Tsoumani Natalia, Klironomos Iosif, Antona Margherita, Kampanis Nikos, Kochiadakis George E, Stephanidis Constantine, Karageorgos Spyridon, Notas George
Institute of Applied Computational Mathematics, Foundation for Research and Technology Hellas, 70013 Heraklion, Greece.
Department of Emergency Medicine, University of Crete School of Medicine, 71500 Heraklion, Greece.
J Clin Med. 2025 Sep 5;14(17):6272. doi: 10.3390/jcm14176272.
: Mobile health (mHealth) applications have shown promise for the primary and secondary prevention of diseases in high-risk individuals. Implementing mHealth solutions for secondary prevention and early alert systems in patients with acute coronary syndrome (ACS) could have significant societal benefits. However, the attitudes of at-risk populations towards these technologies, including concerns about technological literacy and privacy, have not been thoroughly investigated. As technology incorporation expands, these issues are expected to change. This study aimed to evaluate the attitudes of post-ACS patients towards varying levels of intrusive mHealth applications and how these attitudes evolved over a five-year period. A cross-sectional study was carried out with two cohorts of post-ACS inpatients (110 patients each from 2014 and 2019), who were surveyed using a 39-item questionnaire assessing their technological literacy and opinions on support tools and intrusive technologies, such as wearables and GPS tracking. The two cohorts exhibited stable demographic characteristics, but in 2019, participants showed higher technological literacy and increased engagement in travel and physical activities. Notably, there was a significant rise in hypertension, hyperlipidemia, and family history of Coronary Artery Disease (CAD) in the 2019 cohort. Acceptance of remote health monitoring improved significantly in 2019, influenced by technological literacy. Attitudes towards eHealth solutions and remote biosignal monitoring post-ACS may change over time with increased technological literacy. Future research should address patient-specific concerns that could affect the acceptance of new technological solutions to enhance post-ACS outcomes. Our findings emphasize the importance of improving technological literacy to boost the adoption and effectiveness of eHealth interventions.
移动健康（mHealth）应用已显示出在高危个体疾病一级和二级预防方面的潜力。为急性冠状动脉综合征（ACS）患者实施二级预防和早期警报系统的移动健康解决方案可能会带来重大的社会效益。然而，高危人群对这些技术的态度，包括对技术素养和隐私的担忧，尚未得到充分调查。随着技术应用的扩大，这些问题预计会有所变化。本研究旨在评估ACS后患者对不同侵入程度的移动健康应用的态度，以及这些态度在五年内如何演变。对两组ACS后住院患者（2014年和2019年各110例）进行了横断面研究，使用一份包含39个条目的问卷对他们进行调查，评估其技术素养以及对支持工具和侵入性技术（如可穿戴设备和GPS跟踪）的看法。两组患者的人口统计学特征稳定，但在2019年，参与者表现出更高的技术素养，并且在旅行和体育活动方面的参与度有所增加。值得注意的是，2019年队列中的高血压、高脂血症和冠状动脉疾病（CAD）家族史显著增加。受技术素养影响，2019年对远程健康监测的接受度显著提高。随着技术素养的提高，ACS后患者对电子健康解决方案和远程生物信号监测的态度可能会随时间而改变。未来的研究应解决可能影响新技术解决方案接受度的患者特定问题，以改善ACS后的治疗效果。我们的研究结果强调了提高技术素养对促进电子健康干预措施的采用和有效性的重要性。
