在一般实践中使用短信调查研究与低收入群体的人接触:多方法研究
Elizabeth Sturgiss1, Jenny Advocat1, Christopher Barton2
1School of Primary and Allied Health Care, Monash University, Frankston, Australia.
JMIR mHealth and uHealth
|September 5, 2024
概括
短信短信调查显示了初级保健的潜力,但难以接触到边缘化群体. 对于低收入群体,可能需要采用更密集的方法,例如亲自收集数据.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 数字健康干预措施 数字健康干预措施
背景情况:
- 短信短信调查越来越多地用于医疗保健研究,因为可行性和患者接受度.
- 由于访问和通信障碍,通过短信调查来接触边缘化人口存在挑战.
- 传统的初级保健调查往往有较低的响应率,特别是在弱势群体中.
研究的目的:
- 调查基于短信短信的患者招募和在较低社会经济水平地区的一般实践调查的有效性.
- 确定针对不同人群的初级保健研究中使用短信调查的障碍和促进因素.
- 为改善边缘化群体在健康研究中的纳入提供信息的战略.
主要方法:
- 一个两步SMS数据收集过程,涉及初始调查链接和随后的后续行动.
- 与初级卫生网络工作人员,实践人员和临床医生进行定性访谈.
- 使用实施研究综合框架对定性数据进行分析.
主要成果:
- 在六个一般实践中,有四个成功实施了短信.
- 最初的SMS调查响应率为8.2%,随后的3个月调查实现了更高的响应率 (例如51.4%).
- 障碍包括有限的智能手机访问,财务限制,语言,识字和身体限制;建议的解决方案包括纸质调查和费用.
结论:
- 短信短信调查对初级保健中的普通人群可能是有效的,但对边缘化群体需要加强战略.
- 面对面的数据收集方法可能更适合在初级保健研究中吸引低收入人群.
- 需要进一步的研究,以优化数字卫生干预措施,为多样化和服务不足的社区.
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