Schueller Stephen M, Washburn Jason J, Price Matthew
Department of Preventive Medicine, Northwestern University, Center for Behavioral Intervention Technologies (CBITs).
Department of Psychiatry and Behavioral Sciences, Northwestern University; Alexian Brothers Behavioral Health Hospital.
Internet Interv. 2016 May;4(2):145-151. doi: 10.1016/j.invent.2016.06.004. Epub 2016 Jun 16.
A growing number of Internet sites and mobile applications are being developed intended for use in clinical practice. However, during the development process (e.g., creating features and determining use cases), the needs and interests of providers are often overlooked. We explored providers' interests using a mixed-methods approach incorporating both qualitative and quantitative research methods. A first study used an interview approach to identify the challenges providers faced, tools they used, and any use of computers and apps specifically. Fifteen providers from both the United States and Canada completed the interview and recordings were transcribed and analyzed using a constructivist grounded theory approach. Four primary themes were identified including challenges, potential tools, access and usability. A second study used a brief survey completed by 132 providers at a large healthcare system to explore current use of and potential interest in Internet and mobile technologies. Although many providers (80.9%) reported recommending some form of technology to patients, this was mostly Internet websites that were predominantly informational/psychoeducational in nature. Overall, these studies combine to suggest a strong interest in websites and apps for use in clinical settings while highlighting potential areas (ease of use, patient security and privacy) that should be considered in the design and deployment of these tools.
越来越多的互联网网站和移动应用程序正在被开发用于临床实践。然而,在开发过程中(例如,创建功能和确定用例),医疗服务提供者的需求和兴趣常常被忽视。我们采用定性和定量研究方法相结合的混合方法,探究了医疗服务提供者的兴趣。第一项研究采用访谈方法,以确定医疗服务提供者面临的挑战、他们使用的工具,以及具体对计算机和应用程序的使用情况。来自美国和加拿大的15名医疗服务提供者完成了访谈,访谈录音被转录,并采用建构主义扎根理论方法进行分析。确定了四个主要主题,包括挑战、潜在工具、获取和可用性。第二项研究使用了一项简短的调查问卷,由一个大型医疗系统的132名医疗服务提供者填写,以探究他们对互联网和移动技术的当前使用情况及潜在兴趣。尽管许多医疗服务提供者(80.9%)报告称向患者推荐过某种形式的技术,但大多是本质上主要提供信息/心理教育内容的互联网网站。总体而言,这些研究共同表明,医疗服务提供者对用于临床环境的网站和应用程序有着浓厚兴趣,同时突出了在设计和部署这些工具时应考虑的潜在领域(易用性、患者安全和隐私)。