TY - JOUR AU - Hogan, Timothy P AU - Etingen, Bella AU - Lipschitz, Jessica M AU - Shimada, Stephanie L AU - McMahon, Nicholas AU - Bolivar, Derek AU - Bixler, Felicia R AU - Irvin, Dawn AU - Wacks, Rachel AU - Cutrona, Sarah AU - Frisbee, Kathleen L AU - Smith, Bridget M PY - 2022 DA - 2022/12/30 TI -美国退伍军人网络和移动健康应用自我报告使用相关因素:横向调查JO - JMIR移动健康Uhealth SP - e41767 VL - 10 IS - 12 KW -移动健康应用KW -患者参与KW -消费者健康信息KW -提供者鼓励KW -退伍军人AB -背景:尽管它们很流行，并且报告了患者对其使用的兴趣，但与健康相关的应用的吸收是有限的。退伍军人健康管理局(VHA)开发了各种应用程序来支持退伍军人;然而，全国的使用率仍然很低。目的:我们调查了VHA健康相关应用程序的使用情况，以及退伍军人如何了解这些应用程序，以确定与使用相关的因素。方法:作为VHA质量改进计划的一部分，我们招募了一组全国退伍军人，以获得他们对健康技术使用的反馈，并通过横断面调查从他们那里收集数据。调查数据补充了VHA的管理数据。我们使用描述性统计来检查人口统计和健康特征，与健康相关的技术使用，以及退伍军人如何了解应用程序。我们使用双变量分析和多元逻辑回归模型评估了与应用程序使用相关的因素。结果:我们获得了1259名退伍军人的完整数据。 A majority of the sample was male (1069/1259, 84.9%), aged older than 65 years (740/1259, 58.8%), White (1086/1259, 86.3%), and non-Hispanic (1218/1259, 96.7%). Most respondents (1125/1259, 89.4%) reported being very comfortable and confident using computers, over half (675/1259, 53.6%) reported being an early adopter of technology, and almost half (595/1259, 47.3%) reported having used a VHA health-related app. Just over one-third (435/1259, 34.6%) reported that their VHA care team members encouraged them to use health-related apps. Respondents reported learning about available VHA health-related apps by reading about them on the VHA’s patient portal (468/1259, 37.2%), being told about them by their VHA health care team (316/1259, 25.1%), and reading about them on the VHA’s website (139/1259, 11%). Veterans who self-reported having used VHA health-related apps were more likely to receive care at the VHA (OR [odds ratio] 1.3, 95% CI 1.0-1.7), be in worse health (as assessed by Hierarchical Condition Community score; OR 1.1, 95% CI 1.0-1.2), report owning a desktop or laptop computer (OR 1.8, 95% CI 1.1-3.1), have posttraumatic stress disorder (OR 1.4, 95% CI 1.1-1.9), and report having VHA health care team members encourage them to use the apps (OR 2.7, 95% CI 2.1-3.4). Conclusions: We found strong associations between self-reported use by veterans of VHA health-related apps and multiple variables in our survey. The strongest association was observed between a veteran self-reporting app use and having received encouragement from their VHA health care team to use the apps. Veterans who reported receiving encouragement from their VHA care team members had nearly 3 times higher odds of using VHA apps than veterans who did not report receiving such encouragement. Our results add to growing evidence suggesting that endorsement of apps by a health care system or health care team can positively impact patient uptake and use. SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2022/12/e41767 UR - https://doi.org/10.2196/41767 UR - http://www.ncbi.nlm.nih.gov/pubmed/36583935 DO - 10.2196/41767 ID - info:doi/10.2196/41767 ER -