自我效能、网络自我效能和代理效能作为芬兰心理健康服务使用者使用数字社交和医疗保健服务的预测因素：一项横断面研究。
Self-Efficacy, Internet Self-Efficacy, and Proxy Efficacy as Predictors of the Use of Digital Social and Health Care Services Among Mental Health Service Users in Finland: A Cross-Sectional Study.
作者信息
Tetri Birgitta, Juujärvi Soile
机构信息
Laurea University of Applied Sciences, Vantaa, Finland.
Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.
出版信息
Psychol Res Behav Manag. 2022 Feb 15;15:291-303. doi: 10.2147/PRBM.S340867. eCollection 2022.
BACKGROUND
The COVID-19 pandemic has accelerated the digitalization of services, but at the same time, some user groups are excluded due to a lack of digital skills. One of the vulnerable groups is people with mental health problems. It has previously been found that self-efficacy beliefs explain the use of digital technology, but the role of social support is largely unexamined. Bandura's concept of proxy agency provides a useful concept to investigate the role of social support in using digital services.
OBJECTIVE
The study investigates sources of social support and the effect of proxy agency, Internet efficacy, and self-efficacy beliefs on the intention to use digital health and social care services.
METHODS
Participants (N = 121) were users in community-based mental health services who were recruited through four organizations in southern Finland for a cross-sectional study. The scales for proxy agency and intention to use services were developed for purpose of the study. The questionnaire also comprised self-efficacy and Internet efficacy scales. Quantitative data were analyzed using descriptive statistics and linear regression analysis.
RESULTS
Both Internet self-efficacy and proxy efficacy ( < 0.001) predicted the intention to use digital health and social care services. Self-efficacy had an indirect positive effect on intention through Internet self-efficacy. Family members and friends were the main source of social support in using digital services.
CONCLUSION
Internet self-efficacy and proxy efficacy are important contributors to the intention to use digital health and social care services. Proxy agents may serve as facilitators to reduce the digital divide and promote the use of digital services by complementing individuals' self-efficacy and Internet self-efficacy beliefs. It is important to develop different forms of social support, such as peer support, to enhance the quality of proxy agency. The limitations of proxy agency are discussed.
背景
新冠疫情加速了服务数字化，但与此同时，一些用户群体因缺乏数字技能而被排除在外。弱势群体之一是有心理健康问题的人。此前发现自我效能信念可解释数字技术的使用情况，但社会支持的作用在很大程度上未得到研究。班杜拉的代理机构概念为研究社会支持在使用数字服务中的作用提供了一个有用的概念。
目的
本研究调查社会支持的来源以及代理机构、网络效能和自我效能信念对使用数字健康和社会护理服务意愿的影响。
方法
参与者（N = 121）是社区心理健康服务的用户，通过芬兰南部的四个组织招募，进行横断面研究。为该研究目的开发了代理机构和使用服务意愿的量表。问卷还包括自我效能和网络效能量表。使用描述性统计和线性回归分析对定量数据进行分析。
结果
网络自我效能和代理效能（<0.001）均预测了使用数字健康和社会护理服务的意愿。自我效能通过网络自我效能对意愿产生间接的积极影响。家庭成员和朋友是使用数字服务时社会支持的主要来源。
结论
网络自我效能和代理效能是使用数字健康和社会护理服务意愿的重要促成因素。代理机构可以作为促进者，通过补充个人的自我效能和网络自我效能信念来减少数字鸿沟并促进数字服务的使用。发展不同形式的社会支持，如同伴支持，以提高代理机构的质量很重要。讨论了代理机构的局限性。
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