题名

愛滋感染者以手機提醒回診就醫之接受度

并列篇名

Willingness to Receive Text Message Appointment Reminders Among Patients With HIV Infection

DOI

10.6224/JN.63.1.59

作者

白芸慧(Yun-Hui Pai);陳嬿今(Yen-Chin Chen);洪政凱(Cheng-Kai Hung);劉曉穎(Hsiao-Ying Liu);賴怡因(Yi-Yin Lai);柯乃熒(Nai-Ying Ko)

关键词

行動健康 ; 愛滋照護 ; 回診就醫 ; mHealth ; HIV care ; retention in care

期刊名称

護理雜誌

卷期/出版年月

63卷1期(2016 / 02 / 01)

页次

59 - 67

内容语文

繁體中文

中文摘要

背景 行動健康(mobile health, mHealth)整合無線通訊科技於健康照護領域,其中以手機簡訊(shortmessage service, SMS)最常被運用在愛滋病照顧。基於台灣手機的普及率高及持續回診就醫率低,手機簡訊成為未來提升回診就醫的行動健康之重要工具。目的 調查愛滋感染者手機持有率及運用行動科技提醒愛滋感染者定期回診的意願。方法 以橫斷面調查法收集405位愛滋感染者運用手機的使用率、使用型態。結果 384位符合收案條件的愛滋感染者參與研究,參與率約94.8%。73.3%的感染者表示願意接收提醒訊息以提醒他們定期回診。控制社會人口學之干擾變項進行多變項邏輯式回歸發現,願意接收提醒回診訊息之個案,其教育程度為大專以下(AOR = 2.06, 95% CI [1.05, 4.04]),與常使用手機鬧鐘或行事曆作為提醒功能(AOR = 4.01, 95% CI [1.51, 10.66])有顯著相關。結論/實務應用 愛滋感染者對於結合無線通訊行動科技於愛滋照顧的接收度高,但需確保個人隱私避免感染狀況曝光,未來需進一步驗證運用行動健康提升愛滋照護品質的成效。

英文摘要

Background: Wireless communication technologies are increasingly being used in the fields of healthcare, with platforms such as mobile health (mHealth) being widely implemented in HIV care. The rapid expansion of mobile technologies, including smartphone applications (apps), provides a unique opportunity to effectively remind patients about regular follow-up appointments, thereby ensuring patient retention and resulting in a higher quality of care for HIV patients. Purpose: This study examines mobile phone users' usage patterns, application usage, and challenges associated with the use of a mobile phone reminder system in order to improve retention in HIV care among patients. Methods: A cross-sectional descriptive study was conducted to collect data on the usage and patterns of communication technologies from 405 patients. Results: This study included 384 of the 405 eligible patients, resulting in a response rate of 94.8%. A majority of participants (73.3%) indicated their willingness to receive reminders via a text message regarding their upcoming HIV clinical appointments. After adjusting for sociodemographic and clinical variables, multiple logistic regression models indicated that the willingness to receive reminder messages was independently associated with having a college-level education (AOR = 2.06, 95% CI [1.05, 4.04]) and with having prior experience with using electronic reminders (AOR = 4.01, 95% CI [1.51, 10.66]). Conclusions / Implications for Practice: Protection of personal information was identified as the most important factor that must be addressed in order to increase patient willingness to use a cell phone reminder system. Our findings suggest that mobile technologies are a widely used and an acceptable method for improving quality of care for HIV patients.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. CTIA-The Wireless Association. (2008). Wireless quick facts: Year end figures. Retrieved from http://cellphones.procon.org/sourcefiles/CTIA_Stats.pdf
  2. 財團法人資訊工業策進會(2013).2013 年第3 季我國行動上網觀測. 取自http://www.find.org.tw/market_info.aspx?n_ID=7200 [Foreseeing Innovative New Digiservices, Taiwan, ROC. (2013). Observations on Taiwan's mobile Internet during 3Q, 2013. Retrieved from http://www.find.org.tw/market_info.aspx?n_ID=7200]
  3. 台灣露德協會(2014).「健康管理APP」守護帕斯堤健康.取自http://www.lourdes.org.tw/list_1.asp?id=2630&menu1=4&menu2=23 [Taiwan Lourdes Association. (2014). Guardian of HIV patient health: The health management app. Retrieved from http://www.lourdes.org.tw/list_1.asp?id=2630&menu1=4&menu2=23]
  4. 國家發展委員會(2012).101 年個人家戶數位機會調查報告. 取自http://ws.ndc.gov.tw/001/administrator/10/relfile/0/1000/312113511071.pdf [National Development Council, Taiwan, ROC. (2012). Report on e-opportunities for individuals / households, 2012. Retrieved from http://ws.ndc.gov.tw/001/administrator/10/relfile/0/1000/312113511071.pdf]
  5. 國家發展委員會(2011).100 年持有手機民眾數位機會調查報告.取自http://ppt.cc/oR3XL [National Development Council, Taiwan, ROC. (2011). Report on e-opportunities for mobile phones owners, 2011. Retrieved from http://ppt.cc/oR3XL]
  6. 鄭天澤(2014).2014 年台灣寬頻網路使用調查.台北市:台灣網路資訊中心。[Jeng, T. T. (2014). 2014 Taiwan broadband usage survey. Taipei City, Taiwan, ROC: Taiwan Network Information Center.]
  7. 疾病管制署(2014).HIV/AIDS 統計月報表.取自http:// ppt.cc/31qTP [Centers for Disease Control, Taiwan, ROC.(2014). HIV/AIDS statistical report. Retrieved from http://ppt.cc/31qTP]
  8. 行政院研究發展考核委員會(2013).102 年臺灣世代數位機會發展現況. 取自http://ws.ndc.gov.tw/001/administrator/10/relfile/0/1000/3121615311171.pdf[Executive Yuan, Research, Development and Evaluation Commission. (2013). The current development of the e-opportunity cohort in Taiwan, 2013. Retrieved from http://ws.ndc.gov.tw/001/administrator/10/relfile/0/1000/3121615311171.pdf]
  9. Chang, L. W.,Njie-Carr, V.,Kalenge, S.,Kelly, J. F.,Bollinger, R. C.,Alamo-Talisuna, S.(2013).Perceptions and acceptability of mHealth interventions for improving patient care at a community-based HIV/AIDS clinic in Uganda: A mixed methods study.AIDS Care,25(7),874-880.
  10. Curioso, W. H.,Kurth, A. E.(2007).Access, use and perceptions regarding Internet, cell phones and PDAs as a means for health promotion for people living with HIV in Peru.BMC Medical Informatics and Decision Making,7,24.
  11. Flicker, S.,Goldberg, E.,Read, S.,Veinot, T.,McClelland, A.,Saulnier, P.,Skinner, H.(2004).HIV-positive youth's perspectives on the Internet and e-health.Journal of Medical Internet Research,6(3),e32.
  12. Gerver, S. M.,Chadborn, T. R.,Ibrahim, F.,Vatsa, B.,Delpech, V. C.,Easterbrook, P. J.(2010).High rate of loss to clinical follow up among African HIV-infected patients attending a London clinic: A retrospective analysis of a clinical cohort.Journal of the International AIDS Society,13,29.
  13. Gurol-Urganci, I.,de Jongh, T.,Vodopivec-Jamsek, V.,Atun, R.,Car, J.(2013).Mobile phone messaging reminders for attendance at healthcare appointments.Cochrane Database of Systematic Reviews,12
  14. Horvath, T.,Azman, H.,Kennedy, G. E.,Rutherford, G. W.(2012).Mobile phone text messaging for promoting adherence to antiretroviral therapy in patients with HIV infection.Cochrane Database of Systematic Reviews,3
  15. Kinyua, F.,Kiptoo, M.,Kikuvi, G.,Mutai, J.,Meyers, A. F.,Muiruri, P.,Songok, E.(2013).Perceptions of HIV infected patients on the use of cell phone as a tool to support their antiretroviral adherence; A cross-sectional study in a large referral hospital in Kenya.BMC Public Health,13,987.
  16. Ko, N. Y.,Lai, Y. Y.,Liu, H. Y.,Lee, H. C.,Chang, C. M.,Lee, N. Y.,Ko, W. C.(2012).Impact of the nurse-led case management program with retention in care on mortality among people with HIV-1 infection: A prospective cohort study.International Journal of Nursing Studies,49(6),656-663.
  17. Kunutsor, S.,Walley, J.,Katabira, E.,Muchuro, S.,Balidawa, H.,Namagala, E.,Ikoona, E.(2010).Using mobile phones to improve clinic attendance amongst an antiretroviral treatment cohort in rural Uganda: A cross-sectional and prospective study.AIDS and Behavior,14(6),1347-1352.
  18. Levine, D.,McCright, J.,Dobkin, L.,Woodruff, A. J.,Klausner, J. D.(2008).SEXINFO: A sexual health text messaging service for San Francisco youth.American Journal of Public Health,98(3),393-395.
  19. Marks, G.,Gardner, L. I.,Craw, J.,Crepaz, N.(2010).Entry and retention in medical care among HIV-diagnosed persons: A meta-analysis.AIDS,24(17),2665-2678.
  20. Miller, C. W. T.,Himelhoch, S.(2013).Acceptability of mobile phone technology for medication adherence interventions among HIV-positive patients at an urban clinic.AIDS Research and Treatment,2013,670525.
  21. Sethi, A. K.,Celentano, D. D.,Gange, S. J.,Moore, R. D.,Gallant, J. E.(2003).Association between adherence to antiretroviral therapy and human immunodeficiency virus drug resistance.Clinical Infectious Diseases,37(8),1112-1118.
  22. Shet, A.,Arumugam, K.,Rodrigues, R.,Rajagopalan, N.,Shubha, K.,Raj, T.,De Costa, A.(2010).Designing a mobile phone-based intervention to promote adherence to antiretroviral therapy in South India.AIDS and Behavior,14(3),716-720.
  23. Siedner, M. J.,Santorino, D.,Haberer, J. E.,Bangsberg, D. R.(2015).Know your audience: Predictors of success for a patient-centered texting app to augment linkage to HIV care in rural Uganda.Journal of Medical Internet Research,17(3),e78.
  24. Strandbygaard, U.,Thomsen, S. F.,Backer, V.(2010).A daily SMS reminder increases adherence to asthma treatment: A three-month follow-up study.Respiratory Medicine,104(2),166-171.
  25. Tello, M. A.,Jenckes, M.,Gaver, J.,Anderson, J. R.,Moore, R. D.,Chander, G.(2010).Barriers to recommended gynecologic care in an urban United States HIV clinic.Journal of Women's Health,19(8),1511-1518.
  26. Ulett, K. B.,Willig, J. H.,Lin, H. Y.,Routman, J. S.,Abroms, S.,Allison, J.,Mugavero, M. J.(2009).The therapeutic implications of timely linkage and early retention in HIV care.AIDS Patient Care and STDs,23(1),41-49.
  27. Xiao, Y.,Ji, G.,Tian, C.,Li, H.,Biao, W.,Hu, Z.(2014).Acceptability and factors associated with willingness to receive short messages for improving antiretroviral therapy adherence in China.AIDS Care,26(8),952-958.
被引用次数
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