@文章{信息:doi/10.2196/21584，作者=“Khana, Rajes和Mahinderjit Singh, Manmeet和Damanhoori, Faten和Mustaffa, Norlia”，标题=“使用多面可信度的乳房自我检查系统:观察性研究”，期刊=“JMIR Med Inform”，年=“2020”，月=“Sep”，日=“23”，卷=“8”，数=“9”，页=“e21584”，关键词=“信任;诚信;多方面的信任;乳房自我检查;乳腺癌;卫生保健制度;背景:乳腺癌是全球女性死亡的主要原因。然而，女性患者往往不愿意和医生面对面讨论她们的私密身体部位，并倾向于使用社交媒体进行这种互动。事实上，在社交媒体上互动和寻求乳腺癌相关信息的患者和医生的数量一直在增长。然而，医生可能会在社交媒体上表现不当，过多地与同事或公众分享患者的个人医疗数据。 Such an act would reduce the physician's trustworthiness from the patient's perspective. The multifaceted trust model is currently most commonly used for investigating social media interactions, which facilitates its enhanced adoption in the context of breast self-examination. The characteristics of the multifaceted trust model go beyond being personalized, context-dependent, and transitive. This model is more user-centric, which allows any user to evaluate the interaction process. Thus, in this study, we explored and evaluated use of the multifaceted trust model for breast self-examination as a more suitable trust model for patient-physician social media interactions in breast cancer screening. Objective: The objectives of this study were: (1) to identify the trustworthiness indicators that are suitable for a breast self-examination system, (2) design and propose a breast self-examination system, and (3) evaluate the multifaceted trustworthiness interaction between patients and physicians. Methods: We used a qualitative study design based on open-ended interviews with 32 participants (16 outpatients and 16 physicians). The interview started with an introduction to the research objective and an explanation of the steps on how to use the proposed breast self-examination system. The breast self-examination system was then evaluated by asking the patient to rate their trustworthiness with the physician after the consultation. The evaluation was also based on monitoring the activity in the chat room (interactions between physicians and patients) during daily meetings, weekly meetings, and the articles posted by the physician in the forum. Results: Based on the interview sessions with 16 physicians and 16 patients on using the breast self-examination system, honesty had a strong positive correlation (r=0.91) with trustworthiness, followed by credibility (r=0.85), confidence (r=0.79), and faith (r=0.79). In addition, belief (r=0.75), competency (r=0.73), and reliability (r=0.73) were strongly correlated with trustworthiness, with the lowest correlation found for reputation (r=0.72). The correlation among trustworthiness indicators was significant (P<.001). Moreover, the trust level of a patient for a particular physician was found to increase after several interactions. Conclusions: Multifaceted trustworthiness has a significant impact on a breast self-examination system. Evaluation of trustworthiness indicators helps to ensure a trustworthy system and ethical interaction between a patient and physician. A new patient can obtain a consultation by referring to the best physician according to preference of other patients. Patients can also trust a physician based on another patient's recommendation regarding the physician's trust level. The correlation analysis further showed that the most preferred trustworthiness indicator is honesty. ", issn="2291-9694", doi="10.2196/21584", url="https://medinform.www.mybigtv.com/2020/9/e21584", url="https://doi.org/10.2196/21584", url="http://www.ncbi.nlm.nih.gov/pubmed/32965225" }