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西班牙裔流动农场工人对基于手机的远程医疗用于慢性病管理的态度。

Hispanic migrant farm workers' attitudes toward mobile phone-based telehealth for management of chronic health conditions.

作者信息

Price Matthew, Williamson Deborah, McCandless Romina, Mueller Martina, Gregoski Mathew, Brunner-Jackson Brenda, Treiber Eveline, Davidson Lydia, Treiber Frank

机构信息

National Crime Victims Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.

出版信息

J Med Internet Res. 2013 Mar 30;15(4):e76. doi: 10.2196/jmir.2500.

Abstract

BACKGROUND

Mobile phone-based interventions present a means of providing high quality health care to hard-to-reach underserved populations. Migrant farm workers (MFWs) are among the most underserved populations in the United States due to a high prevalence of chronic diseases yet limited access to health care. However, it is unknown if MFWs have access to mobile phone devices used in mobile health (mHealth) interventions, or if they are willing to use such technologies.

OBJECTIVE

Determine rates of ownership of mobile devices and willingness to use mHealth strategies in MFWs.

METHODS

A demonstration of mHealth devices and a survey were individually administered to 80 Hispanic MFWs to evaluate use of mobile phones and mHealth devices and willingness to use such technologies.

RESULTS

Of the 80 participants, 81% (65/80) owned cell phones capable of sending and receiving health-related messages. Most participants (65/80, 81%) were receptive to using mHealth technology and felt it would be helpful in enhancing medication adherence, self-monitoring health conditions, and receiving quicker medication changes from their doctors (median scores ≥4 on 5-point Likert scales). Relations between age and attitudes toward using mHealth were not statistically significant.

CONCLUSIONS

Hispanic MFWs have access to mobile phones and are willing to use mHealth devices. Future work is needed to comprehensively evaluate the degree to which these devices could be used.

摘要

背景

基于手机的干预措施为向难以接触到的、服务不足的人群提供高质量医疗保健提供了一种手段。流动农场工人是美国服务最不足的人群之一,因为他们慢性病患病率高,但获得医疗保健的机会有限。然而,尚不清楚流动农场工人是否能够使用移动健康(mHealth)干预措施中使用的手机设备,或者他们是否愿意使用此类技术。

目的

确定流动农场工人中移动设备的拥有率以及使用移动健康策略的意愿。

方法

分别对80名西班牙裔流动农场工人进行移动健康设备演示和调查,以评估手机和移动健康设备的使用情况以及使用此类技术的意愿。

结果

在80名参与者中,81%(65/80)拥有能够收发与健康相关信息的手机。大多数参与者(65/80,81%)愿意使用移动健康技术,并认为这将有助于提高用药依从性、自我监测健康状况以及更快地从医生那里获得用药调整(在5分制李克特量表上中位数得分≥4)。年龄与使用移动健康的态度之间的关系无统计学意义。

结论

西班牙裔流动农场工人能够使用手机,并愿意使用移动健康设备。需要开展进一步工作以全面评估这些设备的可用程度。

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