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一项横断面调查评估了在一家土著社区控制的医疗服务机构就诊的患者自我报告健康风险相关电子数据采集的可接受性和可行性。

A cross-sectional survey assessing the acceptability and feasibility of self-report electronic data collection about health risks from patients attending an Aboriginal Community Controlled Health Service.

机构信息

Priority Research Centre for Health Behaviour, School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, Australia.

出版信息

BMC Med Inform Decis Mak. 2014 Apr 16;14:34. doi: 10.1186/1472-6947-14-34.

Abstract

BACKGROUND

Aboriginal Australians experience significantly worse health and a higher burden of chronic disease than non-Aboriginal Australians. Electronic self-report data collection is a systematic means of collecting data about health risk factors which could help to overcome screening barriers and assist in the provision of preventive health care. Yet this approach has not been tested in an Aboriginal health care setting. Therefore, the aim of this study was to examine the acceptability and feasibility of a health risk questionnaire administered on a touch screen laptop computer for patients attending an Aboriginal Community Controlled Health Service (ACCHS).

METHODS

In 2012, consecutive adult patients attending an ACCHS in rural New South Wales, Australia, were asked to complete a health risk survey on a touch screen computer. Health risk factors assessed in the questionnaire included smoking status, body mass index, and level of physical activity. The questionnaire included visual cues to improve accuracy and minimise literacy barriers and was completed while participants were waiting for their appointment.

RESULTS

A total of 188 participants completed the questionnaire, with a consent rate of 71%. The mean time taken to complete the questionnaire was less than 12 minutes. Over 90% of participants agreed that: the questionnaire instructions were easy to follow; the touch screen computer was easy to use; they had enough privacy; the questions were easy to understand; they felt comfortable answering all the questions.

CONCLUSIONS

Results indicate that the use of a touch screen questionnaire to collect information from patients about health risk factors affecting Aboriginal Australians is feasible and acceptable in the ACCHS setting. This approach has potential to improve identification and management of at-risk individuals, therein providing significant opportunities to reduce the burden of disease among Aboriginal Australians.

摘要

背景

澳大利亚原住民的健康状况明显较差,慢性病负担也比非原住民更重。电子自我报告数据收集是一种系统地收集健康风险因素数据的方法,有助于克服筛查障碍,并有助于提供预防保健。然而,这种方法尚未在原住民医疗保健环境中进行测试。因此,本研究的目的是检验在农村新南威尔士州的一个原住民社区控制的医疗服务(ACCHS)中,为就诊患者使用触摸屏笔记本电脑进行健康风险问卷的可接受性和可行性。

方法

2012 年,澳大利亚新南威尔士州农村的连续成年原住民患者在就诊时被要求在触摸屏计算机上完成健康风险调查。问卷中评估的健康风险因素包括吸烟状况、体重指数和身体活动水平。问卷包括视觉提示,以提高准确性并尽量减少读写障碍,同时参与者在等待预约时完成问卷。

结果

共有 188 名参与者完成了问卷,同意率为 71%。完成问卷的平均时间不到 12 分钟。超过 90%的参与者同意以下几点:问卷说明易于遵循;触摸屏计算机易于使用;他们有足够的隐私;问题易于理解;他们愿意回答所有问题。

结论

结果表明,在原住民社区控制的医疗服务环境中,使用触摸屏问卷从患者那里收集有关影响澳大利亚原住民健康风险因素的信息是可行且可接受的。这种方法有可能改善对高危人群的识别和管理,从而为减少澳大利亚原住民的疾病负担提供了重要机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c1f/4005463/5f2bdfdfe42c/1472-6947-14-34-1.jpg

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