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疑似乳腺癌患者使用 READHY 工具的健康技术准备情况 - 一项横断面研究。

Health Technology Readiness amongst Patients with Suspected Breast Cancer Using the READHY-tool - a Cross-sectional Study.

机构信息

Research Unit for Plastic Surgery, Odense University Hospital, J.B. Winsløws Vej 4, Indgang 20 Penthouse 2. sal, Odense C, DK, 5000, Denmark.

OPEN, Open Patient Data Explorative Network, Odense University Hospital, Region of Southern, Odense, Denmark.

出版信息

J Med Syst. 2023 Nov 16;47(1):118. doi: 10.1007/s10916-023-02016-0.


DOI:10.1007/s10916-023-02016-0
PMID:37971517
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10654165/
Abstract

Information technologies are increasingly used when informing patients about their disease, treatment and prognosis. These digital platforms have many advantages compared to traditional education interventions. However, there are concerns that some patients may have difficulty with this mode of information delivery. Newly diagnosed breast cancer patients are dependent on understanding their treatment options to make informed treatment decisions. Yet, there is a lack of published material on breast cancer patients and their relationship with technology. We aimed to assess health technology readiness profiles amongst women with a suspected breast cancer diagnosis. Secondly, we wanted to investigate the potential differences between these profiles according to sociodemographic factors and the patients´ current use of technology. This cross-sectional study used the Readiness and Enablement Index for Health Technology (READHY) questionnaire. We included all patients (n = 92) referred to our department with suspected breast cancer. Cluster analysis revealed three distinct profiles: medium (n = 54), high (n = 18), and low (n = 20) health technology readiness. The third profile showed difficulties in health literacy, eHealth literacy, and health insights, along with higher emotional stress. Our study found that most patients had medium to high health technology readiness, but we also identified a group with lower health technology readiness. Based on our results, healthcare personnel dealing with women with suspected breast cancer should be aware of patients struggling with health technology. Age and technology familiarity may indicate vulnerable patients. Future studies should explore optimal methods for information delivery to these distinct profiles and evaluate the long-term impacts.

摘要

信息技术在向患者告知其疾病、治疗和预后方面的应用越来越多。与传统的教育干预措施相比,这些数字平台具有许多优势。然而,有人担心有些患者可能难以接受这种信息传递方式。新诊断出的乳腺癌患者依赖于了解其治疗选择,以便做出明智的治疗决策。然而,关于乳腺癌患者及其与技术的关系的相关文献却很少。我们旨在评估疑似乳腺癌诊断患者的健康技术准备情况。其次,我们希望根据社会人口因素和患者当前的技术使用情况,调查这些特征之间的潜在差异。这项横断面研究使用了健康技术准备和启用指数(READHY)问卷。我们纳入了所有因疑似乳腺癌而被转诊至我们科室的患者(n=92)。聚类分析显示了三种不同的特征:中等(n=54)、高(n=18)和低(n=20)健康技术准备度。第三个特征表现出健康素养、电子健康素养和健康洞察力方面的困难,以及更高的情绪压力。我们的研究发现,大多数患者具有中等至高度的健康技术准备,但我们也发现了一组健康技术准备较低的患者。根据我们的研究结果,处理疑似乳腺癌患者的医护人员应该意识到,有些患者在使用健康技术方面存在困难。年龄和技术熟悉度可能表明患者较为脆弱。未来的研究应探索向这些不同特征传递信息的最佳方法,并评估其长期影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a19/10654165/90798532af7b/10916_2023_2016_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a19/10654165/a657918979db/10916_2023_2016_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a19/10654165/90798532af7b/10916_2023_2016_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a19/10654165/a657918979db/10916_2023_2016_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a19/10654165/90798532af7b/10916_2023_2016_Fig2_HTML.jpg

相似文献

[1]
Health Technology Readiness amongst Patients with Suspected Breast Cancer Using the READHY-tool - a Cross-sectional Study.

J Med Syst. 2023-11-16

[2]
Health Technology Readiness Profiles Among Danish Individuals With Type 2 Diabetes: Cross-Sectional Study.

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[3]
Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals' Health Technology Readiness: Initial Testing in a Cancer Rehabilitation Setting.

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[4]
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[5]
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JMIR Dermatol. 2023-12-8

[6]
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J Med Internet Res. 2023-4-12

[7]
The Role of Psychological Factors in Older Adults' Readiness to Use eHealth Technology: Cross-Sectional Questionnaire Study.

J Med Internet Res. 2020-5-28

[8]
Readiness and Acceptance of eHealth Services for Diabetes Care in the General Population: Cross-sectional Study.

J Med Internet Res. 2021-9-2

[9]
Patients' Technology Readiness and eHealth Literacy: Implications for Adoption and Deployment of eHealth in the COVID-19 Era and Beyond.

Comput Inform Nurs. 2021-11-2

[10]
Readiness, acceptance and use of digital patient reported outcome in an outpatient clinic.

Health Informatics J. 2022

引用本文的文献

[1]
Usability and User Experience of an mHealth App for Therapy Support of Patients With Breast Cancer: Mixed Methods Study Using Eye Tracking.

JMIR Hum Factors. 2024-3-5

[2]
Experiences with Wearable Sensors in Oncology during Treatment: Lessons Learned from Feasibility Research Projects in Denmark.

Diagnostics (Basel). 2024-2-13

本文引用的文献

[1]
Readiness, acceptance and use of digital patient reported outcome in an outpatient clinic.

Health Informatics J. 2022

[2]
The mental health impacts of receiving a breast cancer diagnosis: A meta-analysis.

Br J Cancer. 2021-11

[3]
Integrated Digital Patient Education at the Bedside for Patients with Chronic Conditions: Observational Study.

JMIR Mhealth Uhealth. 2020-12-22

[4]
Age Differences in the Use of Health Information Technology Among Adults in the United States: An Analysis of the Health Information National Trends Survey.

J Aging Health. 2021-1

[5]
Health Technology Readiness Profiles Among Danish Individuals With Type 2 Diabetes: Cross-Sectional Study.

J Med Internet Res. 2020-9-15

[6]
Utilizing Digital Health Technologies for Patient Education in Lifestyle Medicine.

Am J Lifestyle Med. 2019-12-13

[7]
Digital Information Technology Use and Patient Preferences for Internet-Based Health Education Modalities: Cross-Sectional Survey Study of Middle-Aged and Older Adults With Chronic Health Conditions.

JMIR Aging. 2019-4-4

[8]
Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals' Health Technology Readiness: Initial Testing in a Cancer Rehabilitation Setting.

J Med Internet Res. 2019-2-12

[9]
Web-Based Patient Education in Orthopedics: Systematic Review.

J Med Internet Res. 2018-4-23

[10]
Understanding the role of health information in patients' experiences: secondary analysis of qualitative narrative interviews with people diagnosed with cancer in Germany.

BMJ Open. 2018-3-12

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