Nursing Department, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Wuhan Mental Health Center-affiliated Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
JMIR Mhealth Uhealth. 2021 Jan 27;9(1):e23155. doi: 10.2196/23155.
BACKGROUND: Parental involvement in mobile health (mHealth) to consult with medical professionals appears to be prevalent in China with the rapid development of the internet. More parents with busy jobs have chosen to use mHealth. During the ongoing COVID-19 outbreak, mHealth can assist with health promotion, directions for medication use, and disease diagnosis via online chat and video consultation without contacting others. To our knowledge, no studies have been performed to explore the role of mHealth in parents' attitudes toward child health care at home during the COVID-19 outbreak. OBJECTIVE: This study aims to identify the associated factors of willingness to adopt mHealth among Chinese parents during the COVID-19 outbreak and to explore the correlation between the frequency of adopting mHealth and parents' attitudes toward child health care at home. METHODS: Chinese parents were asked to complete an online survey from January 25 to February 15, 2020. The questionnaire comprised of two parts with a total of 16 items, including parents' demographic variables and attitudes toward child health care at home. By multivariate logistic regression, we explored factors associated with parents' willingness to adopt mHealth during the COVID-19 outbreak. Pearson chi-square tests were used to reveal the correlation between the frequency of adopting mHealth and parents' attitudes toward child health care at home. RESULTS: A total of 254 parents enrolled, and 202 (79.5%) parents were willing to adopt mHealth during the COVID-19 outbreak. Parents' age (26-35 years: adjusted odds ratio [AOR] 8.114, 95% CI 1.471-44.764), parents' interest in the COVID-19 pandemic (moderate: AOR 8.753, 95% CI 2.009-38.127; high: AOR 22.194, 95% CI 5.509-89.411), the source that recommended mHealth (medical health providers: AOR 4.257, 95% CI 1.439-12.596), the presence of chronic disease in their children (yes: AOR 20.844, 95% CI 4.600-94.443), parents' duration of daily internet use (4-6 hours: AOR 6.487, 95% CI 1.870-22.495; >6 hours: AOR 8.766, 95% CI 1.883-40.804), and adoption of mHealth before the COVID-19 outbreak (yes: AOR 3.413, 95% CI 1.234-9.444) were significantly correlated with the parents' willingness to adopt mHealth during the COVID-19 outbreak. The frequency of mHealth use among parents was correlated with their behaviors in regard to handwashing (χ=18.967, P=.004), mask wearing (χ=45.364, P<.001), frequency of leaving the home (χ=16.767, P=.01), room disinfection and ventilation (χ=19.515, P=.003), temperature checking (χ=17.47, P=.007), and mental health care of children (χ=63.810, P<.001) during the COVID-19 pandemic. CONCLUSIONS: We found various objective factors that were associated with parents' willingness to adopt mHealth during the COVID-19 outbreak. Overall, parents' willingness to adopt mHealth was high. The frequency of mHealth use among parents was correlated with their attitudes toward child health care at home. The option of mHealth to patients at home during the COVID-19 outbreak would be beneficial for education and improvement in self-management of child health care at home.
背景:随着互联网的快速发展,父母通过移动医疗(mHealth)咨询医疗专业人员的现象在中国似乎很普遍。越来越多工作繁忙的父母选择使用 mHealth。在持续的 COVID-19 疫情期间,mHealth 可以通过在线聊天和视频咨询来协助健康促进、用药指导和疾病诊断,而无需与他人接触。据我们所知,在 COVID-19 疫情期间,没有研究探讨 mHealth 在父母对儿童家庭保健态度方面的作用。
目的:本研究旨在确定中国父母在 COVID-19 疫情期间采用 mHealth 的相关因素,并探讨采用 mHealth 的频率与父母对儿童家庭保健态度之间的相关性。
方法:从 2020 年 1 月 25 日至 2 月 15 日,中国父母被要求完成在线调查。问卷分为两部分,共 16 项,包括父母的人口统计学变量和对儿童家庭保健的态度。通过多变量逻辑回归,我们探讨了与父母在 COVID-19 疫情期间采用 mHealth 意愿相关的因素。通过皮尔逊卡方检验,揭示了采用 mHealth 的频率与父母对儿童家庭保健态度之间的相关性。
结果:共有 254 位父母参与,其中 202 位(79.5%)父母在 COVID-19 疫情期间愿意采用 mHealth。父母的年龄(26-35 岁:调整后的优势比[OR]8.114,95%置信区间[CI]1.471-44.764)、对 COVID-19 疫情的兴趣(中度:OR 8.753,95%CI 2.009-38.127;高度:OR 22.194,95%CI 5.509-89.411)、推荐 mHealth 的来源(医疗保健提供者:OR 4.257,95%CI 1.439-12.596)、子女是否患有慢性病(是:OR 20.844,95%CI 4.600-94.443)、父母每天上网的时间(4-6 小时:OR 6.487,95%CI 1.870-22.495;>6 小时:OR 8.766,95%CI 1.883-40.804)和 COVID-19 疫情前是否采用 mHealth(是:OR 3.413,95%CI 1.234-9.444)与父母在 COVID-19 疫情期间采用 mHealth 的意愿显著相关。父母采用 mHealth 的频率与他们在洗手(χ=18.967,P=.004)、戴口罩(χ=45.364,P<.001)、离家频率(χ=16.767,P=.01)、房间消毒和通风(χ=19.515,P=.003)、体温检查(χ=17.47,P=.007)和儿童心理健康保健(χ=63.810,P<.001)方面的行为相关。
结论:我们发现了与父母在 COVID-19 疫情期间采用 mHealth 意愿相关的各种客观因素。总体而言,父母采用 mHealth 的意愿较高。父母采用 mHealth 的频率与他们对儿童家庭保健的态度相关。在 COVID-19 疫情期间,为在家中的患者提供 mHealth 选项将有利于教育和改善儿童家庭保健的自我管理。
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