a Centre of Inflammation and Metabolism/Centre for Physical Activity Research (CIM/CFAS) , Copenhagen University Hospital, Copenhagen, Denmark.
b Department of Public Health, University of Copenhagen, Copenhagen , Denmark.
Acta Oncol. 2019 May;58(5):610-618. doi: 10.1080/0284186X.2018.1562213. Epub 2019 Jan 30.
: During recent years, there has been an increased focus on technology within cancer survivorship and physical activity rehabilitation. Failure to acknowledge the individuals wishes and/or limitations in the use of technology introduces risk of neglecting or excluding low-resource individuals, thus adding to an already existing inequity within cancer management. It is important to identify vulnerable sub-populations with particular needs when introducing health technology to offer appropriate rehabilitation and support individuals in taking advantage of technology in their physical activity rehabilitation. We report how a population of cancer survivors referred to municipality-based rehabilitation can be segmented, according to their receptiveness and readiness for health technology utilization, to understand their potential barriers towards using technology. : We used a cross-sectional design with convenience sampling among Danish cancer survivors ( = 305) referred to rehabilitation. Participants completed a questionnaire survey covering background information and a new tool to assess self-reported health technology readiness. Demographic, disease and behavioral factors were described in relation to the participants' receptiveness to use technology in physical activity rehabilitation. Participants were stratified according to their health technology readiness and the resulting groups described with regards to the above-mentioned factors. : Almost 30% of the participants were un-receptive to use technology in relation to physical activity rehabilitation and were characterized by being more vulnerable with regards to sociodemographic characteristics and scoring lower on dimensions related to eHealth literacy. Stratification of the participants according to their health technology readiness profile revealed four distinct profiles that were significantly different in sociodemographic, disease and behavioral factors. : To reduce the risk of alienating low-resource individuals when introducing health technology, evaluation of the individuals' receptiveness to use technology in a rehabilitation context and their readiness for health technology may help tailor the extent to which technology should be offered to assist the cancer survivors.
近年来，癌症生存者和身体活动康复领域越来越关注技术。如果在使用技术时未能承认个人的意愿和/或限制，就会有忽视或排斥资源匮乏者的风险，从而加剧癌症管理中已经存在的不平等现象。在引入健康技术时，确定具有特殊需求的脆弱亚人群非常重要，以便为他们提供适当的康复，并帮助个人在身体活动康复中利用技术。我们报告了如何根据癌症幸存者对健康技术利用的接受程度和准备情况对接受市立康复治疗的癌症幸存者进行细分，以了解他们在使用技术方面可能存在的障碍。
我们采用横断面设计，对丹麦癌症幸存者（ = 305）进行了便利抽样。参与者完成了一份问卷，涵盖背景信息和一种新的工具，用于评估自我报告的健康技术准备情况。根据参与者对身体活动康复中使用技术的接受程度，描述了人口统计学、疾病和行为因素。根据健康技术准备情况对参与者进行分层，然后根据上述因素描述分层后的组。
近 30%的参与者对身体活动康复中使用技术不感兴趣，他们在社会人口统计学特征方面更脆弱，电子健康素养相关维度得分较低。根据健康技术准备情况对参与者进行分层，揭示了四个截然不同的群体，在社会人口统计学、疾病和行为因素方面存在显著差异。
为了降低在引入健康技术时疏远资源匮乏者的风险，评估个人在康复环境中使用技术的接受程度及其对健康技术的准备情况，可能有助于根据癌症幸存者的情况调整技术提供的程度，以帮助他们康复。
