“这东西开着吗？”测量技术自我效能感对心脏康复患者采用虚拟护理平台的影响

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

CJC Open Pub Date : 2025-07-01 DOI:10.1016/j.cjco.2025.02.003

Megan Graat MPH , Peter L. Prior PhD , Tim Hartley MSc , Karen Unsworth MSc , Robert S. McKelvie MD, PhD, FRCPC , Ashlay A. Huitema MD, FRCPC , Mahima K. Bijji BSc , Neville G. Suskin MBChB, MSc, FRCPC

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引用次数: 0

摘要

2019冠状病毒病大流行加速了虚拟心脏康复（vCR）交付模式的采用。了解患者层面的因素，如技术自我效能（SE），对于提高vCR的采用和确保其长期可持续性至关重要。然而，目前还没有有效的工具来评估专门针对vCR的技术SE。本文概述了质量改进项目的初始阶段，重点是开展一项调查，以评估在vCR计划中使用视频会议（VC）技术的患者中的技术SE。方法采用经验证的仪器项目编制30项技术SE量表，对vCR的技术SE进行前瞻性评估，并进行内部一致性检验。结果在413例符合条件的患者中，99例完成了技术SE调查（应答率24%）；86人使用VC参加vCR， 13人不使用VC。VC参与者明显比非VC参与者年轻（64.1岁vs 72.5岁，P = 0.009）。虽然在总体自我报告的技术技能、新技术使用SE或医疗技术相关态度上没有发现显著差异，但风险投资参与者在医疗技术SE的测量上得分明显更高，并且在打开Web浏览器、点击超链接、下载应用程序和使用新技术等任务上表现出更大的信心。这项质量改进计划强调了可能影响vCR项目参与的技术SE差异。通过有针对性的筛查和干预措施来解决这些差距，可以提高录像机的可及性和公平性。未来的研究应侧重于验证针对vCR设置修改的SE工具，并探索相关干预措施，以提高技术SE和患者vCR的采用。

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“Is This Thing On?: Measuring Technology Self-Efficacy Influence on Cardiac Rehabilitation Patients’ Adoption of a Virtual Care Platform

Background

The COVID-19 pandemic accelerated the adoption of virtual cardiac rehabilitation (vCR) delivery models. Understanding patient-level factors, such as technology self-efficacy (SE), is crucial for enhancing vCR adoption and ensuring its long-term sustainability. However, no validated tool exists to assess technology SE specifically for vCR. This paper outlines the initial phase of a quality-improvement project focused on developing a survey to assess technology SE among patients with access to videoconferencing (VC) technology in a vCR program.

Methods

A 30-item technology SE survey was developed by adapting items from validated instruments to prospectively assess technology SE in vCR and was tested for internal consistency.

Results

Of the 413 eligible patients, 99 completed the technology SE survey (24% response rate); 86 attended vCR using VC, and 13 did not use VC. The VC attendees were significantly younger than the non-VC attendees (aged 64.1 vs 72.5 years, P = 0.009). Although no significant differences were found in overall self-reported technology skills, novel technology use SE, or healthcare technology-related attitudes, VC attendees scored significantly higher on a measure of healthcare technology SE and demonstrated greater confidence in tasks such as opening a Web browser, clicking hyperlinks, downloading apps, and using novel technologies.

Conclusions

This quality-improvement initiative highlights disparities in technology SE that may impact participation in vCR programs. Addressing these gaps through targeted screening and interventions could enhance vCR accessibility and equity. Future research should focus on validating SE tools modified for vCR settings and exploring associated interventions to improve technology SE and patient vCR adoption.

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