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

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 as...

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Published in:Journal of Medical Systems Vol. 45; no. 7; pp. 1 - 10
Main Authors: Ismond, Kathleen P., Eslamparast, Tannaz, Farhat, Kamal, Stickland, Michael, Spence, John C., Bailey, Robert J., Abraldes, Juan G., Spiers, Jude A., Tandon, Puneeta
Format: research tables/charts Journal Article
Published: Springer Nature Jul2021
Online Access:View this record in EBSCOhost
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      dt: Jul2021
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      pub: Springer Nature
      place: New York, New York
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        atl: Assessing Patient Proficiency with Internet-Connected Technology and Their Preferences for E-Health in Cirrhosis.
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          Ismond, Kathleen P.
          Eslamparast, Tannaz
          Farhat, Kamal
          Stickland, Michael
          Spence, John C.
          Bailey, Robert J.
          Abraldes, Juan G.
          Spiers, Jude A.
          Tandon, Puneeta
        affil: Division of Gastroenterology, Liver Unit, Faculty of Medicine and Dentistry, University of Alberta, T6G 2X8, Edmonton, Alberta, Canada
      sug:
        subj:
          Patient Attitudes Evaluation
          Internet Utilization
          Technology Utilization
          Patient Preference
          Telehealth
          Liver Cirrhosis Physiopathology
          Self-Management
          Physician-Patient Relations
          Knowledge Evaluation
          Comorbidity
          Cognition
          Human
          Outpatients
          Alberta
          Digital Technology Utilization
          Internet
          Socioeconomic Factors
          Questionnaires
          Motor Skills
          Mobile Applications
          Multiple Regression
          Educational Status
          Income
          Videoconferencing
          COVID-19
          Health Care Delivery
          Adolescence
          Adult
          Middle Age
          Summated Rating Scaling
          Coefficient alpha
          Chi Square Test
          Fisher's Exact Test
          T-Tests
          Mann-Whitney U Test
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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