TY -的盟Nijland考AU - van Gemert-Pijnen,茱莉亚以非盟- Kelders Saskia M AU -勃兰登堡,巴特J盟——Seydel Erwin R PY - 2011 DA - 2011/09/30 TI -影响因素的使用基于web的应用程序支持2型糖尿病患者的自我保健:一项纵向研究乔- J地中海互联网Res SP e71六世- 13是- 3 KW -互联网KW -技术KW -电子健康KW -电子邮件KW交流KW -初级保健KW -自我保健KW -糖尿病AB -背景:电子保健应用程序的使用率总体上仍然相当低，用户流失率往往很高。关于特定患者群体使用电子保健技术的信息有限。目的:本研究的目的是探讨影响基于web的应用程序(DiabetesCoach)最初和长期使用的因素，以支持2型糖尿病患者的自我护理。方法:混合方法研究设计用于对Web应用程序在2年期间的实际使用情况进行过程分析，并确定用户档案。研究工具包括日志文件、访谈、可用性测试和调查。结果:DiabetesCoach主要用于交互式功能，如在线监测、个人数据和患者-护士电子邮件联系。尤其吸引病人的是持续的个人反馈;他们感到护士更密切地监视着他们，并鼓励他们在自我管理疾病方面发挥更积极的作用。尽管取得了积极的结果，但Web应用程序的使用受到低注册率和不使用人员流失的阻碍。 The main barrier to enrollment had to do with a lack of access to the Internet (146/226, 65%). Although 68% (34/50) of the enrollees were continuous users, of whom 32% (16/50) could be defined as hardcore users (highly active), the remaining 32% (16/50) did not continue using the Web application for the full duration of the study period. Barriers to long-term use were primarily due to poor user-friendliness of the Web application (the absence of “push” factors or reminders) and selection of the “wrong” users; the well-regulated patients were not the ones who could benefit the most from system use because of a ceiling effect. Patients with a greater need for care seemed to be more engaged in long-term use; highly active users were significantly more often medication users than low/inactive users (P = .005) and had a longer diabetes duration (P = .03). Conclusion: Innovations in health care will diffuse more rapidly when technology is employed that is simple to use and has applicable components for interactivity. This would foresee the patients’ need for continuous and personalized feedback, in particular for patients with a greater need for care. From this study several factors appear to influence increased use of eHealth technologies: (1) avoiding selective enrollment, (2) making use of participatory design methods, and (3) developing push factors for persistence. Further research should focus on the causal relationship between using the system’s features and actual usage, as such a view would provide important evidence on how specific technology features can engage and captivate users. SN - 1438-8871 UR - //www.mybigtv.com/2011/3/e71/ UR - https://doi.org/10.2196/jmir.1603 UR - http://www.ncbi.nlm.nih.gov/pubmed/21959968 DO - 10.2196/jmir.1603 ID - info:doi/10.2196/jmir.1603 ER -