Kalichman S C, Weinhardt L, Benotsch E, Cherry C
Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, USA.
AIDS Care. 2002 Aug;14(4):523-37. doi: 10.1080/09540120208629670.
Advances in information technology are revolutionizing medical patient education and the Internet is becoming a major source of information for people with chronic medical conditions, including HIV/AIDS. However, many AIDS patients do not have equal access to the Internet and are therefore at an information disadvantage, particularly minorities, persons of low-income levels and individuals with limited education. This paper describes the development and pilot testing of a workshop-style intervention designed to close the digital divide in AIDS care. Grounded in the Information-Motivation-Behavioral Skills (IMB) model of health behaviour change, we developed an intervention for persons with no prior history of using the Internet. The intervention included instruction in using hardware and search engines, motivational enhancement to increase interest and perceived relevance of the Internet, and skills for critically evaluating and using health information accessed via the Internet. Participants were also introduced to communication and support functions of the Internet including e-mail, newsgroups and chat groups. Pilot testing demonstrated feasibility, acceptability and promise for closing the digital divide in HIV/AIDS care using a relatively brief and intensive theory-based intervention that could be implemented in community settings.
信息技术的进步正在彻底改变医疗患者教育，互联网正成为患有慢性疾病（包括艾滋病毒/艾滋病）的人们的主要信息来源。然而，许多艾滋病患者无法平等地使用互联网，因此处于信息劣势，尤其是少数群体、低收入人群和受教育程度有限的个人。本文描述了一种研讨会式干预措施的开发和试点测试，该措施旨在消除艾滋病护理中的数字鸿沟。基于健康行为改变的信息 - 动机 - 行为技能（IMB）模型，我们为没有使用互联网历史的人开发了一种干预措施。该干预措施包括使用硬件和搜索引擎的指导、增强动机以提高对互联网的兴趣和感知相关性，以及批判性评估和使用通过互联网获取的健康信息的技能。参与者还被介绍了互联网的通信和支持功能，包括电子邮件、新闻组和聊天组。试点测试证明，使用一种相对简短且密集的基于理论的干预措施来消除艾滋病毒/艾滋病护理中的数字鸿沟是可行的、可接受的且有前景的，这种干预措施可以在社区环境中实施。
