@Article{信息:doi 10.2196 / / jmir。1612,作者=“Porter, Stephen C and Guo, Chao-Yu and Bacic, Janine and Chan, Eugenia”,标题=“健康素养和任务环境影响父母对儿童特定健康信息的数据录入负担:随机对照试验”,期刊=“J Med Internet Res”,年=“2011”,月=“1”,日=“26”,卷=“13”,数=“1”,页=“e13”,关键词=“病史采集;儿科;健康知识;计算机素养;任务执行与分析;信息传播;背景:卫生保健系统越来越依赖于患者的数据输入工作,通过健康信息交换来组织和协助医疗服务。目的:我们试图确定(1)在基于纸质和基于计算机的环境中,数据输入工作对父母负担的变化,以及(2)父母的健康素养对任务负担的影响(如果有的话)。方法:我们完成了一项由父母完成的数据输入任务的随机对照试验。 Parents of children with attention deficit hyperactivity disorder (ADHD) were randomized based on the Test of Functional Health Literacy in Adults (TOFHLA) to either a paper-based or computer-based environment for entry of health information on their children. The primary outcome was the National Aeronautics and Space Administration Task Load Index (TLX) total weighted score. Results: We screened 271 parents: 194 (71.6{\%}) were eligible, and 180 of these (92.8{\%}) constituted the study cohort. We analyzed 90 participants from each arm. Parents who completed information tasks on paper reported a higher task burden than those who worked in the computer environment: mean (SD) TLX scores were 22.8 (20.6) for paper and 16.3 (16.1) for computer. Assignment to the paper environment conferred a significant risk of higher task burden (F1,178 = 4.05, P = .046). Adequate literacy was associated with lower task burden (decrease in burden score of 1.15 SD, P = .003). After adjusting for relevant child and parent factors, parents' TOFHLA score (beta = -.02, P = .02) and task environment (beta = .31, P = .03) remained significantly associated with task burden. Conclusions: A tailored computer-based environment provided an improved task experience for data entry compared to the same tasks completed on paper. Health literacy was inversely related to task burden. Trial registration: Clinicaltrials.gov NCT00543257; http://www.clinicaltrials.gov/ct2/show/NCT00543257 (Archived by WebCite at http://www.webcitation.org/5vUVH2DYR) ", issn="1438-8871", doi="10.2196/jmir.1612", url="//www.mybigtv.com/2011/1/e13/", url="https://doi.org/10.2196/jmir.1612", url="http://www.ncbi.nlm.nih.gov/pubmed/21269990" }
Baidu
map