在欧洲COPD患者中使用数字健康的意图:集群分析
Solomon Getachew Alem1, Le Nguyen2,3, Nadia Hipólito4
1Department of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa P.O. Box 26751, Ethiopia.
Healthcare (Basel, Switzerland)
|January 28, 2026
概括
了解患者个人资料对于COPD的数字健康采用至关重要. 两个群体出现了:犹不决的用户需要支持,热情的用户从整合中受益,性能预期推动了采用.
科学领域:
- 数字健康数字健康
- 慢性阻塞性肺病 (COPD) 是一种慢性阻塞性肺病.
- 医疗技术的接受度 医疗技术的接受度
背景情况:
- 慢性阻塞性肺病 (COPD) 对欧洲医疗保健系统构成越来越大的挑战,人口老龄化加剧了这一挑战.
- 数字健康干预措施 (DHIs) 具有减少住院治疗和改善COPD患者自我管理的潜力.
- 老年人往往对采用DHI表现出犹,需要根据患者个人资料进行量身定制的方法.
研究的目的:
- 根据其在COPD患者中使用数字健康干预措施 (DHIs) 的意图,确定不同的患者集群.
- 了解影响多样化欧洲COPD人口采用 DHI 的因素.
- 为制定有针对性的战略提供信息,以促进DHI在COPD管理中的采用.
主要方法:
- 在2024年7月至2025年2月期间,在七个欧洲国家对232名COPD患者进行了横截面调查.
- 收集的数据包括来自技术接受统一理论 (UTAUT) 的社会人口统计信息和构造.
- 患者使用DHI的意图被分类,加权的UTAUT得分被用Gower距离和围绕Medoids的分区进行聚类.
主要成果:
- 确定了两个不同的集群:"平衡的犹" (n=104) 与混合的意图和"热情" (n=128) 与强烈的采用意图.
- 犹不决的用户的障碍包括低绩效预期和有限的数字技能 (p < 0.05).
- 热情用户的激励因素包括低努力预期和疾病复杂性 (p < 0.01),性能预期在两组中一致预测意图.
结论:
- 在COPD中,数字健康的采用受到心理社会因素和数字素养的结合的影响.
- 需要量身定制的干预措施:犹不决的用户从以期望为中心的信息,数字素养培训和同行支持中受益,而热情的用户需要无集成.
- 绩效预期是DHI采用的关键驱动因素,强调需要国家特定战略.
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