TY -非盟的古恩德西尔维娅AU -布罗德里克,Andrew AU -枣疯病,Hmellisa盟——Gemmill艾莉森AU -林德曼,大卫PY - 2017 DA - 2017/07/05 TI -听社区:混合法研究弱势群体参与的母亲与数字医疗技术和孕妇乔- J地中海互联网Res SP - e240六世- 19 - 7 KW -数字鸿沟KW -健康信息管理KW -消费者健康信息KW -孕妇KW -母亲AB -背景:美国医疗保健提供者越来越多地要求患者使用数字健康技术来注册医疗、获取个人健康信息、与提供者沟通并监测自己的健康状况。对于卫生知识普及有限、时间有限或优先事项相互竞争的弱势群体来说，这种参与可能很困难。目的:我们旨在了解数字健康工具的采用和使用程度，并确定弱势首次怀孕妇女和幼儿母亲使用技术的主要感知心理动机。方法:我们招募了来自中西部和东西海岸低收入社区的卫生组织的女性。共有92名妇女参加了14个焦点小组。在每次会议期间，我们使用工作表来衡量3种使用结果:最近基于web的健康寻求活动的数量，当前使用数字健康管理实践(例如，访问个人健康信息，与提供者沟通，安排预约)，以及低用户或不用户中采用数字健康管理工具的可能性。对工作表和关于人口统计、技术获取和使用动机的焦点小组预调查的响应进行了检查，以创建用户档案。单独的回归模型确定了与这些结果相关的激励因素(电子健康素养、内部健康导向和对数字信息的信任)。定性数据被纳入以说明工作表的反应。 Results: Whereas 97% of the participants reported that they had searched for health information on the Internet in the past year, 42% did not engage in digital health-management practices. Among the low users and nonusers, 49% expressed interest in future adoption of digital health tools. Web-based health information-seeking activities were associated with digital health-management practices (P<.001). When controlling for covariates, eHealth literacy was positively correlated with the number of Web-based health-seeking activities (beta=.03, 95% CI 0.00-0.07). However, an internal health orientation was a much stronger correlate of digital health-management practices (beta=.13, 95% CI 0.02-0.24), whereas trust in digital information increased the odds of potential adoption (vs no adoption) in adjusted models (OR 5.21, 95% CI 0.84-32.53). Demographic characteristics were not important drivers of digital health use and few differences distinguished use among mothers and pregnant women. Conclusions: Seeking health information on the Internet may be an important gateway toward engaging in digital health-management practices. Notably, different consumer motivators influence digital health tool use. The relative contributions of each must be explored to design tools and interventions that enhance competencies for the management of self and child health among disadvantaged mothers and pregnant women. Unless we address disparities in digital health tool use, benefits from their use will accrue predominantly to individuals with the resources and skills to use technology effectively. SN - 1438-8871 UR - //www.mybigtv.com/2017/7/e240/ UR - https://doi.org/10.2196/jmir.7736 UR - http://www.ncbi.nlm.nih.gov/pubmed/28679489 DO - 10.2196/jmir.7736 ID - info:doi/10.2196/jmir.7736 ER -