心血管疾病患者对语音技术的准备情况：横断面研究。
Readiness for Voice Technology in Patients With Cardiovascular Diseases: Cross-Sectional Study.
机构信息
Department of Epidemiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.
Student Scientific Society, Department of Epidemiology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.
出版信息
J Med Internet Res. 2020 Dec 17;22(12):e20456. doi: 10.2196/20456.
BACKGROUND
The clinical application of voice technology provides novel opportunities in the field of telehealth. However, patients' readiness for this solution has not been investigated among patients with cardiovascular diseases (CVD).
OBJECTIVE
This paper aims to evaluate patients' anticipated experiences regarding telemedicine, including voice conversational agents combined with provider-driven support delivered by phone.
METHODS
A cross-sectional study enrolled patients with chronic CVD who were surveyed using a validated investigator-designed questionnaire combining 19 questions (eg, demographic data, medical history, preferences for using telehealth services). Prior to the survey, respondents were educated on the telemedicine services presented in the questionnaire while being assisted by a medical doctor. Responses were then collected and analyzed, and multivariate logistic regression was used to identify predictors of willingness to use voice technology.
RESULTS
In total, 249 patients (mean age 65.3, SD 13.8 years; 158 [63.5%] men) completed the questionnaire, which showed good repeatability in the validation procedure. Of the 249 total participants, 209 (83.9%) reported high readiness to receive services allowing for remote contact with a cardiologist (176/249, 70.7%) and telemonitoring of vital signs (168/249, 67.5%). The voice conversational agents combined with provider-driven support delivered by phone were shown to be highly anticipated by patients with CVD. The readiness to use telehealth was statistically higher in people with previous difficulties accessing health care (OR 2.920, 95% CI 1.377-6.192) and was most frequent in city residents and individuals reporting a higher education level. The age and sex of the respondents did not impact the intention to use voice technology (P=.20 and P=.50, respectively).
CONCLUSIONS
Patients with cardiovascular diseases, including both younger and older individuals, declared high readiness for voice technology.
背景
语音技术的临床应用为远程医疗领域提供了新的机会。然而，心血管疾病患者对该解决方案的准备情况尚未在心血管疾病患者中进行调查。
目的
本文旨在评估患者对远程医疗的预期体验，包括结合电话提供的医生驱动支持的语音对话代理。
方法
一项横断面研究招募了患有慢性心血管疾病的患者，他们使用经过验证的研究人员设计的问卷进行调查，该问卷结合了 19 个问题（例如，人口统计学数据、病史、使用远程医疗服务的偏好）。在调查之前，通过医生协助对问卷中介绍的远程医疗服务对受访者进行教育。然后收集和分析响应，并使用多元逻辑回归来确定使用语音技术的意愿的预测因素。
结果
共有 249 名患者（平均年龄 65.3 ± 13.8 岁；158 [63.5%] 名男性）完成了问卷，该问卷在验证过程中显示出良好的可重复性。在 249 名总参与者中，209 名（83.9%）报告说准备好接受允许与心脏病专家进行远程联系的服务（176/249，70.7%）和远程监测生命体征（168/249，67.5%）。语音对话代理与电话提供的医生驱动支持相结合，被心血管疾病患者高度期待。在以前难以获得医疗保健的人群中，使用远程医疗的准备程度在统计学上更高（OR 2.920，95%CI 1.377-6.192），在城市居民和报告受过高等教育的人群中最为常见。受访者的年龄和性别对使用语音技术的意愿没有影响（分别为 P=.20 和 P=.50）。
结论
包括年轻和年长个体在内的心血管疾病患者对语音技术表现出高度的准备。
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