Wang Wenxin, van Lint Céline L, Brinkman Willem-Paul, Rövekamp Ton J M, van Dijk Sandra, van der Boog Paul J M, Neerincx Mark A
Interactive Intelligence Group, Delft University of Technology, Mekelweg 4, 2628 CD, Delft, The Netherlands.
TNO, the Hague, The Netherlands.
BMC Med Inform Decis Mak. 2017 May 8;17(1):58. doi: 10.1186/s12911-017-0456-y.
Self-management support systems (SMSS) have been proposed for renal transplant patients to increase their autonomy and reduce the number of hospital visits. For the design and implementation of such systems, it is important to understand factors influencing patients' acceptance of a SMSS. This paper aims to identify these key factors.
From literature, possible factors and related questionnaire items were identified. Afterwards, focus groups with experts and patients were conducted to adapt the items to the application domain. To investigate acceptance of a SMSS and the influencing factors, fifty renal transplant patients answered the questionnaire before and after using the SMSS for 4 months.
All the questionnaire constructs had a satisfactory or higher level of reliability. After using the SMSS for 4 months, trust and performance expectancy could explain part of the variation in behavioural intention of using the SMSS, but not beyond the explanation given by patients' affect towards the system, which accounted for 26% of the variance.
We anticipate that in future caregivers implementing a SMSS will benefit from taking steps to improve patients' affect as this was found to correlate with patients use intention.
The study was registered in ToetsingOnline, a registry held by the Dutch Central Committee on Research Involving Human Subjects. The registration number is NL33387.058.11 , and the date of registration is 31st July 2012.
已为肾移植患者提出自我管理支持系统（SMSS），以增强他们的自主性并减少医院就诊次数。对于此类系统的设计和实施，了解影响患者接受SMSS的因素很重要。本文旨在确定这些关键因素。
从文献中确定可能的因素及相关问卷项目。之后，与专家和患者进行焦点小组讨论，以使这些项目适用于应用领域。为调查对SMSS的接受情况及影响因素，50名肾移植患者在使用SMSS 4个月前后回答了问卷。
所有问卷结构的信度都达到了令人满意或更高的水平。使用SMSS 4个月后，信任和绩效期望可以解释使用SMSS行为意向的部分变异，但无法超出患者对该系统的情感所给出的解释，后者占变异的26%。
我们预计，未来实施SMSS的护理人员将从采取措施改善患者情感中受益，因为已发现这与患者的使用意向相关。
该研究已在ToetsingOnline注册，ToetsingOnline是荷兰涉及人类受试者研究中央委员会持有的一个注册机构。注册号为NL33387.058.11，注册日期为2012年7月31日。
