Municipal Health Service West-Brabant, Breda, The Netherlands.
Municipal Health Service Hart Voor Brabant, 'S-Hertogenbosch, The Netherlands.
J Prev (2022). 2022 Feb;43(1):25-48. doi: 10.1007/s10935-021-00651-2. Epub 2021 Oct 29.
This pilot study assessed the acceptance and use of the e-Health instrument "the Personal Health Check" (PHC) among clients and professionals in primary care settings. By filling in the online PHC instrument, participants were provided insights into their health and lifestyle. When results revealed an increased health risk, participants were advised to undertake additional lab tests measuring blood pressure and haemaglobin levels. Based on the online questionnaire and optional lab tests, participants then received a report that included individually-tailored feedback from the e-Health application about personal health risks and suggestions for health interventions. The PHC was implemented in 2016 in four Dutch municipalities that determined which neighbourhood(s) the PHC targeted and how participants were invited. The Unified Theory of Acceptance and Use of Technology was used as a theoretical framework to address our research questions. Methods used to assess acceptance were: PHC instrument data, data from additional questionnaires completed by PHC participants, focus groups with PHC participants and professionals in primary care, and telephone interviews with non-responders to the invitation to participate in the online PHC. Of the 21,735 invited, 12% participated. Our results showed that participants and professionals in this pilot were predominantly positive about the PHC. Participants reported that they made an effort to apply the PHC lifestyle advice they received. Almost all had the knowledge and resources needed to use the PHC online instrument. Invitations from general practitioners almost doubled participation relative to invitations from the sponsoring municipalities. The overall low response rate, however, suggests that the PHC is unsuitable as a foundation on which to develop local public health policy.
本初步研究评估了电子健康工具“个人健康检查”（PHC）在初级保健环境中的客户和专业人员中的接受度和使用情况。参与者通过填写在线 PHC 仪器，深入了解他们的健康和生活方式。当结果显示健康风险增加时，建议参与者进行额外的血压和血红蛋白水平的实验室测试。根据在线问卷和可选的实验室测试，参与者随后收到一份报告，其中包括来自电子健康应用程序的个人健康风险的个性化反馈和健康干预建议。PHC 于 2016 年在四个荷兰市实施，这些市确定了 PHC 针对的是哪个（些）社区以及如何邀请参与者。统一接受和使用技术理论被用作理论框架来解决我们的研究问题。用于评估接受度的方法是：PHC 仪器数据、由 PHC 参与者完成的其他问卷数据、与 PHC 参与者和初级保健专业人员的焦点小组以及未回复邀请参加在线 PHC 的非参与者的电话访谈。在 21735 名受邀者中，有 12%的人参与了调查。我们的研究结果表明，该试点的参与者和专业人员对 PHC 基本持积极态度。参与者报告说，他们努力应用他们收到的 PHC 生活方式建议。几乎所有人都具备使用 PHC 在线工具所需的知识和资源。与来自赞助市的邀请相比，全科医生的邀请几乎使参与率翻了一番。然而，总体低响应率表明 PHC 不适合作为制定地方公共卫生政策的基础。
