TY -的盟Khana raj AU - Mahinderjit辛格Manmeet盟——Damanhoori栓盟——Mustaffa Norlia PY - 2020 DA - 2020/9/23 TI -乳房自我检查系统使用多方面的可信度:观察研究乔-地中海JMIR通知SP - e21584六世- 8 - 9千瓦-信任KW -诚信KW -多方面的信任KW -乳房自我检查千瓦乳腺癌KW -卫生保健系统KW -社会媒体AB -背景:乳腺癌是全世界妇女死亡的主要原因。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。从病人的角度来看，这种行为会降低医生的可信度。多方面的信任模型目前最常用于调查社交媒体互动，这有助于在乳房自我检查的背景下加强采用。多面信任模型的特征不仅仅是个性化的、上下文依赖的和可传递的。该模型更加以用户为中心，允许任何用户评估交互过程。因此，在本研究中，我们探索和评估了乳腺自我检查的多方面信任模型的使用，作为乳腺癌筛查中患者-医生社交媒体互动的更合适的信任模型。 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. SN - 2291-9694 UR - https://medinform.www.mybigtv.com/2020/9/e21584 UR - https://doi.org/10.2196/21584 UR - http://www.ncbi.nlm.nih.gov/pubmed/32965225 DO - 10.2196/21584 ID - info:doi/10.2196/21584 ER -