@Article{信息:doi 10.2196 / / jmir。9382，作者=“Witry, Matthew and Comellas, Alejandro and Simmering, Jacob and Polgreen, Philip”，标题=“慢性阻塞性肺疾病队列中技术使用与健康状况的关系:多方法研究”，期刊=“J医学互联网研究”，年=“2018”，月=“Apr”，日=“02”，卷=“20”，数=“4”，页=“e125”，关键词=“肺部疾病，慢性阻塞性肺疾病;远程医疗;无线技术;电子邮件;远程会诊;病人模拟;背景:远程医疗和电子健康(eHealth)干预措施已被提出，以改善传统诊所和医院就诊之间的慢性阻塞性肺疾病(COPD)患者的管理，以减少并发症。然而，这种干预的有效性可能取决于患者对技术的舒适度。目的:目的是描述患者人口统计学与COPD疾病严重程度和通信相关技术使用之间的关系。 Methods: We administered a structured survey about the use of communication technologies to a cohort of persons in the COPDGene study at one midwestern hospital in the United States. Survey results were combined with clinical and demographic data previously collected as part of the cohort study. A subsample of patients also completed eHealth simulation tasks. We used logistic or linear regression to determine the relationship between patient demographics and COPD disease severity and reported use of communication-related technology and the results from our simulated eHealth-related tasks. Results: A total of 686 patients completed the survey and 100 participated in the eHealth simulation. Overall, those who reported using communication technology were younger (P=.005) and had higher incomes (P=.03). Men appeared less likely to engage in text messaging (P<.001) than women. Patients who spent more time on tasks in the eHealth simulation had greater odds of a COPD Assessment Test score >10 (P=.02) and walked shorter distances in their 6-minute walk tests (P=.003) than those who took less time. Conclusions: Older patients, patients with lower incomes, and less healthy patients were less likely to report using communication technology, and they did not perform as well on our simulated eHealth tasks. Thus, eHealth-based interventions may not be as effective in these populations, and additional training in communication technology may be needed. ", issn="1438-8871", doi="10.2196/jmir.9382", url="//www.mybigtv.com/2018/4/e125/", url="https://doi.org/10.2196/jmir.9382", url="http://www.ncbi.nlm.nih.gov/pubmed/29610113" }