Wicki Stefan, Clark Ian C, Amann Manuel, Christ Sebastian M, Schettle Markus, Hertler Caroline, Theile Gudrun, Blum David
Department of Radiation Oncology, Competence Center Palliative Care, University Hospital and University of Zurich, Zurich, Switzerland.
Department of Radiation Oncology, University Hospital and University of Zurich, Zurich, Switzerland.
Palliat Med Rep. 2024 Jan 12;5(1):34-42. doi: 10.1089/pmr.2023.0062. eCollection 2024.
Digital health technologies have potential to transform palliative care (PC) services. The global aging population poses unique challenges for PC, which digital health technologies may help overcome. Evaluation of attitudes and perceptions combined with quantification of prior use habits favor an understanding of psychological barriers to PC patient acceptance of digital health technologies including artificial intelligence (AI).
We aimed to evaluate the attitudes and perceptions of PC patients regarding a broad range of digital health technologies used in their routine monitoring and treatment and identify barriers to use.
We used a 39-item questionnaire to evaluate acceptance and use of smartphone-based electronic patient report outcome measures, wearables, AI, data privacy, and virtual reality (VR) in 29 female and male PC inpatients.
A majority of patients indicated an interest in (69.0%) and positive attitude toward (75.9%) digital health technologies. Nearly all (93.1%) patients believe that digital health technologies will become more important in medicine in the future. Most patients would consider using their smartphone (79.3%) or wearable (69.0%) more often for their health. The most feasible technologies were smartphones, wearables, and VR. Barriers to acceptance included unfamiliarity, data security, errors in data interpretation, and loss of personal interaction through AI.
In this patient survey, acceptance of new technologies in a PC patient population was high, encouraging its use also at the end-of-life.
数字健康技术有潜力改变姑息治疗(PC)服务。全球人口老龄化给姑息治疗带来了独特挑战,数字健康技术可能有助于克服这些挑战。对态度和看法进行评估,并结合对既往使用习惯的量化,有助于理解姑息治疗患者接受包括人工智能(AI)在内的数字健康技术的心理障碍。
我们旨在评估姑息治疗患者对其日常监测和治疗中使用的广泛数字健康技术的态度和看法,并确定使用障碍。
我们使用一份包含39个条目的问卷,评估29名姑息治疗住院男女患者对基于智能手机的电子患者报告结局测量、可穿戴设备、人工智能、数据隐私和虚拟现实(VR)的接受程度和使用情况。
大多数患者表示对数字健康技术感兴趣(69.0%)且持积极态度(75.9%)。几乎所有患者(93.1%)都认为数字健康技术在未来医学中将变得更加重要。大多数患者会考虑更频繁地使用智能手机(79.3%)或可穿戴设备(69.0%)来关注自身健康。最可行的技术是智能手机、可穿戴设备和虚拟现实。接受障碍包括不熟悉、数据安全、数据解读错误以及人工智能导致的人际互动缺失。
在这项患者调查中,姑息治疗患者群体对新技术的接受度很高,这鼓励在临终阶段也使用这些技术。