%0期刊文章%@ 1438- 8871% I JMIR出版物%V 20卡塔尔世界杯8强波胆分析% N 4% P e125% T慢性阻塞性肺疾病队列中技术使用与健康状况之间的关系:多方法研究%A Witry,Matthew %A Comellas,Alejandro %A Simmering,Jacob %A Polgreen,Philip %+爱荷华大学药学院药学实践与科学系，爱荷华州爱荷华市S515 PHAR, 115 S Grand Ave, 52242，美国，IA, 1 3193358763, matthew-witry@uiowa.edu慢性阻塞性肺疾病%K远程医疗%K无线技术%K电子邮件%K远程会诊%K患者模拟%K调查%D 2018 %7 02.04.2018 %9原始论文%J J医学互联网Res %G英文%X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。方法:我们对美国中西部一家医院的COPDGene研究中的一组人群进行了一项关于通信技术使用的结构化调查。调查结果与以前作为队列研究的一部分收集的临床和人口数据相结合。患者的子样本也完成了电子健康模拟任务。我们使用逻辑或线性回归来确定患者人口统计学与COPD疾病严重程度、报告的通信相关技术的使用以及模拟电子健康相关任务的结果之间的关系。结果:共有686名患者完成了调查，100名患者参与了电子健康模拟。 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. %M 29610113 %R 10.2196/jmir.9382 %U //www.mybigtv.com/2018/4/e125/ %U https://doi.org/10.2196/jmir.9382 %U http://www.ncbi.nlm.nih.gov/pubmed/29610113