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“简单性”:一项定性描述性研究,探索患者对使用数字健康工具自我管理炎症性肠病的障碍和促进因素的看法。

"Simpleness": a qualitative description study exploring patient perspectives on the barriers and facilitators of using digital health tools to self-manage inflammatory bowel disease.

作者信息

Ajibulu Lekan, Chappell Kaitlyn Delaney, Seow Cynthia H, Goodman Karen J, Wong Karen

机构信息

Division of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.

Division of Gastroenterology and Hepatology, Department of Medicine, University of Calgary, Calgary, AB, Canada.

出版信息

Therap Adv Gastroenterol. 2025 Feb 16;18:17562848251319807. doi: 10.1177/17562848251319807. eCollection 2025.

Abstract

BACKGROUND

Inflammatory bowel disease (IBD) is a chronic condition requiring lifelong management and frequent interactions with healthcare providers. Digital health tools have the potential to enhance disease management by providing real-time data and improving care coordination. Despite their potential, there is limited evidence on patient perspectives regarding barriers and facilitators to the adoption of these tools.

OBJECTIVES

To explore patient perspectives on the barriers and facilitators associated with using digital health tools for IBD self-management, focusing on the adoption of a tool called MyIBDToolkit.

DESIGN

This study employed a qualitative description approach to gather detailed insights into patient experiences.

METHODS

Participants with a confirmed IBD diagnosis were recruited from clinics in Alberta, Canada. Data were collected via virtual semi-structured interviews conducted between June and July 2024. Thematic analysis was used to identify key themes, and member checking ensured the credibility of the findings.

RESULTS

Eighteen interviews were conducted, reaching thematic saturation. Participants viewed MyIBDToolkit as beneficial for enhancing disease monitoring and care coordination. However, concerns about data entry burden, privacy, and engagement emerged as significant barriers. Variability in healthcare provider use of the tool was another critical concern.

CONCLUSION

While digital health tools such as MyIBDToolkit have the potential to improve IBD self-management, addressing barriers such as usability, privacy, and sustainability is crucial. Incorporating patient feedback during the design process can enhance the effectiveness and acceptability of these tools in chronic disease management.

摘要

背景

炎症性肠病(IBD)是一种慢性病,需要终身管理且经常与医疗服务提供者互动。数字健康工具有可能通过提供实时数据和改善护理协调来加强疾病管理。尽管有潜力,但关于患者对采用这些工具的障碍和促进因素的看法的证据有限。

目的

探讨患者对与使用数字健康工具进行IBD自我管理相关的障碍和促进因素的看法,重点关注一种名为MyIBDToolkit的工具的采用情况。

设计

本研究采用定性描述方法来深入了解患者的体验。

方法

从加拿大艾伯塔省的诊所招募确诊为IBD的参与者。2024年6月至7月期间通过虚拟半结构化访谈收集数据。采用主题分析法确定关键主题,成员核对确保了研究结果的可信度。

结果

进行了18次访谈,达到了主题饱和。参与者认为MyIBDToolkit有助于加强疾病监测和护理协调。然而,对数据录入负担、隐私和参与度的担忧成为重大障碍。医疗服务提供者对该工具使用的差异是另一个关键问题。

结论

虽然MyIBDToolkit等数字健康工具有可能改善IBD自我管理,但解决可用性、隐私和可持续性等障碍至关重要。在设计过程中纳入患者反馈可以提高这些工具在慢性病管理中的有效性和可接受性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe0/11831630/4ee8a3d46b1b/10.1177_17562848251319807-fig1.jpg

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