Sophasath Manila, Tremblay Mélanie, Hogue Crystèle, Dussault Alexya, Brassard Chloé, Vincent Catherine, Rose Christopher F, Bémeur Chantal
Centre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Canada.
Department of nutrition, Faculty of medicine, Université de Montréal.
Can Liver J. 2025 Mar 27;8(2):309-321. doi: 10.3138/canlivj-2024-0058. eCollection 2025 May.
Few nutrition education strategies using technology have been developed and evaluated for patients with cirrhosis. This study aims to describe the receptivity of these patients to technology-based nutrition education, specifically assessing their interest, preferences, Internet attitudes, technological skills with computers and mobile devices, and factors associated with their interest in such educational approaches.
A cross-sectional study was conducted among patients with cirrhosis. Questionnaires included participant characteristics, interest, preferences and ownership of technology, Internet Attitude Scale (IAS), Computer Proficiency Questionnaire-12 (CPQ-12), Mobile Device Proficiency Questionnaire-16 (MDPQ-16), and Household Food Security Survey Module (HFSSM).
77 patients were included (mean age 63.1, 57.1% male); 68.8% had post-secondary education, and 11.7% were food insecure. The primary etiologies were mixed (27.3%), metabolic dysfunction-associated steatohepatitis (MASH) (24.7%), and alcoholic liver disease (ALD) (19.5%). Most patients (72.7%) were interested in receiving nutrition education through technology. Interested patients showed higher proficiency and better attitude toward the Internet. ALD was more prevalent among patients not interested in technological nutritional education. Univariate analysis identified proficiency, attitude toward the Internet, ALD diagnosis, and tablet ownership as predictors of interest. Multivariate analysis confirmed tablet ownership and Internet attitude as significant factors. Preferred educational formats were documents (59.7%) and video clips (57.1%) by email, and pre-recorded online courses (57.1%).
Patients with cirrhosis are generally receptive to technology-based nutrition education, though barriers may include lower technological proficiency and a negative attitude toward the Internet. Enhancing patients' technological skills could increase their willingness to use technology for educational purposes, particularly among ALD patients.
针对肝硬化患者，很少有利用技术手段的营养教育策略被开发和评估。本研究旨在描述这些患者对基于技术的营养教育的接受程度，具体评估他们的兴趣、偏好、互联网态度、使用计算机和移动设备的技术技能，以及与他们对这种教育方法的兴趣相关的因素。
对肝硬化患者进行了一项横断面研究。问卷包括参与者特征、兴趣、技术偏好和拥有情况、互联网态度量表（IAS）、计算机能力问卷-12（CPQ-12）、移动设备能力问卷-16（MDPQ-16）以及家庭粮食安全调查模块（HFSSM）。
纳入77例患者（平均年龄63.1岁，57.1%为男性）；68.8%拥有大专以上学历，11.7%存在粮食不安全问题。主要病因包括混合型（27.3%）、代谢功能障碍相关脂肪性肝炎（MASH）（24.7%）和酒精性肝病（ALD）（19.5%）。大多数患者（72.7%）对通过技术接受营养教育感兴趣。感兴趣的患者对互联网表现出更高的熟练程度和更好的态度。ALD在对技术营养教育不感兴趣的患者中更为普遍。单因素分析确定熟练程度、对互联网的态度、ALD诊断和平板电脑拥有情况是兴趣的预测因素。多因素分析证实平板电脑拥有情况和互联网态度是重要因素。首选的教育形式是通过电子邮件发送的文档（59.7%）和视频片段（57.1%），以及预先录制的在线课程（57.1%）。
肝硬化患者总体上接受基于技术的营养教育，尽管障碍可能包括技术熟练程度较低和对互联网的消极态度。提高患者的技术技能可以增加他们将技术用于教育目的意愿，尤其是在ALD患者中。
