University of Sydney, Camperdown, New South Wales, Australia.
Royal North Shore Hospital, St Leonards, and University of Sydney, Camperdown, New South Wales, Australia.
Arthritis Care Res (Hoboken). 2019 Jan;71(1):46-55. doi: 10.1002/acr.23572.
To qualitatively examine the experiences with, and impact of, evidence-based online resources in self-management among Australians with osteoarthritis.
Telephone interviews were conducted with 36 users of a novel osteoarthritis resource, the Osteoarthritis Awareness Hub. Rogers' 5 attributes of innovation (relative advantage, compatibility, complexity, trialability, and observability) and outcomes guided the semistructured interview and analysis. Maximum variation sampling was used, and data saturation occurred after 33 interviews. A coding scheme was agreed upon and all interview data were entered into NVivo for qualitative content analysis.
Study participants had high levels of literacy and health literacy. For adoption and implementation of an innovation, the participants' narratives confirmed and underscored the fact that it was important that it come from an authoritative and trusting voice and that its perceived benefits align with participants' values and existing practices (relative advantage and compatibility). The participants also valued seeing the practical benefits of the innovation, such as its capacity to impart quality and balanced new insights and information, and to maintain and monitor their personal progress. Notably, many participants spoke about the mental and physical health benefits that they derived from engagement with the online resources.
Our study findings confirm that web-based tools can be a useful adjunct to patients adopting self-management strategies. Rogers' theory provides a framework for a deeper appreciation of the how, why, and what questions concerning the adoption and implementation processes, especially among people with good technology and health literacy.
定性研究澳大利亚骨关节炎患者在自我管理中使用基于证据的在线资源的体验及其影响。
对一种新型骨关节炎资源（骨关节炎意识中心）的 36 名使用者进行了电话访谈。罗杰斯的创新的 5 个属性（相对优势、兼容性、复杂性、试验性和可观察性）和结果指导了半结构化访谈和分析。采用最大变异抽样，在进行了 33 次访谈后达到数据饱和。达成了一个编码方案，并将所有访谈数据输入 NVivo 进行定性内容分析。
研究参与者具有较高的文化程度和健康素养。对于创新的采用和实施，参与者的叙述证实并强调了一个事实，即它来自一个权威和值得信赖的声音，并且其被认为的好处与参与者的价值观和现有实践相一致（相对优势和兼容性）非常重要。参与者还重视看到创新的实际好处，例如它能够传授优质且平衡的新见解和信息，并保持和监测他们的个人进展。值得注意的是，许多参与者谈到了他们从在线资源的参与中获得的身心健康益处。
我们的研究结果证实，基于网络的工具可以作为患者采用自我管理策略的有用辅助手段。罗杰斯的理论为更深入地了解采用和实施过程中的“如何”、“为什么”和“什么”问题提供了一个框架，尤其是在具有良好技术和健康素养的人群中。
