Choi Soyoung
Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Urbana, IL, United States.
JMIR Form Res. 2024 Apr 10;8:e48783. doi: 10.2196/48783.
College students with disabilities need to transition from pediatric-centered care to adult care. However, they may become overwhelmed by multiple responsibilities, such as academic activities, peer relationships, career preparation, job seeking, independent living, as well as managing their health and promoting healthy behaviors.
As the use of smartphones and wearable devices for collecting personal health data becomes popular, this study aimed to compare the characteristics of self-tracking health practices between college students with disabilities and their counterparts. In addition, this study examined the relationships between disability status, self-tracking health practices, eHealth literacy, and subjective well-being among college students.
The web-based questionnaire was designed using Qualtrics for the cross-sectional online survey. The survey data were collected from February 2023 to April 2023 and included responses from 702 participants.
More than 80% (563/702, 80.2%) of the respondents participated voluntarily in self-tracking health practices. College students with disabilities (n=83) showed significantly lower levels of eHealth literacy and subjective well-being compared with college students without disabilities (n=619). The group with disabilities reported significantly lower satisfaction (t=-5.97, P<.001) and perceived efficacy (t=-4.85, P<.001) when using smartphone health apps and wearable devices. Finally, the study identified a significant correlation between subjective well-being in college students and disability status (β=3.81, P<.001), self-tracking health practices (β=2.22, P=.03), and eHealth literacy (β=24.29, P<.001).
Given the significant relationships among disability status, self-tracking health practices, eHealth literacy, and subjective well-being in college students, it is recommended to examine their ability to leverage digital technology for self-care. Offering learning opportunities to enhance eHealth literacy and self-tracking health strategies within campus environments could be a strategic approach to improve the quality of life and well-being of college students.
残疾大学生需要从以儿科为中心的护理过渡到成人护理。然而，他们可能会被多项责任压得喘不过气来，比如学术活动、同伴关系、职业准备、求职、独立生活，以及管理自身健康和促进健康行为。
随着使用智能手机和可穿戴设备收集个人健康数据变得流行，本研究旨在比较残疾大学生与其同龄人自我追踪健康行为的特征。此外，本研究还考察了残疾状况、自我追踪健康行为、电子健康素养和大学生主观幸福感之间的关系。
使用Qualtrics设计基于网络的问卷，用于横断面在线调查。调查数据于2023年2月至2023年4月收集，包括702名参与者的回复。
超过80%（563/702，80.2%）的受访者自愿参与自我追踪健康行为。与非残疾大学生（n = 619）相比，残疾大学生（n = 83）的电子健康素养和主观幸福感水平显著更低。残疾组在使用智能手机健康应用程序和可穿戴设备时，报告的满意度（t = -5.97，PPP <.001）和感知效能（t = -4.85，P <.001）显著更低。最后，研究发现大学生主观幸福感与残疾状况（β = 3.81，P <.001）、自我追踪健康行为（β = 2.22，P =.03）和电子健康素养（β = 24.29，P <.001）之间存在显著相关性。
鉴于残疾状况、自我追踪健康行为、电子健康素养和大学生主观幸福感之间存在显著关系，建议考察他们利用数字技术进行自我护理的能力。在校园环境中提供学习机会以提高电子健康素养和自我追踪健康策略可能是改善大学生生活质量和幸福感的一种策略性方法。
