Jiang Yun, West Brady T, Barton Debra L, Harris Marcelline R
School of Nursing, University of Michigan, Ann Arbor, Michigan, USA.
Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Stud Health Technol Inform. 2017;245:131-135.
Cancer survivors' acceptance and use of eHealth/mHealth applications for self-management can be unique and are not fully understood. We used data from the Health Information National Trends Survey 4 Cycle 4 to examine cancer survivors' acceptance and use of eHealth/mHea applications for key self-management processes, and conducted logistic regression and Rao-Scott design-adjusted Chi-square tests to assess bivariate associations between potential predictors and actual use. Potential factors were selected based on the Individual and Family Self-Management theory. High acceptance of eHealth applictions was identified, and adoption of mHealth was relatively low. Younger, higher educated, married, employed, and higher income survivors tended to use eHealth/mHealth applications for self-management. Survivors who were newly diagnosed or still on treatment were more likely to look for cancer information online or communicate with health providers electronically. BMI and rural residency were associated with use of mHealth apps to achieve a health-related goal and treatment decision-making.
癌症幸存者对用于自我管理的电子健康/移动健康应用程序的接受度和使用情况可能具有独特性,且尚未得到充分理解。我们使用了来自《健康信息国家趋势调查》第4周期第4轮的数据,来研究癌症幸存者对用于关键自我管理流程的电子健康/移动健康应用程序的接受度和使用情况,并进行了逻辑回归分析和经Rao-Scott设计调整的卡方检验,以评估潜在预测因素与实际使用之间的双变量关联。潜在因素是根据个人和家庭自我管理理论选择的。结果发现,对电子健康应用程序的接受度较高,而移动健康的采用率相对较低。年龄较小、受教育程度较高、已婚、就业且收入较高的幸存者倾向于使用电子健康/移动健康应用程序进行自我管理。新确诊或仍在接受治疗的幸存者更有可能在网上查找癌症信息或与医疗服务提供者进行电子通信。体重指数和农村居住情况与使用移动健康应用程序以实现与健康相关的目标及治疗决策有关。