Ali Zuha, Zhong Jie, Sadarangani Tina R
School of Medicine, Indiana University, Indianapolis, IN, USA.
School of Nursing, University of Hong Kong, Hong Kong, China.
Digit Health. 2024 Nov 5;10:20552076241287361. doi: 10.1177/20552076241287361. eCollection 2024 Jan-Dec.
CareMOBI (mhealth for Organization to Bolster Interconnectedness) is a user-centered mobile application that supports secure communication between adult day health centers, primary care providers, and family caregivers. The aim of this study was to examine the acceptability of CareMOBI in the primary care setting and identify factors contributing to the likelihood of adoption among primary care providers.
We used a mixed-methods concurrent triangulation design. We, first, collected quantitative data using the Technology Acceptance Model questionnaire. Follow-up interview questions allowed participants to elaborate on their experience interacting with CareMOBI. We developed an informational matrix based on major themes within the Technology Acceptance Model (ease of use, value in clinical care, fit within existing workflows, and likelihood of adoption) in which qualitative data were embedded and compared.
Our sample included 10 primary care providers. Participants rated CareMOBI high in ease of use (= 6.71 out of 7), value in clinical care (= 6.79), and likelihood of adoption (= 6.71). They found specific functions of CareMOBI helpful, including the summary of health progress and the patient profile. In contrast, participants reported the lowest score for the fit of CareMOBI within existing workflows (5.52). Qualitative feedback attributed this score to concerns over the lack of interoperability between CareMOBI in its current form and electronic health record systems used in the primary care setting.
Providers found CareMOBI valuable and easy to use, and there was a high likelihood of eventual adoption. However, apprehensions regarding workflow and electronic health records integration arose, which the team will have to consider as they move forward to the next phase of the application's development.
CareMOBI（促进互联的机构移动健康）是一款以用户为中心的移动应用程序，支持成人日间健康中心、初级保健提供者和家庭护理人员之间的安全通信。本研究的目的是检验CareMOBI在初级保健环境中的可接受性，并确定有助于初级保健提供者采用该应用程序的因素。
我们采用了混合方法并发三角测量设计。首先，我们使用技术接受模型问卷收集定量数据。后续访谈问题让参与者详细阐述他们与CareMOBI交互的体验。我们基于技术接受模型中的主要主题（易用性、临床护理价值、与现有工作流程的契合度以及采用可能性）开发了一个信息矩阵，其中嵌入并比较了定性数据。
我们的样本包括10名初级保健提供者。参与者对CareMOBI的易用性（7分制中得6.71分）、临床护理价值（6.79分）和采用可能性（6.71分）评价很高。他们发现CareMOBI的特定功能很有帮助，包括健康进展摘要和患者资料。相比之下，参与者对CareMOBI与现有工作流程的契合度评分最低（5.52分）。定性反馈将该评分归因于对当前形式的CareMOBI与初级保健环境中使用的电子健康记录系统缺乏互操作性的担忧。
提供者认为CareMOBI有价值且易于使用，最终采用的可能性很高。然而，出现了对工作流程和电子健康记录集成的担忧，团队在推进该应用程序开发的下一阶段时将不得不考虑这些问题。
