Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, Lund, SE-22100, Sweden.
Department of Computer Science, Lund University, Lund, Sweden.
BMC Pediatr. 2023 Oct 21;23(1):524. doi: 10.1186/s12887-023-04340-3.
A specific eHealth device, a surf tablet, was developed for bridging between advanced in-hospital care and children's homes. Since little is known about determinators for parental eHealth usage, the study's aim was to explore if parents' usage of the device was associated with their eHealth literacy, or their satisfaction with their child's healthcare or with the specific surf tablet.
In this explorative usage and questionnaire study, parents to neonates who were discharged home after advanced in-hospital care were included. Their surf tablet usage at maximum 30 days after discharge was reported as frequency (%) of active days (usage days/days having the device) and median number of tablet activities (chat and photo) per usage day. eHealth literacy (eHealth Literacy Questionnaire; eHLQ), healthcare satisfaction (PedsQL Healthcare Satisfaction Generic Module), and satisfaction with the surf tablet were explored regarding tablet usage. Statistics were described in median (range) and (%) using non-parametric and regression models (p < 0.05).
Parents to 32 children (11 premature, 21 operated) were included. Active days with eHealth communication using the device was 39% (9.0/29.5), with 2.0 (1.0-4.2) usage occasions per active day. Activity on the tablet was higher among parents reporting to be very satisfied or satisfied with the device (n = 25) compared with neutral/dissatisfied parents (n = 7) (2.8 vs. 2.2 vs. 1.6 activities) (p = 0.030), while their frequency of active days did not differ (31.6% vs. 38.3% vs. 40%) (p = 0.963). A higher eHealth literacy was not associated with frequency of active days (0.926 (0.652-1.317); p = 0.659) or number of eHealth activities (0.973 (0.758-1.250); p = 0.825). Healthcare satisfaction was not associated with higher frequency of active days 0.996 (0.983-1.009; p = 0.519); neither was number of eHealth activities 1.001 (0.991-1.011; p = 0.883).
In this study, eHealth usage was associated with parental satisfaction with the specific eHealth device, but not with eHealth literacy or healthcare satisfaction. To assure equal access to healthcare when using eHealth, the user-friendliness of the device seems to be crucial, and technical support needs to be in place.
NCT04150120 (04/11/2019).
为了在高级院内护理和儿童福利院之间架起沟通的桥梁，专门开发了一种特定的电子健康设备，即冲浪平板电脑。由于人们对父母使用电子健康设备的决定因素知之甚少，因此本研究旨在探讨父母对该设备的使用是否与他们的电子健康素养、对孩子医疗保健的满意度或对特定冲浪平板电脑的满意度有关。
在这项探索性使用和问卷调查研究中，我们招募了在接受高级院内护理后出院回家的新生儿的父母。他们在出院后 30 天内使用冲浪平板电脑的情况，通过主动使用天数（使用天数/拥有设备的天数）和每天使用平板电脑的活动次数（聊天和拍照）的中位数来报告。电子健康素养（电子健康素养问卷；eHLQ）、医疗保健满意度（PedsQL 医疗保健满意度通用模块）以及对冲浪平板电脑的满意度，被用来评估平板电脑的使用情况。使用非参数和回归模型（p<0.05）以中位数（范围）和百分比（%）描述统计数据。
共有 32 名儿童的父母（11 名早产儿，21 名手术儿童）参与了研究。使用该设备进行电子健康沟通的主动天数为 39%（9.0/29.5），每天的使用次数为 2.0（1.0-4.2）次。与对设备感到非常满意或满意的父母（n=25）相比，对设备感到中性/不满意的父母（n=7）在平板电脑上的活动更多（n=25）（2.8 比 2.2 比 1.6 次）（p=0.030），而他们的主动使用天数并没有差异（31.6%比 38.3%比 40%）（p=0.963）。更高的电子健康素养与主动使用天数（0.926（0.652-1.317）；p=0.659）或电子健康活动次数（0.973（0.758-1.250）；p=0.825）无关。医疗保健满意度与更高的主动使用天数无关（0.996（0.983-1.009）；p=0.519）；电子健康活动次数也无关（1.001（0.991-1.011）；p=0.883）。
在这项研究中，电子健康设备的使用与父母对特定电子健康设备的满意度有关，但与电子健康素养或医疗保健满意度无关。为了确保在使用电子健康时获得平等的医疗保健机会，设备的易用性似乎至关重要，并且需要提供技术支持。
NCT04150120（2019 年 4 月 11 日）。
