@文章{信息:doi/10.2196/26869,作者=“Dharanikota, Spurthy和LeRouge, Cynthia M和Lyon, Victoria和Durneva, Polina和Thompson, Matthew”,标题=“确定消费者健康技术临床试验参与者参与的推动因素:流感家庭检测的定性研究”,期刊=“J Med Internet Res”,年=“2021”,月=“Sep”,日=“14”,卷=“23”,数=“9”,页=“e26869”,关键词=“消费者健康保健技术;本契约;智能手机支持的家庭测试;Smart-HT;上市前临床试验;审判参与;家庭诊断检测;背景:最近使用消费者健康技术自我管理健康的趋势上升,突出了有效和成功的消费者健康技术试验的重要性。试验对于支持消费者健康技术的大规模实施尤其重要,例如支持智能手机的家庭测试。然而,试验通常充满了挑战,例如登记不足,对干预措施缺乏忠诚,以及高辍学率。 Understanding the reasons underlying individuals' participation in trials can inform the design and execution of future trials of smartphone-supported home tests. Objective: This study aims to identify the enablers of potential participants' trial engagement for clinical trials of smartphone-supported home tests. We use influenza home testing as our instantiation of a consumer health technology subject to trial to investigate the dispositional and situational enablers that influenced trial engagement. Methods: We conducted semistructured interviews with 31 trial participants using purposive sampling to facilitate demographic diversity. The interviews included a discussion of participants' personal characteristics and external factors that enabled their trial engagement with a smartphone-supported home test for influenza. We performed both deductive and inductive thematic analyses to analyze the interview transcripts and identify enabler themes. Results: Our thematic analyses revealed a structure of dispositional and situational enablers that enhanced trial engagement. Situationally, clinical affiliation, personal advice, promotional recruitment strategies, financial incentives, and insurance status influenced trial engagement. In addition, digital health literacy, motivation to advance medical research, personal innovativeness, altruism, curiosity, positive attitude, and potential to minimize doctors' visits were identified as the dispositional enablers for trial engagement in our study. Conclusions: We organized the identified themes for dispositional and situational enablers of trial engagement with a smartphone-supported home test into a research framework that can guide future research as well as the trial design and execution of smartphone-supported home tests. We suggest several trial design and engagement strategies to enhance the financial and scientific viability of these trials that pave the way for advancements in patient care. Furthermore, our study also offers practical strategies to trial organizers to enhance participants' enrollment and engagement in clinical trials of these home tests. ", issn="1438-8871", doi="10.2196/26869", url="//www.mybigtv.com/2021/9/e26869", url="https://doi.org/10.2196/26869", url="http://www.ncbi.nlm.nih.gov/pubmed/34519664" }
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