Hamilton Emma C, Saiyed Faiez, Miller Charles C, Eguia Arturo, Fonseca Alexandra C, Baum George P, Tsao KuoJen, Austin Mary T
Department of Pediatric Surgery, The McGovern Medical School at the University of Texas Health Science Center at Houston, 6431 Fannin Street, Suite 5.258, Houston, TX 77030, United States; Center for Surgical Trials and Evidence-Based Practice, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, United States.
Department of Pediatric Surgery, The McGovern Medical School at the University of Texas Health Science Center at Houston, 6431 Fannin Street, Suite 5.258, Houston, TX 77030, United States.
J Pediatr Surg. 2018 Aug;53(8):1478-1493. doi: 10.1016/j.jpedsurg.2017.08.023. Epub 2017 Sep 1.
The purpose of this study was to identify mobile Health (mHealth) technology utilization among caregivers of pediatric surgery patients.
We provided a modified version of the 2012 mobile health survey from the Pew Research Center to English and Spanish-speaking caregivers of children aged <18years presenting to pediatric surgical outpatient clinics from June to July of 2016.
A total of 171 caregivers completed the survey and included 57 (34%) whites, 30 (18%) blacks, 75 (44%) Hispanics, and 6 (4%) other races. Among these, 160 (94%) were smartphone owners. mHealth users were identified as individuals who used their phone to look up health information online, receive text updates from healthcare providers or pharmacists, or use any health-related smartphone applications. On univariate ordered logistic regression, race/ethnicity, primary language, education level, and income quartile were associated with level of mHealth technology use. The majority of responders (n=126, 76%) said that they would be very or moderately interested in trying a new smartphone app related to management of their child's health.
While the majority of pediatric caregivers are smartphone owners, there are significant racial and socioeconomic differences in mHealth usage. Understanding these differences may be important in identifying barriers to adoption of mHealth technology.
Level IV case series with no comparison group.
本研究旨在确定小儿外科手术患者护理人员对移动健康（mHealth）技术的使用情况。
我们向2016年6月至7月到小儿外科门诊就诊的18岁以下儿童的英语和西班牙语护理人员提供了皮尤研究中心2012年移动健康调查的修改版。
共有171名护理人员完成了调查，其中包括57名（34%）白人、30名（18%）黑人、75名（44%）西班牙裔和6名（4%）其他种族。其中，160名（94%）是智能手机用户。移动健康用户被定义为使用手机在线查找健康信息、接收医疗保健提供者或药剂师的短信更新或使用任何与健康相关的智能手机应用程序的人。在单变量有序逻辑回归分析中，种族/民族、主要语言、教育水平和收入四分位数与移动健康技术的使用水平相关。大多数受访者（n = 126，76%）表示，他们会非常或中度有兴趣尝试一款与孩子健康管理相关的新智能手机应用程序。
虽然大多数小儿护理人员是智能手机用户，但在移动健康的使用方面存在显著的种族和社会经济差异。了解这些差异对于识别采用移动健康技术的障碍可能很重要。
无对照组的IV级病例系列。
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