant technology acceptance variables, and (c) explore Tx patients’ views on potential IHT features. Design and Methods: We performed a cross‐sectional, descriptive study between October and December 2013, enrolling a convenience sample of adult heart, lung, liver, and kidney Tx patients from the University Hospitals Leuven, Belgium. Broad inclusion criteria were applied to ensure a representative patient sample. We used a 35‐item newly designed interview questionnaire to measure Tx patients’ use of ICTs, their overall willingness to use IHT, and their views on potential IHT features, as well as relevant technology acceptance variables derived from the Unified Theory of Acceptance and Use of Technology and a literature review. Descriptive statistics were used as appropriate, and an ordinal logistic regression model was built to determine the association between Tx patients’ overall willingness to use IHT, the selected technology acceptance variables, and patient characteristics. Findings: Out of 139 patients, 122 agreed to participate (32 heart, 30 lung, 30 liver, and 30 kidney Tx patients; participation rate: 88%). Most patients were male (57.4%), married or living together (68%), and had a mean age of 55.9 ± 13.4 years. Only 27.9% of Tx patients possessed a smartphone, yet 72.1% owned at least one desktop or laptop PC with wireless Internet at home. On a 10‐point numeric scale, asking patients whether they think IHT development is important to support them personally in their self‐management, patients gave a median score of 7 (25th percentile 5 points; 75th percentile 10 points). Patients who were single or married or living together were more likely to give a higher rating than divorced or widowed patients; patients who completed only secondary education gave a higher rating than higher educated patients; and patients with prior ICT use gave a higher rating than patients without prior ICT use. Tx patients also had clear preferences regarding IHT features, such as automatic data transfer, as much as possible, visual aids (e.g., graphs) over text messages, and personally deciding when to access the IHT. Conclusions: By investigating Tx patients’ possession and use of ICTs, we learned that computers and the Internet, and not smartphones, are the most suitable IHT platforms to deliver self‐management interventions for our Tx patients. Moreover, Tx patients generally are open to using IHT, yet patient acceptance variables and their preferences for certain IHT features should be taken into account in the next steps of IHT development. Designers intending to develop or use existing IHTs should never overlook this critical first step in a human‐centered design. Clinical Relevance: Before considering using eHealth technology in clinical practice, professionals should always check whether patients are familiar with using information and communication technology, and whether they are willing to use technology for health‐related purposes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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