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中国上海慢性腰痛患者移动医疗的可行性:一项定性研究

The feasibility of M-health for people with chronic low back pain in Shanghai, China: A qualitative study.

作者信息

Xie Waner, Hu Guojiong, Wang Yijin, Luo Xiaoquan, Liao Linrong, Fu Allan C L, Lin Jianhua

机构信息

Institute of Rehabilitation Medicine, School of Rehabilitation Medicine, Binzhou Medical University, Yantai, P. R. China.

Department of Physiotherapy, Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Tongji University School of Medicine, Shanghai, P. R. China.

出版信息

Hong Kong Physiother J. 2025 Jun;45(1):57-70. doi: 10.1142/S1013702525500052. Epub 2024 Oct 28.

Abstract

BACKGROUND

Mobile health (M-health) has emerged as a promising solution for enhancing the management of low back pain. However, the feasibility of M-health among the Chinese population and its influencing factors remain unclear.

OBJECTIVE

This study aimed to assess the acceptance of M-health among people with chronic low back pain (CLBP) and physiotherapists in Shanghai, China, and to explore the influencing factors of its utility in the treatment of CLBP.

METHODS

Semi-structured interviews and focus groups were conducted with 25 participants with CLBP and 20 physiotherapists, utilising a combination of group discussion and individual interview. Thematic analysis, supported by NVivo software, was employed to identify and examine the themes regarding the facilitators and barriers to the utility of M-health in Shanghai, China.

RESULTS

The focus group discussions revealed a broad spectrum of factors that drive or hinder participants' acceptance of M-health. Three main themes related to the feasibility of M-health were identified from the interviews: (1) Reasons for embracing M-health; (2) Reasons for resisting M-health; (3) Recommendations to enhance the feasibility of M-health. In general, participants exhibited enthusiasm towards the prospect of offering M-health as a viable treatment.

CONCLUSIONS

The findings of this study indicate that the feasibility of M-health depends on many factors in Shanghai, China. Efforts to promote the establishment of M-health policy or laws, rational integration of M-health and face-to-face model and improvement of the functions of M-health applications may increase its feasibility in Shanghai, China.

摘要

背景

移动健康(M-health)已成为增强腰痛管理的一种有前景的解决方案。然而,M-health在中国人群中的可行性及其影响因素仍不明确。

目的

本研究旨在评估中国上海慢性腰痛(CLBP)患者和物理治疗师对M-health的接受程度,并探讨其在CLBP治疗中应用的影响因素。

方法

对25名CLBP患者和20名物理治疗师进行了半结构化访谈和焦点小组讨论,采用小组讨论和个人访谈相结合的方式。在NVivo软件的支持下,采用主题分析法来识别和研究在中国上海M-health应用的促进因素和障碍相关主题。

结果

焦点小组讨论揭示了一系列推动或阻碍参与者接受M-health的因素。从访谈中确定了与M-health可行性相关的三个主要主题:(1)接受M-health的原因;(2)抵制M-health的原因;(3)提高M-health可行性的建议。总体而言,参与者对提供M-health作为一种可行治疗方法的前景表现出热情。

结论

本研究结果表明,在中国上海,M-health的可行性取决于许多因素。努力促进M-health政策或法律的制定、M-health与面对面模式的合理整合以及M-health应用功能的改进,可能会增加其在中国上海的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af0c/12171769/23dd96cae6e7/hkpj-45-057-g001.jpg

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