糖尿病患者准备好了吗?智能手机在社会经济边缘化的澳大利亚城市全科医生领导的糖尿病诊所的利用。

David Chua, Carina Vasconcelos Silve, Souhayel Hedfi, Keren Pointon, Tracy A Comans, Hannah L Mayr, Monika Janda, Anthony W Russell, Anish Menon
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引用次数: 0

摘要

目的移动健康(mHealth)是数字健康的一个子集,要求人们拥有智能手机,但拥有障碍与2型糖尿病(T2D)负担相关的社会因素重叠。我们描述了智能手机拥有量、应用程序使用和移动互联网接入的流行情况,以及在社区环境中接受和利用T2D患者护理的因素。方法对在昆士兰州布里斯班郊区Inala社区全科医生领导的糖尿病诊所就诊的糖尿病患者进行横断面调查。Inala是一个多元文化多样化但社会经济边缘化的郊区。调查结果被大声朗读给参与者听,如果需要的话还会有翻译。结果共104例患者,年龄中位数为63岁,女性占47.1%,家中非英语(LOTE)占44.2%。智能手机拥有率很高(85.6%),使用高级功能的平均自我评价信心介于“有点自信”和“自信”之间。老年人拥有智能手机的可能性明显更低,对高级功能的信心更低,经常使用应用程序的可能性也更低,但许多人都认识可以支持使用的人。在家说LOTE与所有权、移动互联网接入、应用程序使用或对高级功能使用的自我评价信心无关,这表明智能手机技术已经成为日常生活的一部分。在我们的背景下,智能手机的拥有和使用似乎并不是移动健康吸收的主要障碍。老年人需要量身定制的支持和教育,以鼓励他们接受移动医疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Are people with diabetes mHealth-ready? Smartphone utilisation in a socioeconomically marginalised urban Australian general practitioner-led diabetes clinic.

ObjectiveMobile Health (mHealth), a subset of digital health, requires people to own smartphones, but ownership barriers overlap with social factors linked to type 2 diabetes (T2D) burden. We describe the prevalence of smartphone ownership, app use and mobile internet access and factors around uptake and utilisation among people with T2D accessing care in a community setting.MethodsA cross-sectional survey was performed with people with diabetes attending a community-based general practitioner-led diabetes clinic located in Inala, a multiculturally diverse but socioeconomically marginalised suburban region of Brisbane, Queensland. The survey was read aloud to participants, with interpreters if required.ResultsThere were 104 participants, the median age was 63years, 47.1% were female and 44.2% spoke language(s) other than English (LOTE) at home. Smartphone ownership was high (85.6%), and average self-rated confidence with advanced feature use was between 'somewhat confident' and 'confident'. Older adults were significantly less likely to own smartphones, less confident with advanced features and less likely to use apps regularly, but many knew someone who could support uptake. LOTE spoken at home was not associated with ownership, mobile internet access, app use or self-rated confidence with advanced feature use, suggesting smartphone technology is already part of daily life.ConclusionsSmartphone ownership and utilisation does not appear to be a major barrier to mHealth uptake in our context. Older adults need tailored supports and education to encourage mHealth uptake.

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