C. Jacomet , R. Ologeanu-Taddei , J. Prouteau , C. Lambert , F. Linard , P. Bastiani , P. Dellamonica
{"title":"E-health。艾滋病毒感染者及其医生的使用模式和感知的益处和障碍。第二部分:健康应用和智能设备","authors":"C. Jacomet , R. Ologeanu-Taddei , J. Prouteau , C. Lambert , F. Linard , P. Bastiani , P. Dellamonica","doi":"10.1016/j.medmal.2020.04.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate patterns of use and perceived benefits and barriers to health/wellness applications (apps) and smart devices among people living with HIV (PLHIV) and their physicians.</p></div><div><h3>Methods</h3><p>Online multicenter observational survey (October 15–19, 2018).</p></div><div><h3>Results</h3><p>Study participation was accepted by 229 physicians and 838/1377 PLHIV followed in 46 centers, of which 325 (39%) responded online. Overall, 83/288 (29%) PLHIV had already downloaded at least one app: these ‘downloaders’ were younger (OR<!--> <!-->0.96<!--> <!-->±<!--> <!-->0.01, <em>P</em> <!-->=<!--> <!-->0.004), educated to at least university entry level (OR<!--> <!-->2.27<!--> <!-->±<!--> <!-->0.86, <em>P</em> <!-->=<!--> <!-->0.03), and more frequently used geolocation-based dating websites (OR<!--> <!-->3.00<!--> <!-->±<!--> <!-->1.09, <em>P</em> <!-->=<!--> <!-->0.002). However, 227/314 (72%) PLHIV claimed they were ready to use an app recommended by a physician. For the 60/83 PLHIV who answered, the ideal app would be a vaccination tracker (76%) to better communicate with their physician (68%). However, 96/277 (42%) physicians were unable to answer this question and for 94/227 (41%) of them, the ideal patient app would be for schedule management. Although PLHIV used smart devices, 231/306 (75%) would want to report the data to their physicians and 137/225 (61%) of physicians would welcome this exchange. The main physician-side barrier to this exchange was concerns over data security.</p></div><div><h3>Conclusion</h3><p>mHealth apps and smart devices have failed to garner adoption by PLHIV. There is a case for good-quality health data sharing and exchange if PLHIV are provided with appropriately secure tools and physicians are backed up by adapted legislation.</p></div>","PeriodicalId":18464,"journal":{"name":"Medecine et maladies infectieuses","volume":"50 7","pages":"Pages 582-589"},"PeriodicalIF":5.0000,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.medmal.2020.04.005","citationCount":"6","resultStr":"{\"title\":\"E-health. Patterns of use and perceived benefits and barriers among people living with HIV and their physicians. Part 2: Health apps and smart devices\",\"authors\":\"C. Jacomet , R. Ologeanu-Taddei , J. Prouteau , C. Lambert , F. Linard , P. Bastiani , P. Dellamonica\",\"doi\":\"10.1016/j.medmal.2020.04.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>To evaluate patterns of use and perceived benefits and barriers to health/wellness applications (apps) and smart devices among people living with HIV (PLHIV) and their physicians.</p></div><div><h3>Methods</h3><p>Online multicenter observational survey (October 15–19, 2018).</p></div><div><h3>Results</h3><p>Study participation was accepted by 229 physicians and 838/1377 PLHIV followed in 46 centers, of which 325 (39%) responded online. Overall, 83/288 (29%) PLHIV had already downloaded at least one app: these ‘downloaders’ were younger (OR<!--> <!-->0.96<!--> <!-->±<!--> <!-->0.01, <em>P</em> <!-->=<!--> <!-->0.004), educated to at least university entry level (OR<!--> <!-->2.27<!--> <!-->±<!--> <!-->0.86, <em>P</em> <!-->=<!--> <!-->0.03), and more frequently used geolocation-based dating websites (OR<!--> <!-->3.00<!--> <!-->±<!--> <!-->1.09, <em>P</em> <!-->=<!--> <!-->0.002). However, 227/314 (72%) PLHIV claimed they were ready to use an app recommended by a physician. For the 60/83 PLHIV who answered, the ideal app would be a vaccination tracker (76%) to better communicate with their physician (68%). However, 96/277 (42%) physicians were unable to answer this question and for 94/227 (41%) of them, the ideal patient app would be for schedule management. Although PLHIV used smart devices, 231/306 (75%) would want to report the data to their physicians and 137/225 (61%) of physicians would welcome this exchange. The main physician-side barrier to this exchange was concerns over data security.</p></div><div><h3>Conclusion</h3><p>mHealth apps and smart devices have failed to garner adoption by PLHIV. 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E-health. Patterns of use and perceived benefits and barriers among people living with HIV and their physicians. Part 2: Health apps and smart devices
Objectives
To evaluate patterns of use and perceived benefits and barriers to health/wellness applications (apps) and smart devices among people living with HIV (PLHIV) and their physicians.
Study participation was accepted by 229 physicians and 838/1377 PLHIV followed in 46 centers, of which 325 (39%) responded online. Overall, 83/288 (29%) PLHIV had already downloaded at least one app: these ‘downloaders’ were younger (OR 0.96 ± 0.01, P = 0.004), educated to at least university entry level (OR 2.27 ± 0.86, P = 0.03), and more frequently used geolocation-based dating websites (OR 3.00 ± 1.09, P = 0.002). However, 227/314 (72%) PLHIV claimed they were ready to use an app recommended by a physician. For the 60/83 PLHIV who answered, the ideal app would be a vaccination tracker (76%) to better communicate with their physician (68%). However, 96/277 (42%) physicians were unable to answer this question and for 94/227 (41%) of them, the ideal patient app would be for schedule management. Although PLHIV used smart devices, 231/306 (75%) would want to report the data to their physicians and 137/225 (61%) of physicians would welcome this exchange. The main physician-side barrier to this exchange was concerns over data security.
Conclusion
mHealth apps and smart devices have failed to garner adoption by PLHIV. There is a case for good-quality health data sharing and exchange if PLHIV are provided with appropriately secure tools and physicians are backed up by adapted legislation.
期刊介绍：
L''organe d''expression de la Société de Pathologie Infectieuse de Langue Française (SPILF).
Médecine et Maladies Infectieuses is the official publication of the Société de Pathologie Infectieuse de Langue Française (SPILF). Médecine et Maladies Infectieuses is indexed in the major databases: Medline, Web of Science/Clarivate and Scopus. The journal publishes scientific /research articles, general reviews, short communications and letters, in both English and French. The journal welcomes submissions on the various aspects of infectious pathologies and pathogenic agents. Médecine et Maladies Infectieuses focuses on clinical therapeutics, nosocomial infections, biology, prevention, as well as epidemiology and therapeutics.
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