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调查患者对使用电子健康技术进行炎症性肠病自我管理的看法:混合方法研究。

Investigating Patient Perspectives on Using eHealth Technologies for the Self-Management of Inflammatory Bowel Disease: Mixed Methods Study.

机构信息

OnePlanet Research Centre, Precision Health and Nutrition Group, Wageningen, Netherlands.

Radboud University Medical Centre, Prevention Hub, Nijmegen, Netherlands.

出版信息

J Med Internet Res. 2024 Sep 6;26:e53512. doi: 10.2196/53512.

DOI:10.2196/53512
PMID:39240663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11415722/
Abstract

BACKGROUND

Inflammatory bowel disease (IBD) poses significant challenges for patients, requiring continuous monitoring and self-management to improve quality of life.

OBJECTIVE

This study aims to investigate the viewpoints of individuals living with IBD on the use of information and communication technology (ICT) for the self-management of their condition, with a particular focus on the concept of a "smart" toilet seat as an example of ICT for IBD self-management.

METHODS

We conducted an analysis of questionnaire responses obtained from 724 participants. They were encouraged to share their use cases and identify any perceived barriers associated with ICT adoption for managing their condition. To assess their responses, we used descriptive quantitative analysis, summative content analysis, and thematic qualitative analysis. We combined these results in an epistemic network analysis to look for meaningful patterns in the responses.

RESULTS

Of the 724 participants, more than half (n=405, 55.9%) were already using various forms of ICT for IBD self-management. The primary factor influencing their use of ICT was their affinity for interacting with technology. Distinct differences emerged between individuals who were using ICT and those who were not, particularly regarding their perceived use cases and concerns.

CONCLUSIONS

This study provides valuable insights into the perspectives of individuals with IBD on the use of ICT for self-management. To facilitate wider adoption, addressing privacy concerns, ensuring data security, and establishing reliable ICT integration will be critical.

摘要

背景

炎症性肠病(IBD)给患者带来了巨大的挑战,需要持续的监测和自我管理,以提高生活质量。

目的

本研究旨在探讨炎症性肠病患者对信息和通信技术(ICT)用于自我管理病情的观点,特别关注智能马桶座作为炎症性肠病自我管理的 ICT 示例。

方法

我们对 724 名参与者的问卷回答进行了分析。鼓励他们分享他们的用例,并确定与采用 ICT 管理病情相关的任何感知障碍。为了评估他们的回答,我们使用了描述性定量分析、总结性内容分析和主题定性分析。我们将这些结果结合在一个认识论网络分析中,以寻找响应中的有意义模式。

结果

在 724 名参与者中,超过一半(n=405,55.9%)已经在使用各种形式的 ICT 进行 IBD 自我管理。影响他们使用 ICT 的主要因素是他们对与技术互动的亲和力。使用 ICT 的个人和不使用 ICT 的个人之间存在明显差异,特别是在他们的感知用例和关注点方面。

结论

本研究提供了有关 IBD 患者对 ICT 自我管理的看法的宝贵见解。为了促进更广泛的采用,解决隐私问题、确保数据安全和建立可靠的 ICT 集成将至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0141/11415722/3af281206c2d/jmir_v26i1e53512_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0141/11415722/a5150ce1d869/jmir_v26i1e53512_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0141/11415722/1e12673dbd4e/jmir_v26i1e53512_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0141/11415722/3af281206c2d/jmir_v26i1e53512_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0141/11415722/a5150ce1d869/jmir_v26i1e53512_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0141/11415722/1e12673dbd4e/jmir_v26i1e53512_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0141/11415722/3af281206c2d/jmir_v26i1e53512_fig3.jpg

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本文引用的文献

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Perceived Use Cases, Barriers, and Requirements for a Smart Health-Tracking Toilet Seat: Qualitative Focus Group Study.智能健康追踪马桶座圈的感知用例、障碍及要求:定性焦点小组研究
JMIR Hum Factors. 2023 Aug 11;10:e44850. doi: 10.2196/44850.
2
Developing an Online Program for Self-Management of Fatigue, Pain, and Urgency in Inflammatory Bowel Disease: Patients' Needs and Wants.开发炎症性肠病疲劳、疼痛和紧迫感的在线自我管理计划:患者的需求。
Dig Dis Sci. 2022 Jul;67(7):2813-2826. doi: 10.1007/s10620-021-07109-9. Epub 2021 Jun 19.
3
Patient Perspectives and Expectations in Inflammatory Bowel Disease: A Systematic Review.
炎症性肠病患者的观点和期望:系统评价。
Dig Dis Sci. 2022 Jun;67(6):1956-1974. doi: 10.1007/s10620-021-07025-y. Epub 2021 May 21.
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Emerging wearable technology applications in gastroenterology: A review of the literature.新兴可穿戴技术在胃肠病学中的应用:文献综述。
World J Gastroenterol. 2021 Mar 28;27(12):1149-1160. doi: 10.3748/wjg.v27.i12.1149.
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The Burden of Inflammatory Bowel Disease in Europe in 2020.2020 年欧洲炎症性肠病负担
J Crohns Colitis. 2021 Sep 25;15(9):1573-1587. doi: 10.1093/ecco-jcc/jjab029.
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Wearable Devices Are Well Accepted by Patients in the Study and Management of Inflammatory Bowel Disease: A Survey Study.可穿戴设备在炎症性肠病的研究和管理中深受患者接受:一项调查研究。
Dig Dis Sci. 2021 Jun;66(6):1836-1844. doi: 10.1007/s10620-020-06493-y. Epub 2020 Jul 23.
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A smart toilet for personalized health monitoring.一款用于个性化健康监测的智能马桶。
Nat Rev Gastroenterol Hepatol. 2020 Aug;17(8):453-454. doi: 10.1038/s41575-020-0320-x.
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Psychological distress is highly prevalent in inflammatory bowel disease: A survey of psychological needs and attitudes.心理困扰在炎症性肠病中极为普遍:一项关于心理需求与态度的调查。
JGH Open. 2019 Aug 2;4(2):166-171. doi: 10.1002/jgh3.12236. eCollection 2020 Apr.
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Digital Health Apps in the Clinical Care of Inflammatory Bowel Disease: Scoping Review.数字健康应用在炎症性肠病临床护理中的应用:范围综述
J Med Internet Res. 2019 Aug 19;21(8):e14630. doi: 10.2196/14630.
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