Paige Samantha R, Wilczewski Hattie, Casale Thomas B, Bunnell Brian E
Doxy.me Research, Doxy.me Inc, Rochester, NY, USA.
College of Journalism and Communications, University of Florida, Gainesville, FL, USA.
World Allergy Organ J. 2021 Nov 5;14(11):100603. doi: 10.1016/j.waojou.2021.100603. eCollection 2021 Nov.
Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality, despite evidence there is a high proportion of underdiagnosis. Online screening assessments are low-cost solutions to identify high-risk adults who may benefit from confirmatory screening (ie, spirometry test). Little evidence exists to support whether high-risk adults seek advice after completing COPD screening assessments and from whom. The purpose of this study is to examine how the perceived quality of an online screening assessment influences high-risk adults to seek advice from a healthcare provider or other online resources.
Adults without a prior COPD diagnosis ( = 199) completed an online survey that included a computer-tailored assessment programmed with the clinically validated COPD Population Screener (COPD-PS).
An elevated COPD risk score was associated with expectations to talk with a healthcare provider ( < 0.05) or go on the Internet ( < 0.05) to get advice, controlling for statistically significant covariates. Positive perceptions about the quality of the risk score was associated with strengthened expectations to speak with a healthcare provider, but only among high-risk adults ( < 0.01).
Results of this study support the use of computer-tailored screening assessments as a scalable solution to encourage high-risk adults to learn more about COPD. Strengthened perceptions about the quality of an online COPD screening assessment increased the likelihood that high-risk adults will speak with their healthcare provider about the condition. Implications are discussed for leveraging telehealth solutions, such as conversational agents (ie, chatbots), to disseminate COPD screening assessments and alleviate its underdiagnosis.
not applicable.
慢性阻塞性肺疾病（COPD）是发病和死亡的主要原因，尽管有证据表明存在高比例的漏诊情况。在线筛查评估是识别可能从确诊筛查（即肺功能测试）中受益的高危成年人的低成本解决方案。几乎没有证据支持高危成年人在完成COPD筛查评估后是否会寻求建议以及向谁寻求建议。本研究的目的是探讨在线筛查评估的感知质量如何影响高危成年人向医疗保健提供者或其他在线资源寻求建议。
未被先前诊断为COPD的成年人（n = 199）完成了一项在线调查，其中包括使用经过临床验证的COPD人群筛查工具（COPD-PS）进行编程的计算机定制评估。
在控制了具有统计学意义的协变量后，COPD风险评分升高与期望与医疗保健提供者交谈（P < 0.05）或上网（P < 0.05）获取建议相关。对风险评分质量的积极看法与与医疗保健提供者交谈的期望增强相关，但仅在高危成年人中（P < 0.01）。
本研究结果支持使用计算机定制筛查评估作为一种可扩展的解决方案，以鼓励高危成年人更多地了解COPD。对在线COPD筛查评估质量的看法增强增加了高危成年人就该疾病与医疗保健提供者交谈的可能性。讨论了利用远程医疗解决方案（如对话代理，即聊天机器人）来传播COPD筛查评估并减轻其漏诊的意义。
不适用。
