TY - JOUR AU - Camerini, Luca AU - Schulz, Peter Johannes PY - 2012 DA - 2012/07/18 TI -功能性互动对患者知识、赋权和健康结果的影响:基于web干预的实验模型驱动评估JO - J Med Internet Res SP - e105 VL - 14 IS - 4kw -互动KW -健康知识读写KW -患者赋权KW -纤维肌痛KW -互联网干预AB -背景:电子卫生干预措施在覆盖面和结果方面的有效性现已得到充分证明。然而，不仅需要了解电子卫生干预措施是否有效，还需要了解什么样的功能和机制可以提高其有效性。本研究通过调查功能性互动对患者知识、赋权和健康结果所起的作用，有助于应对这些挑战。目的:测试健康知识和赋权是否在电子健康应用程序上的交互式功能的可用性与个人健康结果之间调节可能的关系。基于对互动性、健康知识、赋权和健康结果的结构的简要理论回顾，我们提出了在电子健康应用程序中实现的功能互动性效果的实证、模型驱动的评估。我们将这些结构合并到互动效应的理论模型中，并在针对纤维肌痛综合征(FMS)患者的电子健康应用程序上进行了测试。方法:本研究采用前测-后测实验设计。我们招募了165名患者，并将他们随机分配到三个研究组，分别对应不同的功能互动水平。参与研究的资格要求患者:(1)意大利语流利，(2)能上网，(3)有信心使用计算机，(4)有医生诊断为FMS。 We used structural equation modeling techniques to analyze changes between the pretest and the posttest results. Results: The main finding was that functional interactivity had no impact on empowerment dimensions, nor direct observable effects on knowledge. However, knowledge positively affected health outcomes (b = –.12, P = .02), as did the empowerment dimensions of meaning (b = –.49, P < .001) and impact (b = –.25, P < .001). Conclusion: The theoretical model was partially confirmed, but only as far as the effects of knowledge and empowerment were concerned. The differential effect of interactive functions was by far weaker than expected. The strong impact of knowledge and empowerment on health outcomes suggests that these constructs should be targeted and enhanced by eHealth applications. SN - 1438-8871 UR - //www.mybigtv.com/2012/4/e105/ UR - https://doi.org/10.2196/jmir.1953 UR - http://www.ncbi.nlm.nih.gov/pubmed/22810046 DO - 10.2196/jmir.1953 ID - info:doi/10.2196/jmir.1953 ER -